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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. <ul><li>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.</li><li>Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.</li><li>Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul> 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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Outpatient Registered Nurse - RN - Dialysis

Outpatient RN Central Ohio

PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization 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 organization 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 organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. </li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. </li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. </li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to 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.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> 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.

Patient Care Technician - PCT

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

Registered Nurse - RN - Dialysis

PURPOSE AND SCOPE: Oversees the day to day activities of the Insurance Coordinators (IC's) providing direction, support and guidance as appropriate. Assists the Insurance Coordinator Manager with the execution of the strategies and initiatives of the IC program within the assigned regions/Divisions. Ensures the IC's are performing the required processes, procedures, and functions with regard to tracking, reporting, enrolling, and educating patients on their insurance options. Oversees the varied insurance financial assistance options according to the established timelines and standard operation procedures in compliance with company and regulatory guidelines and requirements. 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. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li> Facilitates the execution of the Insurance Coordinator program providing for insurance preservation of dialysis patients by supervising the activities of the Insurance Coordinators (IC) ensuring each individual's work meets the established performance standards and customer service levels with regard to patient insurance education and enrollment. Contributes to and ensures problem resolution by addressing and investigating escalated issues and complex problems. </li><li> Provides guidance, direction, training, and support to Insurance Coordinators to ensure they are meeting the needs of the patients they serve and that they demonstrate insurance awareness of the issues in the Areas in which they work including eligibility and enrollment acting as a resource and subject matter expert as needed to ensure the proper and timely execution of the Insurance Coordinator program requirements. </li><li> Reviews and audits Insurance Coordinator's data base reports to ensure compliance and productivity. Reviews monthly reports submitted by IC's to ensure the patients are receiving the education, proper insurance enrollment, and assistance needed to secure optimal insurance coverage, AKF assistance, and/or Indigent waiver approval as necessary. <ul><li> Coordinates and provides monthly Insurance Coordinator data base reports for the region communicating the results and escalates concerns to the IC Manager for review as necessary </li><li> Ensures accuracy of reports by comparing reports with the effective insurance reports. Works with IC's regarding any missing information or discrepancies between reports. </li><li> Provides counseling and additional training to IC as necessary </li><li> Ensures accurate tracking and monitoring of Coordination of Benefit period and ensures that the Medicare applications are processed 90 days prior to the 30-month coordination period ending as required. </li><li> Monitors patients within the 6-month window of their 65 th birthday, resulting in possible additional insurance enrollment and optimal insurance coverage for patients </li><li> Provides IC Manager and Division management with documentation and follow-up for all patients categorized on status reports </li><li> Monitors the accuracy and completion of progress notes providing guidance to IC as necessary. </li><li> Compiles monthly reports from insurance Coordinator team for compilation in Division monthly reports </li></ul></li><li> Provides IC Director with monthly reports in the absence of the IC Manager. </li><li> Communicates to IC team Company updates as well as any new regulatory/legislative updates. </li><li> Provides day to day guidance, training and assistance to assigned Insurance Coordinators as part of continued career development and advancement within the organization. <ul><li> Closely monitors - providing support and guidance to - new Insurance Coordinators after initial training. </li><li> Addresses identified performance issues with Insurance Coordinators and provide a plan of action and additional training to ensure the Insurance Coordinators are meeting the expectations of the position. If consistent performance issues are identified, implements developmental Action Plans as appropriate. </li><li> Provides informal feedback on an ongoing basis and formal feedback in the form of the annual performance evaluation. </li><li> Provides input regarding the hiring, firing and disciplinary actions pertaining to the assigned Insurance Coordinators. </li></ul></li><li> Assists with preparation of monthly reports for financial analysts. </li><li> Participates in Regional AR calls, area management meetings, and RVP meetings as appropriate. Provides information at CQI monthly meetings when requested. </li><li> Participates in Clinic Acquisition calls to ensure smooth transition of existing patients' insurance needs while onboarding into FKC's billing system. </li><li> Analyzes reports from billing systems to ensure accuracy of data. Researches and assists with resolution of identified discrepancies and accounts with outstanding claims to maximize revenue and minimize bad debt. Analyzes trends and variances and researches significance. Reports discrepancies for quick and accurate resolution. </li><li> Works with the Insurance Specialist (IS) team to reconcile IC and Regional Insurance Coordinators' American Kidney Foundation spreadsheets/reports to ensure timely submission of requests and payments. Investigates and resolves discrepancies to ensure timely processing of Health Insurance Premium Program (HIPP) grant requests. Provides the necessary follow up with the appropriate agencies and personnel as required. </li><li> Develops strong working relationships with Directors of Operations, Regional Vice Presidents, MSW Leads and Billing Management. May intervene on the behalf of the Insurance Coordinators to escalate issues to Operations or other FKC Management teams. Provides education to Operations and clinical staff and area/regional management as to the IC role and responsibilities as needed. </li><li> Identifies areas of opportunity and contributes to process improvement with the Insurance Coordinator Manager to enhance the overall program effectiveness and efficiency. </li><li> Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. </li><li> Ensure all employees within the assigned team(s) understand and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations; establishing and maintaining effective internal systems and controls to promote compliance. </li><li> Assist with various projects as assigned. </li><li> Other duties as assigned. </li></ul> Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li> The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. </li><li> Extensive local travel and some regional travel is required. </li><li> Must have a valid Driver's License </li></ul> SUPERVISION: <ul><li> Typically 8 Insurance Coordinators in an assigned region </li></ul> EDUCATION: <ul><li> Bachelor's degree required. </li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li> At least 2-3 years' experience in the Insurance Industry. </li><li> Specific knowledge of and experience with Employer Group Health Plans (EGHP), COBRA, Medicare, Medicaid, Medigaps, Individual/State Risk Pools, and Veteran's Administration (VA) Health Plans required. </li><li> Prior Supervision and Project Management experience a plus. </li><li> Excellent communication skills- written and verbal with the ability to communicate to all levels of management. </li><li> Detail oriented. </li><li> Excellent customer service, organizational, time management and interpersonal skills required. </li><li> Proficient with PCs and Microsoft Office applications. </li></ul> 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.

Insurance Coordinator

PURPOSE AND SCOPE: The student intern 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. The student intern 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 social worker in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. 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: An integral part of Social Work education that promotes students' identification with the purposes, values and ethics of the profession; fosters the integration of empirical and practice-based knowledge; and promotes the development of professional competence (CSWE Educational Policy and Accreditation Standards). A minimum number of required field education hours are established by the CSWE. The social worker student/intern may under direct guidance of a Licensed Social Worker: CUSTOMER SERVICES:<ul><li>Responsible for driving the FMS culture through values and customer services standards.</li><li> Accountable for outstanding customer service to all external and internal customers. </li><li> Develops and maintains effective relationships through effective and timely communication. </li><li> Takes initiative and action to respond, resolve, and follow up regarding customer services issues with all customers in a timely manner. </li></ul>PRINCIPLE RESPONSIBILITIES AND DUTIES RELATED TO PATIENT CARE: Patient Assessment/Care Planning Counseling:<ul><li>As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.</li><li> Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. </li><li> Utilizes FMS Ultra Care patient education programs, established social work theory and methods and quality of life measurement instruments as part of assessment and care planning to resolve barriers and meet patient treatment goals. </li><li> Provides established outcomes driven psycho-educational counseling methods aimed at improving areas of need, treatment adherence, vocational/educational rehabilitation and/or quality of life. </li><li> Provides supportive and goal directed counseling to patients who are seeking transplant. </li><li> Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. </li><li> Will provide general information about Do Not Resuscitate Orders and Advanced Directives. </li><li> Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. </li><li> Provides usual care and/or Social Work Intensive to address non-adherence and quality of life concerns for all patients. </li><li> Knowledgeable of and adheres to FMCNA Social Work Policy, including documentation. </li></ul> Patient Education: <ul><li>Assess patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style and needs.</li><li> With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team, if delegated by Clinical Manager. </li><li> Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. </li><li> Reviewed patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. </li><li> Collaborates with the team on appropriate QAI activities. </li></ul> Insurance and Financial Assistance: <ul><li>Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education.</li><li> Understands FMCNA financial policies and procedures as they related to patient services. Collaborate with Financial Coordinators to educate patients about programs that may be available to assist with uncovered services, how to resolve billing concerns, and understand financial responsibilities. </li></ul> Staff Related: <ul><li>Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources).</li><li> Develops and provides training to staff pertaining to psychosocial topics as needed. Trains staff in Ultra Care Programs as needed. </li><li> Other duties as assigned. </li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position 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. EDUCATION: High School diploma or G.E.D. EXPERIENCE AND REQUIRED SKILLS: Preferred outstanding customer service to all external and internal customers. Possess the desire to deliver superior care to our patients and embrace Fresenius' mission and values. RELATIONSHIPS: The Intern cannot work under the supervision of a family member. The Intern cannot care for a patient who is a family member. If an Intern's family member is a patient at the facility in which they work, the Intern will be scheduled to work on days the patient is not in the facility or will be assigned to another patient. SUPERVISION: The Clinical Manager assigns and closely monitors all SW Intern assignments with direct supervision from a SWFI based on the agreed education plan. OTHER: Performs additional duties as assigned. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Student Social Work Clinical Placement

PURPOSE AND SCOPE: The student intern 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. The student intern functions as part of the dialysis health care team in providing medical nutrition therapy for patients under the direct supervision of a registered dietitian in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. DUTIES / ACTIVITIES: Dietetic Intern: An individual who currently is enrolled in a Dietetic Internship or a university-based Coordinated Program in Dietetics accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND). The dietetic student/intern may under direct guidance of the Renal Dietitian:<ul><li>Review of Renal Nutrition Basics and other applicable components of the Orientation and Training requirements of staff dietitians</li><li> Review the typical workflow for the Renal Dietitian, and/or Role of the RD </li><li> Conduct a nutrition interview with a patient </li><li> Calculate a diet prescription recommendation </li><li> Provide nutrition counseling to patient/designated caregiver on the prescribed renal diet </li><li> Collect data for initial, 90 day, semi-annual (if applicable by State), and annual Comprehensive Interdisciplinary Assessments </li><li> Assist the registered dietitian in development and implementation of nutrition plan of care </li><li> Review monthly nutrition data with patients and/or designated caregivers </li><li> Practice writing monthly nutrition progress notes </li><li> Provide input to the development and implementation of nutrition plan of care </li><li> Create nutrition related projects for patients or staff (such as, bulletin board, patient/staff education handouts, games, lobby activity) </li><li> Attend Quality Assessment and Performance Improvement and /or other interdisciplinary team meetings with the registered dietitian, and participate as appropriate </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position 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. EDUCATION: Bachelors or Master's degree in Nutrition or Dietetics; or current enrollment in an accredited Coordinated Program in Dietetics. EXPERIENCE AND REQUIRED SKILLS: Preferred outstanding customer service to all external and internal customers. Possess the desire to deliver superior care to our patients and embrace Fresenius' mission and values. RELATIONSHIPS: The Intern cannot work under the supervision of a family member. The Intern cannot care for a patient who is a family member. If an Intern's family member is a patient at the facility in which they work, the Intern will be scheduled to work on days the patient is not in the facility or will be assigned to another patient. SUPERVISION: The Clinical Manager assigns and closely monitors all Dietetic Intern assignments with direct supervision from a Registered Dietitian based on the agreed education plan. OTHER: Performs additional duties as assigned. Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Student Dietitian Clinical Placement

POSITION FEATURES: * $7500.00 Sign on Bonus for New Hires * Full Time Position * 12 Week Paid In-House Training Program * Dialysis Experience Not Required, Will Train * Growth and Advancement Opportunities 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. <ul><li>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.</li><li>Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.</li><li>Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance. </li><li>Performs all other duties as assigned by Supervisor.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.</li></ul> SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul> EDUCATION and LICENSURE: <ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul> EXPERIENCE AND REQUIRED SKILLS: <ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul> 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. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $32.00 - $54.00"

Outpatient Registered Nurse - RN

About this role: As a Dietitian with Fresenius Medical Care, you will be a valuable member of the interdisciplinary team and a part of a close-knit, collaborative team responsible for delivering unique nutritional care to patients facing end stage renal disease. Our RDs build strong bonds and lasting relationships with patients, their families, and all team members. How you grow or advance: We offer a Core Curriculum program, which includes CEUs, specifically for dietitians on all the topics of renal nutrition therapy. Our orientation and training program is designed to develop experts in the field of renal nutrition, allowing you to work at the top of your license. 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: <ul><li>Assesses patient's knowledge and provides education regarding the relationship of diet and kidney disease and the impact on the treatment process.</li><li>Provides education to patient/family/caregiver regarding nutritional status, adequacy measures and results, fluid status, and all nutrition related lab parameters pertaining to their disease process.</li><li>Completes nutritional assessment and works with the interdisciplinary team to develop an individualized comprehensive plan of care for patients.</li><li>Maintains complete and accurate medical records including progress notes.</li><li>Provides ongoing assessment and counseling necessary to assist patient in achieving and sustaining an effective nutritional status.</li><li>Identifies malnourished or at-risk patients and works collaboratively with the interdisciplinary team to identify appropriate interventions, resources, or solutions. </li><li>Monitors, adjusts, and documents response to nutrition therapy and addresses any issues impacting the patient's ability to achieve the goals.</li><li>Collaborates with the interdisciplinary team on Urea Kinetic Modeling recommendations to achieve the physician's prescription of Kt/V.</li><li>Reports on nutrition QAI results and participates in the interdisciplinary QAI program. </li><li>Reviews nutrition related lab results:<ul><li>Counsels patient and/or caregiver and formulates appropriate action.</li><li>Recommends treatment changes to the interdisciplinary team as appropriate.</li><li>Identifies candidates to refer to physician for nutritional supplements. </li><li>Communicates with physician and/or facility staff as appropriate.</li></ul></li></ul><ul><li>Maintains dietetic registration and continuing education hours as specified by American Dietetic Association and state licensure regulations where applicable.</li></ul> EDUCATION: <ul><li>Registered Dietitian as per Commission on Dietetic Registration. </li><li>Board Certified Specialist in Renal Nutrition encouraged.</li><li>Current state licensure if applicable.</li><li></li></ul> EXPERIENCE AND SKILLS: <ul><li>1+ year experience in clinical nutrition as a Registered Dietitian.</li><li>Previous renal experience preferred.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li></li><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.</li><li></li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.</li></ul> 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.

Registered Dietitian Part Time

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.<ul> <li> 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.</li> <li>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.</li> <li>Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.</li> <li>Adjusts or modify the treatment plan as indicated and notify supervisor as needed.</li> <li>Provides initial and ongoing education to patient and family.</li> <li>Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.</li> <li>Initiates or assist with emergency response measures.</li> <li>Ensures correct laboratory collection, processing, and shipping procedures are performed.</li> <li>Collaborates with the Interdisciplinary Team on the patient care plan.</li> <li>Ensures patient awareness related to transplant and treatment modality options.</li> <li>Completes CAP requirements to either maintain or advance within the program.</li> <li>Makes referrals to Social Worker and Registered Dietitian as appropriate.</li> <li>Ensures patient awareness related to transplant and treatment modality options.</li></ul> EDUCATION AND LICENSURE : &bull; Graduate of an accredited School of Nursing. &bull; Current appropriate state licensure. &bull; Current or successful completion of CPR BLS Certification. &bull; Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : &bull; Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. &bull; Experience as a Registered Nurse (preferred but not required). &bull; Chronic/acute hemodialysis experience (preferred but not required). &bull; 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. &bull; The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. &bull; This position requires frequent, prolonged periods of standing and the employee must be able to bend over. &bull; The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. &bull; The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. &bull; May be exposed to infectious and contagious diseases/materials. &bull; Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. &bull; The position may require travel to training sites or other facilities. &bull; May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. 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.

POSITION FEATURES: Location: Wellstar Kennestone - 677 Church St, Marietta, GA 30060 PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.</li><li>Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.</li><li>Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.</li><li>Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. </li><li>Delivers safe, effective care in a timely an efficient manner.</li><li>Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.</li><li>Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. </li><li>Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.</li><li>Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.</li><li>Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.</li><li>Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.</li><li>Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.</li><li>Performs all required pre-treatment dialysis machine alarm testing.</li><li>If applicable, initiates Solution Delivery System.</li><li>Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.</li><li>Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.</li><li>Completes and documents ongoing participation in QAI activities.</li><li>Participates in staff meetings as scheduled.</li><li>Participates in staff training and orientation as assigned.</li><li>Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.</li><li>Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>Assist with various projects as assigned by direct supervisor.</li><li>Other duties as assigned.</li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS :<ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>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.</li></ul><ul><li>Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events.</li><li>Position requires on call rotation including night, day, weekend, and holidays.</li><li>There is potential for exposure to potentially infectious material and contagious diseases/material. </li><li>Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet. </li></ul> SUPERVISION: <ul><li>Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT.</li></ul> EDUCATION: <ul><li>Current appropriate state licensure.</li><li>Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).</li><li>Must meet the practice requirements in the state in which employed.</li><li>Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li>One year RN experience required and required nursing skills.</li><li>Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.</li><li>Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.</li><li>Demonstrated strong assessment skills related to the critically ill patient.</li><li>ICU experience preferred but not required.</li><li>Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation.</li><li>BLS CPR Recognition.</li><li>ACLS CPR Recognition preferred, but not required.</li><li>Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.</li><li>Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).</li><li>Successful completion of Nurses Technical Training.</li></ul> 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.

Inpatient Registered Nurse - RN - Dialysis

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

LPN / LVN 2

PURPOSE AND SCOPE: Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization 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 organization 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 organization Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: Patient Related Education: <ul><li>Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.</li></ul> Treatment: <ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). </li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.</li><li>Monitor patients' response to dialysis therapy. </li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.</li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings. </li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification </li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. </li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. </li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification </li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. </li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. </li><li>Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. </li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection. </li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. </li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. </li><li>Monitors patients performing self-care under the supervision of RN.</li></ul> Staff Related <ul><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul> Education/Communication: <ul><li>Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul><ul><li></li></ul><ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> RECORD KEEPING: <ul><li> Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. </li><li> Enters all treatment data into the designated clinical application in an accurate and timely manner. </li><li> Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure </li></ul> omitted entries are completed or corrected by appropriate staff. <ul><li> Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. </li><li> Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. </li><li> Collect, label, appropriately prepare and store lab samples according required laboratory specifications. </li><li> Ensure collection of lab specimens by appropriate lab courier. </li></ul> INFECTION CONTROL: <ul><li> Assists in collecting information for infection control audits. </li><li> Supports staff and patient Adherence to infection control practices. </li><li> Follows infection control Policies and Procedures </li><li> Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> TRANSITIONAL CARE UNIT: <ul><li> Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care </li><li> Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li> Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. </li><li> Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. </li><li> Sets and preforms a treatment on all machines used in the transitional care unit. </li><li> Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. </li><li> Assists with coordination of transition to patient's modality choice. </li><li> Assists with supply ordering and inventory for TCU </li></ul> PHYSICAL DEMANDS AND WORKING CONDITIONS: <ul><li>The physical demands and work environment characteristics described here are representative of those an employee</li></ul>encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials </li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to 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.</li></ul> EDUCATION AND LICENSES: <ul><li> High School diploma or G.E.D. required.</li><li>Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li> All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li> Previous patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul> 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. Employee Name (Please Print) Employee Signature Date ADDENDUM: Home Therapies Program (Not Home Assist) This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state laws.<ul><li> May assist HT RN on Home Visit as directed </li><li> Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law </li><li> Schedules and contacts patients regarding appointments </li><li> Weigh patient and obtain vital signs </li><li> Collect patient's treatment records and review for completion. Notify RN of incomplete / missing records. </li><li> Cleaning and prepping treatment room; preparing charts prior to clinic visit </li><li> Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) </li><li> Clerical duties as assigned (faxing, mailing to physician offices etc.) </li><li> Set-up of the home hemodialysis machine and PD Cycler </li><li> Assist with exit site care when directed by HT RN </li><li> Warm dialysate solution when directed by the HT RN </li><li> Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN </li><li> Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review) </li><li> Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements </li><li> Maintains logs as directed and applicable </li><li> Support patient registration and use of connected health </li><li> Provide patient home support as indicated and permissible under state law and applicable regulations </li></ul> Inventory of Home Program <ul><li> Maintains par levels of home department supplies </li><li> Files home patient packing slips/invoices </li></ul> Inventory for Patients <ul><li> Assists patient with supply management and contacting customer service </li></ul> 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.

Patient Care Technician - PCT - Dialysis

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

Lead Charge Nurse - RN - Clinical Coordinator

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

Charge Registered Nurse - RN - Dialysis

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

Registered Dietitian - Part Time

PURPOSE AND SCOPE: Functions as part of the Inpatient Services Hemodialysis Health Care team in providing safe and effective dialysis therapy for assigned patients in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provides patient care under the direct supervision of Hemodialysis Registered Nurse for assigned patient(s) in the dialysis suite in the acute setting; excluding Intensive Care Units.<ul><li>Responsible for reporting and documenting all new and unusual incidents, information, complaints, or problems to the RN.</li><li>Promotes and assists in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) Activities; including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP).</li><li>With documented competency and proficiency may set up and prime equipment as directed by the Fresenius Nurse for renal replacement therapies (hemodialysis, continuous renal replacement and peritoneal dialysis therapies).</li></ul><ul><li>Will be responsible for assuring the dialysis machine has been set up, tested and found to be safe for dialysis treatment in accordance with manufacturer instructions for use and company policy and procedures.</li></ul><ul><li>Welcomes assigned patients and inquires as to their well-being since their last treatment. Reports any complaints or observations to the FMCNA RN.</li><li>Obtains necessary pre and post treatment vital signs and weight. Reports unusual findings to FMCNA RN.</li><li>Reports any difficulties in cannulation to FMCNA RN as permitted by state requirements; or unusual findings to FMCNA RN.</li><li>Responsible for accurate documentation of information related to the patient treatment. This information is documented appropriately in the individual patient record to include the hospital Electronic Medical System (EMS) and the Acute Care Electronic System (ACES).</li><li>Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.</li><li>Responsible for ensuring appropriate safety alarms are enabled including narrow venous limits (NVL 160).</li><li>Collects, labels specimens and ensures timely delivery to laboratory per facility policy.</li><li>Evaluates intradialytic problems and provides intervention as prescribed by physician's order or as directed by FMCNA RN. Monitors patient's response to dialysis therapy and report any unusual findings to FMCNA RN.</li><li>Obtains vital signs prior to reinfusion; performing all relevant functions necessary for the discontinuation of treatment- documentation.</li><li>Reports any change or unusual findings to FMCNA RN.</li><li>Evaluates patient prior to termination of venous access - standing and sitting blood pressures prior to termination of venous access. Obtains hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge and reports any unusual findings to the FMCNA RN</li><li>Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.</li><li>Assist with various projects as assigned by direct supervisor or supervising RN.</li><li>Other duties as assigned.</li></ul>Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS : <ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>Day-to-day work includes personal computer work while standing and sitting, interaction with patients, facility staff and physicians.</li><li>The position requires travel between assigned facilities and various locations within the community.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to assist in moving 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.</li><li>There is a two-person assist program and material assist" devices for the heavier items.</li></ul> SUPERVISION: <ul><li> None </li></ul> EDUCATION: <ul><li> High School Diploma required </li></ul> EXPERIENCE AND REQUIRED SKILLS : <ul><li>None required. At least 6 months' experience is preferred in related Field (EMT, Surgical Technicians, Army, Phlebotomists, and technicians).</li><li>Must obtain CCHT within 18 months of hire.</li><li>Effective communication skills - both verbal and written.</li><li> Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. </li></ul> 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.