Fresenius Medical Care Jobs in Usa

Weekly schedule will include MWF & Th (10 hour days).

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy.

Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.

Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.

As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.

PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation.

Participate in the department staffing and the appropriate hiring, firing and disciplinary actions.

Recommend disciplinary action to Facility Administrator and initiate as appropriate.

Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.

Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.

Participate in patient care plan meetings.

Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.

Train and orient staff as necessary.

Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.

Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.

Maintain overall shift operation in a safe, efficient, and effective matter.

With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.

Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.

Supervise all documentation of patient information.

Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.

Assess daily patient care needs and develop and distribute patient care assignments appropriately.

Assume primary responsibility in an emergency situation.

Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician.

Implement changes in patient care/treatment as directed.

Monitor and supervise all patient care activity during dialysis and assist as necessary.

Collaborate with direct patient care team in making decisions to benefit patient care.

Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.

Administer medications to patients per physician's orders.

Act as the subject matter expert and as a resource for staff members.

Supervise and participate in completion of short and long term care plans.

Admit new patients according to facility procedure.

Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.

Supervise the safe and effective use of all equipment involved in direct patient care.

Operate all dialysis related and emergency equipment safely and efficiently when needed.

Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.

Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies.

Attend and participate in monthly Quality Assurance meetings.

Additional responsibilities may include focus on one or more departments or locations.

See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.

The position requires travel between assigned facilities and various locations within the community.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

May be exposed to infectious and contagious diseases/materials.

Travel to regional, Business Unit and Corporate meetings may be required.

SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned.

EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State.

EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.

Medical/surgical nursing preferred.

Supervisory or management experience preferred.

Certified in CPR or successfully complete course in CPR certification.

Good communication skills
- verbal and written.

"The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work 17perience, skills, and competencies.

Hourly Rate: $23
- $72 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance." Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

PURPOSE AND SCOPE:

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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

· Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.

· Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated.

· Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.

· Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.

· Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.

· Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.

· Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.

· Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.

· Administers medications as prescribed and documents appropriate medical justification and effectiveness.

· Initiates and assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.

· May be assigned to assist in an Outpatient facility on an as needed basis.

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

· The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

· This position requires frequent, prolonged periods of standing and the employee must be able to bend over.

· The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.

· The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

· May be exposed to infectious and contagious diseases/materials.

· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

· Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.

· The position requires travel to training/meeting sites and between assigned facilities.

· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.

SUPERVISION:

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

· Successful completion of all FKC education and modality specific training requirements for new employees.

· Must have a minimum of 9 months experience as a RN.

· 6 months experience in acute dialysis as a RN.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification

· Must meet the practice requirements in all states in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN

· Minimum 9 months experience as a Registered Nurse, 12 months (preferred).

· 6 months acute dialysis experience (preferred)

· Hemodialysis and/or ICU experience (preferred).

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

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

EOE, disability/veterans

- No dialysis experience required- we will train!

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members.How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education.

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

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

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

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

• As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
• Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff.
• Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.
• Adjusts or modify the treatment plan as indicated and notify supervisor as needed.
• Provides initial and ongoing education to patient and family.
• Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
• Initiates or assist with emergency response measures.
• Ensures correct laboratory collection, processing, and shipping procedures are performed.
• Collaborates with the Interdisciplinary Team on the patient care plan.
• Ensures patient awareness related to transplant and treatment modality options.
• Completes CAP requirements to either maintain or advance within the program.
• Makes referrals to Social Worker and Registered Dietitian as appropriate.
• Ensures patient awareness related to transplant and treatment modality options.

EDUCATION AND LICENSURE:

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

EXPERIENCE AND SKILLS:

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

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

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

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

EOE, disability/veterans

Recent acute dialysis experience required

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:

• 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.
• Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.
• 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.
• 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.
• Delivers safe, effective care in a timely an efficient manner.
• 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.
• 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.
• 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.
• Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.
• Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.
• Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
• Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
• Performs all required pre-treatment dialysis machine alarm testing.
• If applicable, initiates Solution Delivery System.
• Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.
• 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.
• Completes and documents ongoing participation in QAI activities.
• Participates in staff meetings as scheduled.
• Participates in staff training and orientation as assigned.
• Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.
• 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
• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
• Assist with various projects as assigned by direct supervisor.
• Other duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

- The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.- Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.

• 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.
• Position requires on call rotation including night, day, weekend, and holidays.
• There is potential for exposure to potentially infectious material and contagious diseases/material.
• 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.

SUPERVISION:

- 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.

EDUCATION:

• Current appropriate state licensure.
• 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).
• Must meet the practice requirements in the state in which employed.
• Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.

EXPERIENCE AND REQUIRED SKILLS:

• One year RN experience required and required nursing skills.
• Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.
• Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.
• Demonstrated strong assessment skills related to the critically ill patient.
• ICU experience preferred but not required.
• Successful completion of training course in the theory and practice of care of the ESRD patient – Progressive Renal Education Preparation.
• BLS CPR Recognition.
• ACLS CPR Recognition preferred, but not required.
• Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.
• Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).
• Successful completion of Nurses Technical Training.

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

EOE, disability/veterans

PURPOSE AND SCOPE:

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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

· Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.

· Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as may be indicated.

· Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.

· Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.

· Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.

· Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.

· Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.

· Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.

· Administers medications as prescribed and documents appropriate medical justification and effectiveness.

· Initiates and assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.

· May be assigned to assist in an Outpatient facility on an as needed basis.

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

· The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

· This position requires frequent, prolonged periods of standing and the employee must be able to bend over.

· The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.

· The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

· May be exposed to infectious and contagious diseases/materials.

· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

· Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.

· The position requires travel to training/meeting sites and between assigned facilities.

· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.

SUPERVISION:

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

· Successful completion of all FKC education and modality specific training requirements for new employees.

· Must have a minimum of 9 months experience as a RN.

· 6 months experience in acute dialysis as a RN.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification

· Must meet the practice requirements in all states in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN

· Minimum 9 months experience as a Registered Nurse, 12 months (preferred).

· 6 months acute dialysis experience (preferred)

· Hemodialysis and/or ICU experience (preferred).

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

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

EOE, disability/veterans

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.

Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.

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

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

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

PRINCIPAL RESPONSIBILITIES AND DUTIES

CLINIC OPERATIONS:

• Manages the operations of the clinic, including costs, processes, staffing, and quality standards.
• Provides leadership, coaching, and development plans for all direct reports.
• Partners with internal Human Resources, Quality, and Technical Services departments.
• Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program.
• Maintains integrity of medical and operations records and complies with all data collections and auditing activities.
• Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.
• Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.
• Responsible for all required network reporting and on-site state or federal surveys.

PATIENT CARE:

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
• Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care.
• Acts as a resource for the patient and family to address concerns and questions.
• Accountable for timely completion of patient care assessments and care plans.
• Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.
• Plans, coordinates, and validates patient eligibility for treatment.
• Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues.

STAFF:

• Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.
• Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.
• Provides support for all clinical staff members at regular intervals and encourages professional growth.
• Maintains current knowledge regarding company benefits, policies, procedures, and processes.
• Completes employee evaluations and establishes annual goals.
• Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.
• Manages staff scheduling and payroll.

PHYSICIANS:

• Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
• Responsible for strong physician relationships and ensures regular and effective communication.
• Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.

EDUCATION AND REQUIRED CREDENTIALS:

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

EXPERIENCE AND SKILLS:

- Required:

- 6+ years business operations experience in a healthcare facility.

- 12 months experience in clinical nursing.

- 6 months chronic or acute dialysis nursing experience.

- Successfully pass the Ishihara Color Blind Test.

- Preferred but not required:

- 3+ years supervisory or project/program management experience.

- Med/surg or ICU/CCU experience.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians
• Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required.
• The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

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

EOE, disability/veterans

PURPOSE AND SCOPE:

Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure that the highest standard of care is provided. Collaborates with the Business Unit management team to grow the assigned Home Therapies programs.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Manages the operations of multiple Home Therapies programs with direct responsibility for results, including growth, patient retention, program costs, operational methods, scheduling, and staffing.
• Directs activities related to the area's strategic plans, goals and objectives ensuring alignment with those of the region, division, and company. Implements quality goals and action plans to achieve quality standards.
• Collaborates with operations leaders, market development, in-center leadership and patient education and quality teams to promote home therapies growth in assigned programs.
• Responsible for profit and loss management of the assigned program including optimal performance of program operations to achieve or exceed budgets and key performance indicators.
• Directs and manages all aspects of patient care for Home Therapies patients in assigned programs from admission through discharge of the patient. Provides direction, guidance, and support to staff members to ensure the safe and effective delivery of home therapy support care to patients with End-Stage Renal Disease (ESRD).
• Oversees patient and caregiver readiness and ability to perform dialysis treatments at home and assesses environment for suitability in the ongoing delivery of home dialysis therapy, including training patients and caregivers on the safe and effective operation and preventative maintenance of equipment.
• Manages patient experience efforts by supporting company patient satisfaction initiatives, embodying the company values and patient experience drivers while encouraging others to do the same.
• Ensures competency of staff in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone, maintaining appropriate staff licensures and CPR certifications.
• Responsible for management of program supplies, equipment tracking, ensures that orders are replenished in a consistent and timely manner.
• Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success.
• Directs data entry related activities such as patient admission, regulatory reporting, billing, physician orders, lab results, vital signs, patient status and any other treatment related data into systems.
• Ensures regulatory, compliance, and audit activities are accomplished on time.
• Orients and supports all new home therapies staff and provides ongoing education, ensuring compliance with all risk management initiatives, including in-center staff.
• Responsible for hiring, coaching, and counseling employees, including performance reviews, disciplinary action, and terminations.
• Provides leadership, coaching, and development plans for all direct reports to maintain an engaged and productive workforce, partnering with Human Resources on employee matters.
• Performs other related duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment used can vary in complexity. Equipment aids and/or coworkers may provide assistance.
• The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
• This position requires frequent, prolonged periods of standing and/or walking and the employee must be able to bend over.
• 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.
• Travel required between assigned facilities and various locations within the region up to 25% of the time. Travel to regional, Business Unit and Corporate meetings may be required.

SUPERVISION:

- Responsible for the direct supervision of various levels of Home Therapies staff.

EDUCATION:

- Graduate of an accredited School of Nursing (R.N.) Advanced education preferred. Current appropriate state licensure.

EXPERIENCE AND REQUIRED SKILLS:

• Minimum of one year nursing experience plus a minimum of six months dialysis nursing experience.
• 3+ years' supervisory or project/program management experience preferred.
• Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients.
• Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees. Performance management and decision making.
• Successfully complete CPR Certification with maintenance as required.

EOE, disability/veterans

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.

Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.

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

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

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

PRINCIPAL RESPONSIBILITIES AND DUTIES

CLINIC OPERATIONS:

• Manages the operations of the clinic, including costs, processes, staffing, and quality standards.
• Provides leadership, coaching, and development plans for all direct reports.
• Partners with internal Human Resources, Quality, and Technical Services departments.
• Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program.
• Maintains integrity of medical and operations records and complies with all data collections and auditing activities.
• Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.
• Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.
• Responsible for all required network reporting and on-site state or federal surveys.

PATIENT CARE:

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
• Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care.
• Acts as a resource for the patient and family to address concerns and questions.
• Accountable for timely completion of patient care assessments and care plans.
• Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.
• Plans, coordinates, and validates patient eligibility for treatment.
• Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues.

STAFF:

• Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.
• Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.
• Provides support for all clinical staff members at regular intervals and encourages professional growth.
• Maintains current knowledge regarding company benefits, policies, procedures, and processes.
• Completes employee evaluations and establishes annual goals.
• Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.
• Manages staff scheduling and payroll.

PHYSICIANS:

• Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
• Responsible for strong physician relationships and ensures regular and effective communication.
• Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.

EDUCATION AND REQUIRED CREDENTIALS:

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

EXPERIENCE AND SKILLS:

- Required:

- 6+ years business operations experience in a healthcare facility.

- 12 months experience in clinical nursing.

- 6 months chronic or acute dialysis nursing experience.

- Successfully pass the Ishihara Color Blind Test.

- Preferred but not required:

- 3+ years supervisory or project/program management experience.

- Med/surg or ICU/CCU experience.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians
• Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required.
• The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

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

EOE, disability/veterans

PURPOSE AND SCOPE:

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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

· Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.

· Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.

· Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.

· Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.

· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.

· Initiates or assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

· Ensures patient awareness related to transplant and treatment modality options.

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

· The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

· This position requires frequent, prolonged periods of standing and the employee must be able to bend over.

· The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.

· The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

· May be exposed to infectious and contagious diseases/materials.

· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

· The position may require travel to training sites or other facilities.

· May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

SUPERVISION:

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

· Successful completion of all FKC education and training requirements for new employees.

· Must have a minimum of 9 months experience as a RN.

· Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification.

· Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

· Chronic/acute hemodialysis experience (preferred).

The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.

Hourly Rate: $35.00 - $60.00

Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.

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

EOE, disability/veterans

Recent acute dialysis experience is required

PURPOSE AND SCOPE:

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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

• Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.
• Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient's primary nurse and others as indicated.
• Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
• Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse.
• Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.
• Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.
• Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.
• Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Administers medications as prescribed and documents medical justification and effectiveness.
• Initiates and assists with emergency response measures.
• Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level.
• May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.
• May be assigned to assist in an Outpatient facility on an as needed basis.
• May serve as a Preceptor to new employees.
• Required to complete CAP requirements to maintain or advance.
• Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

• The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
• This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
• Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
• The position requires travel to training/meeting sites and between assigned facilities.
• Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

SUPERVISION:

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

- Successful completion of all FKC education and modality specific training requirements.- 6 months experience in acute dialysis as a RN.

EDUCATION AND LICENSURE:

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

EXPERIENCE AND REQUIRED SKILLS:

- Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN.- Acute dialysis experience (preferred).

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

EOE, disability/veterans