***THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION***

The purpose of this position is to serve as the Medical Center's financial expert, the Chief Financial Officer is responsible for establishing and maintaining a complex integrated system of financial staff services which include budget, accounting systems, payroll systems, administrative and managerial support and financial analytical reporting and planning.

Duties include, but are not limited to, the following:

• Assures management those financial transactions are in accounting, budget and all other financial services arc compatible with the requirements of the Office of Management and Budget (0MB), the General Accounting Office (GAO), and the Treasury Department and that records of accounting and financial statements accurately reflect a full disclosure of the financial aspects or the stations operations.
• Performs annual certification of ell general ledger accounting, auditing, budgeting, managerial-financial analysis and reporting, payroll, third party revenue and collections, cashier services, travel, position management, and the Veterans Equitable Resource Allocation (VERA) program.
• Accounts for the accuracy, legality, compliance with regulations, and justification, of ell financial transactions to include expenditure of all funds, vouchers, invoices, claims, and other requests for payment.
• Functions as the appointed agency certifying officer, delegated unlimited and independent authority to authorize payments from agency funds.
• Ensures payment authorizations are subject only to GAO post audit review.
• Develops the necessary policies, procedures, and organizational structures required to fulfill the service line's mission.
• Reviews and analysis of estimates and negotiating with operating officials, consolidates the results to make recommendations to management and other appropriate entities.
• Conducts and coordinates budget briefings.
• Directs all administrative activities within the service line-including Fiscal Management, Supplies & Equipment Management, Human Resources Management, Strategic Planning, ill\d program evaluation.
• Accounts for the distribution of all funds allocated to the medical center into the various control points, analyzing actual expenses as compared to the plan, and making projections to indicate needed adjustments in the budget plan.
• Delegates authority to subordinates and hold them responsible for the performance of their specific organizational units.
• Manages administratively responsible for all subordinate supervisors and team leaders and is the final approving official of all goals, objectives, policies, and procedures established by each organizational unit in the service line.
• Implements and manages Quality Assurance & Quality Improvement programs within the service line.
• Provides consultative services within his/her purview to the Medical Center Director, Associate Director, and Service Linc Managers.
• Participates with senior management in the development of goals and in decision making and policy making that impacts the operations of the service line.
• Participates in activities and programs beneficial to the medical center such ns committees, task forces, and investigations.
• Performs other duties as assigned

Major duties include, but are not limited to the following:

• Handle instruments, supplies, and equipment during all surgical procedures including but not limited to: thoracic, major vascular, general, urology, plastics, ophthalmology and total joint replacement surgery.
• Set up the sterile field with all required items for each procedure such as air-powered equipment, fiber optic equipment, laparoscopic equipment. microscopes, lasers, arthroscopy equipment, urologic equipment, recording devices, and other operating room supplies and equipment.
• Plan and discusses each procedure with surgical professionals and assures that all supplies and equipment are available prior to the surgical procedure.
• Prepare, organize, and maintain highly complex sterile surgical setups.
• Observe and respond promptly to each stage of the surgical procedure and anticipates the needs of the surgeon by maintaining a high level of concentration for extended periods of time.

At Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits.

Your position perks as a Hospice Registered Nurse / RN Case Manager

• Competitive pay
• Comprehensive onboarding
• Health, dental, vision for part & full-time positions
• Generous Paid Time Off plan that increases with tenure
• Wellness reimbursements for physicals and gym memberships
• Pre-tax FSA and HSA plans (HSA w/company contributions)
• 401(k) with company matching contributions
• Free Continuing Education Units
• Tuition reimbursement
• Company paid life and long-term disability insurance
• Company paid parental leave with tenure for birth, adoption, and foster parents
• Voluntary long-term care, critical illness, and accident insurance
• Local and national award programs
• Referral bonus program
• Mileage reimbursement
• Corporate discount program w/access to >300,000 businesses
• Company assistance program supporting teammates in times of need

How you’ll make an impact as a Hospice Registered Nurse / RN Case Manager

• Enable patients to spend quality time with their loved ones and doing the activities they enjoy
• Build trusting compassionate relationships with your patients and their families
• Empower caregivers by educating them on care for their loved one
• Collaborate with your care team to provide comfort, peace, and dignity

Hospice Registered Nurse / RN Case Manager Requirements

• RN license in the state you work
• Two years of experience as a registered nurse, hospice experience preferred
• Current driver’s license
• Current CPR and BCLS certification

Care for Who I Am is Caring for Who We Are. Together We Are:

​Welcoming everyone. Empowering belonging. Allying for inclusivity. Removing barriers. Engaging community.  

WE ARE fostering an inclusive environment where every teammate matters and can be their best selves.

WE ARE becoming a reflection of our patients, families, and partners.

WE ARE transforming care at home for every community serve.​  

#LI-JW1

What We Do

FOX Factory designs, engineers, manufactures and markets performance-defining products and systems for customers worldwide. Our premium brand, performance-defining products and systems are used primarily on bicycles, side-by-side vehicles, on-road vehicles with and without off-road capabilities, off-road vehicles and trucks, all-terrain vehicles, snowmobiles, specialty vehicles and applications, motorcycles, and commercial trucks. Some of our products are specifically designed for and marketed to a variety of leading cycling and powered vehicle original equipment manufacturers ("OEMs"), while others are distributed to consumers through a global dealer and distribution network. Fox Factory Holding Corp. is the holding company of FOX Factory, Inc. and is publicly traded (FOXF) on Nasdaq. 

Why you should join us

Not only do we provide competitive wages, you will also have access to great benefits and employee

discounts. But more importantly, it’s a fun environment where we truly enjoy working as a team and

bringing great products to our customers!

If this sounds like something you would love to do, and a place you want to be a part of, get in touch

with us by submitting your application. We look forward to hearing from you!

Position Summary:

As part of a diverse and hardworking team of specialists, you will provide technical expertise and assist in implementation of all Environmental, Health and Safety programs by interacting with Mid-Level Management. In this role you will implement policy by managing programs and working with other Fox Factory team members to drive awareness and participation. It is anticipated that about 50% of the time will be on the floor to perform observations, on the spot, and Face to Face life critical training, and report deficiencies as needed. We are seeking a Subject Matter Expert (SME) for OSHA Programs listed below, to support the EHS program. You will take part in incident investigations and may have responsibilities for implementing specific corrective actions related to their area of expertise. You will be responsible for subsequent EHS collaboration and provide daily direction and mentorship as needed. Additionally, you will help to maintain a culture that emphasizes accountability, discipline, and attention to detail at all levels.

Position Responsibilities:

• Responsibilities:
• Assist the EHS staff with on-site compliance at Gainesville Site.
• Provide SME support for EHS program (ex. Crane Safety, PIT, Fall Protection, etc.).
• Provide support to cross location team-based locations.
• In-field waste disposal and recycling work including but not limited to hazardous and non-hazardous waste.
• Local compliance auditing to ensure compliance with the Fox Factory Occupational Health and Safety Manual and Environmental Manual.
• Execution of emergency response plans.
• Indoctrinate in-field employees and contractors on our Safety Program.
• Assist in investigations of injuries and illnesses, as well as near misses.
• Serve as site focal point for safety issues and concerns.
• Assign personal protective equipment mentoring as required per job hazard analysis documents.
• Support development of job hazard analysis and perform periodic audits of our Safety and Environmental Programs.

Specific Knowledge, Skills or Abilities Required:

• Strong facilitation skills.
• Strong analytical skills.
• Meticulous attention to detail.
• Ability to solve complex problems.

Competencies:

• Customer Mindset: Exceptional customer experience is primary focus while performing job duties. Quality is a top priority.
• Adaptability & Innovation: Proactively and willingly adapts to changing business needs and conditions and presents creative and fresh ideas on how to solve problems, gain efficiencies and improve quality.
• Relationship Building: Builds constructive working relationships characterized by a high level of inclusion, cooperation and mutual respect.  
• Accountability: Takes personal responsibility for the quality and timeliness of work and strives to exceed requirements.
• Decision Making and Judgment: Makes timely, informed decisions that take into account the facts, goals, constraints and risks.
• Talent Development (Self and Others): Displays an ongoing commitment to learning and self-improvement; making an effort to acquire new knowledge or skills associated with job responsibilities. Willingness to work with others and coach/teach in effort to develop and support other employees’ development.

Position Qualifications:

Education:

Bachelor’s degree in Safety Science/Engineering, Industrial Safety or similar area of study, or equivalent experience

Experience: 

3+ years of experience in the manufacturing environment

Previous EHS experience preferred

Work Environment and Physical Requirements:

Manufacturing Environment

May lift up to 50 lbs. 

Requires walking, standing, bending and lifting for long periods of time

Vision abilities required to validate and enter data on computer

Varying shift schedules include early morning, evening and weekend assignments

Disclaimer:  This list does not represent all physical demands.  Descriptions are representative of those that must be met by employee to successfully perform the essential functions of the job.  Reasonable accommodation may be provided to enable individuals with disabilities to perform the jobs’ essential functions. 

Note:  

FOX provides equal employment opportunities for all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, gender identity, sexual orientation, marital status, religion, age, physical disability (including HIV and AIDS), mental disability, results of genetic testing, or service in the military, or any other characteristic protected by the laws or regulations of any jurisdiction in which we operate.  We base all employment decisions –including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, layoffs, terminations and social/recreational programs – on merit and the principles of equal employment opportunity. 

Fox offers an excellent compensation package and wide-ranging opportunities for professional development.  Medical, Dental, Vision, Health Spending and Dependent Care Savings Accounts, Disability and Life Insurance benefit programs are available, as is a 401k plan with employer matching.  Eligibility for all benefit programs is defined by the applicable plan document or employee handbook. 

PURPOSE AND SCOPE:

The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

• Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
• Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
• Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, supervisors and the company at the facility, and area level. 
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensures patient awareness related to transplant and treatment modality options.
• Participates in education and quality improvement projects at the facility and area level as directed by Supervisor.
• May serve as a Preceptor to new employees.
• Required to complete CAP requirements to maintain or advance.
• Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

• The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance. 
• This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, machines, and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. 
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. 
• May be exposed to infectious and contagious diseases/materials.
• Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians.
• The position may require travel to training sites or other facilities.
• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

SUPERVISION:

• Assigned oversight of Patient Care Technicians//LVN/LPNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
  •  Successful completion of all FKC education and training requirements for new employees.
  •  Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

EDUCATION and LICENSURE:

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

• Entry level for RNs with minimum of 2 years of Nephrology Nursing experience

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.

• 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.

• Under the direction of a Registered Nurse, provides direct patient care for assigned patients in compliance with physician orders, state nurse practice laws, company policies and procedures and all pertinent regulatory requirements.
• Administers intravenous medication in accordance with physician orders and state nurse practice laws.
• Assists Home Therapy RN/Coordinator in the identification, evaluation, and training of candidates for the home dialysis program.
• Responsible for accurate documentation of information related to the patients training and treatment. Ensures that the information is documented appropriately in the individual patient record and entered into the Medical Information System.
• Responsible for ongoing monitoring, assessment, and intervention for home patients including: home visits, clinical appointments, additional training sessions or reviews, lab studies and annual studies such as x-ray and EKG.  Responds appropriately to problems or emergencies ensuring the correct actions are taken to achieve resolution.
• Responsible for compliance with patient supply procedures, appropriate documentation and ensuring maintenance of all durable medical equipment, i.e. preventative maintenance, water analysis.
• Performs monthly chart audits and reports results to RN/Coordinator or Manager.
• Monitors the Peritonitis Rate and PET test results.  Reports the outcomes to the attending physician(s), the Quality Assurance Committee, and Home Therapy RN/Coordinator or Manager.
• Under the direction of the Home Therapy RN/Coordinator or Manager, collaborates with the physician to make changes in patient treatment plans as needed.
• Collaborates with Home Therapy RN/Coordinator or Manager and physician to schedule back-up treatments when necessary.
• Participates in education of pre-dialysis and existing ESRD patients regarding treatment options.
• Prepares home supply inventory packages and monitors for efficient use of supplies.
• Maintains current knowledge base in the operation of all dialysis related equipment that is utilized in the program and in the field, i.e., hemodialysis machines, water treatment systems, peritoneal cyclers, and peritoneal assist devices.  Acquires information and knowledge in current practices related to dialysis principles and techniques by participating in scheduled in-service classes.
• Trouble-shoots equipment problems with the patient via telephone communication and ensures appropriate resolution.
• Ensures all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
• Participates in staff meetings as scheduled.
• Assists in short term and long term patient care plan meetings.
• Assists with provision of educational in-services regarding home therapies to in-center staff, hospitals, or nursing programs as needed. Participates in training to facility staff in the principles, concepts and practice of the FMS Customer Service Model.
• Acts as a resource person for other staff members.
• Other duties as assigned

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.

• 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.
• Good communication skills - verbal and written.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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

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.

What Pharmacy Services & Delivery contributes to Cardinal Health

Responsible for the prompt and accurate delivery and distribution of radiopharmaceuticals or oncology pharmaceuticals to medical care providers in accordance with customer demand and requirements of the assigned route. Prepares doses for shipment, prepares cases, wipes doses, and loads and unloads containers in keeping with the prescribed safety standards and Department of Transportation (DOT).

Click here to watch a short video about what a Nuclear Pharmacy Driver does at Cardinal Health 

Sign on Bonus: Now offering a $1000 new hire sign-on bonus!!

A Covid-19 vaccination or a legitimate accommodation is required in order to be employed in this position. Covid-19 vaccination includes:

• 2 doses of the Moderna or Pfizer vaccine
• 1 dose of the Johnson & Johnson vaccine

Please Note: vaccines may be required for the position subject to federal, state and/or customer requirements

Schedule

40 hours per week. The typical schedule is Monday through Friday with a start time anywhere between 2:30a to 8:00a for an 8 hour day. On-call is available one week out of the month. Candidate must be flexible to work different days, hours and schedules based on business need.

Pay rate: $15.00 per hour

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

Application window anticipated to close: 04/03/24 *if interested in opportunity, please submit application as soon as possible.

Responsibilities

• Prepares and makes deliveries to customer accounts on assigned route using a company vehicle (non-cdl)
• Packages radiopharmaceutical medication for shipment, performs testing, and loads/unloads containers
• Uses a handheld tablet to scan customer orders for accuracy, obtain route stop information and navigation 
• Processes packages returned from customer locations
• Maintains vehicles in proper working condition and may perform minor roadside repairs
• Performs general facility cleaning and other duties as required

Qualifications

• High school diploma, GED or equivalent or equivalent work experience, preferred
• Must hold a valid driver's license and have a good driving record
• Minimum of  18 years of age due to driving of company owned vehicle
• Prior delivery driving experience a plus
• Ability to lift containers weighing up to 75 pounds
• Comfortable driving in all weather conditions during day or night hours
• Ability to sit, stand, be mobile and operate a vehicle for extended periods of time
• Strong customer service and communication skills
• Ability to work weekends or be in a weekend rotation required
• Ability to work holidays or be in a holiday rotation required
• Ability to work on call or be in an on call rotation required
• Flexibility to work various shifts or overtime as needed
• Ability to use computers and tablets

What is expected of you and others at this level

• Applies acquired knowledge and skills to complete standard tasks
• Readily learns and applies new information and methods to work in assigned area
• Maintains appropriate licenses, training and certifications
• Works on routine assignments that require some problem resolution
• Works within clearly defined standard operating procedures and/or scientific methods
• Adheres to all quality guidelines
• Works under moderate degree of supervision
• Work typically involves regular review of output by work lead or supervisor
• Refers complex unusual problems to supervisor
• Provides timely and accurate completion of deliveries to Cardinal Health customers while using the most safe and efficient delivery routes.
• Demonstrates basic knowledge of process and systems that support product delivery including but not limited to technology assisted packaging system (Isotrac) and the route optimization tablet.
• Assists in packing doses for shipment, preparing cases, wiping doses, and loading and unloading containers in keeping with prescribed safety standards and DOT (Department of Transportation) regulations.
• Verifies accuracy of labeling on outgoing shipments.
• Prepares receipts for products delivered to Cardinal Health customers.
• Handles and disposes of waste and used materials in keeping with prescribed safety standards.
• Maintains vehicles in proper working condition and performs minor roadside repairs.
• Performs general pharmacy and facility clean up.
• Makes deliveries to customer accounts using a company vehicle.  Deliveries occur during both nighttime and daytime conditions and in all weather types
• Maintains accurate log books and vehicle inspection records.
• Participates in all required training including but not limited to: biohazard waste handling, blood-borne pathogens, security awareness, dosimetry, radiation safety, contamination testing, HIPAA (Health Insurance Portability and Accountability Act), fall prevention, ergonomic safety, safe driving procedures, route optimization, etc.
• Performs any other duties as required to ensure a safe and efficient pharmacy operation.

We support our veterans and will work with you during your military to civilian transition.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here

PURPOSE AND SCOPE:

Supports FMCNA’s mission, vision, core values, quality policy and goals of the Fresenius Vascular Care Group.  The position will act as an assistant to the Physicians, RN’s and Radiology Technicians in patient care and operating procedures.  This position has frequent contact with patients, visitors, and the families of patients requiring effective communication skills and a helpful attitude.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Under general supervision, follows established company policies and procedures and applies acquired job skills to…
• Performs functions that require full knowledge of general aspects of the job.
• Works on assignments that are semi-routine in nature, but recognizes the need for occasional deviation from accepted practice.
• Contacts are typically with individuals within own department and occasionally with contacts outside own organization.  Contacts involve obtaining or providing information or data requiring some explanation or interpretation.
• May provide assistance to A1 with more general support tasks that require a better understanding of functions, as directed by immediate supervisor.
• May refer to A3 for assistance with higher level problems that may arise.
• Escalates issues to supervisor for resolution, as deemed necessary.
• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
• Assist with various projects as assigned by direct supervisor.
• Understand and able to follow sterile procedures.
• Assist the patients to the pre-op area and take initial vital signs.
• Assist in preparing the patient for surgical procedures by positioning, shaving and prepping.
• Assist the Physician with the procedures, while maintaining a sterile environment.
• Assemble and remove all instruments, utensils, equipment, gloves and linens utilized in the case.
• Clean the procedure room between patients.
• Transport patients as needed.
• May participate in CQI meetings.
• Initiate cost control initiatives and provide support of those in the facility.
• Keep assigned areas cleaned and stocked for future exams.
• Assure confidentiality of patient information and medical records.
• Sterilize instruments and maintain quality assurance documentation.

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. Position involves active work, including walking and/or standing for considerable lengths of time wearing a lead apron.  Must be able to lift/push/pull up to 50 lbs and transfer and position patients weighing up to 400 lbs.  Must work under pressure and stressful situations.  Exposure to communicable disease.

SUPERVISION:

• None

EDUCATION:

• High School Diploma required. Certified in CPR. 

EXPERIENCE AND REQUIRED SKILLS:

• 1 – 2 years’ related experience preferred. Hospital or operating room skills preferred.
• Knowledge of instrument sterilization techniques.
• Knowledge of personal protective devices to be utilized when operating Radiology systems.

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.

Must be willing to travel and eventually learn Apheresis!

Location: Piedmont Mountainside

PURPOSE AND SCOPE:

The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).  This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

• Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
• Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.
• Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.
• Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.
• Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
• Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. 
• Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Administers medications as prescribed and documents appropriate medical justification and effectiveness.
• Initiates and assists with emergency response measures.
• Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
• May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.
• May be assigned to assist in an Outpatient facility on an as needed basis.   
• 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.
• May be asked to provide essential functions of this position in other locations 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.
• The position requires travel to training/meeting sites and between assigned facilities.
• Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.

SUPERVISION: 

Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following:

•  Successful completion of all FKC education and modality specific training requirements for new employees.
•  Must have a minimum of 9 months experience as a RN.
•  6 months experience in acute dialysis as a RN.

EDUCATION and LICENSURE:

• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification
• Must meet the practice requirements in all states employed.

EXPERIENCE AND REQUIRED SKILLS:

• Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as an RN
• Minimum 9 months experience as a Registered Nurse, 12 months (preferred).
• 6 months acute dialysis experience (preferred)
• Hemodialysis and/or ICU 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.

• $10,000 bonuses offered
• Start after graduation - prior to passing NCLEX (or start date of newly graduated nurse's choosing)
• Newly licensed RNs welcome
• Enrolled in a Nurse Residency Program: During your first year train/work in a nurturing supportive environment, assigned a nurse mentor, frequent check in's with our nurse Education team, your manager & nurse mentor, and offered additional training courses as a new grad that lend to your first year development

PURPOSE AND SCOPE:

Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.  Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

STAFF RELATED:

• Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
• Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
• Assesses daily patient care needs and develops appropriate patient care assignments.
• Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
• Participates in staff training and orientation of new staff as assigned
• Participates in all required staff meetings as scheduled.

PATIENT RELATED:

Education:

• Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
• Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
• Discusses with patient, and records education related to diet/fluid and medication compliance.
• Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
• Ensures transplant awareness, modality awareness, and drive catheter reduction.
• Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.

Dialysis Treatment:

• Provides safe and effective delivery of care to patients with ESRD.
• Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
• Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
• Identifies and communicates patient related issues to Team Leader or physician.
• Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
• Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
• Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
• Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
• Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.

Laboratory-related:

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
• Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
• Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
• Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
• Ensures that all labs are directed and delivered to appropriate labs.
• Reports alert/panic and abnormal labs results to appropriate physician.
• Ensures lab results are forwarded to physicians as requested.

General duties:

• Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
• Maintains overall shift operation in a safe, efficient, and effective manner.
• Act as a resource for other staff members.
• Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
• Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
• Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
• Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
• Oversees all documentation of patient information.
• Maintains facility drug list for all required stock medications.
• Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
• Ensures verification and availability of adequate emergency equipment.
• Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
• Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
• Maintains appropriate recording of controlled substances as required by law.
• Assists with the coordination of patient transportation if necessary.

MAINTENANCE/TECHNICAL:

• Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
• Ensures competency in the operation of all dialysis-related equipment safely and effectively.
• Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
• Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.

MEDICAL RECORDS & DOCUMENTATION:

General

• Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
• Ensures all appropriate patient related treatment data is entered into the Medical Information System.
• Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
• Ensures and verify accuracy of Patient Care Technician documentation.

Daily

• Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
• Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.

Monthly

• Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
• Completes monthly nurses' progress note.
• Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
• Reviews transplant status and follows established procedure regarding appropriate action to be taken.
• Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
• Completes any long-term programs that are due. Annually
• Completes initial and annual Nursing History and Assessment physical.
• Ensures completion of Annual Standing Order Review with each physician as required.

OTHER:

• As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.
• Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.
• Maintain regular and punctual attendance.
• Perform other related 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.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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.
• 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:

• None

EDUCATION:

• Graduate of an accredited School of Nursing.
• Current appropriate state Temporary Permit.
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:  

• 0 – 1 year’s related experience.

ACKNOWLEDGEMENT:

I acknowledge that I have read and accepted this job description.  I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation.  Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.  If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.

ADDENDUM:

Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted.  Managers should consult their state-specific regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed-Nurse-50-State-Review-Training-TracksFinal-5-19.pdf.  For additional information please contact your Regional Education Coordinator.

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:

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.