Urwah Admin

Fresenius Medical Care

<div><div>Home Therapies Program
Paid one on one training and education provided
 
Empower, engage and train dialysis patients on peritoneal and home hemodialysis using state of the art training programs and equipment
 
Primarily works in the clinic setting and conducts initial home visits with another staff member present
 
Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours
</div><div>PURPOSE AND SCOPE:
The registered professional nurse Home Therapies 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. Assesses and manages patients&rsquo; response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. 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 with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.</li><li>Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies 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 the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis 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>Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.</li><li>Performs assessment and identifies barriers of the Home Dialysis candidate&rsquo;s home environment and partner / family readiness and ability to perform dialysis treatments in the home.</li><li>Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.</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 equipment, 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>Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.</li><li>Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.</li><li>The position may require travel to training sites, other facilities or patient homes.</li><li>May be asked to provide essential functions of this position in other locations including patient&rsquo;s home with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.</li></ul>
SUPERVISION:
Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants 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 12 months experience as a RN.</li><li>Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.</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>Minimum of 1-year experience as a Registered Nurse (preferred)</li><li>Home dialysis therapy 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>

Registered Nurse - RN

<div>
 
 Registered Nurse - Renal Dialysis Unit
 
 
 
 Are you an NMC Registered Nurse seeking an exciting new opportunity to learn specialist skills in renal dialysis nursing?
 
 
 You may have NHS experience or have worked in the private care sector, but whatever your Nursing background, with the right attitude and aptitude we have an opportunity for you!
 
 
 What does the role involve?
 
 
 Being a Dialysis nurse requires commitment and passion along with the skills and competencies to juggle the technical nursing aspect whilst giving holistic care. You will be working autonomously, responsible for the assessment of care needs and the development, implementation and evaluation of care for dialysis patients with chronic kidney disease or acute kidney injury.
 
 
 Scarbrough Unit operates 10 haemodialysis stations, serving up to 40 patients.
 
 
 This is a full time role of 37.5 hours a week. Current days are working various shifts between 06.30am and 18.00pm Monday to Saturday.
 
 
 What can we offer you?
 
 
 Here at Fresenius Medical Care we provide excellent and continuous Training and Development throughout your career, supported by dedicated Clinical Teachers. On joining, you will enroll on our 8 week Fundamental Dialysis Programme, which is accredited by the European Dialysis and Transplant Nurses Association/European Renal Care Association. Thereafter, we continue to provide training and education opportunities which significantly exceed the CPD hours required for NMC revalidation, and help take your career to the next level.
 
 
 We offer a competitive salary UPTO &pound;34,750 - Progression through the pay scale will be underpinned by a Knowledge and Skills Framework (KSF) for each role, allowing employees greater career development potential, aligned to in-house training programmes.
 
 
 Alongside this we offer a wealth of other fantastic benefits listed below:
 
 
 
 <ul>
 <li>
 No Sunday or Night Shift Working
 </li>
 <li>
 Company Pension Scheme and Life Assurance
 </li>
 <li>
 33 Days Holiday (inclusive of 8 days bank holiday) increasing with service
 </li>
 <li>
 Christmas Day and New Year&rsquo;s Day off
 </li>
 <li>
 Overtime (time and a half after completing full-time hours &ndash; 150 hours every 4 weeks)
 </li>
 <li>
 Paid Breaks
 </li>
 <li>
 Uniform, Tea &amp; Coffee, Flu Vaccine and Christmas Meal
 </li>
 <li>
 Health Shield &ndash; Company paid Health Cash Plan
 </li>
 <li>
 Long Service Vouchers
 </li>
 <li>
 Refer a Friend Scheme (&pound;1000 per referral if successful)
 </li>
 <li>
 Sick Pay
 </li>
 <li>
 Cycle to Work Scheme
 </li>
 <li>
 Sponsorship for training where applicable for career development
 </li>
 <li>
 bhsf RISE - our Health and Wellbeing hub with 24/7 access to GP&rsquo;s and Counsellors
 </li>
 <li>
 Blue Light Card - discounts online and in-store
 
 
 
 </li>
 </ul>
 Who is Fresenius Medical Care?
 
 
 We are the leading provider of dialysis services to the NHS, operating 52 partnership dialysis units that together provide regular dialysis treatment to over 3,800 NHS patients in the UK. We are part of a global company treating over 344,000 patients worldwide across over 4,100 clinics.
 
 
 We also operate 42 production sites on all continents to provide dialysis products such as dialysis machines, dialysers and related disposables. 1 in every 2 of all dialysis machines used around the globe are manufactured by Fresenius Medical Care and we are the 3rd largest medical devices company in the world.
 
 
 For more information please visit Fresenius Medical Care&rsquo;s provider website: www.nephrocare.co.uk
 
 
 We are a growing and ambitious company who invests in talent and creates an environment where you can grow too. Come on our journey with us, see your skills develop and be rewarded for the exceptional care you give!
 
 
 Nurse posts will be subject to an enhanced DBS Disclosure
 
 
 Fresenius Medical Care is an equal opportunities employer
</div>

Staff Nurse

<div></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
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>Training Provided</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 - Training Provided

Patient Care Technican - PCT

<div><div>Position location: You will be able to work from your home location within the United States
Position-Specific Details
Leads the design, development, and implementation of innovative business solutions using the Microsoft Power Platform. This senior-level role is instrumental in transforming business processes through automation, enterprise data integration, and analytics, driving operational efficiency and enabling strategic decision-making across the organization
Key Responsibilities<ul><li>
Design, develop, and maintain scalable applications and automated workflows using Microsoft Power Apps and Power Automate</li><li>
Partner with business stakeholders to gather requirements and translate them into robust, enterprise-grade solutions</li><li>
Lead the development of Proof of Concepts (POCs) to demonstrate new capabilities and validate technical approaches</li><li>
Architect and implement data integration solutions across platforms, including Azure SQL, SharePoint Online, and external APIs</li><li>
Establish and enforce best practices for Power Platform governance, security, and performance optimization</li><li>
Implement and manage Application Lifecycle Management (ALM) using DevOps practices, including source control, CI/CD pipelines, and environment strategy</li><li>
Provide technical leadership and mentorship to junior developers and cross-functional teams</li></ul>
Required Skills &amp; Experience<ul><li>
Minimum of 5+ years of hands-on experience with Microsoft Power Platform (Power Apps, Power Automate), SharePoint Online, and low-code/no-code development tools</li><li>
Strong proficiency in SQL, data modeling, and working with Azure SQL Server environments</li><li>
Experience implementing Power Platform ALM practices, including CI/CD pipelines using Azure DevOps or similar tools</li><li>
Exposure to Azure services (e.g., Azure SQL, Logic Apps, Azure Functions) and cloud-based architecture principles</li><li>
Experience building dashboards and reports using Power BI is a plus</li><li>
Strong understanding of business process automation, workflow design, and system integration</li><li>
Excellent problem-solving skills, with the ability to lead initiatives independently in a fast-paced environment</li></ul></div><div>
PURPOSE AND SCOPE:
The Sr. Business Intelligence Analyst provides high level support with ongoing systems development and business intelligence activities within the assigned function(s). The incumbent is responsible for providing general analytical support of diverse financial system projects.
PRINCIPAL DUTIES AND RESPONSIBILITIES:<ul><li>
Utilizes knowledge and expertise of solutions design and implementation to support divisional efforts to enhance Business Intelligence systems and processes by monitoring performance and migrating data from outside systems.</li><li>
Interfaces with business leaders and end-users from corporate departments and business areas to scope, design, implement and manage the project to deliver Business Intelligence (BI) solutions to the business.</li><li>
Builds the business intelligence layer to deliver reporting and analytical tools to finance and business management.</li><li>
Details the business requirements gathering process, requirements definition, and approval.</li><li>
Formulates highly detailed BI solutions which can be practically implemented.</li><li>
Creates, manages and documents detailed project plans used to drive successful project completion.</li><li>
Collaborates with business leaders and end-users to identify areas to leverage Business Intelligence.</li><li>
Identifies and implements solutions to enhance the existing BI infrastructure processes and technology.</li><li>
Requires close interaction with the business groups and technical teams throughout the company such as Finance, Accounting, Operations, and Information Technology.</li><li>
Creates documentation to assist SAP BW developers and business users in designing &amp; effectively/efficiently utilizing the solutions developed.</li><li>
Creates and delivers training to corporate and division users on all BI applications (Business Objects, BW, IP, and BEx tools) as appropriate to the user level.</li><li>
Maintains appropriate documentation of verification of resolved queries as regulated per Sarbanes Oxley requirements to be transported into the BI production environment.</li><li>
Serves as a liaison between the FMS division and Corporate Information Systems (CIS) to manage the coordination of the configuration, the development of business processes, enhancements, and the stabilization of the SAP BI environment.</li><li>
Executes on all phases of implementation which include: planning, development, training, deployment, post-implementation support, and enhancement as it relates to SAP BI and business users.</li><li>
Researches and determines Best Business Practices to meet the goals and objectives of the business utilizing available operational and financial systems and company resources.</li><li>
Coordinates and verifies the updating of Navigation Attributes as they relate to Profit Centers in SAP BI environment utilizing FMS financial center personnel and available company resources.</li><li>
Responsible for delivering process improvements.</li><li>
Coordinates with the SAP Basis team and FMS Finance and Operations personnel regarding the assignment of data authorizations and SAP BI roles.</li><li>
Creates and maintains global variables, variants and structures for use in query design for FMS end users.</li><li>
Mentor other staff as applicable.</li><li>
Assist with various projects as assigned by a direct supervisor.</li><li>
Other duties as assigned.</li></ul>
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:<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></ul>
EDUCATION:
<ul><li>Bachelor of Science in Accounting or Finance. MBA or other advanced degree desirable but not required.</li></ul>
EXPERIENCE AND REQUIRED SKILLS:
<ul><li>5 - 8 years' experience in an analytical role preferably combining both finance and systems competency.</li><li>
Strong analytical skills and ability to interpret complex data.</li><li>
Requires understanding of requirements definition, data acquisition processes, data modeling, process automation, escalation procedures, construction and deployment</li><li>
Requires understanding of interfaces with other business systems.</li><li>
Expertise using Microsoft Excel required, Microsoft certified preferred</li><li>
Experience with Business Objects suite of applications</li><li>
SAP BEx Certified.</li><li>
Strong organizational skills and the ability to work under tight deadlines.</li><li>
Must be able to prioritize with the ability to work on numerous and multi-faceted projects at the same time.</li><li>
Excellent communications skills - verbal and written.</li></ul>
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</div>
EOE, disability/veterans</div>

Sr Business Intelligence Analyst (Microsoft Power Apps)

<div></div><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

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