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Job Title: Real Estate Asset Manager

Company: Ironhorn Enterprises

Location: East Syracuse, NY (On-Site)

Employment Type: Full-time

Salary Range: $60,000–$85,000 per year (commensurate with experience)

Ironhorn Enterprises is seeking a detail-oriented and collaborative Asset Manager to oversee and manage a portfolio of properties. This role plays a key part in protecting and enhancing the value of Ironhorn’s assets through proactive management, cross-department collaboration, and strategic oversight of property operations.

Position Summary: The Asset Manager will work closely with teams across facilities, leasing, accounting, legal, and construction management to ensure properties are operating efficiently, tenant issues are addressed promptly, and long-term asset performance is optimized.

Key Responsibilities

Portfolio Management

• Serve as the primary advocate and manager for the properties within your assigned portfolio.
• Coordinate with internal departments to ensure alignment on operational, leasing, and financial objectives.
• Monitor asset performance and identify opportunities to improve operational efficiency and value.

Tenant Relations & Risk Management

• Review and monitor tenant disputes, defaults, and escalations.
• Confirm proper notices have been issued and identify potential legal or operational risks.
• Work with internal teams to resolve tenant issues and maintain positive tenant relationships.

Facilities & Operations Oversight

• Monitor high-priority and high-value work orders to ensure timely completion and accurate billing.
• Review outstanding work orders and identify causes of delays.
• Participate in facilities meetings as needed to coordinate operational priorities.
• Ensure seasonal maintenance activities (snow removal, lawn care, HVAC maintenance, winterization) and inspections are completed.

Leasing & Vacancy Management

• Conduct regular vacancy audits and ensure vacancy data is accurately reflected in property management systems.
• Review lease expirations and collaborate with leasing teams on renewal or vacancy strategies.
• Evaluate leasing activity, marketing positioning, and potential leasing obstacles.

Financial Oversight

• Review rent collections, reimbursements, abatements, and lease compliance.
• Ensure billing aligns with lease language and contractual obligations.
• Monitor delinquency reports and participate in delinquency discussions when necessary.

Project & Capital Oversight

• Track construction projects, tenant improvements, and landlord improvements.
• Monitor project scope, budgets, and timelines.
• Identify recurring maintenance issues and recommend long-term solutions.

Reporting & Strategic Review

• Prepare periodic asset reviews and annual executive summaries outlining portfolio performance, major projects, leasing activity, tenant issues, and operational initiatives.
• Review property condition reports (PCRs) and ensure necessary updates or inspections are completed.
• Maintain accurate CRM and entity records for all properties.

Collaboration

This role requires significant cross-functional collaboration with facilities, leasing, accounting, legal, and executive leadership to ensure consistent communication and effective asset oversight.

Qualifications

• Bachelor’s degree in real estate, business, finance, or a related field preferred.
• 2–5+ years of experience in real estate, property management, asset management, or a related field preferred.
• Strong organizational and analytical skills.
• Ability to manage multiple projects and priorities simultaneously.
• Excellent communication and collaboration skills.
• Experience with property management software (such as AppFolio) is a plus.

Compensation

• $60,000 – $85,000 annually, commensurate with experience.

What We Offer

• Clear growth path within a growing commercial real estate platform
• Direct exposure to senior leadership and high-impact commercial real estate transactions
• Competitive salary
• Comprehensive benefits package, including medical, dental, and vision insurance
• Company-paid life insurance, long-term disability, and AD&D coverage
• Two weeks of paid vacation time, one week of paid sick time, and optional two weeks of unpaid time off
• Company retirement plan with a 3% match

How to Apply

Interested candidates should submit a resume and brief cover letter to:

Ironhorn Enterprises is an equal opportunity employer and values diversity in its workforce.

• Responsible for leading 3 project managers and 2 project coordinators in the construction of commercial and federal multi-million-dollar projects
• Will have customer interaction and ensure safety, quality and financial performance is being met
• 10+ years of commercial construction management experience
• Leadership/mentoring experience is required
• Must have commercial or HVAC electrical, commercial building or retrofits experience
• Company has over 50 years of industry experience!
• Great team culture!
• Diverse commercial projects!

Are you ready for the next step in your property management career? Would you like to work for an organization with a national presence and strong company culture? This group offers professional development, supports employee volunteering, and fosters a strong sense of community. This Property Manager will be responsible for managing operations for a Class A office building including maintenance, property appearance, accounting, lease administration, construction and customer service.

Duties Include:

• Oversee vendor service agreements—including specifications and performance—to ensure high‐quality delivery of janitorial, security, landscaping, and other operational services. Regularly obtain competitive bids to validate service quality and cost efficiency, and confirm all vendors meet ownership requirements.
• In partnership with the Chief Engineer, guide the implementation and management of fire and life‐safety systems, preventative maintenance programs, environmental initiatives, and energy‐management strategies.
• Deliver exceptional Class A service to tenants, while driving ongoing projects that enhance customer relationships, elevate the retail experience, and strengthen overall property image.
• Coordinate tenant move‐ins and move‐outs, collaborating with the construction coordinator on space‐related needs when necessary, while independently managing smaller customer space adjustments.
• Stay informed on evolving safety and environmental regulations, including HVAC requirements and indoor air‐quality standards.
• Actively participate in industry organizations and events (IREM/BOMA/BATMA) to remain current on issues affecting regional markets and the broader real‐estate industry.
• Review leases for compliance, tracking escalations and monthly billing, monitoring renewals and expirations, managing fees and notification requirements, and incorporating updates from new amendments.
• Manage the monthly financial reporting process in Yardi, ensuring accuracy and timely delivery of all financial information to management.
• Prepare annual operating budgets for assigned properties, along with producing year‐end tenant
• Monitor utility consumption and oversee the preparation of customer and retailer sub‐metering reports as well as related bill backs rent letters and completing DOE, CAM bill backs, and other reconciliation adjustments.
• Conduct thorough reviews of operating financial statements, property status updates, and capital and tenant improvement reports to identify variances and recommend strategies that strengthen project cash flow and net operating income.
• Manage the monthly financial reporting process in Yardi, ensuring accuracy and timely delivery of all financial information to management.

Requirements:

Seeking a minimum of 5 years' experience commercial property management, Class A office preferred

Bachelor's Degree Preferred

Advanced Microsoft Office skills

Who We Are

Centurion Property Group is a private equity real estate investment and operating firm dedicated to delivering superior risk-adjusted returns through diligent analysis and operational expertise. Our specialization lies in the acquisition, repositioning, and management of “core-plus” and “value-add” income-producing properties with an exclusive focus on the dynamic student housing sector.

Driven by a seasoned team of industry experts, Centurion Property Group boasts extensive experience in both the acquisition and management of real estate assets across diverse sectors.

Job Description

The Portfolio Maintenance Manager acts on behalf of ownership to oversee the maintenance operations of the entire property portfolio. This role ensures that all property maintenance teams operate efficiently, work orders are completed in a timely manner, preventative maintenance programs are executed, and operational KPIs are met across all assets.

The position serves as the primary liaison between ownership, property management, and maintenance teams, ensuring that maintenance operations align with ownership objectives for cost control, asset preservation, operational efficiency, and resident satisfaction.

Responsibilities

• Oversee maintenance operations across all properties within the portfolio.
• Provide guidance and operational support to on-site maintenance teams.
• Monitor work order systems to ensure timely response, completion, and proper documentation.
• Track maintenance KPIs including work order completion times, backlog, preventative maintenance completion, and unit turnover timelines.
• Ensure preventative maintenance programs are implemented and consistently followed across all properties.
• Monitor the condition of buildings, infrastructure, amenities, and common areas to ensure proper upkeep and functionality.
• Coordinate and oversee third-party vendors performing maintenance services.
• Monitor maintenance budgets and identify opportunities for operational efficiencies and cost control.
• Conduct periodic site visits and inspections to evaluate maintenance performance and property conditions.
• Provide regular reporting to ownership on maintenance operations, property condition, and performance metrics.

Qualifications

• Bachelor’s degree in Facilities Management, Engineering, Business Administration, Construction Management, or a related field (preferred).
• Minimum of 3 years of experience in maintenance operations, facilities management, or property management.
• Strong understanding of building systems maintenance and preventative maintenance programs.
• Experience working with Property Management Systems and maintenance work order platforms.
• Proficiency in Microsoft Excel and reporting tools.
• Strong organizational and analytical skills with the ability to track operational performance metrics.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities and support multiple properties simultaneously.
• Willingness to travel to property sites as needed.
• EPA Certification and/or demonstrated knowledge of HVAC systems and equipment is highly preferred but not required.

Job Time

• Full Time (Monday-Friday).

Benefits

• 10 days PTO/Vacation first year, with 2-day increments per year up to a max of 15 days.
• Holidays: Major Federal Holidays.
• Health, Dental, and Vision Insurance.

Language

• English and Spanish required.

Work Location

• 19495 Biscayne Blvd Suite 400, Aventura, Florida 33180

Senior Traveling Installation Technician / Field Team Lead

Industrial Refrigeration / Controlled Environment Systems

Direct Hire | Nationwide Travel | Home Every Weekend

No C2C or third-party recruiters.

A growing engineering and manufacturing company specializing in controlled environment and cold storage systems is seeking a Senior Traveling Installation Technician / Field Team Lead to lead installation projects across the United States.

This is a senior-level field leadership role for someone with strong refrigeration and electrical experience (208–460V) who has led installation crews and can manage projects from installation through startup.

Why Techs Like This Role

• Home every weekend

• Trips typically 3–4 nights

• Paid travel time + overtime

• $2/hr premium while traveling

• All travel expenses covered (company credit card provided)

• Annual bonus typically 7–15%

Travel is nationwide with most schedules running Mon–Wed, Tues–Thurs, or Mon–Thurs. Travel mix is approximately 65% driving / 35% flying.

Requirements

• 5+ years HVAC/R or refrigeration experience

• Cold storage or refrigeration systems experience required

• Experience working with 208–460V systems

• EPA Certification

• Experience leading field crews or installation teams

• Ability to read electrical schematics and wiring diagrams

• Valid driver’s license and ability to travel

Experience with supermarket refrigeration, walk-ins, controls wiring, brazing, or system startup/commissioning is highly preferred.

CO2 (R-744) experience would be a grand slam!

SENIOR ELECTRICAL ESTIMATOR

Are you a seasoned Electrical Estimator who thrives on accuracy, collaboration and winning work? We're looking for a Sr. Electrical Estimator to lead electrical-driven proposals from concept through submission, ensuring every bid is complete, competitive and delivered on time.

WHAT YOU'LL DO

As a key member of our precon team, you'll play a critical role in shaping successful projects by:

• Leading and scheduling bid review meetings to ensure all deadlines and submission requirements are met
• Preparing and completing bid documentation using required forms, formats, and processes
• Attending pre-bid meetings, site walkthroughs, and client discussions as needed
• Managing all pre-bid documentation, including drawings, specifications, addendums, RFIs, and meeting minutes
• Soliciting and evaluating vendor and subcontractor pricing
• Coordinating completion of all bid-related documents (bid bonds, insurance certificates, schedules, org charts, signatures, etc.)
• Supporting Project Managers with pricing for large change orders on active projects
• Maintaining and enhancing the estimating database in collaboration with Business Development
• Building and sustaining strong relationships with subcontractors and suppliers
• Leading post-award turnover meetings from Preconstruction to Operations
• Updating estimating templates, tools, and worksheets for continuous improvement
• Gathering feedback from project teams to refine labor units and production rates
• Developing familiarity with client site nuances and their impact on estimating strategies
• Following up with clients throughout the bid process
• Auditing takeoffs and adjusting labor and material extensions to ensure accuracy

WHAT YOU'LL BRING:

• Associate degree in Engineering, Construction Management, or equivalent field experience
• 10+ years of estimating experience on E/I/C projects in industrial markets such as Pharma, Life Sciences, Food Processing, and General Manufacturing
• 5+ years of Instrumentation & Controls (I&C) estimating experience
• Strong understanding of electrical design fundamentals and the National Electrical Code (NEC)
• Ability to read and interpret electrical symbols, P&IDs, control diagrams, and loop sheets
• Proficiency with estimating software (QuoteSoft preferred)
• Advanced skills in Microsoft Excel, Word, and Project
• Clear, confident written and verbal communication skills

WHY INSERV?

• Competitive pay that rewards your impact
• Professional development and continuous learning opportunities
• 401(k)
• Health, Dental and Vision Insurance
• Paid Time Off (PTO)
• Tuition reimbursement

COMPANY OVERVIEW

Founded in 1992, InServ is a full-service industrial contractor serving the life sciences, advanced manufacturing, and food and beverage sectors. We specialize in mechanical, electrical and instrumentation, hygienic piping and HVAC trades. Operating from multiple locations across North Carolina, we serve clients throughout the Southeast. Our success is built on an unwavering commitment to safety, quality, and schedule adherence.

InServ is proud to be equal opportunity employer committed to building a diverse and inclusive workforce. We consider all qualified applicants without regard to race, color, age, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, genetic information, or any other characteristic protected by law.

Presidio Bay Ventures, Inc. (“PBV”) is a real estate investment and development firm headquartered in San Francisco. Our team is focused on sourcing and structuring unique, value-add investment opportunities that generate attractive risk-adjusted returns, and our primary expertise is in new construction and major renovation of complex, large-scale office, multifamily and other special-use facilities. Since its formation in early 2012, PBV has executed on $5.6Bn+ of transactions projects seven states, representing over 5.3M square feet of development.

We are actively hiring one or more Assistant Commercial Property Managers in San Francisco, CA to support PBV’s expanding portfolio. These positions will play an integral role in supporting the daily operations of a rapidly growing portfolio of properties throughout the Bay Area, ensuring each asset is managed to PBV’s standard of excellence.

This is a unique opportunity to join an established Bay Area development and investment firm with a rapidly growing presence. You will work on high-profile projects already underway, gain direct mentorship from senior leadership, and play a central role in redefining what Class A office environments can deliver in today’s evolving market.

This is a full-time, salaried position with an expected base salary range of $70,000 – 90,000 per year, with final compensation determined by experience and qualifications. Presidio Bay Ventures also offers a comprehensive benefits program that includes, but is not limited to:

• 401(k) matching contributions
• Employee and family health benefits
• Paid parental leave
• Company sponsored professional development coaching
• Co-investment opportunities in Company projects
• Company sponsorship of professional certifications and continuing education
• Flexible time-off
• Company sponsored philanthropic scholarship program to benefit underrepresented youth

Qualifications:

• Solid analytical, organizational skills and ability to multi-task
• Highly developed verbal and written communication skills
• Self-motivated and shows initiative without direction
• Ability to work independently and as part of a team
• Proactive thinking with a detail-oriented and creative problem-solving approach
• Ability to manage multiple tasks and priorities to conclusion
• Polished and professional demeanor
• A no task is too big or too small mentality and be a true team player
• Ability to travel to properties within the Bay Area

Required Education and/or Experience:

• BA/BS degree in Finance, Real Estate or related field preferred
• Minimum 3 years of commercial real estate or related property management experience
• Knowledge of property operations, building systems, and finance
• California Real Estate Salesperson license (or ability to obtain within first year)
• Computer skills including internet, Microsoft Office Suite, Google Workspace and Yardi. Kardin, MRI and Angus experience a plus.

Roles and Responsibilities:

• Assist with daily property operations to ensure the buildings are maintained in first-class condition and in compliance with PBV standards.
• Develop familiarity with tenant leases and support administration of landlord obligations, including lease abstracts and maintenance of tenant and vendor files.
• Prepare and distribute tenant correspondence, including building notices, operational updates, and policy communications.
• Maintain positive tenant relationships by responding promptly and professionally to tenant questions, concerns, and service requests.
• Actively monitor tenant service requests and maintenance issues to ensure timely response, resolution, and appropriate billing when applicable.
• Assist with tenant bill-backs for utilities, after-hours HVAC, and other services.
• Coordinate tenant move-ins and move-outs, ensuring smooth transitions and proper documentation.
• Support tenant engagement and retention efforts, including building communications and occasional tenant events.
• Perform routine property inspections and prepare inspection reports; follow up on identified deficiencies as directed.
• Support vendor management activities including bid coordination, contract administration, scheduling, and service inspections.
• Track and maintain certificates of insurance for tenants and vendors, escalating deficiencies as necessary.
• Support property accounting functions including invoice coding, accounts payable processing, rent collection tracking, delinquency follow-up, CAM reconciliations, and budget preparation.
• Assist the Property Manager with preparation of monthly management reports for ownership, including compiling operational updates, financial summaries, and supporting documentation.
• Maintain accurate property records, contact lists, and filing systems in both electronic and physical formats (as necessary).
• Provide administrative and operational support to the Property Manager and leadership team.
• Assist with emergency preparedness planning, incident documentation, and business continuity procedures.
• Support leasing efforts by coordinating suite access for tours and providing operating expense and building information as requested.
• Assist with tenant improvement coordination, capital projects, and other special projects as directed.
• Perform additional assignments as required by ownership or senior leadership.

PBV is an equal opportunity employer and values diversity. All employment is decided on the basis of qualifications, merit and business need. PBV does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law.

Position: Property Manager - Industrial Assets

Location: Rosemont, IL

Salary: $90k+/year + bonus

Schedule: Monday - Friday 8am-5pm

Property Management Company is seeking a full-time Property Manager for their Rosemont office. This position will report directly to the Property Management leadership team and will oversee the day-to-day management and operations of an assigned industrial real estate portfolio throughout the Chicagoland market, ensuring properties operate efficiently while delivering high-quality service to tenants and ownership.

Key Responsibilities:

• Manage the day-to-day operations of an assigned industrial portfolio, including warehouse, distribution, and light industrial assets

• Prepare and deliver monthly reporting packages for third-party clients, including operational updates, financial summaries, and property performance metrics

• Oversee and manage building systems and preventative maintenance programs, including fire life safety, HVAC, dock equipment, roofing, and mechanical systems

• Coordinate and monitor vendor relationships and service contracts, ensuring work is completed on schedule and in accordance with service agreements

• Conduct routine property inspections and site visits across the Chicagoland portfolio to maintain building standards and identify maintenance or capital improvement needs

• Review and approve invoices, ensuring accurate coding and alignment with operating budgets

• Assist with capital improvement planning and project oversight, including preparing approval packages and coordinating vendor execution

• Respond promptly to tenant service requests, ensuring operational issues are addressed quickly and effectively to maintain strong tenant relationships

• Assist with the preparation and management of annual operating budgets, monitor expenses, and provide variance explanations as needed

• Maintain strong communication with tenants, vendors, and ownership while ensuring properties operate efficiently and cost-effectively

• Provide guidance and coordination with Assistant Property Managers and property management support staff

• Handle additional property management responsibilities as assigned

Expectations:

• Ability to operate proactively and independently in a fast-paced, high-volume environment

• Strong organizational skills with the ability to manage multiple properties, vendors, and priorities simultaneously

• Detail-oriented with strong problem-solving and operational management skills

• Excellent verbal and written communication abilities with tenants, vendors, and ownership groups

• Ability to travel throughout the Chicagoland market for property visits as needed

Qualifications:

• 5+ years of experience in commercial property management, with industrial property management experience strongly preferred

• Experience managing industrial assets such as warehouse, distribution, or logistics facilities

• Strong understanding of building operations, vendor management, and preventative maintenance programs

• Experience with budget preparation, financial reporting, and expense tracking

• Proficiency in Microsoft Office programs, particularly Excel, Word, and Outlook

• Experience with Yardi or similar property management software preferred

Benefits:

Property Management Company offers competitive compensation with excellent benefits including medical, dental, and vision insurance, as well as a 401(k) with a strong company match.

Job offers are contingent upon a successful background check.

The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.  This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions. 

Qualified candidates with prior peritoneal dialysis or hemodialysis experience may be eligible for up to $5,000 signing bonus - please inquire.

• 
  
• A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient’s home.
  
• We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. 
  
• Work Schedule – Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility.
  
• Competitive on-call pay when placed in on-call rotation.
  
• Holidays – Home Training Nurses rarely work on a holiday.
  
• We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program.
  
• We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes. 
  

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties and tasks may be assigned.

• 
  
• Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.
  
• Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.
  
• Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.  Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.
  
• Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
  
• Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.  Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.
  
• Participate in infection control monitoring, implementation, and recording as requested.
  
• Be familiar with emergency equipment and all emergency operational procedures.  Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.
  
• Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.
  
• Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.  Assist in obtaining data for the continuous quality improvement activities.
  
• Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.
  
• Complete and document monthly review of patient medication profiles.  Administer medications as ordered by the physician.
  
• Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.
  
• Flexible with staffing locations and hours to accommodate patient and USRC home program needs.
  
• Regular and reliable attendance is required for the position.
  

Home Hemodialysis Only:

• 
  
• Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.
  
• Ensure required and appropriate water sampling is complete per policy and product requirements.  Monitor and report water sample and culture results.           
  

QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• 
  
• Current RN license in applicable state.  License must be maintained as current and in good standing. 
  
• 12 months of clinical experience in providing nursing care and 3 months of experience in the specific modality for which the nurse will provide home dialysis training is preferred, except in states with a more stringent requirement such as Texas, which requires at least 6 months experience in the specific home modality.
  
• Previous experience in providing nursing care to patients on maintenance dialysis preferred.
  
• CPR certification required prior to patient care assignment.
  
• Confirmation of ability to distinguish all primary colors.
  
• Must successfully complete the Home Therapy Nurse Orientation program and maintain annual demonstration of skills and competency applicable for the modality assigned.
  
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
  
• Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.
  
• Must meet any practice requirement(s) for the applicable state.  
  
• Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.
  

U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

All Full Time employees are eligible for the following benefits:
* Medical / Pharmacy
* Dental
* Vision
* Voluntary benefits
* 401k with employer match
* Virtual Care
* Life Insurance
* Voluntary Benefits
* PTO
All Part Time employees are eligible for the following benefits:
* 401k with employer match
* PTO

The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.  This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.

• 
  
• A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient’s home.
  
• We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. 
  
• Work Schedule – Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility.
  
• Competitive on-call pay when placed in on-call rotation.
  
• Holidays – Home Training Nurses rarely work on a holiday.
  
• We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program.
  
• We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes.
   
  ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties and tasks may be assigned.
  
• Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.
  
• Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.
  
• Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.  Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.
  
• Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
  
• Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.  Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.
  
• Participate in infection control monitoring, implementation, and recording as requested.
  
• Be familiar with emergency equipment and all emergency operational procedures.  Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.
  
• Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.
  
• Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.  Assist in obtaining data for the continuous quality improvement activities.
  
• Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.
  
• Complete and document monthly review of patient medication profiles.  Administer medications as ordered by the physician.
  
• Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.
  
• Flexible with staffing locations and hours to accommodate patient and USRC home program needs.
  
• Regular and reliable attendance is required for the position.
  

Home Hemodialysis Only:

• 
  
• Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.
  
• Ensure required and appropriate water sampling is complete per policy and product requirements.  Monitor and report water sample and culture results.           
  

Salary / Compensation Statement

Compensation for the role will depend on several factors, including a candidate's experience, qualifications and skills. U.S. Renal Care offers a comprehensive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.

QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• 
  
• Current RN license in applicable state.  License must be maintained as current and in good standing. 
  
• 12 months of clinical experience in providing nursing care and 3 months of experience in the specific modality for which the nurse will provide home dialysis training, except in states with a more stringent requirement such as Texas, which requires at least 6 months experience in the specific home modality.
  
• Previous experience in providing nursing care to patients on maintenance dialysis preferred.
  
• CPR certification required prior to patient care assignment.
  
• Confirmation of ability to distinguish all primary colors.
  
• Must successfully complete the Home Therapy Nurse Orientation program and maintain annual demonstration of skills and competency applicable for the modality assigned.
  
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
  
• Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.
  
• Must meet any practice requirement(s) for the applicable state.  
  
• Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.
  

U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

All Full Time employees are eligible for the following benefits:
* Medical / Pharmacy
* Dental
* Vision
* Voluntary benefits
* 401k with employer match
* Virtual Care
* Life Insurance
* Voluntary Benefits
* PTO
All Part Time employees are eligible for the following benefits:
* 401k with employer match
* PTO