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Regional float position - must have dialysis experience for this position

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).

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

EOE, disability/veterans

Regional float position - must have dialysis experience for this position

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).

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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

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

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

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

SUPERVISION:

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

EDUCATION and LICENSURE:

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

EXPERIENCE AND REQUIRED SKILLS:

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

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).

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).

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

EOE, disability/veterans

• Home therapy program

PURPOSE AND SCOPE:

Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Staff Related:

• Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.
• Rotates with other licensed staff to ensure adequate coverage.
• Participates in staff training and orientation of new staff as assigned.
• Participates in all required staff meetings as scheduled.

Quality:

• Provides outstanding quality of patient care, as defined by company quality goals and standards.
• Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
• Participates in all monthly CQI meetings.

Education:

• Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.
• Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.
• Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
• Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.
• Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.

Dialysis Treatment:

• Provides safe and effective delivery of home therapy support care to patients with ESRD.
• Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.
• Communicates patient related issues to the physician as needed.
• Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.
• Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.

Laboratory Related:

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.

General Duties:

• Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
• Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.

Maintenance/Technical:

• Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
• Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
• Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.

Medical Records & Documentation:

• Admits all new patients and documents as needed.
• Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.
• Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
• Completes all monthly and annual reporting as required by company policies and government regulations.

Other:

• Performs other related 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.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
• 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.

SUPERVISION:

• None

EDUCATION AND REQUIRED CREDENTIALS:

• Graduate of an accredited School of Nursing (R.N.)
• Current appropriate state licensure

EXPERIENCE AND SKILLS :

• Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.
• Minimum of one year dialysis experience preferred, peritoneal experience preferred.
• Successfully complete a training course in the theory and practice of dialysis therapies.
• Competent at operating all Home Therapies related equipment.
• Successfully complete CPR certification with maintenance as required.
• Icd-9 coding Training.
• Demonstrated teaching abilities.

"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: $41.00 - $58.00"

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

EOE, disability/veterans

• Home therapy program

PURPOSE AND SCOPE:

Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Staff Related:

• Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.
• Rotates with other licensed staff to ensure adequate coverage.
• Participates in staff training and orientation of new staff as assigned.
• Participates in all required staff meetings as scheduled.

Quality:

• Provides outstanding quality of patient care, as defined by company quality goals and standards.
• Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
• Participates in all monthly CQI meetings.

Education:

• Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.
• Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.
• Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
• Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.
• Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.

Dialysis Treatment:

• Provides safe and effective delivery of home therapy support care to patients with ESRD.
• Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.
• Communicates patient related issues to the physician as needed.
• Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.
• Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.

Laboratory Related:

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.

General Duties:

• Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
• Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.

Maintenance/Technical:

• Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
• Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
• Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.

Medical Records & Documentation:

• Admits all new patients and documents as needed.
• Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.
• Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
• Completes all monthly and annual reporting as required by company policies and government regulations.

Other:

• Performs other related 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.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
• 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.

SUPERVISION:

• None

EDUCATION AND REQUIRED CREDENTIALS:

• Graduate of an accredited School of Nursing (R.N.)
• Current appropriate state licensure

EXPERIENCE AND SKILLS :

• Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.
• Minimum of one year dialysis experience preferred, peritoneal experience preferred.
• Successfully complete a training course in the theory and practice of dialysis therapies.
• Competent at operating all Home Therapies related equipment.
• Successfully complete CPR certification with maintenance as required.
• Icd-9 coding Training.
• Demonstrated teaching abilities.

"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: $41.00 - $58.00"

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

EOE, disability/veterans

• Home therapy program

PURPOSE AND SCOPE:

Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Staff Related:

• Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.
• Rotates with other licensed staff to ensure adequate coverage.
• Participates in staff training and orientation of new staff as assigned.
• Participates in all required staff meetings as scheduled.

Quality:

• Provides outstanding quality of patient care, as defined by company quality goals and standards.
• Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
• Participates in all monthly CQI meetings.

Education:

• Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.
• Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.
• Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
• Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.
• Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.

Dialysis Treatment:

• Provides safe and effective delivery of home therapy support care to patients with ESRD.
• Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.
• Communicates patient related issues to the physician as needed.
• Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.
• Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.

Laboratory Related:

• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.

General Duties:

• Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
• Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.

Maintenance/Technical:

• Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
• Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
• Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.

Medical Records & Documentation:

• Admits all new patients and documents as needed.
• Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.
• Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
• Completes all monthly and annual reporting as required by company policies and government regulations.

Other:

• Performs other related 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.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
• 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.

SUPERVISION:

• None

EDUCATION AND REQUIRED CREDENTIALS:

• Graduate of an accredited School of Nursing (R.N.)
• Current appropriate state licensure

EXPERIENCE AND SKILLS :

• Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.
• Minimum of one year dialysis experience preferred, peritoneal experience preferred.
• Successfully complete a training course in the theory and practice of dialysis therapies.
• Competent at operating all Home Therapies related equipment.
• Successfully complete CPR certification with maintenance as required.
• Icd-9 coding Training.
• Demonstrated teaching abilities.

"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: $41.00 - $58.00"

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

EOE, disability/veterans

PURPOSE AND SCOPE:

Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

QUALITY:

• Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.
• Assists with implementing quality goals and develops facility specific action plans to achieve quality standards.
• Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed.
• Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives.
• Responsible for aggressively addressing and acting on adverse events and action thresholds.
• Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.
• Maintains integrity of medical records and other administrative and operational records.
• Complies with all data collections and auditing activities.
• Maintains facility environmental integrity, including safety.

PATIENT RELATED:

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.
• May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure.
• Ensures patients and patient's families are educated regarding post procedure care of vascular access.
• Acts as a resource for the staff to address patient concerns and questions.
• Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently.
• As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure.
• Identifies and communicates patient related issues to the Facility Manager.
• Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.
• Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician.
• Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed.
• Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations.

PHYSICIANS:

• Ensures regular and effective communication with all physicians on an as needed basis.
• Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings.
• Attends and participates in CQI meetings with physicians, reporting on assigned topics.
• Works with the physicians and staff to ensure possession of all necessary instruments and equipment.

MAINTENANCE/TECHNICAL

• Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers.
• Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately.
• Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility.
• Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times.
• Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies.

ADMINISTRATIVE:

• Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies.
• Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement.
• Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required.
• Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law.
• Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law.
• Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis.
• Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff.
• Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified.
• Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines.
• Coordinates the collection and forwarding of all vendor invoices to the accounting department.
• Acts as the Facility Manager in the absence of the manager or at the direction of management.
• Ensure nurses' progress notes are accurate and complete.
• Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills.
• Complies with HIPPA policies and standards regarding patient information and medical records.
• Other duties as assigned.

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

PHYSICAL DEMANDS AND WORKING CONDITIONS :

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
• The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.

SUPERVISION:

• May be responsible for the direct supervision of various levels of direct patient care staff.

EDUCATION :

• Bachelor's Degree preferred; Advanced Degree desirable
• Graduate of an accredited School of Nursing (R.N.).
• Current appropriate state licensure and ACLS certification.

EXPERIENCE AND REQUIRED SKILLS:

• 6 - 8 years' related experience.
• 3+ years' supervisory or project/program management experience preferred.
• Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience.
• Minimum of three years of Interventional Radiology, scrub experience preferred.
• Supervisory or management experience within a medical or vascular access environment preferred.
• Proficiency with the Microsoft office suite is necessary. Experience with Medical database software.
• Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.
• Good communication skills - verbal and written.
• Certified in CPR or successfully complete course in CPR certification

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

EOE, disability/veterans

PURPOSE AND SCOPE:

Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigneddirect patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlinedin the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies.

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 9 months of nursing experience, plus 3 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.

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

EOE, disability/veterans

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 i n teraction 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 temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

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

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

SUPERVISION:

• Direc t Patien t Car e Staff , War d Cler k a s 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.

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

EOE, disability/veterans

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 i n teraction 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 temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

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

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

SUPERVISION:

• Direc t Patien t Car e Staff , War d Cler k a s 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.

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

EOE, disability/veterans

Normandy, MO Location

PURPOSE AND SCOPE:

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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

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

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

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

SUPERVISION:

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

EDUCATION and LICENSURE:

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

EXPERIENCE AND REQUIRED SKILLS:

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

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).

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).

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).

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).

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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

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

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

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

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

SUPERVISION:

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

EDUCATION and LICENSURE:

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

EXPERIENCE AND REQUIRED SKILLS:

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

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

EOE, disability/veterans

Lee Company offers complete facility solutions services of HVAC, plumbing, electrical, and preventative maintenance for commercial facilities throughout Tennessee, Alabama, and Kentucky. Our incredible team has built their reputation on trust, honesty, employee safety and excellence since 1944.

Summary of Job:

The HVAC Maintenance Team Lead 3 will perform Maintenance inspections and ensure all maintenances are completed per the contract/filter belt list.

Education and Experience:

• Universal EPA Certification
• Minimum of 8+ years of Commercial HVAC Service experience preferred
• High school diploma or equivalent GED certificate preferred

Skills and Abilities:

• Excellent written communications skills
• Able to work well with other technicians and tradesman

Company Perks & Benefits:

Our mission at Lee Company is to create a workplace where our employees can thrive , and we back that up with action. Wellness isn't just about your physical health; it's about your finances, career, community, and relationships too. We don't just talk the talk; we walk the walk. Check out the benefits that help our team live well and work well every day!

• Physical: Comprehensive health, dental, and vision insurance, plus free virtual primary care, mental health, and urgent care services for employees and their family members.

• Financial: Earned Wage Access (EWA) - access a portion of your earned pay before payday, 401(k) company match, HSA contributions, and company-paid life and long-term disability insurance.

• Community: Company-supported volunteer opportunities to make a real impact.

• Career: Free trade training through Lee Company University (LCU), paid time off (PTO), and career growth opportunities.

• Relational: Paid time off (PTO), holidays, and Chaplain services for support when you need it.

At Lee Company, you will be among the most knowledgeable and experienced trade experts in the country. We offer competitive pay, full benefits, paid training, and opportunities for growth.

If you have a desire to serve and a passion for excellence, apply today!

Lee Company is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate on the basis of race, color, religion, gender, age, national origin, veteran status, disability, genetic information or testing, or family and medical leave. Lee Company is an E-Verify employer. Candidates must be legally authorized to work in the United States. At the time of hire, employees will be required to provide proof of employment eligibility.

Job Description:
OTR CDL A Drivers Earn $95K - $105K in Your First Year!
One Year Verifiable CDL A Experience Required
Additional Bonus and Incentive Pay Available
Pay Structure:

• $1,826 - $2,020 Weekly Gross!
• $30 - $33/hour Driving (First Year)
• $30/hour for First Hour of Loading, Unloading, and Trailer Washes
• $20/hour After First Hour
• $200 Bonus if Not Home for 34-Hour Break

Tanker and Hazmat Endorsements Preferred - Training Provided
Ask About Our Flexible Time-Off Program
What We Offer:

• $2,500 Driver Referral Bonus
• Paid Training: $1,500/week + $1,000 Completion Bonus
• Health Coverage: Medical, Dental, Short/Long-Term Life Insurance
• 80/20 Company Paid $35/week $2,500 Deductible
• 401(k) with 50% Company Match up to 5%
• No Slip Seating - Drive 2019+ Freightliner & Volvo Trucks
• Equipped with APU, Inverter, Fridge, and Microwave Capability
• Satellite TV Available
• Complimentary Stay at Fairfield Inn During Orientation (Hot Breakfast Included)
• All Miles Paid
• 24/7 Dispatch and Roadside Assistance
• Re-Power Truck Sent for Breakdowns
• Driver Appreciation Week
• Rider Policy Available
• Holidays Off
• Uniforms Provided

Bonus Pay Includes:

• Fuel Incentives
• Safety Bonuses (Weekly)
• DOT Inspection Bonus
• Orientation Pay
• Layover Pay
• Detention Pay
• Per Diem
• PTO and Holiday Pay

Position Highlights:

• Home Weekly
• Weekly Pay
• Clean, Well-Maintained Equipment
• Satellite TV with NFL Network

Training Program:

• Take the Truck Home During Training
• Two Weeks Paid Training at $1,500/week
• Hotel Stay at Holiday Inn Express Included
• Rental Car or Transportation Provided

J oin Liquid Trucking - Now Hiring CDL A Drivers!
We've grown over 18% annually for 20 years and are always looking for responsible, career-minded drivers. If you're ready to join a successful and growing company, contact us today!
Wage Range: .00 per week
General Description of Benefits: $2,500 Referral Bonus $1,500 A Week Paid Training + $1,000 Bonus After Completing 1st Week Training Health Benefits - Medical, Dental, ST/LT Life 80/20 Company Paid, $35 a Week, $2,500 Deductible 401k With Company Match 50% at 5% of Your Check

• 23+ Years Old
• Valid CDL A License
• 9 Months of OTR Driving Experience Required
• 1 Year of Experience Preferred
• Tanker and Hazmat Endorsements/Experience Preferred - Not needed to start.
• Clean Driving Record
• Must Meet FMCSA Requirements

Job Description:

MISER LOGISTICS HAS A NEW LEASE PURCHASE OPPORTUNITY!
Owner Operators Gross Per Week: $5,000 - $12,000

• Lease Payments Per Week Is a Flexible 3-5 Year Term
• $550 - $700 Weekly (Depending On Terms)
• Full Inspection of The Vehicle: We Will Repair all Deficiencies Found in That Inspection
• Walkaway Lease
• No Balloon Payments
• Fleet
• Trailer Rental Fee: $225 - Weekly

Home Time

• For the 6K Gross, Expect to Be Home Weekly
• Make More, The More Weeks You are out on The Road

Insurance Costs

• $295 cargo and liability insurance - Weekly
• Can Acquire Your Own Insurance if Desired

ELD Costs

• $35/Week Rental

Plates and Permits

• $2,500 Per Year for Base Plate (Negotiable Depending on Your Circumstance)
• $30/Year for Permits
• No Heavy Vehicle Use Tax
• Purchase Your Own Base Plate if Desired

Fuel Card and Fuel Tax

• Fuel Card Provided, Purchases Deducted Weekly
• IFTA will be calculated by us and owner will get it on his paycheck

Maintenance

• If Needed, Company Will Pay For it, Then Deducted From the Paycheck

• At least 6-months Experience needed with CDL Class A
• Clean MVR
• Must Meet FMCSA Requirements