RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education.Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations.As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.Adjusts or modify the treatment plan as indicated and notify supervisor as needed.Provides initial and ongoing education to patient and family. Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.Initiates or assist with emergency response measures.Ensures correct laboratory collection, processing, and shipping procedures are performed.Collaborates with the Interdisciplinary Team on the patient care plan.Ensures patient awareness related to transplant and treatment modality options.Completes CAP requirements to either maintain or advance within the program. Makes referrals to Social Worker and Registered Dietitian as appropriate.Ensures patient awareness related to transplant and treatment modality options.EDUCATION AND LICENSURE: Graduate of an accredited School of Nursing.Current appropriate state licensure.Current or successful completion of CPR BLS Certification.Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND SKILLS:Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.Experience as a Registered Nurse (preferred but not required).Chronic/acute hemodialysis experience (preferred but not required).Successfully pass the Ishihara Color Blind Test.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over.The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.The position may require travel to training sites or other facilities.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws."EOE, disability/veterans
PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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 Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed.Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients.Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.Ensures physician orders for assigned patients are entered and acknowledged in the Medical RecordInitiates or assists with emergency response measures.Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.Promotes infection control, equipment and environmental safety.Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. 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.Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.Checks availability of adequate emergency equipment and supplies as assigned.Assists with medication tracking and inventory as assigned. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.Participates in all required staff meetings as scheduled.Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. 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 and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. 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/LPNs as a Team Leader or designated Nurse in charge, after the following: Successful completion of all FKC education and training requirements for new employees plus Must have a minimum of 9 months experience as an RN plusSuccessful completion of 3 months experience in chronic hemodialysis. EDUCATION: Graduate of an accredited School of Nursing.Current appropriate state licensure.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 within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.Minimum of 9 months experience as a Registered Nurse (preferred).Chronic hemodialysis experience (preferred).Successful completion of FKC Education and Training requirements for new employees.Successful completion and maintenance of CPR BLS Certification.Meet all conditions of employment including Ishihara's Color Blindness Test.Successful completion of all annual required education/training/competencies.Successful completion of on-going training and education as assigned or required. 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: $38.00 - $59.00EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.Dialysis experience not requiredFresenius is willing to train and has a phenomenal, fully paid training program.EOE, disability/veterans
PURPOSE AND SCOPE:Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role.PRINCIPAL DUTIES AND RESPONSIBILITIES:Patient Assessment / Care Planning / CounselingAs a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life.Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals.Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.Provides educational and goal directed counseling to patients who are seeking transplant.Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes.Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons.In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care.Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation.Documents based on MSW interaction and interventions provided to patient and/or family. QualityProvides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level.Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. Patient EducationAssesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient’s learning style, communication barriers, and needs.With other members of the interdisciplinary team, provides appropriate information about all treatment modalities.Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management.Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients’ representative to ensure patients’ understanding of the rights and expectations of them.Collaborates with the team on appropriate QAI activities.Patient Admission and Continuity of CareReviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns.Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment.The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership.Insurance and Financial AssistanceCollaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs).Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel.Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related billsStaff RelatedAssists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). Provides training to staff pertaining to psychosocial topics as needed. Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. Adheres to work defined caseload guidelines based on state regulatory requirements.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.Travel required (if multiple facilities or home visits, if applicable)SUPERVISION:NoneEDUCATION AND REQUIRED CREDENTIALS:Masters in Social WorkMust have state required licenseMeets the applicable scope of practice board and licensure requirements in effect in the State in which they are employedEXPERIENCE AND SKILLS: 0 – 2 years’ related experienceEO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender IdentityFresenius Medical Care North America 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).ACKNOWLEDGEMENT:I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative.ADDENDUM:FTN Group- International RNEDUCATION and LICENSURE:· Bachelor’s degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required.· 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 employedEO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans
PURPOSE AND SCOPE:Supports FMCNA's mission core values expected behaviors and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy and procedure requirements.Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team informs educates and supports staff in understanding the emotional psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. Adheres to all requirements of the FMCNA Compliance Program and all FMS policy requirements. This is an entry level MSW role. PRINCIPAL DUTIES AND RESPONSIBILITIES: CUSTOMER SERVICES:Responsible for driving the FMS culture through values and customer services standards. Accountable for outstanding customer service to all external and internal customers.Develops and maintains effective relationships through effective and timely communication.Takes initiative and action to respond resolve and follow up regarding customer services issues with all customers in a timely manner.PRINICIPLE RESPONSIBILITIES AND DUTIES RELATED TO PATIENT CARE: Patient Assessment/Care Planning Counseling:As a member of the interdisciplinary team assesses patients' psychosocial status strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation treatment goals and improve quality of life.Utilizes FMS Ultra Care patient education programs established social work theory and methods and quality of life measurement instruments as part of assessment and care planning to resolve barriers and meet patient treatment goals.Provides established outcomes driven psycho-educational counseling methods aimed at improving areas of need treatment adherence vocational/educational rehabilitation and/or quality of life.Provides supportive and goal directed counseling to patients who are seeking transplant.Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes if necessary with the healthcare team and the patient's family/support persons.Will provide general information about Do Not Resuscitate Orders and Advanced DirectivesProvides information and assists the team and patient with referral to community resources (home health services vocational rehabilitation etc.) to facilitate optimal treatment outcomes.In collaboration with the physician and nurse participates in the discussion of patient DNR status in the facility to ensure patient understanding and informed decision making. Provides usual care and/or Social Work Intensive to address non-adherence and quality of life concerns for all patients Knowledgeable of and adheres to FMCNA Social Work Policy including documentationPatient Education:Assess patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient family and health care team to provide education tailored to the patient's learning style and needs.With other members of the interdisciplinary team provides appropriate information about all treatment modalities. Facilitates the transplant referral process and collaborates with interdisciplinary team if delegated by Clinical Manager.Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. Reviewed patient rights and responsibilities grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them.Collaborates with the team on appropriate QAI activities.Patient Admission:Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment Insurance and Financial Assistance:Collaborates with facility management Financial Coordinators and Billing Group staff to address patient issues related to insurance. In collaboration with Financial Coordinators provides information and education to patients about payment to dialysis (federal state commercial insurance state renal programs AKF HIPP and entitlement programs)Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed become employed or receive education. (Reassess patient demographic and insurance information changes every quarter. Notifies all appropriate departments of changes.Understands FMCNA financial policies and procedures as they related to patient services. Collaborate with Financial Coordinators to educate patients about programs that may be available to assist with uncovered services how to resolve billing concerns and understand financial responsibilities. Staff Related: Assist with interview process and decision to hire new personnel if requested by CM or AM/DO. Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). Develops and provides training to staff pertaining to psychosocial topics as needed. Trains staff in Ultra Care Programs as needed. Other duties as assigned.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Travel Required (if multiple facilities) EDUCATION:Masters In Social Work RequiredEXPERIENCE AND REQUIRED SKILLS: 0 - 2 years' related experience.State Specific Licensure requiredEO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender IdentityFresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL RESPONSIBILITIES AND DUTIES CLINIC OPERATIONS:Manages the operations of the clinic, including costs, processes, staffing, and quality standards.Provides leadership, coaching, and development plans for all direct reports.Partners with internal Human Resources, Quality, and Technical Services departments.Collaborates with or functions as the Home Therapies Program Manager to oversee the facility’s Home Therapies Program.Maintains integrity of medical and operations records and complies with all data collections and auditing activities.Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.Responsible for all required network reporting and on-site state or federal surveys.PATIENT CARE:Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care.Acts as a resource for the patient and family to address concerns and questions.Accountable for timely completion of patient care assessments and care plans.Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.Plans, coordinates, and validates patient eligibility for treatment.Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. STAFF:Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.Provides support for all clinical staff members at regular intervals and encourages professional growth.Maintains current knowledge regarding company benefits, policies, procedures, and processes.Completes employee evaluations and establishes annual goals.Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.Manages staff scheduling and payroll.PHYSICIANS:Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.Responsible for strong physician relationships and ensures regular and effective communication.Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.EDUCATION AND REQUIRED CREDENTIALS:Bachelor’s Degree or an equivalent combination of education and experience.Graduate of an accredited School of Nursing (RN).Current appropriate state licensure.EXPERIENCE AND SKILLS: Required:6+ years business operations experience in a healthcare facility.12 months experience in clinical nursing.6 months chronic or acute dialysis nursing experience.Successfully pass the Ishihara Color Blind Test.Preferred but not required:3+ years supervisory or project/program management experience.Med/surg or ICU/CCU experience.PHYSICAL DEMANDS AND WORKING CONDITIONS:Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physiciansPosition may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit, and corporate meetings may be required.The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.May be exposed to infectious and contagious diseases/materials.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender IdentityFresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans
PURPOSE AND SCOPE:The Inpatient Services Charge Nurse is an additional “responsibility” assigned to the Inpatient Services RN, for a limited period of time, and for specific additional duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within assigned hospitals/facilities by coordinating, scheduling, and directing Acute Patient Care staff and by performing Acute treatments as needed or directed by Program manager. Assumes the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy, as well as regulations set forth by the company, state and federal agencies.PRINCIPAL DUTIES AND RESPONSIBILITIES:Under limited supervision, applies considerable complex knowledge to perform a broad range of tasks which include but are not limited to the following: Acts as a subject matter expert and resource for staff members on assigned Inpatient Center treatment floor.Normally receives no instruction on routine daily work, and general instructions on newly introduced assignment, but may escalate issues to Program Manager for resolution, as deemed necessary.Coordinate and schedule direct patient care staff to provide coverage of Acute Dialysis treatments in contracted hospitals/facilities and ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool.Maintain and review the daily TAP tool for all hospitals/facilities under their direct supervision and submit results to the Program Manager for review. Ensure all Acute treatments are performed in contracted hospitals/facilities according to the established policies and procedures, and in compliance, with all applicable regulatory requirement. Ensure accurate documentation of information related to patient treatment is entered into ACES during the time of treatment.Monitor on a daily basis ACES compliance. Perform Quality Assessment and Improvement (QAI) Program audits as directed to ensure the provision of quality patient care and compliance with all Joint Commission requirements. Participate in QAI meetings as requested by the Program Manager to assure proper reporting of QAI activitiesAssess daily patient care needs and communicate concerns to attending physician. Implement changes in patient care/treatment as directed and in collaboration with prescribing physicians.Perform Acute treatments according to current Charge Nurse Guidance recommendations and oversee all dialysis related medical and emergency functions.Communicates with the physician and other members of the healthcare team to interpret, adjust, triage and complete patient care plans in the most efficient and safe manner.Coordinate with appropriate technical staff to ensure preventative maintenance program for routine machine maintenance, to ensure the timely repair of disabled machines, to coordinate infection control measures, routine water culturing, water testing, logging of results, transportation of equipment and supplies, and communicate technical information to the staff.Serve as liaison between the administrative staff of each hospital/facility and the Program Manager. Practice cost containment strategies in all areas including medical supply inventory and personnel.Reviews and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.Assist with various projects as assigned by the Program Manager.Other duties as assigned.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.Day-to-day work includes desk and personal computer work, interaction with patients, facility staff and physicians.The position requires travel between assigned facilities and various locations within the community. (Travel to 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. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and “material assist” devices for the heavier items.SUPERVISION: Inpatient Services RN’s, Inpatient Services PCT’s at assigned facilities EDUCATION:Current appropriate state licensure.Current or successful completion of CPR BLS CertificationMust meet the practice requirements in all states employedEXPERIENCE AND REQUIRED SKILLS: Minimum of 9 months nursing experience; plus 3 months of specialized experience providing clinical nursing care to dialysis patients in an Acute or Chronic setting required.6 months dialysis experience in an Acute setting preferredDemonstrated leadership competencies and skills for the position, including continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients..Excellent communication (written and verbal) interpersonal and customer service skills.EOE, disability/veterans
About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members.
How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education.Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state, and federal regulations. As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff.Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.Adjusts or modify the treatment plan as indicated and notify supervisor as needed.Provides initial and ongoing education to patient and family.Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.Initiates or assist with emergency response measures.Ensures correct laboratory collection, processing, and shipping procedures are performed.Collaborates with the Interdisciplinary Team on the patient care plan.Ensures patient awareness related to transplant and treatment modality options.Completes CAP requirements to either maintain or advance within the program.Makes referrals to Social Worker and Registered Dietitian as appropriate.Ensures patient awareness related to transplant and treatment modality options.EDUCATION AND LICENSURE:
• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND SKILLS:
• Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.
• Experience as a Registered Nurse (preferred but not required).
• Chronic/acute hemodialysis experience (preferred but not required).
• Successfully pass the Ishihara Color Blind Test.PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.• The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
• This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
• The position may require travel to training sites or other facilities.
• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.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).ACKNOWLEDGEMENT:I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative.ADDENDUM:FTN Group- International RNEDUCATION and LICENSURE:· Bachelor’s degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required.· 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 employedEO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.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).ACKNOWLEDGEMENT:I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate Supervisor or my Human Resources representative.ADDENDUM:FTN Group- International RNEDUCATION and LICENSURE:· Bachelor’s degree in nursing required and either a CGFNS (Commission on Graduates of Foreign Nursing Schools) Visa Screen Certificate OR an NCLEX (National Council Licensure Examination) pass letter OR a Registered Nursing License in the state of intended employment required.· 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 employedEO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.EOE, disability/veterans
