PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: <ul><li>Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.</li><li>Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.</li><li>Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.</li><li>Participate in patient care plan meetings.</li><li>Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.</li><li>Train and orient staff as necessary.</li><li>Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.</li><li>Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.</li><li>Maintain overall shift operation in a safe, efficient, and effective matter.</li><li>With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.</li><li>Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.</li><li>Supervise all documentation of patient information.</li><li>Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.</li><li>Assess daily patient care needs and develop and distribute patient care assignments appropriately.</li><li>Assume primary responsibility in an emergency situation.</li><li>Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.</li><li>Monitor and supervise all patient care activity during dialysis and assist as necessary.</li><li>Collaborate with direct patient care team in making decisions to benefit patient care.</li><li>Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.</li><li>Administer medications to patients per physician's orders.</li><li>Act as the subject matter expert and as a resource for staff members.</li><li>Supervise and participate in completion of short and long term care plans.</li><li>Admit new patients according to facility procedure.</li><li>Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.</li><li>Supervise the safe and effective use of all equipment involved in direct patient care.</li><li>Operate all dialysis related and emergency equipment safely and efficiently when needed.</li><li>Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.</li><li>Complete Nurse's Technical Training Program/Water Quality Facility</li><li>Assist with special projects or other duties as assigned by the Facility Administrator</li><li>Assist with the interviewing of potential direct patient care staff</li><li>Promote efficient use of medical supplies.</li><li>Attend and participate in monthly Quality Assurance meetings.</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.<ul><li>Day to day work includes desk and personal computer work and i n teraction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.</li><li>The work environment is characteristic of a health care facility with air temperatu r e control and moderate noise levels. May b e exposed to infectious and con t agious diseases/materials.</li></ul></li><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 accommodation can be made.<ul><li>Travel to regional, Business Unit and Corporate meetings may be required.</li></ul> SUPERVISION: <ul><li> Direc t Patien t Car e Staff , War d Cler k a s assigned. </li></ul> EDUCATION : <ul><li>Graduate of an accredited school of Nursing (R.N.)</li><li>Must be registered and licensed to practice in the applicable State.</li></ul>EXPERIENCE AND REQUIRED SKILLS: <ul><li>Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.</li><li>Medical/surgical nursing preferred.</li><li>Supervisory or management experience preferred.</li><li>Certified in CPR or successfully complete course in CPR certification.</li></ul> <ul><li>Good communication skills - verbal and written.</li></ul> Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?VnwhPq%2b0dl4CTcosf8zVOAp" width="0" height="0" />

**Charge Nurse**

Supports FMCNA's mission, vision, core values, and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.

**Job Description**

- Provide day-to-day guidance, support, and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing, and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
- Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
- Approve or disapprove time or personnel schedule changes in the absence of the Facility Administrator ensuring compliance with applicable regulations, policies, and procedures for documenting time of work hours for staff members on assigned shift.
- Participate in patient care plan meetings.
- Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
- Train and orient staff as necessary.
- Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
- Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
- Maintain overall shift operation in a safe, efficient, and effective manner.
- With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
- Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
- Supervise all documentation of patient information.
- Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
- Assess daily patient care needs and develop and distribute patient care assignments appropriately.
- Assume primary responsibility in an emergency situation.
- Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
- Monitor and supervise all patient care activity during dialysis and assist as necessary.
- Collaborate with direct patient care team in making decisions to benefit patient care.
- Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
- Administer medications to patients per physician's orders.
- Act as the subject matter expert and as a resource for staff members.
- Supervise and participate in completion of short and long-term care plans.
- Admit new patients according to facility procedure.
- Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet, and medication.
- Supervise the safe and effective use of all equipment involved in direct patient care.
- Operate all dialysis-related and emergency equipment safely and efficiently when needed.
- Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
- Complete Nurse's Technical Training Program/Water Quality Facility.
- Assist with special projects or other duties as assigned by the Facility Administrator.
- Assist with the interviewing of potential direct patient care staff.
- Promote efficient use of medical supplies.
- Attend and participate in monthly Quality Assurance meetings.

**Requirements**

- Graduate of an accredited school of Nursing (R.N.)
- Must be registered and licensed to practice in the applicable State.
- Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
- Medical/surgical nursing preferred.
- Supervisory or management experience preferred.
- Certified in CPR or successfully complete course in CPR certification.
- Good communication skills - verbal and written.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

- Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

Travel to regional, Business Unit, and Corporate meetings may be required.

**Supervision**

Direct Patient Care Staff, Ward Clerk as assigned.

**Additional Information**

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans.

Clinical Coordinator - Charge Registered Nurse - Dialysis

Locums, Inc. is seeking a Psychiatrist for part-time Mental Health medical direction and patient care with a private clinic in Greensboro, NC. The setting is a family-oriented practice focused on helping those with substance abuse, anxiety, sleep disorders and affective disorders. Provider will be responsible for the direction of PMHNP on staff. Position can also include the role of prescription manager. Must have a valid North Carolina license. Further info about the Opportunity:- 8 hours per week, preferably split between Tuesdays and Thursdays in the role of medical director. 5-8 hours per week in the role of prescription manager. - No telemedicine all in person - Length of assignment: ASAP and ongoing no end date- Hourly compensation and Malpractice insurance covered- Patient Groups include full range of Adult, Geriatric, and Pediatric- Solo position No other Psychiatrist on staff during hours Requirements:- Active and unrestricted North Carolina State license- Active and unrestricted DEA- Board certification Psychiatrist - Must not be an excluded practitioner per Medicare OIG<img src="https://www.jobg8.com/Tracking.aspx?59dS%2b47%2blS4Tu1rbgJd5gQg" width="0" height="0" />

**Psychiatrist**

Locums, Inc. is seeking a Psychiatrist for part-time mental health medical direction and patient care with a private clinic in Greensboro, NC. The setting is a family-oriented practice focused on helping those with substance abuse, anxiety, sleep disorders, and affective disorders. The provider will be responsible for the direction of the PMHNP on staff. The position can also include the role of prescription manager. Must have a valid North Carolina license.

**Job Description**

- 8 hours per week, preferably split between Tuesdays and Thursdays in the role of medical director
- 5-8 hours per week in the role of prescription manager
- No telemedicine; all in-person
- Length of assignment: ASAP and ongoing with no end date
- Hourly compensation and malpractice insurance covered
- Patient groups include a full range of adult, geriatric, and pediatric
- Solo position; no other psychiatrist on staff during hours

**Requirements**

- Active and unrestricted North Carolina State license
- Active and unrestricted DEA
- Board certification as a psychiatrist
- Must not be an excluded practitioner per Medicare OIG

Physician / Psychiatry / North Carolina / Locum or Permanent / Psychiatrist / Family Clinic Mental Health / Part-time Medical Director Job

An employee health clinic located in Siler City, NC is in need of a nurse practitioner or physician assistant on a full-time basis. You would work in-person, on-site at a food manufacturing plant to assist employees and their dependents. Apply here today! Call or text Monica at (with your name) or email an updated resume to for immediate consideration. Details: <ul><li>Setting: Employee Health Clinic located at a Food Manufacturing Plant in Siler City, NC<ul><li>Patient ages: 2 and up (mostly adult patients, children are rare)</li><li>primary care and some occupational health (work-related injuries)</li><li>14-16 patients per day</li><li>Medical assistant, receptionist, and office manager on-site for support</li></ul></li><li>Schedule: Mon-Fri, full-time day position </li></ul>Required: <ul><li>Minimum 1 full year of primary care experience</li><li>Active North Carolina license</li><li>Active DEA</li><li>Current BLS</li></ul>Compensation: <ul><li>Receive a paycheck every Friday</li><li>Benefits available (medical, dental, vision, etc)</li><li>100% of malpractice insurance covered</li></ul><img src="https://www.jobg8.com/Tracking.aspx?6UU%2fFb9QOByKs465vrL3sgr" width="0" height="0" />

**Nurse Practitioner or Physician Assistant**

An employee health clinic located in Siler City, NC is in need of a nurse practitioner or physician assistant on a full-time basis. You would work in-person, on-site at a food manufacturing plant to assist employees and their dependents.

**Job Description**

- Setting: Employee Health Clinic located at a Food Manufacturing Plant in Siler City, NC
  - Patient ages: 2 and up (mostly adult patients, children are rare)
  - Primary care and some occupational health (work-related injuries)
  - 14-16 patients per day
  - Medical assistant, receptionist, and office manager on-site for support

- Schedule: Mon-Fri, full-time day position

**Requirements**

- Minimum 1 full year of primary care experience
- Active North Carolina license
- Active DEA
- Current BLS

**Benefits**

- Receive a paycheck every Friday
- Benefits available (medical, dental, vision, etc.)
- 100% of malpractice insurance covered

Urgent Care Nurse Practitioner

Surgery - Maxillofacial OpportunityGreensboro, NC more information on this Surgery - Maxillofacial opening and others like it through Metropolis, a Provider Engagement Platform that connects you with organizations in the top 100 Metropolitan areas. Metropolis sources physicians according to each organization's search parameters in a secure, hands-off environment where you can passively or actively evaluate available openings. Metropolis is designed to be user friendly, as it requires very little oversight, offers 24/7 updates on openings without being bombarded by recruiters, and can be easily accessed via laptop, smart phone, or smart device. Unlike traditional job boards, Metropolis offers a confidential experience for both the healthcare facilities and the candidatesMetropolis does not allow recruiting firms on the platform and only shares your information if an organization matches your specific preferences. Additionally, you have the ability to omit facilities you dont want to match with. Lastly, Metropolis operates off sincerity and integrity; job postings will never claim a job is located in the city when it is actually over an hour away.Im already set to interview! I really like Metropolis and love the direct connection to the organization! Jacksonville CandidateGo to the link below to get connected with Surgery - Maxillofacial openings!<img src="https://www.jobg8.com/Tracking.aspx?AhgjtEuAte8WFBDGpEvNewq" width="0" height="0" />

**Surgery - Maxillofacial Opportunity**

Join our dynamic team for a Surgery - Maxillofacial position in Greensboro, NC. This opportunity is part of Metropolis, a Provider Engagement Platform that connects you with organizations in the top 100 metropolitan areas.

**Job Description**

- Metropolis sources physicians according to each organization's search parameters in a secure, hands-off environment where you can passively or actively evaluate available openings.
- The platform is designed to be user-friendly, requiring very little oversight and offering 24/7 updates on openings without being bombarded by recruiters.
- Easily accessible via laptop, smartphone, or smart device.
- Unlike traditional job boards, Metropolis offers a confidential experience for both healthcare facilities and candidates.
- Metropolis does not allow recruiting firms on the platform and only shares your information if an organization matches your specific preferences.
- You have the ability to omit facilities you don't want to match with.
- Metropolis operates on sincerity and integrity; job postings will never claim a job is located in the city when it is actually over an hour away.

**Community Overview**

I’m already set to interview! I really like Metropolis and love the direct connection to the organization!

Physician / Surgery

Locums need for NP/PA in Greensboro, NC for Neurology. The need starts in December thru June. This is Monday- Friday 8am-4pm. Inpatient, schedule clinic hours only, with rounding, no call. Will consider candidates that need a license. Contact Antonio call/text or TYPE: Locums 1099LOCATION: Greensboro, NCSPECIALTY: Neurology JOB: 44457 DETAIL:Dates:12/6/2021-6/30/2022Shifts: Mon-Fri, 8-5pmAverage 16 ppd with physicianNo call, no surgeries or procedures REQUIREMENTS:1 year of experienceNC license- will consider candidates that need a licenseDEA is requiredCredentialing takes 30-60 days <img src="https://www.jobg8.com/Tracking.aspx?MGYbzvTzDRbwnu8DqqDr8Ar" width="0" height="0" />

**Neurology Nurse Practitioner/Physician Assistant**

Locums need for NP/PA in Greensboro, NC for Neurology. The need starts in December through June. This is Monday to Friday from 8 AM to 4 PM. Inpatient, schedule clinic hours only, with rounding, no call. Will consider candidates that need a license.

**Job Description**

- Type: Locums 1099
- Location: Greensboro, NC
- Specialty: Neurology
- Job: 44457
- Dates: 12/6/2021 - 6/30/2022
- Shifts: Monday to Friday, 8 AM - 5 PM
- Average 16 patients per day with physician
- No call, no surgeries or procedures

**Requirements**

- 1 year of experience
- NC license - will consider candidates that need a license
- DEA is required
- Credentialing takes 30-60 days

NP/PA Locums need in Greensboro, NC- Neurology

Locums, Inc. is seeking a Psychiatrist for part-time Mental Health medical direction and patient care with a private clinic in Greensboro, NC. The setting is a family-oriented practice focused on helping those with substance abuse, anxiety, sleep disorders and affective disorders. Provider will be responsible for the direction of PMHNP on staff. Position can also include the role of prescription manager. Must have a valid North Carolina license. Further info about the Opportunity:- 8 hours per week, preferably split between Tuesdays and Thursdays in the role of medical director. 5-8 hours per week in the role of prescription manager. - No telemedicine all in person - Length of assignment: ASAP and ongoing no end date- Hourly compensation and Malpractice insurance covered- Patient Groups include full range of Adult, Geriatric, and Pediatric- Solo position No other Psychiatrist on staff during hours Requirements:- Active and unrestricted North Carolina State license- Active and unrestricted DEA- Board certification Psychiatrist - Must not be an excluded practitioner per Medicare OIG<img src="https://www.jobg8.com/Tracking.aspx?HdE4rzf4ktS6h8O2eDQzQwo" width="0" height="0" />

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?BvI8EKHZMpjptUoMqKjE6gc" width="0" height="0" />

**Outpatient RN CAP 1**

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.

**Job Description**

- Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
- Perform ongoing, systematic collection and analysis of patient data pre-during-post hemodialysis treatment for assigned patients and document in the patient medical record, making adjustments or modifications to treatment plans as indicated and notifying Team Leader, Charge Nurse, Supervisor, or Physician as needed.
- Assess, collaborate, and document patient/family's basic learning needs to provide initial and ongoing education to patients and family.
- Direct and provide, 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.
- Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
- Initiate or assist with emergency response measures.
- Serve as a resource for the health care team, participate in staff training and orientation of new staff as assigned.
- Ensure correct laboratory collection, processing, and shipping procedures are performed and reschedule missed or insufficient laboratory collections.
- Identify expected outcomes, document and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensure patient awareness related to transplant and treatment modality options.
- Complete CAP requirements to advance.
- Perform all other duties as assigned by Supervisor.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

- The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing, and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

**Supervision**

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:

- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

**Education and Licensure**

- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.

**Experience and Required Skills**

- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?Ylh1TeHpP%2f2hE%2bdsK2dx%2fgt" width="0" height="0" />

**Outpatient RN CAP 1**

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.

**Job Description**

- Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
- Perform ongoing, systematic collection and analysis of patient data pre, during, and post hemodialysis treatment for assigned patients and document in the patient medical record, making adjustments or modifications to treatment plans as indicated and notifying Team Leader, Charge Nurse, Supervisor, or Physician as needed.
- Assess, collaborate, and document patient/family's basic learning needs to provide initial and ongoing education to patients and family.
- Direct and provide, 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.
- Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
- Initiate or assist with emergency response measures.
- Serve as a resource for the health care team, participating in staff training and orientation of new staff as assigned.
- Ensure correct laboratory collection, processing, and shipping procedures are performed and reschedule missed or insufficient laboratory collections.
- Identify expected outcomes, document, and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensure patient awareness related to transplant and treatment modality options.
- Complete CAP requirements to advance.
- Perform all other duties as assigned by Supervisor.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

- The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing, and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

**Supervision**

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:

- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

**Education and Licensure**

- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.

**Experience and Required Skills**

- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).

PRIMARY JOB DUTIES 1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care. 2. Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions. 3. Communicate with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Demonstrates positive interpersonal relations in dealing with all members of the agency. 6. Effectively demonstrates the mission, vision and values of the Agency on a daily basis. 1.0 45% QUALITY OF WORK 1.1 15% Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively carry out the Plan of Care for each patient as evidenced by: Assessing the patients' and family/caregivers' physical, psychosocial, bereavement, environmental, safety, and developmental needs. Implementing the Hospice Plan of Care as prescribed by the physician and in conjunction with the other members of the interdisciplinary group, and revising the Hospice Plan of Care as patients' needs change. Providing care to patients and families through the utilization of interventions and evaluation of outcomes of care. Managing all aspects of the patient's plan of care, based on the changing needs of the patient and family/caregiver, to anticipate, prevent, treat, and manage pain and other undesirable symptoms through ongoing communication of collected data and assessment findings, and collaborating with other interdisciplinary team members. Provide support, instruction, and education of the patient, family and other caregivers who participate in the care of the patient in relation to needs identified on the plan of care, including, but not limited to: disease process and progression, medications, pain, symptoms associated with disease, oxygen safety, hospice philosophy, and care of the terminally ill. 1.2 15% Effectively and efficiently assists in the care of hospice patients and assists in the coordination of care with the interdisciplinary team. Maintains open communication and coordination of care, acting as a liaison between hospice medical provider, patient/family, and hospice team. Performs ongoing assessment of the patient based on the Plan of Care and communicates findings to the Hospice Physician and other interdisciplinary team members as appropriate. Performs and reports assessment findings of the patient's pain and other undesirable symptoms to the Hospice Physician in a timely manner. Maintains an accurate and updated medical record, including all coordination of care notes, on-going assessments, communications with others involved in patient's care, and any other information pertinent to the care of the patient. Provides supervision of patients' assigned LPN and CNA, in accordance with Medicare guidelines and agency policy. Attends and participates in regularly scheduled interdisciplinary group meetings. Ensures that arrangements for equipment and other necessary items and services are available. Reports abuse and neglect in accordance with state laws and regulations as well as organization policy and procedure. 1.3 10% Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines. Documents nursing assessments, identified problems, measurable goals of care, and limitations to provision of care, care interventions, and response to care in the electronic medical record. Documents all patient related visits and phone calls within the EMR and ensures documentation is completed and synchronized after visit completion. Completes, maintains, and submits accurate and relevant notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. Documents all physician orders received within the EMR. Consults and collaborates with the hospice interdisciplinary team and others involved in the patient's care. Maintains close contact with the patient's family/caregiver to provide information, support, and continuity of care. Maintains collaborative relationships with long-term care facility personnel to support patient care and ensure quality symptom management. 1.4 5% Contributes to program effectiveness as evidenced by: Provides holistic, patient/family-centered care across treatment settings to ensure continuity of care and facilitate attainment of goals of care. Provides medication review and reconciliation of medication list within the EMR. Ensures medications necessary to ensure patient comfort are available. Maintains a high level of knowledge pertaining to the management of pain and symptoms in the dying process. Participates in the provision of 24/7 on-call nursing services. Assumes responsibility for personal growth and development and maintain and upgrade professional knowledge and practice skills through attendance and participation in continuing education and in-service classes and completion of required annual training. Actively participates in quality assessment performance improvement teams and activities. 2.0 30% EFFICIENCY AND EFFECTIVENESS: 2.1 20% Organizes and performs work effectively and efficiently as evidenced by: Scheduling self to reduce driving time and mileage and utilizing resources to prevent duplicate driving or trips by determining if others are in the area. Ordering only supplies that are needed and is conscientious of minimizing on-hand inventory. Ensuring Durable Medical Equipment (DME) is ordered in bulk to reduce delivery cost. Ensuring provision of medical supplies is limited to only what is needed in the home. Assessing and cleaning medical supply care boxes, bags, and electronic devices every month, maintaining appropriate documentation Practicing personal cost containment by responsible use of equipment, supplies, and resources. 2.2 10% Maintains and adjusts schedule to enhance team performance as evidenced by: Reporting to work on time and returning promptly from errands, breaks, and meals. Managing personal work schedule and time off to promote smooth agency operations. Assisting other team members to ensure completion of all work assignments. Demonstrating flexibility with changing workload/assignments. Does not exceed accrued PTO or qualified leave of absence(s). cannot exceed 3.0 25% TEAM WORK, MISSION, VISION, VALUES: 3.1 25% Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by: Responding to all customers in a courteous, sensitive and respectful manner. Demonstrating respect for team members. Managing stress and personal feelings without a negative impact on the team Working collaboratively and cooperating with other departments. Completing the review period without any formal disciplinary action. Presenting a clean and neat appearance in personal attire and one's work area. JOB SPECIFICATIONS 1. Education: Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor's Degree preferred. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients 7. Essential Mental Abilities: Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina 8. Essential Sensory Requirements: Keen observation skills. 9. Exposure to Hazards: May be exposed to virus, disease and infection from patients and specimens in working environment. 10. Other - Hours of Work: Monday - Friday, some on-call required in rotation, including weekends and holidays.<img src="https://www.jobg8.com/Tracking.aspx?NiQxCqyYaJ7VpjAKPc9Gdgi" width="0" height="0" />

**Registered Nurse - Hospice**

Join our dedicated team as a Registered Nurse in hospice care, where you will provide compassionate support to patients and their families during challenging times.

**Job Description**

- Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.
- Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.
- Communicate with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required.
- Work closely with other members of the interdisciplinary group (IDG) and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
- Demonstrate positive interpersonal relations in dealing with all members of the agency.
- Effectively demonstrate the mission, vision, and values of the agency on a daily basis.

**Requirements**

- Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered Nurse in the state; Bachelor's Degree preferred.
- Must have current Registered Nurse license in NC, NC driver's license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.
- Minimum of one year clinical experience required; hospice experience preferred.
- Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements.
- Ability to work independently as well as effectively as part of an interdisciplinary team.
- Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients.
- Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina.
- Keen observation skills.
- May be exposed to virus, disease, and infection from patients and specimens in working environment.

**Work Schedule**

Monday - Friday, some on-call required in rotation, including weekends and holidays.

Hospice Registered Nurse Case Manager

PRIMARY JOB DUTIES 1. Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care. 2. Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions. 3. Communicate with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required. 4. Work closely with other members of the IDG, and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care. 5. Demonstrates positive interpersonal relations in dealing with all members of the agency. 6. Effectively demonstrates the mission, vision and values of the Agency on a daily basis. JOB SPECIFICATIONS 1. Education: Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered nurse in the state; Bachelor's Degree preferred. 2. Licensure / Certifications: Must have current Registered Nurse license in NC, NC drivers license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification. 3. Experience: Minimum of one years' clinical experience required; hospice experience preferred. 4. Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc. 5. Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team. 6. Essential Physical Requirements: Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients 7. Essential Mental Abilities: Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina 8. Essential Sensory Requirements: Keen observation skills. 9. Exposure to Hazards: May be exposed to virus, disease and infection from patients and specimens in working environment. 10. Other - Hours of Work: Monday - Friday, with on-call and holidays as needed.<img src="https://www.jobg8.com/Tracking.aspx?hCTQku8x9FqS7X1l%2blayUgl" width="0" height="0" />

**Registered Nurse**

Join our dedicated team as a Registered Nurse, where you will play a vital role in providing compassionate care to patients and their families. This position offers the opportunity to work collaboratively within a hospice interdisciplinary team to ensure the highest quality of care.

**Job Description**

- Complete the initial, comprehensive, and ongoing assessment of patient and family/caregiver needs and provide direct or supervised nursing services based on a developed plan of care.
- Develop an individualized plan of care, in collaboration with the hospice interdisciplinary team, patient, and family, based on assessment, identification of needs, and patient and family/caregiver goals and preferences. Incorporate palliative nursing interventions.
- Communicate with the physician (Attending and Hospice) regarding the patient's needs, response to treatment, and changes in the patient's condition; obtain/receive physician orders as required.
- Work closely with other members of the interdisciplinary group (IDG), and in cooperation with family/caregiver to provide holistic physical, psychosocial, emotional, and spiritual services, including bereavement support to the patient and family to achieve the highest quality of care.
- Demonstrate positive interpersonal relations in dealing with all members of the agency.
- Effectively demonstrate the mission, vision, and values of the agency on a daily basis.

**Requirements**

- Education: Graduate of NLN accredited school of nursing and current license to practice professional nursing as a Registered Nurse in the state; Bachelor's Degree preferred.
- Licensure/Certifications: Must have current Registered Nurse license in NC, NC driver's license with an automobile that is insured in accordance with state or organization, and a current American Heart Association CPR certification.
- Experience: Minimum of one year clinical experience required; hospice experience preferred.
- Essential Technical/Motor Skills: Working knowledge of Word, E-mail, typing of 30 wpm, basic technical or medical knowledge of home health billing requirements. Advanced customer service skills to respond with simple answers, etc.
- Interpersonal Skills: Ability to work independently as well as effectively as part of an interdisciplinary team.
- Essential Physical Requirements: Intermittent physical activity including walking, standing, sitting, lifting, and supporting patients.
- Essential Mental Abilities: Ability to concentrate with large volumes of paperwork and data entry, handle pressure of deadlines, good judgment, ability to organize and prioritize workload independently. Emotional/mental stability and stamina.
- Essential Sensory Requirements: Keen observation skills.
- Exposure to Hazards: May be exposed to virus, disease, and infection from patients and specimens in working environment.
- Other: Hours of work are Monday - Friday, with on-call and holidays as needed.