Urwah Admin

Fresenius Medical Care

Fresenius Medical Care is the world’s leading provider of products and services for individuals with renal diseases. The company aims to create a future worth living for chronically and critically ill patients by leveraging decades of experience in dialysis, innovative research, and a value-based care approach. Their portfolio includes a comprehensive range of high-quality healthcare products and services, as well as various dialysis treatment options tailored to meet individual patient needs.

<div><div>This is an EVENING POSITION (Schedule will be discussed with Manager during interview)
MUST HAVE YOUR CCHT &amp; 18 MONTHS OF DIALYSIS EXPERIENCE.
</div><div><h1 class="jobSectionHeader">PURPOSE AND SCOPE:</h1>
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).<h1 class="jobSectionHeader">
PRINCIPAL DUTIES AND RESPONSIBILITIES:</h1>
Patient Related
Education:<ul><li>
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.</li></ul>
Treatment:<ul><li>
Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
</li><li>Monitor patients&rsquo; response to dialysis therapy.</li><li>
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
</li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing &amp; sitting blood pressure</li><li>
Obtain Hemostasis and apply appropriate dressings.
</li><li>Evaluate the patient prior to discharge.</li><li>
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
</li><li>Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
</li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
</li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>
Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>
Evaluate patients&rsquo; 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.</li><li>
Obtain all prescribed laboratory testing and prepare specimens for collection.
</li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
</li><li>Monitors patients performing self-care under the supervision of RN.</li></ul>
Staff Related<ul><li>
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul>
Education/Communication:<ul><li>
Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul><ul><li>
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>
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).</li><li>
Initiate Solution Delivery System (SDS) system.</li></ul>
RECORD KEEPING:<ul><li>
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
</li><li>Enters all treatment data into the designated clinical application in an accurate and timely manner.
</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
</li></ul>omitted entries are completed or corrected by appropriate staff.<ul><li>
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
</li><li>Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
</li><li>Ensure collection of lab specimens by appropriate lab courier.</li></ul> 
INFECTION CONTROL:<ul><li>
Assists in collecting information for infection control audits.
</li><li>Supports staff and patient Adherence to infection control practices.
</li><li>Follows infection control Policies and Procedures
</li><li>Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> 
TRANSITIONAL CARE UNIT:
<ul><li>Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
</li><li>Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li>
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.
</li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.</li><li>
Sets and preforms a treatment on all machines used in the transitional care unit.
</li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li>
Assists with coordination of transition to patient&rsquo;s modality choice.
</li><li>Assists with supply ordering and inventory for TCU
</li></ul><h1 class="jobSectionHeader">PHYSICAL DEMANDS AND WORKING CONDITIONS:</h1><ul><li>
The physical demands and work environment characteristics described here are representative of those an employee</li></ul>
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.<ul><li>
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.<ul><li>
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.
</li><li>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
</li><li>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 &quot;material assist&rdquo; devices for the heavier items.</li></ul><h1 class="jobSectionHeader">
EDUCATION AND LICENSES:</h1><ul><li>
High School diploma or G.E.D. required.</li><li>
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li>
All appropriate state licensure, education, and training (if any) required.</li><li>
Demonstrated commitment to organization culture, values, and customer service standards</li></ul><h1 class="jobSectionHeader">
EXPERIENCE AND REQUIRED SKILLS:</h1><ul><li>
Previous patient care experience in a hospital setting or a related facility preferred.</li><li>
Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Patient Care Technician - PCT CCHT - Dialysis

<div><div>Clinic Location:
5125 W. Morgan Avenue
Greenfield, WI 53220</div><div>
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:<ul><li>
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.</li></ul>
Treatment:<ul><li>
Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>
Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>
Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>
Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
</li><li>Monitor patients&rsquo; response to dialysis therapy.</li><li>
Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
</li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing &amp; sitting blood pressure</li><li>
Obtain Hemostasis and apply appropriate dressings.
</li><li>Evaluate the patient prior to discharge.</li><li>
Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
</li><li>Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
</li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
</li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>
Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>
Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>
Evaluate patients&rsquo; 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.</li><li>
Obtain all prescribed laboratory testing and prepare specimens for collection.
</li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
</li><li>Monitors patients performing self-care under the supervision of RN.</li></ul>
Staff Related<ul><li>
Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li></ul>
Education/Communication:<ul><li>
Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li><li>
Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>
Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>
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).</li><li>
Initiate Solution Delivery System (SDS) system.</li></ul>
RECORD KEEPING:<ul><li>
Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
</li><li>Enters all treatment data into the designated clinical application in an accurate and timely manner.
</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
</li></ul>omitted entries are completed or corrected by appropriate staff.<ul><li>
Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
</li><li>Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
</li><li>Ensure collection of lab specimens by appropriate lab courier.</li></ul> 
INFECTION CONTROL:<ul><li>
Assists in collecting information for infection control audits.
</li><li>Supports staff and patient Adherence to infection control practices.
</li><li>Follows infection control Policies and Procedures
</li><li>Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.</li></ul> 
TRANSITIONAL CARE UNIT:
<ul><li>Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
</li><li>Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li>
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.
</li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.</li><li>
Sets and preforms a treatment on all machines used in the transitional care unit.
</li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li>
Assists with coordination of transition to patient&rsquo;s modality choice.
</li><li>Assists with supply ordering and inventory for TCU
</li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>
The physical demands and work environment characteristics described here are representative of those an employee</li></ul>
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.<ul><li>
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the</li></ul>
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.<ul><li>
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.
</li><li>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
</li><li>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 &quot;material assist&rdquo; devices for the heavier items.</li></ul>
EDUCATION AND LICENSES:<ul><li>
High School diploma or G.E.D. required.</li><li>
Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.</li><li>
All appropriate state licensure, education, and training (if any) required.</li><li>
Demonstrated commitment to organization culture, values, and customer service standards</li></ul>
EXPERIENCE AND REQUIRED SKILLS:<ul><li>
Previous patient care experience in a hospital setting or a related facility preferred.</li><li>
Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Patient Care Technician - PCT

<div></div><div><div>PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.<ul><li>Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.</li><li>Performs ongoing, systematic collection and analysis of patient data pre &ndash; during &ndash; post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.</li><li>Assesses, collaborates, and documents patient/family&rsquo;s basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance.</li><li>Performs all other duties as assigned by Supervisor.</li></ul>
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.<ul><li>The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent, prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li></ul>
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul>
EDUCATION and LICENSURE:<ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul>
EXPERIENCE AND REQUIRED SKILLS:<ul><li>Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Outpatient Registered Nurse - RN - Dialysis

Outpatient Registered Nurse - RN

<div></div><div><div>About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.
Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.
Our culture: We believe our employees are our most important asset &mdash; 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.<div>
PURPOSE AND SCOPE: 
 Manage and oversee the daily operations of the facility, ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Manager/Charge Nurse regarding the provision of quality patient care in the dialysis facility incorporating all activities from admission through to discharge. As the clinic leader, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. Markets available services through presentations to physicians and dialysis facilities. 
 
You will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. 
 
PRINCIPAL DUTIES AND RESPONSIBILITIES: 
Clinic Operations: 
<ul><li>Provides leadership, coaching, and development plans for all direct reports.</li><li>Partners with internal Human Resources, Quality, Education, and Technical Services departments.</li><li>Collaborates with the Home Therapies Program Manager to oversee the facility&rsquo;s Home Therapies Program.</li><li>Maintains integrity of medical and operations records and complies with all data collections and auditing activities.</li><li>Accountable for completion of the Internal Classification of Disease (ICD) coding.</li><li>Responsible for all required network reporting and on-site state or federal surveys.</li><li>Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.</li><li>Responsible for the administration of the daily business operations of the dialysis clinics including managing the functions and actions related to the center staff, quality of overall provision of patient care, maintenance of the physical plant and center equipment, and inventory control.</li><li>Manages the profit and loss and other related financial aspects for the center, ensuring optimal facility operations to achieve or exceed the budget and key performance indicators.</li></ul>
Patient Care: 
<ul><li>Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.</li><li>Acts as a resource for the patient and family to address concerns and questions.</li><li>Oversee the timely completion of patient care assessments and care plans.</li><li>Manages timely patient schedules to ensure facility efficiency and develop action plans for missed treatments.</li><li>Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues.</li></ul>
Staff: 
<ul><li>Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training.</li><li>Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.</li><li>Provides support for all clinical staff members at regular intervals and encourages professional growth.</li><li>Maintains current knowledge regarding company benefits, policies, procedures, and processes.</li><li>Obtains clinical feedback for employee evaluations and establishes annual goals and conducts employee evaluations.</li><li>Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.</li><li>Manages staff scheduling and payroll.</li></ul> 
Physicians: 
<ul><li>Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.</li><li>Responsible for strong physician relationships and ensures regular and effective communication.</li><li>Participates in Governing Body, an interdisciplinary team for each region including MDs, DOs etc. that governs policies.</li></ul>
Other: 
<ul><li>Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Collaboration activities include:</li><li>Coordinating all aspects of patient care from admission through discharge of the patient.</li><li>Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys.</li><li>Developing and communicating efficient and timely patient schedules to ensure maximization of facility efficiency.</li><li>Assisting as needed with patient workflow.</li><li>Implementing and maintaining a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI) Improvement Team that involves staff and pertinent physicians in problem solving activities meeting on a regular basis to address identified issues.</li><li>Continually review Center operations to ensure compliance with Federal and State laws.</li><li>Develops and maintains strong Medical Director and physician relationships, facilitating staff relationships with physicians, and ensuring regular and effective communication with all physicians including participating in regular meetings with Medical Directors.</li><li>Supports and drives FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools.</li><li>Works with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility specific action plans to achieve FMS quality standards.</li><li>Oversees and monitors the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives.</li><li>Collaborates with the Charge RN to ensure the aggressive treatment of, and actions taken, regarding adverse safety events and action thresholds.</li><li>Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.</li><li>Maintains integrity of medical records and other FMS administrative and operational records.</li><li>Complies and assists with all data collection and auditing activities.</li><li>Manages the day-to-day activities and workload of the facility staff providing guidance and leadership as appropriate to ensure the effective, efficient and timely execution of duties and tasks.</li><li>Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily. Consults with Charge RN and Medical Director to optimize clinical staffing.</li><li>Provides informal feedback to staff on an ongoing basis and formal feedback in the form of the annual performance evaluation during the focal merit review process. Obtains feedback and input regarding the staff performance from the Medical Director and Charge RN and acts on the feedback as appropriate. Collaborates with staff and Charge RN and Medical Director to set annual goals for staff.</li><li>Manages the department staffing through the appropriate hiring, firing and disciplinary actions.</li><li>Maintains written documentation of all disciplinary meetings in accordance with the established personnel policies and confers with Human Resources and Director of Operations regarding the nature of the disciplinary decisions.</li><li>Ensures successful execution of new hire orientation and training, and ICD-9 code training when ICD-10 applicable for new hires and works with Medical Director to ensure mandatory in-services are completed.</li><li>Ensures appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates.</li><li>Responsible for ensuring all facility employees receive appropriate training according to company policy including company risk management initiatives.</li><li>Provides training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth.</li><li>Collaborates with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures.</li><li>Participates in Corporate and Division specific employee recognition and satisfaction programs.</li><li>Maintains a close working relationship with Division and Corporate office personnel and ensures appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff.</li><li>Utilizes knowledge of FMCNA and FMS services and products to contribute to the growth of the business.</li><li>Maintains facility environmental integrity and safety.</li><li>Schedules the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed.</li><li>Monitors the security of the facility.</li><li>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.</li><li>Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FMS/FMS formularies.</li><li>Contributes to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals.</li><li>Directs any necessary information gathering, as required, to support billing, billing issues and collection activities.</li><li>Coordinates and approves facility payroll.</li><li>Responsible for participating in all on-site internal and external (state and federal) surveys.</li><li>Reviews new and existing provider contracts for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning.</li><li>Performs other related duties as assigned.</li></ul> 
SUPERVISION: 
<ul><li>Supervises Charge RN and DPC Staff</li></ul> 
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. 
<ul><li>Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.</li><li>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</li><li>The position requires frequent prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required with assistance to move patients and equipment of up to 200 lbs. There is a two-person assist program and &ldquo;material assist&rdquo; devices for the heavier items.</li><li>Travel to regional, Business Unit and Corporate meetings may be required.</li></ul>
EDUCATION: 
<ul><li>Graduate of an accredited School of Nursing (RN)</li><li>Current RN state licensure</li></ul>
EXPERIENCE AND REQUIRED SKILLS: 
<ul><li>Experience in clinical nursing.</li><li>Additional 6 months chronic or acute dialysis nursing experience.</li><li>Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.</li><li>Demonstrated management skills necessary to provide leadership in the supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.</li><li>Successfully passed the Ishihara Color Blind Test.&quot;</li></ul>
Preferred: 
<ul><li>Experience in a supervisory/management role, in a medical facility preferred.</li><li>Med/surg or ICU/CCU experience preferred.
</li><li>Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred.</li></ul></div> 
</div>EOE, disability/veterans</div>

Dialysis Clinical Manager Registered Nurse - RN

<div></div><div><div><h1 class="jobSectionHeader">PURPOSE AND SCOPE:</h1>
Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment.
Be the &quot;face&quot; of one of our outpatient or hospital facilities-and use your administrative skills to impact the lives of our patients and their families. As a secretary/receptionist at Fresenius Kidney Care, you will be an integral part of a cross-functional team, providing administrative support to maintain clinic operations and provide the best customer care for patients living with kidney disease.<h1 class="jobSectionHeader">
PRINCIPAL DUTIES AND RESPONSIBILITIES:</h1>
 Under general supervision, follows established company policies and procedures and applies acquired job skills to:
 Patient Engagement and Front Desk - Responsibilities may include the following based on location and business need:<ul><li>
Answering telephone &amp; routing calls to the appropriate person</li><li>
Professionally greet all patients and guests.</li><li>
Maintain a professional environment at all times. Monitors the reception and waiting areas.</li><li>
Distributing incoming mail.</li><li>
Obtain necessary signatures to ensure the efficient processing of admissions data in accordance with FMCNA policies and procedures.</li><li>
Ensure all aspects of patient confidentiality are maintained at all times</li></ul>
 Scheduling and Registration - Responsibilities may include the following based on location and business need:<ul><li>
Maintains accurate records of hospitalization, patient travel, etc. to facilitate coordination of patient scheduling, ancillary testing, etc.<ul><li>
Prepares medical records for facsimile or mail related to travel, transplant, disability and others.</li><li>
Organizes travel for patients by contacting and providing requested medical records.</li><li>
Coordinates with transient patient paperwork.</li><li>
Coordinates transfer placements and confirmations along with Clinical Manager.</li><li>
Confirms admissions paperwork is completed and sent to designated department(s), such as billing, by collecting, faxing and scanning.</li><li>
Assist with medical appointment referrals and scheduling.</li><li>
Assist with transportation coordination and referrals.</li></ul></li></ul><ul><li>
Ensures data entry has been completed for Crown Web. Related to ESRD 2728. ESRD 2746 and PART.</li><li>
Monthly insurance card scanning</li></ul>
Administrative and Additional Responsibilities - Responsibilities may include the following based on location and business need:<ul><li>
Setting up and maintaining filing systems and basic databases as applicable.</li><li>
Completing forms and reports as required by the various company offices and outside vendors and agencies.</li><li>
Preparing purchase orders using the appropriate software application.</li><li>
Assisting with department/facility accounts receivable and accounts payable functions and responsibilities as needed.</li><li>
Maintaining inventory of the necessary office supplies</li><li>
Assists in auditing records for ongoing compliance with medical records standards (H&amp;Ps, monthly physician progress notes, care plans, etc).</li><li>
Assists in the collection of Patient Demographic Information and Continuous Quality Improvement Data.</li><li>
Assemble, file and maintain patient medical records</li><li>
Print patient schedule and pull patient charts daily.</li><li>
Arrange for package pickup and delivery.</li><li>
Assists with month-end reporting requirements.</li><li>
Participate in collaboration sessions such as center/team huddles and staff meetings.</li><li>
Attend education and training sessions as appropriate and apply key learnings.</li></ul>
SKILLS:<ul><li>
Knowledge of office procedures required.</li><li>
Proficient in Microsoft office applications</li><li>
Ability to adapt to supporting software applications.</li><li>
Professional attitude and appearance</li><li>
Solid written and verbal communication skills</li><li>
Ability to be resourceful and proactive when issues arise</li><li>
Strong organizational skills</li><li>
Multitasking and time-management skills, with the ability to prioritize tasks</li><li>
Customer service attitude</li></ul><h1 class="jobSectionHeader">
PHYSICAL DEMANDS AND WORKING CONDITIONS:</h1><ul><li>
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.</li><li>
Day to day work includes desk and personal computer work and possible interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. The work environment may be characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials</li></ul><h1 class="jobSectionHeader">
SUPERVISION:</h1><ul><li>
None</li></ul>
 EDUCATION:<ul><li>
High School Diploma or GED required</li></ul><h1 class="jobSectionHeader">
EXPERIENCE AND REQUIRED SKILLS:</h1><ul><li>
Minimum 6 months relevant experience without a degree.</li><li>
1-2 years related experience preferred.</li><li>
Experience working knowledge of computers with Microsoft Word, Excel and PowerPoint preferred. Good verbal communication skills.</li><li>
Pleasant telephone manner.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Clinic Administrative Assistant

<div><div>MUST HAVE YOUR CCHT &amp; 18 MONTHS OF EXPERIENCE!</div><div><div>
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<div> 
Education: 
<ul><li>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.</li></ul>
Treatment: 
<ul><li>Welcome assigned patients and inquire as to their wellbeing since their last treatment.</li><li>Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.</li><li>Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment</li><li>Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).</li><li>Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.</li><li>Monitor patients&rsquo; response to dialysis therapy.</li><li>Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.</li><li>Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing &amp; sitting blood pressure</li><li>Obtain Hemostasis and apply appropriate dressings.</li><li>Evaluate the patient prior to discharge.</li><li>Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification</li><li>Responsible for calculating and entry of individual patients&rsquo; dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.</li><li>Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.</li><li>Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification</li><li>Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.</li><li>Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.</li><li>Observe patients and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.</li><li>Perform and document any intervention for unusual patient status and document patients' response to intervention.</li><li>Evaluate patients&rsquo; 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.</li><li>Obtain all prescribed laboratory testing and prepare specimens for collection.</li><li>Ensure that all blood spills are immediately cleaned with appropriate disinfectants according to facility policy.</li><li>Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.</li><li>Monitors patients performing self-care under the supervision of RN. Assist patients in performing self-care as applicable Staff Related</li><li>Participates in the recruitment process for new clinical staff</li><li>Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to organization.</li><li>Will function as a preceptor in direct patient care training, as determined by state specific guidelines and regulations, to support the delivery of quality patient care as per the standards set forth in the organization Clinical Services Clinical Training Manual(s), organization policies and procedures, and organization training standards.</li><li>Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other PCT&rsquo;s.</li><li>Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.</li><li>Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.</li><li>Provides developmental support to applicable clinical and facility staff.</li></ul></div><div>
Education/Communication: 
<ul><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations.</li><li>Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility.</li><li>Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives</li><li>Participates in implementing and potentially designs creative educational programs for PCT staff including contests and other team-based programs.</li><li>Collaborates with Clinical Managers and Education Coordinators in the scheduling and implementation of training programs and processes as directed.</li><li>Monitors processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.</li><li>Ensures all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices</li></ul> 

MAINTENANCE/TECHNICAL: 
<ul><li>Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.</li><li>Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.</li><li>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).</li><li>Initiate Solution Delivery System (SDS) system.</li></ul> 

RECORD KEEPING: 
<ul><li>Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.</li><li>Enters all treatment data into the designated clinical application in an accurate and timely manner.</li><li>Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected by appropriate staff.</li><li>Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.</li><li>Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.</li><li>Collect, label, appropriately prepare and store lab samples according required laboratory specifications.</li><li>Ensure collection of lab specimens by appropriate lab courier.</li></ul> 

INFECTION CONTROL: 
<ul><li>Assists with facility QAI infection control audits.</li><li>Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices.</li><li>Reinforces new hire employee adherence to infection control Policies and Procedures</li><li>Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.</li><li>Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers, or bulletin boards.</li><li>Under the direction of the Education Dept. participates in education response to internal and external facility surveys.</li><li>Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law</li></ul> 

TRANSITIONAL CARE UNIT: 
<ul><li>Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care</li><li>Reinforces all education and care related matters as it relates to the new patient as allowed by state law</li><li>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.</li><li>Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.</li><li>Sets and preforms a treatment on all machines used in the transitional care unit.</li><li>Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.</li><li>Assists with coordination of transition to patient&rsquo;s modality choice.</li><li>Assists with supply ordering and inventory for TCU</li></ul> 

PHYSICAL DEMANDS AND WORKING CONDITIONS: 
<ul><li>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 accommodation may be made to enable individuals with disabilities to perform the essential functions.</li><li>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.</li><li>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.</li><li>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</li><li>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 &quot;material assist&rdquo; devices for the heavier items.</li></ul> 

EDUCATION AND LICENSES: 
<ul><li>High School diploma or its equivalent required</li><li>Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare (CMS)All appropriate state licensure, education, and training (if any) required.</li><li>Demonstrated commitment to organization culture, values, and customer service standards</li><li>Attendance and active participation in all applicable preceptor training programs as established by education leadership</li><li>Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager.</li></ul> 

EXPERIENCE AND REQUIRED SKILLS: 
<ul><li>At least five years patient care experience in a hospital setting or a related facility preferred.</li><li>Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.</li></ul></div></div></div>
EOE, disability/veterans</div>

Patient Care Technician - PCT III Preceptor - Dialysis

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