Satellite Healthcare Jobs In San Jose, CA

The Regional Director is responsible for overseeing the operation of dialysis clinics in an assigned geographic region. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. The incumbent in this role will support the Orange County and San Diego geographies. * Responsible for overseeing overall operation of assigned clinics from a fiscal, clinical, technical, regulatory, personnel, business management and growth perspective in accordance with Company goals. * Organizes and coordinates all denovo new center development from identifying the opportunity through construction to center opening and licensure. * Reviews all incident reports; makes recommendations and takes action relative to incidents as appropriate. * Works with Administrators to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. * Knowledge of and remains current with federal, state, local laws and regulations, including health care professionals practice act requirements. * Assures that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies. * Understands, leads and promotes the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. * Communicates with regional management on a consistent basis regarding the status of each clinic in the region.Implements and monitors appropriate contractual agreements/arrangements with collaborating agencies. * Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. * Responsible for professional development of each Administrator in assigned clinics.

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Licensed Master Social Worker provides social services to patients and their families in a timely and efficient manner in order to promote maximum social functioning and psychological adjustment to dialysis and rehabilitation of the patient. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. * Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. * Coordinate transient arrangements. * Demonstrate effective use of supplies. * Perform duties as assigned to meet the patient care or operational needs of the clinic. * Identify and counsel psychosocial issues. * Provide patient and family education. * Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. * Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. * Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. * Act as advocate on patient's behalf with the appropriate local, state, and federal agencies. * Complete initial assessment of new patient psychosocial needs in adherence to state/CMS regulations and company policy. * Complete KDQOL in accordance with company policy. * Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities. * Identify social agencies and other resources as appropriate to the needs of the patients, including but not limited to financial/funding sources. * Be familiar with professional organizations related to kidney disease (i.e. National Kidney Foundation, American Kidney Foundation). * Use personal protective equipment as necessary. * Be familiar with all emergency operational procedures. * Regular and reliable attendance is required for the job. * Provide information and referrals as needed. * Attend and participate in the monthly Quality Assessment and Performance Improvement (QAPI) activities. * Coordinate development and maintenance of patient/family support groups. * Maintain collaborative working relationship with Medical Director and physicians. * Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. * Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. * Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. * Educate staff and provide inservice training in relation to patient psychosocial care. * Lead staff in team concepts and promote a team effort.

**PURPOSE AND SCOPE:** Serves as a quality improvement champion and role model by promoting and supporting the use of Continuous Quality Improvement (CQI) principles, methods, and tools to improve processes and patient outcomes at the facility and area levels. Must have effective communications with the clinic interdisciplinary team (IDT) and must produce effective quality assessment and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, in-center and Home Modalities, or home hemodialysis and home peritoneal dialysis), and is responsible for the monitoring data/information; prioritizing areas for improvement; determining potential root causes; developing, implementing, evaluating, and revising plans that result in improvements in clinical quality outcomes in dialysis facilities within a geography. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Facilitates the implementation and integration of the FKC Quality programs and initiatives into the facilities' standard operating procedures through teamwork and collaboration with the facility clinical, interdisciplinary and operations teams. + Serves as a subject matter expert for clinical quality matters when collaborating with other RNs and members of the Clinic IDT. Identifies clinical quality improvement opportunities in the assigned area to achieve CMS Conditions for Coverage and FMS quality program requirements. + Manages the execution of Quality and other clinical initiatives, interventions and standardized education materials with Clinic teams within the assigned area(s). + Provides general direction, nursing and clinical guidance related to appropriate theoretical perspectives and feedback based upon professional standards and FMCNA guidelines to support facility RNs within the assigned area in achieving the desired outcomes in the following: quality, patient satisfaction, teamwork, unit culture, and employee satisfaction. + Collaborates with appropriate stakeholders including but not limited to the Clinical Quality leadership, Education, Clinical Services, Nutritional Services, Social Work Services Regulatory and Compliance to take the appropriate steps to facilitate achievement of quality goals and ongoing patient safety improvement. + Mentors and trains staff to collect, trend, and analyze data on a day-to-day basis to monitor the effectiveness of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity and mortality. + Utilizes evidence based and best demonstrated practices to address barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways and clinical policies and procedures to improve care coordination and care delivery. + Leverages available tools, resources and informatics technology to focus on targeted patient populations. + Applies current knowledge of FMS clinical and administrative policies and procedures, available internal resources, working knowledge of CMS Conditions of Coverage for ESRD facilities, Value Based Payer Programs, knowledge of quality improvement concepts, principles and practices to perform tasks and duties. + Utilizes quality improvement techniques to promote collaboration between facilities and areas to share processes and strategies for success. Mentors and assists facilities in identifying effective practices applicable to their needs, in testing for desired results, and the adoption and implementation of these practices. + Under the direction of Clinical Quality leadership, provides guidance, interpretation and subject matter expertise to clinical and operations teams regarding quality related clinical policies and procedures, clinical standards, quality improvement tools and electronic applications. + Performs desk review of facility Quality Assessment and Performance Improvement (QAPI) documentation and attends QAPI meetings at a frequency determined by Clinical Quality leadership. + Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program and CQI activities utilizing the following processes. + Reviews completion of facility QAPI activities including but not limited to adherence to the QAPI calendar, completion of QAPI minutes, attendance, tools and electronic applications + Attends and participates in regional, area, facility and team meetings as appropriate which may include quality team building and staff development and other meetings as appropriate. + Collaborates with appropriate management staff as needed to achieve effective inter-disciplinary, intra-disciplinary and clinic relationships. + Identifies risk areas and opportunities for improvement. + Assists with root cause analysis and action plan development and evaluation as needed. + Provides written or verbal recommendations to facility and area management. + Utilizes adult education principles in the execution of education programs and processes that facilitate the implementation and incorporation of the company's quality standards and the practice of Continuous Quality Improvement in facility standard procedures. + Accountable for outstanding customer service to all external and internal customers, including patients, staff, physicians, field management and staff, and payers, including disease management entities. + Develops and maintains exceptional working relationships through effective and timely communication with all customers + Under the direction of Clinical Quality leadership, assists with various projects as assigned. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day-to-day work includes desk and personal computer work and interaction with facility staff and physicians. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + The position requires travel between assigned facilities and various locations within the community, approx. 60%. + Travel to Regional, Division and Corporate meetings may be required. **SUPERVISION:** None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Nurse required + Certification in Nephrology Nursing or quality preferred. **EXPERIENCE AND SKILLS** : - 3+ years dialysis experience required. - 3+ years management experience in a clinical leadership role. - Strong organizational, critical thinking and customer service skills. - Demonstrated leadership competencies and adaptability to changes in priorities. + Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities - Strong verbal and written communications skills, - Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues Rate: for the San Francisco, CA location _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: $116,480-120,640 _Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave._ 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. **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.**

This is a full time Surgical Tech role for our Oakland, CA surgery center. Monday through Friday 7:30am to 4:00pm No evenings, No weekends and No call! Quarterly Bonus Opportunities! Excellent benefits: Medical, dental, vision, paid maternity & paternity leave, 401K w/ match, PTO, tuition assistance, life insurance, Long Term and Short Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter Expenses PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the USV/FMCNA Compliance Program, including following all regulatory and USV/FMS policy requirements. Under the direct supervision of the Facility Manager or Chief Radiology Technologist, performs scrub and circulating duties during interventional procedures according to USV/FMS policies and procedures. Assists with preparation of procedure room, inventory of supplies and stocking of supplies in the procedure room and stock room. PRINCIPAL DUTIES AND RESPONSIBILITIES: Assists with the maintenance and setting up of the procedure room in compliance with FMCNA/USV policies and procedures and state and federal regulations. Stocks procedure room and procedure trays with all needed supplies and interventional equipment prior to procedure. Cleans the procedure room including the equipment and machinery post procedure. May assist with preparing the patient for the surgical procedure by positioning, shaving and prepping. Performs additional tasks as designated by Physician, practicing in compliance with state regulations Prepares and administers medications within the scope of practice and state regulations Performs patient transfers and positioning of patients and transports patient to and from procedure room. Acts as scrub assistant assisting the physician during interventional procedures under fluoroscopy; maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. Draws up intravenous medication and labels as per Medication Labeling Policy, and Medication in the Sterile Field Competency. Performs circulating duties in the procedure room. Complies with HIPAA policies and standards in regards to patient confidentiality. Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary and safe on a daily basis Ensures all facility equipment and instruments are in proper working condition by inspecting equipment on a daily basis before and after procedures. May perform minor equipment repairs and general upkeep. Communicate problems to supervisor and document issues in the communications log. Assists with disposal of hazardous waste materials, dirty linen and rugs. May assist with instrument sterilization and packaging of surgical instruments. Assists with preparing, organizing, and efficiently utilizing supplies and equipment to prevent wastage. Provides outstanding quality of patient care by supporting and driving USV quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of USV/FMS CQI tools. Assists with implementing USV quality goals and facility specific action plans in order to achieve USV quality standards. Maintains integrity of medical records and other USV administrative and operational records. Complies with all data collection and auditing activities. Provides clerical and practical support to physicians and staff: Works with the physicians and staff to have all necessary instruments and equipment are on hand. May print images and send to the physician. May assist with training and orienting new employees on the medical equipment. Files paperwork in patient files according to policies and procedures. Assists with inventory, ordering of supplies and re-stocking of supplies. May process x-ray images after acquisitions. May archive patient images to a CD or DVD to comply with USV policies and procedures for patient medical records and state regulations. Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. Must be able to lift, push and pull up to 50 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. EDUCATION: High School Diploma required Surgical Technologist Certification as required by state regulation All appropriate state licensure, and or certification education and training (if any) required. EXPERIENCE AND REQUIRED SKILLS: 1 - 2 years' related experience. Previous patient care experience preferred. Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment), procedures and materials/supplies needed for each procedure. Knowledge of sterile techniques. Experience with special procedures utilizing a C-Arm preferred. Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. Successfully complete BLS certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $25.00 - $39.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. EOE, disability/veterans

Senior Engineer, Fresenius USA, Inc., a Fresenius Medical Care N.A. company, Concord, California (Hybrid) Will contribute to the development and execution of system verification plans, protocols, and reports for a medical device manufacturer by analyzing system requirements for medical device products. Duties will include: + Provide leadership to team members on best practices for Verification and Validation execution as it applies to key medical device methodologies, FDA design controls and quality system requirements. + Lead verification plans and protocol reviews and help the broader Team migrate to more agile development methodologies. Ensure that verification documents follow internal Fresenius guidelines and processes for embedded software functionality per the Quality Systems Regulations (21 CFR part 820) and ISO 13485 standards. + Design and develop verification tools and systems required to ensure the proper and regulatory compliant operation of hemodialysis and peritoneal dialysis medical devices. Select and configure tools for exercising and collecting data from completed and implemented test cases in compliance with ISO 62304, ISO 13485 QMS and ISO 14971 Risk Management. + Design and conduct tests and write test protocols for evaluating and analyzing all aspects of medical software safety. Generating comprehensive test reports from executed test protocols that ensure output content complies with dialysis treatment safety levels and expected outcomes. + Design and develop tools and systems that can diagnose performance issues with embedded systems and can track medical data generated by our devices. + Design and develop medical diagnostic and clinical instrumentation, equipment, and procedures, using the principles of engineering and biobehavioral sciences/Human Factors Engineering. + Provide technical support for biomedical devices. + Design and develop verification tools and process to address new or enhanced functionality of medical devices. + Define, approve and execute test protocols and write reports to describe program evaluation, testing, and correction. Performing both positive and negative dialysis treatment tests on equipment for thorough coverage and creating regression tests to verify defects found during execution of test protocols and ensuring end-to-end clinical use cases are represented. + Serve as a primary embedded and systems-level software verification liaison and provide recommendations and guidance on testing and assessing the functionality of medical devices in development. **Requirements** **:** Position requires either (i) a Master's degree (or an equivalent foreign degree) in Chemical, Biomedical, Electrical or Mechanical Engineering or a closely related field and 3 years of experience as a Validation/Verification Engineer for medical device systems or (ii) a Bachelor's degree (or an equivalent foreign degree) in Chemical, Biomedical, Electrical or Mechanical Engineering or a closely related field and 5 years of experience as a Validation/Verification Engineer for medical device systems. Must also have 3 years of experience (which can have been gained concurrently with either primary experience requirement above) working with the following: + Design Control, software development in accordance with IEC 62304 and testing standards across medical device and software; + Performing system functional and performance testing and building Test Methods, using tools/equipment to simulate fault conditions/errors and acquire evidences; + Designing test cases for software, component, and system-level requirements for medical devices; and + Leading and managing test and verification activities under medical device design controls, including authoring formal test plans, managing resources, overseeing lab logistics, organizing protocol execution, and reporting results. This is a hybrid position working 3 days/week at the office in Concord, CA and 2 days/week from home. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. * A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient's home. * We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. * Work Schedule - Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility. * Competitive on-call pay when placed in on-call rotation. * Holidays - Home Training Nurses rarely work on a holiday. * We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program. * We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes. The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality. This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. * Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. * Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. * Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter. Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care. * Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. * Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. * Participate in infection control monitoring, implementation, and recording as requested. * Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. * Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. * Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. Assist in obtaining data for the continuous quality improvement activities. * Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. * Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. * Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned. * Flexible with staffing locations and hours to accommodate patient and USRC home program needs. * Regular and reliable attendance is required for the position. Home Hemodialysis Only: * Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. * Ensure required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results. Salary / Compensation Statement Compensation for the role will depend on several factors, including a candidate's experience, qualifications and skills. U.S. Renal Care offers a comprehensive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.

**About this role:** As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as support the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient and family. **How you grow or advance** **in your career:** We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a social work specific career ladder ranging from pre-licensed (in states where permitted), to three potential levels of facility social work, as well as a leadership path from Social Worker to Manager, Senior Manager and Senior Director. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: As a member of the nephrology health care team, you will assess the patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Collaborates with the patient and health care team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of the assessment and care planning to address barriers and meet patient treatment goals. + Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. + Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. + Provides information and assists the team and patient with referrals to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + Participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Reports on quality indicators related to adherence, such as missed and shortened treatments, quality of life trends, and service recovery. + Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + Provides educational and goal directed counseling to patients who are seeking transplant. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to end stage renal disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Provide training to clinic staff pertaining to psychosocial topics as needed. EDUCATION AND REQUIRED CREDENTIALS: + Masters in Social Work + Must have state required license EXPERIENCE AND SKILLS **:** + 0 - 2 years' related experience PHYSICAL DEMANDS AND WORKING CONDITIONS: + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities or home visits, if applicable) 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: $71,000 - $94,000 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. 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.**

**PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. + Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. + Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. + Participate in patient care plan meetings. + Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. + Train and orient staff as necessary. + Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. + Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. + Maintain overall shift operation in a safe, efficient, and effective matter. + With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. + Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. + Supervise all documentation of patient information. + Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. + Assess daily patient care needs and develop and distribute patient care assignments appropriately. + Assume primary responsibility in an emergency situation. + Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. + Monitor and supervise all patient care activity during dialysis and assist as necessary. + Collaborate with direct patient care team in making decisions to benefit patient care. + Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. + Administer medications to patients per physician's orders. + Act as the subject matter expert and as a resource for staff members. + Supervise and participate in completion of short- and long-term care plans. + Admit new patients according to facility procedure. + Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. + Supervise the safe and effective use of all equipment involved in direct patient care. + Operate all dialysis related and emergency equipment safely and efficiently when needed. + Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. + Complete Nurse's Technical Training Program/Water Quality Facility + Assist with special projects or other duties as assigned by the Facility Administrator + Assist with the interviewing of potential direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality Assurance meetings. _Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._ **PHYSICAL DEMANDS AND WORKING CONDITIONS** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Travel to regional, Business Unit and Corporate meetings may be required. **SUPERVISION:** + Direct Patient Care Staff, Ward Clerk as assigned. **EDUCATION** **:** + Graduate of an accredited school of Nursing (R.N.) + Must be registered and licensed to practice in the applicable State. **EXPERIENCE AND REQUIRED SKILLS:** + Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. + Medical/surgical nursing preferred. + Supervisory or management experience preferred. + Certified in CPR or successfully complete course in CPR certification. + Good communication skills - verbal and written. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $23.00 - $75.00 **Benefit Overview:** This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.

**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. 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 FMC Quality Enhancement Goals (QEP). **PRINCIPAL DUTIES AND RESPONSIBILITIES:** Patient Education: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access. Patient Treatment: + Welcome assigned patients and inquire as to their well-being since their last treatment. + Evaluate vascular access for patency. + Obtain necessary pre and post treatment vital signs and weight. + Perform vascular access evaluation pre-treatment. + Perform vascular access cannulation. + Perform administration of Heparin as delegated or as allowed by state law. + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures. + Evaluate patient prior to termination of venous access - standing & sitting blood pressure. + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes. + Report any significant information and/or change in patient condition directly to the PCT III (if applicable) or nurse supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the PCT III (if applicable) or nurse supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the PCT III (if applicable) or nurse supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. Maintenance/Technical: + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. + Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare organize and efficiently utilize supplies and equipment to prevent wastage. Record Keeping: + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect label appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **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. + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. **EDUCATION AND LICENSES:** + High School diploma or G.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + All appropriate state licensure education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS:** + At least two years previous patient care experience in a hospital setting or a related facility preferred. + Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $23.00 - $31.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **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.** + You will be required to be physically present at the office or workplace during your working hours

**About this role:** As a Facility Administrator with Fresenius Medical Care, you will manage and oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Facility Administrator, you may advance your career into a Director of Operations then senior leadership role. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL RESPONSIBILITIES AND DUTIES** CLINIC OPERATIONS: + Manages the operations of the clinic, including costs, processes, staffing, and quality standards. + Provides leadership, coaching, and development plans for all direct reports. + Partners with internal Human Resources, Quality, and Technical Services departments. + Collaborates with the Home Therapies Manager to oversee the facility's Home Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and auditing activities. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + Responsible for all required network reporting and on-site state or federal surveys. + Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution, and competitive pricing. + Performs other related duties as assigned. PATIENT CARE: + Collaborates closely with the Charge RN, the Medical Director, and physicians regarding the direct patient care responsibilities within the facility. + Coordinates all aspects of patient care from admission through discharge of the patient. + Monitors patient and family education regarding access care including medical instructions. + Acts as a resource for the patient and family to address concerns and questions and reviews patient satisfaction surveys. STAFF: + Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings. + Responsible for all patient care employees completing appropriate training courses and that licensures and certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional growth. + Maintains current knowledge regarding company benefits, policies, procedures, and processes. + Completes employee evaluations and establishes annual goals. + Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. + Manages staff scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for strong physician relationships and ensures regular and effective communication. + Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies. **EDUCATION** + Bachelor's Degree or an equivalent combination of education and experience. **EXPERIENCE AND REQUIRED SKILLS:** + 4+ years of business operations experience in a healthcare facility. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + Day-to-day work includes desk and personal computer work, facility staff, and physicians. + Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit and corporate meetings may be required. + The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The 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: $71,000 - $163,000 for South San Francisco, CA location Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **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.**

**About this role:** As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive adjustment, rehabilitation, and improved quality of life for our patients. As well as support the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient and family. **How you grow or advance** **in your career:** We believe in encouraging our employees to achieve their full potential by offering opportunities for advancement. We have a social work specific career ladder ranging from pre-licensed (in states where permitted), to three potential levels of facility social work, as well as a leadership path from Social Worker to Manager, Senior Manager and Senior Director. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: As a member of the nephrology health care team, you will assess the patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Collaborates with the patient and health care team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of the assessment and care planning to address barriers and meet patient treatment goals. + Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. + Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. + Provides information and assists the team and patient with referrals to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + Participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Reports on quality indicators related to adherence, such as missed and shortened treatments, quality of life trends, and service recovery. + Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + Provides educational and goal directed counseling to patients who are seeking transplant. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to end stage renal disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Provide training to clinic staff pertaining to psychosocial topics as needed. EDUCATION AND REQUIRED CREDENTIALS: + Masters in Social Work + Must have state required license EXPERIENCE AND SKILLS **:** + 0 - 2 years' related experience PHYSICAL DEMANDS AND WORKING CONDITIONS: + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities or home visits, if applicable) 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: $71,000.00 - $110,000 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.

The Acute Registered Nurse must demonstrate familiarity with dialysis and hospital emergency procedures and the knowledge, skills, and judgement necessary to assume the responsibility of caring for the dialysis patient in the acute care setting. This person will be responsible for delivering apheresis and pediatric treatments as applicable. This position exercises a knowledge of patient rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all patients in a safe, secure environment. This individual cooperates and works together with all co-workers to plan and complete job duties with applicable supervisory direction, including implementing job-appropriate judgement. Requirements: * Current Registered Nurse (RN) license in the state of practice. * Associates Degree in Nursing (A.D.N) from accredited school of nursing required. Bachelor of Science in Nursing (B.S.N); three year diploma from accredited diploma program may be substituted for nursing degree. * Minimum of 18 months of nursing experience with at least 6 months in hemodialysis, critical care nursing preferred. Why choose Innovative Renal Care? * Be part of a team that makes a difference in people's lives! * Annual raises significantly above the industry standard. * We recognize your most recent dialysis experience to calculate paid time off accrual. Our team lives by our values of Integrity, Innovation, Compassion, Accountability, Results Driven, and Everyone Counts! Integrity - Deliver on our promises with dedication and clarity. Innovation - Engage and empower others by sharing ideas and successes. Compassion - Treat patients and their families with the utmost respect and empathy. Accountability - Take ownership when resolving issues and solving problems, trusting others to support us. Results Driven - Keep raising the bar for our own performance, helping, and encouraging our colleagues to do the same. Everyone Counts - Respect people of all backgrounds. Strive to create a diverse and equitable workplace. Salary Range: $60 - $70 / hour depending on experience and qualifications Innovative Renal Care is an equal opportunity employer and a drug free workplace. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status. #LI-LM1

**About this role:** As a Facility Administrator with Fresenius Medical Care, you will manage and oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Facility Administrator, you may advance your career into a Director of Operations then senior leadership role. **Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. **Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL RESPONSIBILITIES AND DUTIES** CLINIC OPERATIONS: + Manages the operations of the clinic, including costs, processes, staffing, and quality standards. + Provides leadership, coaching, and development plans for all direct reports. + Partners with internal Human Resources, Quality, and Technical Services departments. + Collaborates with the Home Therapies Manager to oversee the facility's Home Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and auditing activities. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + Responsible for all required network reporting and on-site state or federal surveys. + Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution, and competitive pricing. + Performs other related duties as assigned. PATIENT CARE: + Collaborates closely with the Charge RN, the Medical Director, and physicians regarding the direct patient care responsibilities within the facility. + Coordinates all aspects of patient care from admission through discharge of the patient. + Monitors patient and family education regarding access care including medical instructions. + Acts as a resource for the patient and family to address concerns and questions and reviews patient satisfaction surveys. STAFF: + Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings. + Responsible for all patient care employees completing appropriate training courses and that licensures and certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional growth. + Maintains current knowledge regarding company benefits, policies, procedures, and processes. + Completes employee evaluations and establishes annual goals. + Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. + Manages staff scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for strong physician relationships and ensures regular and effective communication. + Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies. **EDUCATION** + Bachelor's Degree or an equivalent combination of education and experience. **EXPERIENCE AND REQUIRED SKILLS:** + 4+ years of business operations experience in a healthcare facility. **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + Day-to-day work includes desk and personal computer work, facility staff, and physicians. + Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit and corporate meetings may be required. + The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. + May be exposed to infectious and contagious diseases/materials. + Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The 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:** $71,000.00 - $163,000.00 for Concord, CA location **Benefit Overview:** This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **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.**

**PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the USV/FMCNA Compliance Program, including following all regulatory and USV/FMS policy requirements. Under the direct supervision of the Facility Manager or Chief Radiology Technologist, performs scrub and circulating duties during interventional procedures according to USV/FMS policies and procedures. Assists with preparation of procedure room, inventory of supplies and stocking of supplies in the procedure room and stock room. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Assists with the maintenance and setting up of the procedure room in compliance with FMCNA/USV policies and procedures and state and federal regulations. + Stocks procedure room and procedure trays with all needed supplies and interventional equipment prior to procedure. + Cleans the procedure room including the equipment and machinery post procedure. + May assist with preparing the patient for the surgical procedure by positioning, shaving and prepping. + Performs additional tasks as designated by Physician, practicing in compliance with state regulations + Prepares and administers medications within the scope of practice and state regulations + Performs patient transfers and positioning of patients and transports patient to and from procedure room. + Acts as scrub assistant assisting the physician during interventional procedures under fluoroscopy; maintaining a sterile technique according to the established company policies and procedures and state and federal regulations. + Draws up intravenous medication and labels as per Medication Labeling Policy, and Medication in the Sterile Field Competency. + Performs circulating duties in the procedure room. + Complies with HIPAA policies and standards in regards to patient confidentiality. + Assists with maintaining environmental integrity and aesthetics. Ensures all areas are clean, sanitary and safe on a daily basis Ensures all facility equipment and instruments are in proper working condition by inspecting equipment on a daily basis before and after procedures. + May perform minor equipment repairs and general upkeep. Communicate problems to supervisor and document issues in the communications log. + Assists with disposal of hazardous waste materials, dirty linen and rugs. + May assist with instrument sterilization and packaging of surgical instruments. + Assists with preparing, organizing, and efficiently utilizing supplies and equipment to prevent wastage. + Provides outstanding quality of patient care by supporting and driving USV quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of USV/FMS CQI tools. + Assists with implementing USV quality goals and facility specific action plans in order to achieve USV quality standards. + Maintains integrity of medical records and other USV administrative and operational records. + Complies with all data collection and auditing activities. + Provides clerical and practical support to physicians and staff: + Works with the physicians and staff to have all necessary instruments and equipment are on hand. + May print images and send to the physician. + May assist with training and orienting new employees on the medical equipment. + Files paperwork in patient files according to policies and procedures. + Assists with inventory, ordering of supplies and re-stocking of supplies. + May process x-ray images after acquisitions. + May archive patient images to a CD or DVD to comply with USV policies and procedures for patient medical records and state regulations. + Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. + Other duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. Must be able to lift, push and pull up to 50 pounds. Must be able to stand in a protective apron for up to 45-60 minutes. **EDUCATION** **:** + High School Diploma required + Surgical Technologist Certification as required by state regulation + All appropriate state licensure, and or certification education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS:** + 1 - 2 years' related experience. + Previous patient care experience preferred. + Working knowledge of interventional equipment (including C-Arm and Ultrasound equipment), procedures and materials/supplies needed for each procedure. Knowledge of sterile techniques. + Experience with special procedures utilizing a C-Arm preferred. + Knowledge of universal precautions and personal protective devices to be utilized when operating radiology systems. + Successfully complete BLS certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $25.00 - $39.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. This is a full time Surgical Tech role for our Oakland, CA surgery center. Monday through Friday 7:30am to 4:00pm No evenings, No weekends and No call! Quarterly Bonus Opportunities! Excellent benefits: Medical, dental, vision, paid maternity & paternity leave, 401K w/ match, PTO, tuition assistance, life insurance, Long Term and Short Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter Expenses

**PURPOSE AND SCOPE:** Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Patient Assessment / Care Planning / Counseling + As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment. + Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life. + Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals. + Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life. + Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license. + Provides educational and goal directed counseling to patients who are seeking transplant. + Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes. + Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education. + Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons. + In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care. + Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation. + Documents based on MSW interaction and interventions provided to patient and/or family. + Quality + Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level. + Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery. + Patient Education + Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs. + With other members of the interdisciplinary team, provides appropriate information about all treatment modalities. + Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management. + Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available. + Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them. + Collaborates with the team on appropriate QAI activities. + Patient Admission and Continuity of Care + Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns. + Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment. + The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership. + Insurance and Financial Assistance + Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance. + In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs). + Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel. + Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills + Staff Related + Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager. + Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources). + Provides training to staff pertaining to psychosocial topics as needed. + Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff. + Adheres to work defined caseload guidelines based on state regulatory requirements. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + Travel required (if multiple facilities or home visits, if applicable) **SUPERVISION:** + None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Masters in Social Work + Must have state required license + Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed **EXPERIENCE AND SKILLS** **:** + 0 - 2 years' related experience The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $23 - $45 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions - include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. **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.**

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $44.00 - $78.00 for Walnut Creek, CA location Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Overtime Pay Eligible By applying, you consent to your information being transmitted by GenZJobs to the Employer, as data controller, through the Employer's data processor SonicJobs. See Fresenius Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at

**PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization 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 organization Quality Enhancement Goals (QEP). **PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: + Welcome assigned patients and inquire as to their wellbeing since their last treatment. + Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law. + Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient prior to discharge. + Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. + Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage. + Monitors patients performing self-care under the supervision of RN. **Staff Related** + Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse. **Education/Communication:** + Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. **RECORD KEEPING:** + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect, label, appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. **INFECTION CONTROL:** + Assists in collecting information for infection control audits. + Supports staff and patient Adherence to infection control practices. + Follows infection control Policies and Procedures + Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law. **TRANSITIONAL CARE UNIT:** + Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care + Reinforces all education and care related matters as it relates to the new patient as allowed by state law + Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan. + Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them. + Sets and preforms a treatment on all machines used in the transitional care unit. + Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up. + Assists with coordination of transition to patient's modality choice. + Assists with supply ordering and inventory for TCU **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 + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items. **EDUCATION** **AND** **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred. + Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $23.00 - $28.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **_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.**

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: 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. ADDENDUM: 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 or 9 months nursing and 3 months dialysis if the hiring FA covers only 1 site and meets the above qualifications. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $34.50 - $73.00 for Oakland, CA location Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Leadership Position By applying, you consent to your information being transmitted by GenZJobs to the Employer, as data controller, through the Employer's data processor SonicJobs. See Fresenius Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at

**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. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. 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 FMC Quality Enhancement Goals (QEP). **DUTIES / ACTIVITIES:** CUSTOMER SERVICE: + Responsible for driving the FMS culture through values and customer service standards. + Accountable for outstanding customer service to all external and internal customers. + Develops and maintains effective relationships through effective and timely communication. + Takes initiative and action to respond resolve and follow up regarding customer service issues with all customers in a timely manner. **PRINCIPAL RESPONSIBILITIES AND DUTIES** PATIENT CARE: + Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC) Adequacy Monitoring Program (AMP) Urea Kinetic Modeling (UKM) and regarding disease process/access. + Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and report any unusual findings to nurse supervisor. + Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor. + Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor. + Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor. + Perform administration of Heparin as delegated or as allowed by state law. + Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document. + Discontinue dialysis treatment according to established procedures + Evaluate patient prior to termination of venous access - standing & sitting blood pressure. + Obtain Hemostasis and apply appropriate dressings. + Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor. + Perform and record Pre and Post dialysis evaluation weight and vital signs with initial identification. + Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. + Responsible for ensuring appropriate safety alarms are enabled including Narrow Venous Limits (NVL) 160. + Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. + Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and if applicable progress notes. + Report any significant information and/or change in patient condition directly to the nurse supervisor. + Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor. + Perform and document any intervention for unusual patient status and document patients' response to intervention. + Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures provide appropriate intervention as needed document and report any unusual findings to the nurse supervisor. + Obtain all prescribed laboratory testing and prepare specimens for collection. MAINTENANCE/TECHNICAL: + Maintain environmental integrity and aesthetics - ensure all areas are safe and clean. + Clean and disinfect dialysis machine surface chair equipment and surrounding area between treatments according to facility policy. + Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate. + Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system. + Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. + Prepare organize and efficiently utilize supplies and equipment to prevent wastage. CLERICAL & ADMINISTRATIVE: + Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities. + Enters all treatment data into the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure omitted entries are completed or corrected where appropriate. + Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart. + Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination. + Collect label appropriately prepare and store lab samples according required laboratory specifications. + Ensure collection of lab specimens by appropriate lab courier. OTHER: + Perform additional duties as assigned. **ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):** Assisting the HT RN: + May assist HT RN on Home Visit as directed + Reinforces PD / HHD education under supervision of qualified HT RN + Schedules and contacts patients regarding appointments + Weigh patient and obtain vital signs + Collect treatment records and review for completion. Notify RN of incomplete / missing records. + Cleaning and prepping treatment room; prep charts + Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations) + Clerical duties as assigned (faxing mailing to physician offices etc.) + Obtain home hemo water sampling as directed by the HT RN + Set-up of the home hemo machine and PD Cycler. + Assist with exit site care when directed by HT RN. + Warm dialysate solution when directed by the HT RN + Draw dialysate solution for testing as directed by the HT RN + Creates and sends patient reminders (supply inventory for order Kt/V collection bringing meds to clinic visit for review) + Assembles/breaks down charts/thins charts + Maintains logs as directed and applicable + Inventory of Home Program + Maintains par levels of home department supplies + Files home patient packing slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **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 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 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 push and/or pull equipment exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs. and on an occasional lift basis up to 40 lbs. as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. **EDUCATION** + Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline. + All appropriate state licensure education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS** + Previous patient care experience in a hospital setting or related facility preferred. + Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification. 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. Rate: $23 - $28 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. **_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.**