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. 

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.

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.

PURPOSE AND SCOPE:

Supports FMCNA's mission vision core values and customer service philosophy.  Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines.  Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMS culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.
• Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
• Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
• Obtain necessary pre and post treatment vital signs and weight.  Report unusual findings to nurse supervisor.
• Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
• Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
• Perform administration of Heparin as delegated or as allowed by state law. 
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures
• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
• Obtain Hemostasis and apply appropriate dressings.  
• Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
• Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
• Report any significant information and/or change in patient condition directly to the nurse supervisor. 
• Observe patient and conduct machine safety checks according to facility policy.  Report any change or unusual findings to the nurse supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

MAINTENANCE/TECHNICAL:

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system. 
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.

CLERICAL & ADMINISTRATIVE:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. 
• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
• Collect label appropriately prepare and store lab samples according required laboratory specifications.
• Ensure collection of lab specimens by appropriate lab courier.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• May assist HT RN on Home Visit as directed
• Reinforces  PD / HHD education under supervision of qualified HT RN
• Schedules and contacts patients regarding appointments
• Weigh patient and obtain vital signs
• Collect treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; prep charts
• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
• Clerical duties as assigned (faxing mailing to physician offices etc.)
• Obtain home hemo water sampling as directed by the HT RN
• Set-up of the home hemo machine and PD Cycler.
• Assist with exit site care when directed by HT RN.
• Warm dialysate solution when directed by the HT RN
• Draw dialysate solution for testing as directed by the HT RN
• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)
• Assembles/breaks down charts/thins charts
• Maintains logs as directed and applicable
• Inventory of Home Program
• Maintains par levels of home department supplies
• Files home patient packing slips/invoices
• Inventory for Patients
• Assists patient with supply management and contacting customer service

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.

Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians.  The position requires travel between assigned facilities and various locations within the community.  Travel to regional Business Unit and Corporate meetings may be required.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.  May be exposed to infectious and contagious diseases/materials

The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance.  This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment exerting up to 15 pounds of force.  The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs. and on an occasional lift basis up to 40 lbs. as high as 5 feet.  There is a two-person assist program and material assist devices for the heavier items.

EDUCATION

• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
• All appropriate state licensure education and training (if any) required. 

EXPERIENCE AND REQUIRED SKILLS

• Previous patient care experience in a hospital setting or related facility preferred.
• Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.

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.

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.

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership 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, scholarships to family members, relief when natural disasters strike, and 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:

As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.

• Sets up, tests, and operates hemodialysis machines for patient treatments.
• Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
• Evaluates vascular access pre-treatment and performs vascular access cannulation.
• Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
• Monitors patients’ response to dialysis therapy.
• Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
• Reports any significant information and/or change in patient condition directly to supervisor.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Assists other healthcare members in providing patient education.
• Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.

EDUCATION AND LICENSES:

• High school diploma or G.E.D. required.

EXPERIENCE AND REQUIRED SKILLS:

• Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
• Previous patient care experience in a hospital setting or a related facility (preferred but not required).
• Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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.

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.

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership 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, scholarships to family members, relief when natural disasters strike, and 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:

As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.

• Sets up, tests, and operates hemodialysis machines for patient treatments.
• Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
• Evaluates vascular access pre-treatment and performs vascular access cannulation.
• Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
• Monitors patients’ response to dialysis therapy.
• Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
• Reports any significant information and/or change in patient condition directly to supervisor.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Assists other healthcare members in providing patient education.
• Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.

EDUCATION AND LICENSES:

• High school diploma or G.E.D. required.

EXPERIENCE AND REQUIRED SKILLS:

• Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
• Previous patient care experience in a hospital setting or a related facility (preferred but not required).
• Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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.

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.

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership 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, scholarships to family members, relief when natural disasters strike, and 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:

As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.

• Sets up, tests, and operates hemodialysis machines for patient treatments.
• Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
• Evaluates vascular access pre-treatment and performs vascular access cannulation.
• Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
• Monitors patients’ response to dialysis therapy.
• Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
• Reports any significant information and/or change in patient condition directly to supervisor.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Assists other healthcare members in providing patient education.
• Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.

EDUCATION AND LICENSES:

• High school diploma or G.E.D. required.

EXPERIENCE AND REQUIRED SKILLS:

• Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
• Previous patient care experience in a hospital setting or a related facility (preferred but not required).
• Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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.

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.

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Education:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.

Patient Treatment:

• Welcome assigned patients and inquire as to their well-being since their last treatment.
• Evaluate vascular access for patency.
• Obtain necessary pre and post treatment vital signs and weight.
• Perform vascular access evaluation pre-treatment.
• Perform vascular access cannulation.
• Perform administration of Heparin as delegated or as allowed by state law.
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures.
• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
• Obtain Hemostasis and apply appropriate dressings.
• Evaluate the patient prior to discharge.
• Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
• Report any significant information and/or change in patient condition directly to the PCT III (if applicable) or nurse supervisor.
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or nurse supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the PCT III (if applicable) or nurse supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

Maintenance/Technical:

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.

• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).

• Initiate Solution Delivery System (SDS) system.

• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.

• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.

Record Keeping:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.

• Enters all treatment data into the designated clinical application in an accurate and timely manner.

• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.

• Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.

• Collect label appropriately prepare and store lab samples according required laboratory specifications.

• Ensure collection of lab specimens by appropriate lab courier.

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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.

RN—Clinical

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, 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.  Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. 

How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education.

Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.

Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations.

• As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
• Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff.
• Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.
• Adjusts or modify the treatment plan as indicated and notify supervisor as needed.

• Provides initial and ongoing education to patient and family.
• Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.

• Initiates or assist with emergency response measures.

• Ensures correct laboratory collection, processing, and shipping procedures are performed.
• Collaborates with the Interdisciplinary Team on the patient care plan.

• Ensures patient awareness related to transplant and treatment modality options.
• Completes CAP requirements to either maintain or advance within the program.
• Makes referrals to Social Worker and Registered Dietitian as appropriate.
• Ensures patient awareness related to transplant and treatment modality options.

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 SKILLS:

• Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.
• Experience as a Registered Nurse (preferred but not required).
• Chronic/acute hemodialysis experience (preferred but not required).
• Successfully pass the Ishihara Color Blind Test.

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.

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.

"

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.

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:

• Under direct/close supervision, performs a variety of basic and routine clerical and secretarial duties. These may include but are not limited to:
• Preparing and typing routine correspondence, form letters and reports
• Answering telephone & routing calls to the appropriate person,
• Greeting visitors and patients as applicable and conducting them to the appropriate location or person as needed.
• Setting up and maintaining filing systems and basic databases as applicable.
• Completing forms and reports as required by the various company offices and outside vendors and agencies.
• Recording the minutes of meetings and providing the resulting documents as necessary.
• Making copies of correspondence and other printed matter as required by manager.
• Preparing purchase orders using the appropriate software application.
• Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed.
• Distributing incoming mail.
• Maintaining calendar and daily schedules.
• Scheduling appointments & arranging meetings.
• Maintaining inventory of the necessary office forms and supplies.
• Assisting with various basic personnel administrative functions as needed.
• Acting as backup to other clerical personnel in office as needed.
• Assists in the collection of Patient Statistical Profile and Continuous Quality Improvement Data.
• Assists with month-end reporting requirements
• Assists in auditing records for ongoing compliance with medical records standards.

• Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc.

  • Prepares medical records for facsimile or mail related to travel, transplant, disability and others.
  • Organizes travel for patients by contacting and providing requested medical records.
  • Coordinates with transient patient paperwork.
  • Coordinates transfer placements and confirmations along with Clinical Manager.
  • Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning.
  • Assist with medical appointment referrals and scheduling.
  • Assist with transportation coordination and referrals.
• Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART.
• 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 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

EDUCATION:

• High School Diploma required

EXPERIENCE AND REQUIRED SKILLS:   

• Minimum 6 months relevant experience without a degree - 0-6 months experience with an Associate degree or secretarial school.
• Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills.
• Pleasant telephone manner.

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.

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.

Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following:   

• Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country.
• Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development.
• Superior training, UltraCare® quality control, and certification procedures ensure your potential to succeed and advance as a professional.
• Competitive compensation and exceptional benefits.
• Outstanding tuition reimbursement program.
• Recognized among Fortune's World's Most Admired Companies in 2011.
• National Safety Award from CNA insurance companies for 11 consecutive years.
• Opportunities to give back by participating in philanthropy and community outreach programs.

PURPOSE AND SCOPE:

Supports FMCNA's mission, vision, core values and customer service philosophy.  Adheres to the FMCNA Compliance Program, including following all regulatory and division/company policy requirements.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Responsible for reporting and documenting all new or unusual incidents, information, complaints, or problems to the supervisor. Promotes and assists in the maintenance of a sage and clean work environment.

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMCNA culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. 

PRINCIPAL RESPONSIBILITIES AND DUTIES:

Patient Related:

• Provide direct patient care for assigned patient(s).
• Perform all technical aspects of dialysis procedures for assigned patients as prescribed. Administer and monitor treatments in accordance with current treatment plan or as directed by the supervisor.
• Monitor and document dialysis treatment parameters on dialysis flow sheets. Document other information related to the care of the patient in the individual patient record.
• Responsible for reporting any significant information, change in patient condition, or equipment problems to the supervisor.
• Assist in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet and medications.
• Assist with all emergency operational procedures.
• Administer intravenous medication in accordance with physician orders and state nurse practice laws.
• Perform and document pre, interim, and post treatment review of patient condition.
• Initiate basic CPR measures in the event of cardiac and/or pulmonary arrest, and respond to emergency situations related to dialysis treatment.

Technical:

• Safely operate all dialysis related equipment according to the proper procedures.
• Provide minor troubleshooting when necessary.
• Ensure a clean, safe and sanitary environment in the dialysis facility treatment area.
• Ensure all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
• Operate all emergency equipment effectively in accordance to the standard operation procedures.

Staff Related:

• Participate in staff meetings as scheduled.
• Assist in short term and long term patient care plan meetings.
• Acquire information and knowledge in current practice related to dialysis principals and technique by participating in scheduled in-service classes.
• Act as a resource person for other staff members. Assist with the coordination of the care plan with Physician, Dietitian and Social Worker. 
• Other duties as assigned.

• Graduate of an accredited School of Practical Nursing (LPN, LVN)
• Current appropriate State licensure. 

• One year medical-surgical nursing experience preferred.
• Hemodialysis experience preferred but not required.
• ICU experience preferred but not required.
• Successfully complete a training course in the theory and practice of hemodialysis.
• Successfully complete CPR Certification.
• Must complete the Nurses Technical Training Program upon hire or soon thereafter.
• Ability to provide coverage at area facilities during times of short-staffing or as required.
• Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
• Good communication skills, both 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.

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.

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:

• Maintains, troubleshoots, and repairs dialysis equipment, ancillary equipment, and water treatment systems.

• Maintains the physical plant, as directed.

• Ensures outside vendor services are completed per contract.

• Purchases and retain an inventory of service parts.

• Performs, evaluates, and reports water/dialysate sample collection and any actions required.

• Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed.

• Documents all repairs and maintenance activity.

• Assists in planning and installing biomedical equipment to assure safe and effective operation of facility.

• Transports equipment as needed with supervisor consent.

• Participates in monthly technical and regulatory meetings.

• Collaborates with facility staff to ensure all regulatory and OSHA requirements are met.

• Manages inventory, including receiving and putting up deliveries, inventory counts, transporting goods between clinics as needed and assist clinical management with inventory costs.

• 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.

• Completes all technical training programs required by state/federal regulations and company policy.

• Provides scheduled after hour technical on-call coverage for your clinics as needed.

EDUCATION AND CREDENTIALS:

• High school diploma or G.E.D. required.
• Associate Degree in electronics / biomedical technology, or equivalent (preferred but not required)
• Valid Driver's License issued in the employee’s state of residence required.
• Continued employment is dependent on successful completion of Fresenius Biomedical Technician training within the first 24 months of service from date of hire.

EXPERIENCE AND REQUIRED SKILLS:

• Qualities and traits: collaborative, independent, analytical, mechanical, self-motivated, self-starter, continuously strives for staying up to date and increasing their knowledge/skills
• Less than 1-year related experience.
• Prior experience working in a mechanical, automotive, or construction industry, dialysis, or medical technical setting (preferred but not required).
• Manual dexterity required - ability to use common hand tools and small power equipment.
• Good verbal and written communication skills.
• Ability to lift up to 50 lbs. and safely move large/bulky equipment

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.

•      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.

•      Position involves active work including lifting, bending, walking, and standing for considerable lengths of time.

•      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.

•      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.

•      Work environment is typically air temperature controlled with moderate noise levels. May be required to work in various outdoor elements.

•              Evening, weekend, and holiday availability, as well as ability to take

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.

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.

PURPOSE AND SCOPE:

Supports FMCNA's mission vision core values and customer service philosophy.  Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.

Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines.  Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).

DUTIES / ACTIVITIES:

CUSTOMER SERVICE:

• Responsible for driving the FMS culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner.

PRINCIPAL RESPONSIBILITIES AND DUTIES

PATIENT CARE:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access.
• Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
• Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
• Obtain necessary pre and post treatment vital signs and weight.  Report unusual findings to nurse supervisor.
• Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
• Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
• Perform administration of Heparin as delegated or as allowed by state law. 
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures
• Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
• Obtain Hemostasis and apply appropriate dressings.  
• Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
• Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification.
• Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
• Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160.
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes.
• Report any significant information and/or change in patient condition directly to the nurse supervisor. 
• Observe patient and conduct machine safety checks according to facility policy.  Report any change or unusual findings to the nurse supervisor.
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.

MAINTENANCE/TECHNICAL:

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
• Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system. 
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
• Prepare organize and efficiently utilize supplies and equipment to prevent wastage.

CLERICAL & ADMINISTRATIVE:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. 
• Enters all treatment data into the designated clinical application accurately and in a timely manner.
• Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate.
• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
• Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
• Collect label appropriately prepare and store lab samples according required laboratory specifications.
• Ensure collection of lab specimens by appropriate lab courier.

OTHER:

• Perform additional duties as assigned.

ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):

Assisting the HT RN:

• May assist HT RN on Home Visit as directed
• Reinforces  PD / HHD education under supervision of qualified HT RN
• Schedules and contacts patients regarding appointments
• Weigh patient and obtain vital signs
• Collect treatment records and review for completion. Notify RN of incomplete / missing records.
• Cleaning and prepping treatment room; prep charts
• Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
• Clerical duties as assigned (faxing mailing to physician offices etc.)
• Obtain home hemo water sampling as directed by the HT RN
• Set-up of the home hemo machine and PD Cycler.
• Assist with exit site care when directed by HT RN.
• Warm dialysate solution when directed by the HT RN
• Draw dialysate solution for testing as directed by the HT RN
• Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review)
• Assembles/breaks down charts/thins charts
• Maintains logs as directed and applicable
• Inventory of Home Program
• Maintains par levels of home department supplies
• Files home patient packing slips/invoices
• Inventory for Patients
• Assists patient with supply management and contacting customer service

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.

Day to day work includes desk and personal computer work and interaction with patients facility staff and physicians.  The position requires travel between assigned facilities and various locations within the community.  Travel to regional Business Unit and Corporate meetings may be required.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.  May be exposed to infectious and contagious diseases/materials

The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance.  This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment exerting up to 15 pounds of force.  The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs. and on an occasional lift basis up to 40 lbs. as high as 5 feet.  There is a two-person assist program and material assist devices for the heavier items.

EDUCATION

• Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
• All appropriate state licensure education and training (if any) required. 

EXPERIENCE AND REQUIRED SKILLS

• Previous patient care experience in a hospital setting or related facility preferred.
• Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.

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.

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.

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.
• 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.

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:

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.

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.

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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.

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.

• Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
• 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.
• 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 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.
• 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.
• Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.
• 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. 
• 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.  
• 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 equipment, 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.
• Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
• Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
• The position may require travel to training sites, other facilities or patient homes.
• 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.
• Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
• 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.

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:

•  Successful completion of all FKC education and training requirements for new employees.
•  Must have a minimum of 12 months experience as a RN.
•  Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.

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 1 year of Nephrology Nursing experience in the last two years as a RN.
• Minimum of 1-year experience as a Registered Nurse (preferred)
• Home dialysis therapy experience (preferred).

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.

"

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.

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 provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.

• Provides 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 business trends. Has a larger range within the department.

• Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools.

• Responsible for addressing and acting on adverse events and action thresholds.

• Oversees facility’s Home Therapies Program if applicable.

• Accountable for compliance with all applicable federal, state and local laws and regulations.

• Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff.

• Maintains integrity of medical records and other FMS administrative and operational records.

• Complies with all data collections and auditing activities.

• Maintains facility environmental integrity, including safety.

• 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.

• An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function.

• Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s).

• Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization.

• Frequently interacts with subordinate 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 technical problems.

• Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.

• Provides technical guidance.

• Performs other related duties as assigned.

   

  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, including catheter reduction and adherence to treatment regime.

• Acts as a resource for the patient to address patient concerns and questions.

• Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility’s Interdisciplinary Team to discuss patient care plans and to resolve patient problems.

• Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.

• Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status.

• Develops action plans for unexcused and missed treatments in collaboration with the Director.

• Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company.   Maintains current knowledge of disease management software and systems as pertinent.

   

  STAFF:

• Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.

• Participates in the recruitment and interview process, and decision to hire new personnel.

• Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates.

• Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.

• Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities

• Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance.

• Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.

• Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.

• Completes timely employee evaluations and establishes annual goals for staff.

• Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources 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.

• Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving.

   

  PHYSICIANS:

• Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws.

• Responsible for strong Director and physician relationships and facilitating staff relationships with physicians.

• Ensures regular and effective communication with all physicians, through regular meetings with Directors.

• Participates in Governing Body.

• Schedules and coordinates CQI meetings with physicians.

   

  MAINTENANCE/TECHNICAL:

• Responsible for the integrity and safety of the facility water system.

• Must be knowledgeable in the operation of all facility equipment and technology.

   

  ADMINISTRATIVE:

• Responsible for maintaining and updating all FMS manuals.

• Accountable for completion of the Annual Standing Order Review and ICD coding.

• Checks correspondence whether electronic, paper or voice mail, and responds as appropriate.

• Directs information gathering as required supporting billing and collection activities.

• Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies

• Participates in the completion and interpretation of the Pl-17 inventory supply use analysis.

• Reviews and approves facility payroll.

• Reviews profit and loss statements with Director

• Responsible for participating in all required Network reporting and on-site state or federal surveys.

• Participates in the completion of the FMS Administrative Clinical Review.

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
• Position may require 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:

• Responsible for the direct supervision of various levels of staff as designated by region.

EDUCATION AND REQUIRED CREDENTIALS:

• Bachelor’s Degree; Advanced Degree desirable or an equivalent combination of education and experience
• Graduate of an accredited School of Nursing (RN).
• Current appropriate state licensure.

EXPERIENCE AND SKILLS:  

• 6 – 8 years’ related experience or an equivalent combination of education and experience.
• 3+ years’ supervisory or project/program management experience preferred.
• Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred.
• Minimum of 6 months chronic or acute dialysis nursing experience is required.
• Must be available as a full-time employee and provide on-call coverage when necessary.
• Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.
• Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients.
• Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line.

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.

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.

About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic. 

How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership 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, scholarships to family members, relief when natural disasters strike, and 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:
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse. 

•    Sets up, tests, and operates hemodialysis machines for patient treatments.
•    Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
•    Evaluates vascular access pre-treatment and performs vascular access cannulation.
•    Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
•    Monitors patients’ response to dialysis therapy.
•    Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
•    Reports any significant information and/or change in patient condition directly to supervisor.
•    Enters all treatment data into the designated clinical application in an accurate and timely manner.
•    Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
•    Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
•    Assists other healthcare members in providing patient education.
•    Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
 

EDUCATION AND LICENSES:
•    High school diploma or G.E.D. required.

EXPERIENCE AND REQUIRED SKILLS:
•    Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
•    Previous patient care experience in a hospital setting or a related facility (preferred but not required).
•    Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.

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. We 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 healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
•    The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.

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.