Outpatient Registered Nurse - RN

RN—Clinical About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PRINCIPAL DUTIES AND RESPONSIBILITIES: 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. As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record. Adjusts or modify the treatment plan as indicated and notify supervisor as needed. Provides initial and ongoing education to patient and family. Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness. Initiates or assist with emergency response measures. Ensures correct laboratory collection, processing, and shipping procedures are performed. Collaborates with the Interdisciplinary Team on the patient care plan. Ensures patient awareness related to transplant and treatment modality options. Completes CAP requirements to either maintain or advance within the program. Makes referrals to Social Worker and Registered Dietitian as appropriate. Ensures patient awareness related to transplant and treatment modality options. 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 SKILLS: Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. Experience as a Registered Nurse (preferred but not required). Chronic/acute hemodialysis experience (preferred but not required). Successfully pass the Ishihara Color Blind Test. 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. 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

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician’s orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse’s Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills – verbal and written. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Charge Registered Nurse - RN

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. Assists with implementing quality goals and develops facility specific action plans to achieve quality standards. Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives. Responsible for aggressively addressing and acting on adverse events and action thresholds. Ensures all Quality policies and procedures are communicated to and implemented by the facility staff. Maintains integrity of medical records and other administrative and operational records. Complies with all data collections and auditing activities. Maintains facility environmental integrity, including safety. PATIENT RELATED: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure. Ensures patients and patient's families are educated regarding post procedure care of vascular access. Acts as a resource for the staff to address patient concerns and questions. Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. Identifies and communicates patient related issues to the Facility Manager. Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician. Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations. PHYSICIANS: Ensures regular and effective communication with all physicians on an as needed basis. Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. Attends and participates in CQI meetings with physicians, reporting on assigned topics. Works with the physicians and staff to ensure possession of all necessary instruments and equipment. MAINTENANCE/TECHNICAL Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately. Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility. Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times. Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies. ADMINISTRATIVE: Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies. Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff. Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. Coordinates the collection and forwarding of all vendor invoices to the accounting department. Acts as the Facility Manager in the absence of the manager or at the direction of management. Ensure nurses' progress notes are accurate and complete. Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills. Complies with HIPPA policies and standards regarding patient information and medical records. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: May be responsible for the direct supervision of various levels of direct patient care staff. EDUCATION: Bachelor's Degree preferred; Advanced Degree desirable Graduate of an accredited School of Nursing (R.N.). Current appropriate state licensure and ACLS certification. EXPERIENCE AND REQUIRED SKILLS: 6 - 8 years' related experience. 3 years' supervisory or project/program management experience preferred. Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. Minimum of three years of Interventional Radiology, scrub experience preferred. Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. Good communication skills - verbal and written. Certified in CPR or successfully complete course in CPR certification Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Outpatient Registered Nurse - RN - Dialysis

PURPOSE AND SCOPE: The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 criteria or attained through advancement by the CAP RN 1. The CAP RN 2 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. As a member of the Chronic Kidney Disease (CKD) health care team the CAP RN 2 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 Clinical Manager and with the guidance from the Educator Preceptor or a CAP RN 2 3 4 or 5 for the first 3 months of employment. Required to complete CAP program requirements to either maintain the CAP RN 2 level or advance to CAP RN 3. 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 Clinical Manager or Physician as needed. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness. Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record. Initiates or assists with emergency response measures. Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. Promotes infection control equipment and environmental safety. Assesses collaborates and documents patient/family's basic learning needs including direct and ancillary patient care staff to provide initial and ongoing education to patients and family. Serves as a leader coach mentor and role model for new and incumbent employees by setting examples of appropriate behavior work habits and attitudes towards patients co-workers supervisors and the company at the facility and area level. May serve as a Preceptor to new employees. As a Preceptor fulfills the following: Demonstrates reinforces and encourages attitudes and actions which are consistent with FKC Mission and Core Values. Follows schedule established by the Education Department to ensure that information presented in class is applied in the clinical setting. Seeks opportunities for new employees and communicates progress to Clinical Manager. Provides feedback about new employee's progress to the CM and the Education Department using evaluation tools and direct communication. Completes all documentation in a timely manner. Maintains direct supervision of the new employee until the employee is released to work independently by the Education Department and CM. Encourages the new employee to function independently within the constraints of the training schedule and supplies positive feedback as well as suggestions to improve knowledge and skills. Performs essential functions of a Team Leader as assigned by the Clinical Manager or Charge Nurse Performs essential functions of a designated Nurse in charge as assigned by the Clinical Manager. Collaborates with the interdisciplinary team in the assessment and development of patient plans of care. 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. Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. Checks availability of adequate emergency equipment and supplies daily as assigned. Assists with medication tracking and inventory as assigned. Serves as a resource for health care team participates in staff training orientation of new staff as assigned. Participates in all required staff meetings as scheduled. Supports and promotes the FMCNA's mission vision values and customer service philosophy. Provides education to staff members regarding updates to policy and procedures as directed by Supervisor. Participates in education and quality improvement projects at the facility and area level as directed by Supervisor. 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 and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work computer work and interaction with patients facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of patient care technicians/LPNs as a Team Leader or designated Nurse in charge after the following: Successful completion of all FKC education and training requirements for new employees plus Must have a minimum of 3 months experience in chronic hemodialysis plus Achieve and maintain all CAP RN 2 level criteria. EDUCATION: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with 2 years or more of nephrology nursing experience within the last two years or BSN plus 1 year of nephrology nursing experience within the last two years. Chronic hemodialysis experience (preferred). Successful completion of FKC Education and Training requirements for new employees. Successful completion and maintenance of CPR BLS Certification. Meet all conditions of employment including Ishihara's Color Blindness Test. Successful completion of all annual required education/training/competencies. Successful completion of on-going training and education as assigned or required. The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $34.50 - $59 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Charge Registered Nurse - RN

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training. Provides nursing support to patients and staff. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools. Assists with implementing quality goals and develops facility specific action plans to achieve quality standards. Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives. Responsible for aggressively addressing and acting on adverse events and action thresholds. Ensures all Quality policies and procedures are communicated to and implemented by the facility staff. Maintains integrity of medical records and other administrative and operational records. Complies with all data collections and auditing activities. Maintains facility environmental integrity, including safety. PATIENT RELATED: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure. Ensures patients and patient's families are educated regarding post procedure care of vascular access. Acts as a resource for the staff to address patient concerns and questions. Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. Identifies and communicates patient related issues to the Facility Manager. Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician. Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations. PHYSICIANS: Ensures regular and effective communication with all physicians on an as needed basis. Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings. Attends and participates in CQI meetings with physicians, reporting on assigned topics. Works with the physicians and staff to ensure possession of all necessary instruments and equipment. MAINTENANCE/TECHNICAL Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately. Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility. Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times. Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies. ADMINISTRATIVE: Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies. Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff. Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. Coordinates the collection and forwarding of all vendor invoices to the accounting department. Acts as the Facility Manager in the absence of the manager or at the direction of management. Ensure nurses' progress notes are accurate and complete. Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills. Complies with HIPPA policies and standards regarding patient information and medical records. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: May be responsible for the direct supervision of various levels of direct patient care staff. EDUCATION: Bachelor's Degree preferred; Advanced Degree desirable Graduate of an accredited School of Nursing (R.N.). Current appropriate state licensure and ACLS certification. EXPERIENCE AND REQUIRED SKILLS: 6 - 8 years' related experience. 3 years' supervisory or project/program management experience preferred. Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. Minimum of three years of Interventional Radiology, scrub experience preferred. Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. Good communication skills - verbal and written. Certified in CPR or successfully complete course in CPR certification Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Director of Nursing - Azura Outpatient Surgery

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with organization policies, procedures and training. Provides nursing support to patients and staff. Assist with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: Responsible for supporting and driving Organization quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of Organization CQI tools. Accountable for outstanding quality of patient care, as defined by the organization quality goals, by working with the Vice President of Quality and other organization management to ensure that organization/ASC policies and procedures are followed. Responsible for aggressively addressing and acting on adverse events and action thresholds. Complies with all data collections and auditing activities and maintains integrity of medical records and other organization administrative and operational records. Supervises and directs facility staff in providing safe and effective vascular access procedures to patients in compliance with standards outlined in the facility policy and procedures manuals, as well as regulations set forth by the company, federal and state agencies. Assigns and delegates tasks to all direct patient care staff, including Staff RNs, Radiology Technologists, Front Desk Coordinator. Ensures adequate staffing through daily management of staff's schedule, including breaks. Assess daily patient needs and develop/distribute patient care assignments appropriately. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures and assist as necessary. Recommends and initiates disciplinary action in conjunction with the Facility Manager. Assists Facility Manager with staff performance evaluations. Participates in selection, orientation and training of staff as assigned. Performs and sets-up in-services regarding equipment, supplies and clinical for all staff. Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. Ensures patients and patient's families are educated regarding pre and post procedure care of vascular access. Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician. Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with company, federal, state and local regulations. Attends and participates in Governing Body and CQI meetings with physicians, assisting with meeting agenda and gathering of data/material for meetings and reporting on assigned topics. Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times through regular inspection of facility equipment and operation systems, reporting any malfunctions or maintenance issues. Ensures all blood spills are immediately addressed according to the organization Bloodborne Pathogen Control Policies. Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. Ensures medical records are accurate, complete and in compliance with organization policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. Acts as the Facility Manager in the absence of the manager or at the direction of organization management. Appointed Governing Body positions, takes on primary role of certain position or oversees staff delegated to positions. Complies with HIPPA policies and standards regarding patient information and medical records. Maintain CLIA license with Facility Administrator. Other duties as assigned, within the scope of practice and state regulations. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: Facility direct patient care staff (Staff RNs, LPNs, Radiology Technologist, Surgical , Front Desk Coordinator) EDUCATION: Graduate of an accredited School of Nursing (R.N.) Current appropriate state licensure and ACLS certification. ASC certification preferred EXPERIENCE AND REQUIRED SKILLS: Minimum of three years' experience preferred in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. Minimum of three years of Interventional Radiology, scrub experience preferred. Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. Good communication skills - verbal and written. Certified in BLS & ACLS successfully completed course certifications. EOE, disability/veterans

Outpatient Registered Nurse - RN

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members. How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. POSITION FEATURES: Madison Capitol clinic address: 2840 Index Rd Fitchburg, WI 53713 Clinic hours: M/W/F 430am-930pm. Tuesday, Thursday, Saturday 430am-5pm. Closed Sundays, Thanksgiving, Christmas, & New Years Days! 10-12 hour rotating shifts, 4 days/week; rotating every other Saturday No previous dialysis experience needed; extensive PAID training is provided! 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. As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff. Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record. Adjusts or modify the treatment plan as indicated and notify supervisor as needed. Provides initial and ongoing education to patient and family. Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness. Initiates or assist with emergency response measures. Ensures correct laboratory collection, processing, and shipping procedures are performed. Collaborates with the Interdisciplinary Team on the patient care plan. Ensures patient awareness related to transplant and treatment modality options. Completes CAP requirements to either maintain or advance within the program. Makes referrals to Social Worker and Registered Dietitian as appropriate. Ensures patient awareness related to transplant and treatment modality options. 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 SKILLS: • Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable. • Experience as a Registered Nurse (preferred but not required). • Chronic/acute hemodialysis experience (preferred but not required). • Successfully pass the Ishihara Color Blind Test. 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Outpatient Registered Nurse - RN

2021 America's 'Most Loved Workplaces' by Newsweek For outpatient clinics NO: Overnight, Sundays or on-call shifts, major holidays off (Thanksgiving, Christmas & New Year’s Day) No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator 70,000 dedicated employees, 200,000 patients, 2,600 dialysis centers, 350 research sites across North America Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories Benefits & PTO accrual start after 30 days of employment Matching 401k up to 6%PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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 Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record Initiates or assists with emergency response measures. Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. Promotes infection control, equipment and environmental safety. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. 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. Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. Checks availability of adequate emergency equipment and supplies as assigned. Assists with medication tracking and inventory as assigned. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Participates in all required staff meetings as scheduled. Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. 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 and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: Successful completion of all FKC education and training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus Successful completion of 3 months experience in chronic hemodialysis. EDUCATION: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. Minimum of 9 months experience as a Registered Nurse (preferred). Chronic hemodialysis experience (preferred). Successful completion of FKC Education and Training requirements for new employees. Successful completion and maintenance of CPR BLS Certification. Meet all conditions of employment including Ishihara's Color Blindness Test. Successful completion of all annual required education/training/competencies. Successful completion of on-going training and education as assigned or required. 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

PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader in the provisionof chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigneddirect patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlinedin the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION: Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 9 months of nursing experience, plus 3 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. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Inpatient Pediatric Sterile Preparations Clinical Pharmacist (30 hours/week)

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. $10,000 Commitment Bonus for Newly Hired Team Members Location: Duke University Hospital; Inpatient Pediatric Pharmacy; Durham, NC Work Hours: 30 hours/week Rotating shifts (days and evenings) Work Peformed: Review and monitor patient's medication therapy and orders written by appropriate caregivers for safety and efficacy considering specific patient conditions and health status; advise patient care team of issues with, or possible enhancements to, patient's medication therapy and document such interventions. Prepare, label and dispense intravenous admixtures, sterile products, or nonsterile medications for patients in accordance with physicians' prescriptions; ensure compliance with Federal, State and local laws and regulations pertaining to the dispensing of drugs and narcotics and the maintenance of required records. Maintain appropriate records of dispensing and oversee and maintain the systems that charge or credit for medications and medication treatments. Provide drug information and educate caregivers, patients and students regarding medications and their proper use and monitoring. Oversee and monitor all aspects of the medication process; collect data and present reports and recommendations regarding issues with the medication systems. Ensure that appropriate medications are available for patients and properly procured, prepared, stored and maintained. Supervise the process and technical personnel who assist in preparation, maintenance and dispensing of drugs and supplies. Provide support, education and oversight for investigational medications for patients; provide information regarding their preparation, labeling and availability within the medication system; maintain appropriate and required records and documentation for investigational drugs. Provide specialized pharmaceutical services to improve drug usage and therapeutic outcomes including advising physicians on issues concerning drug therapy, the inherent toxicity of drugs and side effects, as well as assisting in the prescription of appropriate doses. Contributes to the education of students and pharmacy residents. Maintain liaison relationships with medical and nursing staff; provide timely information pertaining to pharmaceutical supplies, drug usage and compatibility, state and federal regulations regarding drug controls, and Joint Commission standards. Conduct and evaluate medication histories, assess compliance and suggest modifications so as to achieve desired outcomes; instruct patients in the proper use of prescribed drugs; participate in patient care rounds with multidisciplinary teams to evaluate patient progress. Individualize medication regimens using sound principles, accounting for pharmacodynamic and pharmacokinetic variations in drug absorption, distribution, metabolism and elimination with responsibility for establishing and continually improving the delivery of pharmaceutical care to patients within areas of direct responsibility and assisting others in the department with the same. Conduct and participate in research including, but not limited to, performing as the primary investigator or co-investigator for research programs which will impact on the delivery of quality care or examine the pharmacoeconomic impact of providing care to the patients in the Duke Health System. Perform other related duties incidental to the work described herein. Knowledge, Skills and Abilities Experience in aseptic technique and sterile compounding preferred Minimum Qualifications Education Doctor of Pharmacy Degree OR BS Pharmacy Degree Experience With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required. With Doctor of Pharmacy degree, no experience is required. Degrees, Licensures, Certifications Licensed Pharmacist or eligible to practice pharmacy in North Carolina Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Outpatient Registered Nurse - RN

This position will float between Saugus and Peabody America's 'Most Loved Workplaces' by Newsweek Major holidays off! No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator 70,000 dedicated employees, 200,000 patients, 2,600 dialysis centers, 350 research sites across North America Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories Up to $4,400 tuition reimbursement per calendar year PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 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. As a member of the Chronic Kidney Disease (CKD) health care team, the CAP RN 1 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 Clinical Manager (CM) and with the guidance from the Educator, Preceptor or a CAP RN 2, 3, 4 or 5 for the first 6 months of employment. Expected to complete requirements to advance to the next CAP level, for which they qualify, within 24 months from date of hire. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies Team Leader, Charge Nurse, Clinical Manager or Physician as needed. Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input. Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of chronic hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Ensures physician orders for assigned patients are entered and acknowledged in the Medical Record Initiates or assists with emergency response measures. Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians. Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures. Promotes infection control, equipment and environmental safety. Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. 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. Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling. Checks availability of adequate emergency equipment and supplies as assigned. Assists with medication tracking and inventory as assigned. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Participates in all required staff meetings as scheduled. Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy. 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 and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: Successful completion of all FKC education and training requirements for new employees plus Must have a minimum of 9 months experience as an RN plus Successful completion of 3 months experience in chronic hemodialysis. EDUCATION: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years. Minimum of 9 months experience as a Registered Nurse (preferred). Chronic hemodialysis experience (preferred). Successful completion of FKC Education and Training requirements for new employees. Successful completion and maintenance of CPR BLS Certification. Meet all conditions of employment including Ishihara's Color Blindness Test. Successful completion of all annual required education/training/competencies. Successful completion of on-going training and education as assigned or required. The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $33.00 - $56.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Phlebotomist I

Hourly Pay Range: $18.84 - $27.32 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Phlebotomist I Location: Swedish Hospital, Chicago & Patient Service Centers for both Cook County and Lake County sites Full Time/Part Time: Full Time and Part time status Hours: Monday-Friday, days shifts with varied start times & 2nd shift. E/O weekend and rotating holidays Required Travel: Yes for the Patient Service Center positions What you will do: Perform a variety of routine and special phlebotomy procedures as authorized by the Supervisor/Manager/Director Responsible for ordering tests into the Laboratory and Hospital computer systems and documenting Lab receipt of specimens Collect patient specimens in accordance with test requirements and in a manner which is appropriate for the age and/or specific patient population served Collect blood samples for specific tests ensuring volume is adequate and correct tubes are utilized What you will need: Education: High school diploma or GED preferred or equivalent work experience Certification: CPR-BLS certification for the Healthcare Provider -AHA required and PBT (ASCP) certification preferred Experience: Phlebotomy training experience strongly preferred Unique or Preferred Skills: Good communication and organization skills, moderate computer skills needed, reliable transportation to travel between sites required, strong customer service skills. Benefits: Premium pay for eligible employees Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org . When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( www.endeavorhealth.org ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.