Overall Job SummaryThe Accountant II is responsible for the accurate, complete and timely processing of journal entries, thorough analyses of the general ledger account activities and other monthly analytical closing activities.  This position also will be required to provide detailed responses to assorted inquiries from various departments as well as provide supporting documentation and insight for the financial reporting process.Essential Duties and Responsibilities (Min 5%)Create and update moderately complex allocations and accrual analyses via review of general ledger activity and communication with key contacts in other departments; prepare journal entries that support accurate and complete financial statements; maintain all support necessary.Prepare detailed account reconciliations via analysis and review of general ledger activity to ensure accuracy and completeness of amounts/balances.Review monthly income statement and balance sheet activity to identify unusual trends or variances and provide detailed explanations for significant items observed.Research and respond to any questions that arise from executive or department management during the financial statement review process.Ensure internal control documentation as well as department policies and procedures are updated as needed based on changes in accounting processes.Assist with providing information and responding to inquiries from the Company's Internal and External Audit functions. Required QualificationsExperience: 2+ years of experience in an industry accounting, public accounting or internal auditing role.  Education: Bachelor’s degree in Accounting or related field preferred from an accredited college or university.  Any suitable combination of education and experience will be considered. Professional Certifications: Certified Public Accountant (CPA) certification or CPA candidate preferred. Preferred knowledge, skills or abilitiesProficiency using Microsoft Office, with advanced skills in Microsoft Excel. SAP enterprise software and/or Business Objects reporting software preferred.Knowledge of SEC requirements, GAAP and new accounting pronouncementsAbility to manipulate data to drive and expedite project analyses and completionWorking ConditionsNormal office working conditionsPhysical RequirementsSittingStanding (not walking)WalkingLifting up to 10 poundsDisclaimerThis job description represents an overview of the responsibilities for the above referenced position.  It is not intended to represent a comprehensive list of responsibilities.  A team member should perform all duties as assigned by his/ her supervisor.Company InfoAt Tractor Supply and Petsense by Tractor Supply, our Team Members are the heart of our success. Their dedication, passion, and hard work drive everything we do, and we are committed to supporting them with a comprehensive and accessible total reward package. We understand the evolving needs of our Team Members and their families, and we strive to offer meaningful, competitive, and sustainable benefits that support their well-being today and in the future. Our benefits extend beyond medical, dental, and vision coverage, including company-paid life and disability insurance, paid parental leave, tuition reimbursement, and family planning resources such as adoption and surrogacy assistance, for all full-time Team Members and all part-time Team Members. Part time new hires gain eligibility for TSC Benefits by averaging at least 15 hours per week during their 90-day lookback period. The lookback period starts the first of the month following the date of hire. If the 15-hour requirement was met, the benefits eligibility date will be the first day of the month following 4 months of continuous service. Please visit this link for more specific information about the benefits and leave policies applicable to the position you’re applying for.  Read Less

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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.Annual Rate: $75000 - $125000Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.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

Read Less

PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).  This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations. PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care, policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations.Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated.Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility primary Nurse.Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care. Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Administers medications as prescribed and documents appropriate medical justification and effectiveness.Initiates and assists with emergency response measures.Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.May be asked to provide specialized nursing care instruction to hospital/facility staff as stipulated contractually.May be assigned to assist in an Outpatient facility on an as needed basis.   Required to complete CAP requirements to advance.Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation.  Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over.The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.May be exposed to infectious and contagious diseases/materials.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day to day work includes, desk work, computer work, interaction with patients, facility/hospital staff and physicians.The position requires travel to training/meeting sites and between assigned facilities.Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.SUPERVISION:  Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and modality specific training requirements for new employees. Must have a minimum of 9 months experience as a RN. 6 months experience in acute dialysis as a RN.EDUCATION and LICENSURE: Current appropriate state licensure.Current or successful completion of CPR BLS CertificationMust meet the practice requirements in all states employed.EXPERIENCE AND REQUIRED SKILLS:Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as an RNMinimum 9 months experience as a Registered Nurse, 12 months (preferred).6 months acute dialysis experience (preferred)Hemodialysis and/or ICU experience (preferred).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

Read Less

Overall Job SummaryResponsible for performing periodic maintenance, corrective repair, replacement and limited troubleshooting on various facility-related equipment and/or systems, including but not limited to HVAC, plumbing, electrical and fire safety; in accordance to safety, predictive and productive maintenance systems and processes.Essential Duties and Responsibilities (Min 5%)Responsible for the maintenance and repair of various facility-related equipment and/or systems, which involves but is not limited to HVAC, plumbing, electrical and fire safety.  This includes monitoring and trending, troubleshooting, repair and preventative maintenance. Conduct preventive maintenance (PM’s) within manufacturer’s guidelines/specifications and established timelines.Observe and/or test the adjustments, corrective repairs or modifications to ensure safe operation.Responsible for logging time and materials, maintaining work orders, PMs and inventory tracking into computerized maintenance management system/software.Interpret and understand plans and specifications, schematics, operating and maintenance manuals.  Perform required tasks in accordance with applicable Standard Operating Procedures, rules, and safety procedures.Repair dock doors and perform rack installations as needed.Assist in performing battery preventative maintenance, battery charger repairs, battery changes for material handling equipment (MHE), repair of plugs and tips of batteries and chargers, watering and washing batteries, acid spill cleanup, etc.Assist in performing forklift and conveyor preventative maintenance, to ensure productivity is not compromised and top equipment performance is achieved during peak periods.Maintain spare parts inventory, order replacements, and prepare routine updates to maintenance records and reports.Meet compliance with lock out / tag out (LOTO) and Arc Flash guidelines at all times.    Perform other general maintenance tasks as assigned. Required QualificationsExperience: Minimum of 2 years of distribution or manufacturing maintenance experience, with mechanical and industrial skills experience in HVAC, electrical, fire safety and plumbing preferred.Education: High School diploma or equivalent.  Technical/Trade School certificate preferred in facility maintenance or related areas; any suitable combination of education and experience will be considered.Preferred knowledge, skills or abilitiesWorking ConditionsAbility to work in a physical environment that is subject to temperature extremes, movement of mobile and fixed equipment, and other conditions associated with a warehouse operationPhysical RequirementsSittingStanding (not walking)WalkingKneeling/Stooping/BendingDriving a vehicleReaching overheadLifting 50+ poundsDisclaimerThis job description represents an overview of the responsibilities for the above referenced position.  It is not intended to represent a comprehensive list of responsibilities.  A team member should perform all duties as assigned by his/ her supervisor.Company Info Read Less

Overall Job SummaryResponsible for performing periodic maintenance, corrective repair, replacement and limited troubleshooting on various facility-related equipment and/or systems, including but not limited to HVAC, plumbing, electrical and fire safety; in accordance to safety, predictive and productive maintenance systems and processes.Essential Duties and Responsibilities (Min 5%)Responsible for the maintenance and repair of various facility-related equipment and/or systems, which involves but is not limited to HVAC, plumbing, electrical and fire safety.  This includes monitoring and trending, troubleshooting, repair and preventative maintenance. Conduct preventive maintenance (PM’s) within manufacturer’s guidelines/specifications and established timelines.Observe and/or test the adjustments, corrective repairs or modifications to ensure safe operation.Responsible for logging time and materials, maintaining work orders, PMs and inventory tracking into computerized maintenance management system/software.Interpret and understand plans and specifications, schematics, operating and maintenance manuals.  Perform required tasks in accordance with applicable Standard Operating Procedures, rules, and safety procedures.Repair dock doors and perform rack installations as needed.Assist in performing battery preventative maintenance, battery charger repairs, battery changes for material handling equipment (MHE), repair of plugs and tips of batteries and chargers, watering and washing batteries, acid spill cleanup, etc.Assist in performing forklift and conveyor preventative maintenance, to ensure productivity is not compromised and top equipment performance is achieved during peak periods.Maintain spare parts inventory, order replacements, and prepare routine updates to maintenance records and reports.Meet compliance with lock out / tag out (LOTO) and Arc Flash guidelines at all times.    Perform other general maintenance tasks as assigned. Required QualificationsExperience: Minimum of 2 years of distribution or manufacturing maintenance experience, with mechanical and industrial skills experience in HVAC, electrical, fire safety and plumbing preferred.Education: High School diploma or equivalent.  Technical/Trade School certificate preferred in facility maintenance or related areas; any suitable combination of education and experience will be considered.Preferred knowledge, skills or abilitiesWorking ConditionsAbility to work in a physical environment that is subject to temperature extremes, movement of mobile and fixed equipment, and other conditions associated with a warehouse operationPhysical RequirementsSittingStanding (not walking)WalkingKneeling/Stooping/BendingDriving a vehicleReaching overheadLifting 50+ poundsDisclaimerThis job description represents an overview of the responsibilities for the above referenced position.  It is not intended to represent a comprehensive list of responsibilities.  A team member should perform all duties as assigned by his/ her supervisor.Company Info Read Less

Overall Job SummaryThis position is responsible for performing all tasks relating to receiving store inventory, selecting merchandise for shipping, and loading merchandise onto trailers for shipment.  Responsibilities of this position are completed in a manner that meets company standards for accuracy, safety, security, productivity and quality.Essential Duties and Responsibilities (Min 5%)Receive and unload incoming shipments, direct merchandise to the appropriate area.  Check against bills of lading and packing slips.Take inventory of merchandise, check quantity and maintain records of goods received; reject damaged, excess or misdirected goodsIdentify, separate, label and palletize merchandise, label pallets, process documents, and relocate merchandise to appropriate destinations.  Re-label merchandise if necessary.Receive and process UPS inbound shipments and supply orders. Pick store supply and UPS orders and prepare for shipment.Perform cycle counts, investigate and resolve inventory discrepancies.Move merchandise by hand, hand truck or forklift equipment to maintain continuous flow.Move merchandise to staging area, verify SKU and quantity check for damage, and verify that order is complete and process documents.Verify merchandise order is accurate and complete, stack and wrap merchandise, load in trailer and process documents.Ensure job assignments are completed accurately and free of damage. Performance will be evaluated through periodic, random audits, and measured against the company accuracy standards.Operate forklifts, pallet jacks, and other material handling equipment as assigned.Conduct job duties in a manner that promotes safety. Complies with all OSHA and MSDS standards.  Operate all equipment in a safe manner. Daily, inspect equipment before use. Use Personal Protective Equipment (PPE) as required.  Maintain a clean, neat, and orderly work area. Required QualificationsExperience: 0-2 years of experience in a distribution center.  This is an entry-level position in the distribution center.Education: High School Diploma or equivalent preferred.Preferred knowledge, skills or abilitiesAbility to lift 50 to 75 pounds continuously throughout the shift, standing, bending, squatting and/or walking for extended periods throughout the shiftAbility to read, speak and understand the English language on a basic levelAbility to count accurately and perform basic mathAbility to take initiative to correct issues without direction, offer solutions to problems and support a team effortKnowledge of operating any or all of the following: RF terminal and bar code scanner, 2-way radio,computer terminal or PC, lift truck, pallet jack, dock door leveler, stretch wrap machine Working ConditionsDuties include frequent alternate standing, walking, bending, stooping, and sitting, throughout the course of the shiftRequired to work in a physical environment that is subject to temperature extremes, movement of mobile and fixed equipment, possible exposure to hazardous products, dust and other conditions associated with a warehouse operationPhysical RequirementsAbility to move and transfer merchandise, weighing up to 50-75 pounds, throughout the distribution center.Ability to frequently lift or reach merchandise overhead.Ability to frequently stand, kneel, twist, crouch, squat, bend, stoop, and climb ladders for up to 12 hours.Ability to move throughout the distribution center for an entire shift.Ability to operate and use all equipment necessary (e.g. dolly, hand truck, MHE, battery changer, computer or equivalent, etc.).Ability to push and pull merchandise up to 2,000 pounds with the assistance of proper MHE (e.g. pallet jack, forklift, etc.)Ability to read, write, and count accurately to complete all documentation.Ability to utilize strong written and verbal communication skills to communicate effectively with team members.Ability to process information / handle merchandise in a safe manner, according to distribution center and OSHA safety rules and regulations.Ability to successfully complete all required training and certification.Ability to drive or operate a vehicle for business needs.Ability to safely access all areas of the distribution center, including stairs and all levels/floors.DisclaimerThis job description represents an overview of the responsibilities for the above referenced position.  It is not intended to represent a comprehensive list of responsibilities.  A team member should perform all duties as assigned by his/ her supervisor. Company InfoAt Tractor Supply and Petsense by Tractor Supply, our Team Members are the heart of our success. Their dedication, passion, and hard work drive everything we do, and we are committed to supporting them with a comprehensive and accessible total reward package. We understand the evolving needs of our Team Members and their families, and we strive to offer meaningful, competitive, and sustainable benefits that support their well-being today and in the future. Our benefits extend beyond medical, dental, and vision coverage, including company-paid life and disability insurance, paid parental leave, tuition reimbursement, and family planning resources such as adoption and surrogacy assistance, for all full-time Team Members and all part-time Team Members. Part time new hires gain eligibility for TSC Benefits by averaging at least 15 hours per week during their 90-day lookback period. The lookback period starts the first of the month following the date of hire. If the 15-hour requirement was met, the benefits eligibility date will be the first day of the month following 4 months of continuous service. Please visit this link for more specific information about the benefits and leave policies applicable to the position you’re applying for.  Read Less

Overall Job SummaryThis position is responsible for performing all tasks relating to receiving store inventory, selecting merchandise for shipping, and loading merchandise onto trailers for shipment.  Responsibilities of this position are completed in a manner that meets company standards for accuracy, safety, security, productivity and quality.Essential Duties and Responsibilities (Min 5%)Receive and unload incoming shipments, direct merchandise to the appropriate area.  Check against bills of lading and packing slips.Take inventory of merchandise, check quantity and maintain records of goods received; reject damaged, excess or misdirected goodsIdentify, separate, label and palletize merchandise, label pallets, process documents, and relocate merchandise to appropriate destinations.  Re-label merchandise if necessary.Receive and process UPS inbound shipments and supply orders. Pick store supply and UPS orders and prepare for shipment.Perform cycle counts, investigate and resolve inventory discrepancies.Move merchandise by hand, hand truck or forklift equipment to maintain continuous flow.Move merchandise to staging area, verify SKU and quantity check for damage, and verify that order is complete and process documents.Verify merchandise order is accurate and complete, stack and wrap merchandise, load in trailer and process documents.Ensure job assignments are completed accurately and free of damage. Performance will be evaluated through periodic, random audits, and measured against the company accuracy standards.Operate forklifts, pallet jacks, and other material handling equipment as assigned.Conduct job duties in a manner that promotes safety. Complies with all OSHA and MSDS standards.  Operate all equipment in a safe manner. Daily, inspect equipment before use. Use Personal Protective Equipment (PPE) as required.  Maintain a clean, neat, and orderly work area. Required QualificationsExperience: 0-2 years of experience in a distribution center.  This is an entry-level position in the distribution center.Education: High School Diploma or equivalent preferred.Preferred knowledge, skills or abilitiesAbility to lift 50 to 75 pounds continuously throughout the shift, standing, bending, squatting and/or walking for extended periods throughout the shiftAbility to read, speak and understand the English language on a basic levelAbility to count accurately and perform basic mathAbility to take initiative to correct issues without direction, offer solutions to problems and support a team effortKnowledge of operating any or all of the following: RF terminal and bar code scanner, 2-way radio,computer terminal or PC, lift truck, pallet jack, dock door leveler, stretch wrap machine Working ConditionsDuties include frequent alternate standing, walking, bending, stooping, and sitting, throughout the course of the shiftRequired to work in a physical environment that is subject to temperature extremes, movement of mobile and fixed equipment, possible exposure to hazardous products, dust and other conditions associated with a warehouse operationPhysical RequirementsAbility to move and transfer merchandise, weighing up to 50-75 pounds, throughout the distribution center.Ability to frequently lift or reach merchandise overhead.Ability to frequently stand, kneel, twist, crouch, squat, bend, stoop, and climb ladders for up to 12 hours.Ability to move throughout the distribution center for an entire shift.Ability to operate and use all equipment necessary (e.g. dolly, hand truck, MHE, battery changer, computer or equivalent, etc.).Ability to push and pull merchandise up to 2,000 pounds with the assistance of proper MHE (e.g. pallet jack, forklift, etc.)Ability to read, write, and count accurately to complete all documentation.Ability to utilize strong written and verbal communication skills to communicate effectively with team members.Ability to process information / handle merchandise in a safe manner, according to distribution center and OSHA safety rules and regulations.Ability to successfully complete all required training and certification.Ability to drive or operate a vehicle for business needs.Ability to safely access all areas of the distribution center, including stairs and all levels/floors.DisclaimerThis job description represents an overview of the responsibilities for the above referenced position.  It is not intended to represent a comprehensive list of responsibilities.  A team member should perform all duties as assigned by his/ her supervisor. Company InfoAt Tractor Supply and Petsense by Tractor Supply, our Team Members are the heart of our success. Their dedication, passion, and hard work drive everything we do, and we are committed to supporting them with a comprehensive and accessible total reward package. We understand the evolving needs of our Team Members and their families, and we strive to offer meaningful, competitive, and sustainable benefits that support their well-being today and in the future. Our benefits extend beyond medical, dental, and vision coverage, including company-paid life and disability insurance, paid parental leave, tuition reimbursement, and family planning resources such as adoption and surrogacy assistance, for all full-time Team Members and all part-time Team Members. Part time new hires gain eligibility for TSC Benefits by averaging at least 15 hours per week during their 90-day lookback period. The lookback period starts the first of the month following the date of hire. If the 15-hour requirement was met, the benefits eligibility date will be the first day of the month following 4 months of continuous service. Please visit this link for more specific information about the benefits and leave policies applicable to the position you’re applying for.  Read Less

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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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

Read Less

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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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

Read Less

Greater Portsmouth Region Charge NursePURPOSE 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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.May require 5-10% travel 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

Read Less

12 hour Shifts 3 days a week or 4 10 hour shifts 4 days a weekNo Sunday or overnight shiftsPURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment.  Provides day to day direction and supervision to assigned direct 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 outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. 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.   PRINCIPAL DUTIES AND RESPONSIBILITIES:  General and Staff Related: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 Clinical Manager 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 in clinics with more than 100 patients. Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager 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 Clinical Manager 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 Clinical Manager 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.  Patient Care: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.  Technical: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 Training. Other:Assist with special projects or other duties as assigned by the Clinical ManagerAssist with the interviewing of potential direct patient care staff as requested. Promote efficient use of medical supplies.  Attend and participate in monthly Quality Assurance meetings.  Other duties as assigned.Relationships:Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP)External Contacts: Physicians, Back-up Hospitals Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions. The duties 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.  PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Employees are required to take the Ishihara's Color Blindness test as a condition of employment.  Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.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:Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.)Current appropriate state licensure. EXPERIENCE AND REQUIRED SKILLS:Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysisRN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience.Supervisory or management experience preferred.  Successfully completea training course in the theory and practice of hemodialysis.Good communication skills - verbal and written.  Must meet appropriate state requirements (if any).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

Read Less

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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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

Read Less

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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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

Read Less

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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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

Read Less

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 FacilityAssist with special projects or other duties as assigned by the Facility AdministratorAssist with the interviewing of potential direct patient care staffPromote 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.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara 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: Direct Patient Care Staff, Ward Clerk as assigned.EDUCATION:Graduate of an accredited school of Nursing (R.N.)Must be registered and licensed to practice in the applicable State.EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.Medical/surgical nursing preferred.Supervisory or management experience preferred.Certified in CPR or successfully complete course in CPR certification.Good communication skills – verbal and written.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

Read Less

Location: Wellstar Kennestone - 677 Church St, Marietta, GA 30060PURPOSE AND SCOPE:The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations.Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as indicated.Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse.Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Administers medications as prescribed and documents medical justification and effectiveness.Initiates and assists with emergency response measures.Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level. May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.May be assigned to assist in an Outpatient facility on an as needed basis.  May serve as a Preceptor to new employees.Required to complete CAP requirements to maintain or advance.Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over.The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.The position requires travel to training/meeting sites and between assigned facilities.Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a designated Nurse in Charge, after meeting all the following:Successful completion of all FKC education and modality specific training requirements.6 months experience in acute dialysis as a RN.EDUCATION AND LICENSURE:Current appropriate state licensure.Current or successful completion of CPR BLS CertificationMust meet the practice requirements in all states employed.EXPERIENCE AND REQUIRED SKILLS:Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN.Acute dialysis experience (preferred).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

Read Less

Location: Wellstar Kennestone - 677 Church St, Marietta, GA 30060PURPOSE AND SCOPE:The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, applicable contractual service agreements, state and federal regulations.Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with another Registered Nurse.Performs ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as indicated.Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to Supervisor, appropriate physician, and the contracted facility/primary Nurse.Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate contracted facility personnel as needed to provide continuity of patient care.Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Administers medications as prescribed and documents medical justification and effectiveness.Initiates and assists with emergency response measures.Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level. May be asked to provide specialized nursing care instructions to hospital/facility staff as stipulated contractually.May be assigned to assist in an Outpatient facility on an as needed basis.  May serve as a Preceptor to new employees.Required to complete CAP requirements to maintain or advance.Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over.The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.The position requires travel to training/meeting sites and between assigned facilities.Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a designated Nurse in Charge, after meeting all the following:Successful completion of all FKC education and modality specific training requirements.6 months experience in acute dialysis as a RN.EDUCATION AND LICENSURE:Current appropriate state licensure.Current or successful completion of CPR BLS CertificationMust meet the practice requirements in all states employed.EXPERIENCE AND REQUIRED SKILLS:Entry level for RNs with minimum 2 years or more of Nephrology Nursing experience in the last 2 years as a RN.Acute dialysis experience (preferred).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

Read Less

PURPOSE AND SCOPE:Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities,  including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.PRINCIPAL DUTIES AND RESPONSIBILITIES:Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.Assesses daily patient care needs and develops appropriate patient care assignments.Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.Participates in staff training and orientation of new staff as assignedParticipates in all required staff meetings as scheduled.Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.Discusses with patient, and records education related to diet/fluid and medication compliance.Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).Ensures transplant awareness, modality awareness, and drive catheter reduction.Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.Provides safe and effective delivery of care to patients with ESRD.Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.Identifies and communicates patient related issues to Team Leader or physician.Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.Ensures that all labs are directed and delivered to appropriate labs.Reports alert/panic and abnormal labs results to appropriate physician.Ensures lab results are forwarded to physicians as requested. Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.Maintains overall shift operation in a safe, efficient, and effective manner.Act as a resource for other staff members.Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.Oversees all documentation of patient information.Maintains facility drug list for all required stock medications.Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.Ensures verification and availability of adequate emergency equipment.Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.Maintains appropriate recording of controlled substances as required by law.Assists with the coordination of patient transportation if necessary.Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.Ensures competency in the operation of all dialysis-related equipment safely and effectively.Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.Ensures all appropriate patient related treatment data is entered into the Medical Information System.Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.Completes monthly nurses' progress note.Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).Reviews transplant status and follows established procedure regarding appropriate action to be taken.Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical.Ensures completion of Annual Standing Order Review with each physician as required.Performs additional 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.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.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 theIshihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.SUPERVISION: NoneEDUCATION AND REQUIRED CREDENTIALS: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 SKILLS:Minimum of one-year medical-surgical nursing experience preferred.Hemodialysis experience preferred.ICU experience preferred.Successfully complete a training course in the theory and practice of hemodialysis.Successfully complete CPR Certification.Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.Provide coverage at any or all area facilities as required by management.Icd-9 coding Training.Nurses Technical Training.Must meet appropriate state requirements (if any).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

Read Less

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

Read Less

Part - Time / CasualPURPOSE 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 CertificationMust 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 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

Read Less