26 Healthcare Providers jobs in Raeford

#HealthyBlueCareTogetherCFSP

We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes.

North Carolina residency is required!

Sign-on Bonus - $2,500

LOCATION : North Carolina DSS Regions 1-5, and 6/7. You must live in the region for which you are applying.

HOURS : General business hours, Monday through Friday.

TRAVEL : Up to 20% travel within your assigned region may be required. When you are not in the field, you will work virtually from your home.

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Clinical Care Advisor (Special Programs Case Manager I) is responsible for providing consultation to the case for members with complex SUD/Recovery/BH needs for the Foster Care program. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health.

Primary duties may include, but are not limited to:

• May conduct assessments to identify individual needs.

• Contributes to the development of the comprehensive care plan to address objectives and goals as identified during assessment.

• Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed.

• Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.

• Evaluates social determinants of health to meet the needs of the member and makes recommendations to inform care planning.

• Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families.

• Builds meaningful partnerships with internal care management staff and families/stakeholders as needed.

• Addresses cultural and linguistic needs, in order to help members function better at home, in the community, and throughout life.

• Evaluates health needs and identifies applicable services and resources in conjunction with the member's care team.

• Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.

For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are :

• An active and current license as an LCSW, LCMHC, LMFT, or RN issued by the state of North Carolina.

• MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing 3 years of clinical experience with substance abuse/substance abuse disorder treatment.

• A minimum of 2 years of experience working with children, youth and families served by the child welfare system and/or familiarity with Systems of Care and the State agencies that are involved with their care.

Preferred Qualifications :

• LCAS or experience working in substance abuse treatment and recovery is highly preferred.

• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.

• Experience providing clinical education to members and stakeholders within the area of substance abuse/recovery.

• Knowledge of community-based recovery supports, outside of formal treatment, is very helpful.

We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.

#HealthyBlueCareTogetherCFSP

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

#HealthyBlueCareTogetherCFSP
_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes._
**North Carolina residency is required!**
**Sign-on Bonus - $2,500**
**LOCATION** **: North Carolina DSS Regions 1-5, and 6/7. You must live in the region for which you are applying.**
**HOURS** **: General business hours, Monday through Friday.**
**TRAVEL** **: Up to 20% travel within your assigned region may be required. When you are not in the field, you will work virtually from your home.**
_This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement._
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
The Clinical Care Advisor (Special Programs Case Manager I) is responsible for providing consultation to the case for members with complex SUD/Recovery/BH needs for the Foster Care program. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health.
Primary duties may include, but are not limited to:
+ May conduct assessments to identify individual needs.
+ Contributes to the development of the comprehensive care plan to address objectives and goals as identified during assessment.
+ Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed.
+ Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.
+ Evaluates social determinants of health to meet the needs of the member and makes recommendations to inform care planning.
+ Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families.
+ Builds meaningful partnerships with internal care management staff and families/stakeholders as needed.
+ Addresses cultural and linguistic needs, in order to help members function better at home, in the community, and throughout life.
+ Evaluates health needs and identifies applicable services and resources in conjunction with the member's care team.
+ Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.
**For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are** **:**
+ An active and current license as an LCSW, LCMHC, LMFT, or RN issued by the state of North Carolina.
+ MS/MA in social work, counseling, or a related behavioral health field, or a degree in nursing 3 years of clinical experience with substance abuse/substance abuse disorder treatment.
+ A minimum of 2 years of experience working with children, youth and families served by the child welfare system and/or familiarity with Systems of Care and the State agencies that are involved with their care.
**Preferred Qualifications** **:**
+ LCAS or experience working in substance abuse treatment and recovery is highly preferred.
+ Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
+ Experience providing clinical education to members and stakeholders within the area of substance abuse/recovery.
+ Knowledge of community-based recovery supports, outside of formal treatment, is very helpful.
**We are unable to accommodate LCSW-A, LCMHC-A or any other associate level licenses.**
#HealthyBlueCareTogetherCFSP
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Our client is seeking a dedicated and experienced Clinical Lead to oversee and manage their Community and Social Care services, specifically focusing on elderly care. This vital role involves leading a team of healthcare professionals to deliver high-quality, compassionate care to seniors within their community. The Clinical Lead will be responsible for the overall clinical governance, service development, and operational management of the care programs, ensuring adherence to the highest standards of patient safety and regulatory compliance. You will play a crucial part in developing personalized care plans, coordinating with families and other healthcare providers, and managing the day-to-day operations of the service. This position requires a strong understanding of geriatric care, chronic disease management, and the social determinants of health. The successful candidate will foster a supportive and professional environment for their team, promoting continuous professional development and a culture of excellence. Responsibilities include staff supervision, performance management, budget oversight, and ensuring all care activities meet or exceed best practices and legal requirements. You will also be involved in quality improvement initiatives, risk management, and service evaluation to ensure the best possible outcomes for clients. This is a hands-on leadership role, demanding excellent interpersonal skills, strong clinical judgment, and a genuine passion for improving the lives of the elderly. The role requires you to be present and actively engaged with the team and clients in **Raleigh, North Carolina, US**. The ideal candidate will have a current RN license or equivalent healthcare professional qualification, with significant post-registration experience in community care, particularly within geriatric settings. Proven leadership and management experience are essential, along with excellent communication, organizational, and problem-solving skills. A commitment to patient-centered care and a proactive approach to service delivery are key. If you are a passionate leader looking to make a significant difference in community elder care, we invite you to apply.

Key Responsibilities:

• Lead and manage a multidisciplinary care team.
• Ensure the delivery of high-quality clinical care to elderly clients.
• Develop and implement individualized care plans.
• Oversee clinical governance and regulatory compliance.
• Manage service budgets and resources effectively.
• Provide mentorship and professional development for staff.
• Liaise with families, healthcare professionals, and external agencies.
• Drive quality improvement and service innovation.
• Conduct regular case reviews and clinical audits.

Qualifications:

• Registered Nurse (RN) or equivalent healthcare qualification.
• Extensive experience in elderly care or community nursing.
• Proven leadership and team management skills.
• Strong knowledge of geriatric health and social care.
• Excellent communication and interpersonal abilities.
• Demonstrated experience in service development and quality improvement.
• Ability to work autonomously and make sound clinical decisions.
• Familiarity with relevant regulations and standards.

Our client, a highly respected provider of comprehensive community and social care services, is looking for a dedicated and experienced Clinical Lead for Geriatric Care Management to work in Raleigh, North Carolina, US . This leadership role is crucial in overseeing the delivery of high-quality, person-centered care for elderly individuals and their families. You will lead a team of care coordinators, social workers, and nurses, ensuring adherence to best practices, regulatory standards, and ethical guidelines. Key responsibilities include conducting comprehensive needs assessments, developing individualized care plans, coordinating services with healthcare providers and community resources, and providing ongoing support and guidance to clients and their caregivers. The ideal candidate will possess strong clinical judgment, excellent assessment skills, and a deep understanding of the challenges faced by older adults and their families.

As a Clinical Lead, you will also be responsible for staff supervision, training, and professional development. You will play a vital role in program development and quality improvement initiatives, aiming to enhance patient outcomes and satisfaction. This position requires exceptional communication and interpersonal skills, enabling you to build rapport with diverse client populations and effectively collaborate with multidisciplinary teams. You will manage caseloads, monitor client progress, and make necessary adjustments to care plans. The role involves managing crisis situations and providing emotional support. You will also be involved in outreach activities and building relationships with referral sources. This is a hybrid position, requiring regular on-site presence at our Raleigh, North Carolina, US facility for direct client interaction, team supervision, and essential in-person care coordination meetings, with flexibility for remote work for administrative tasks and documentation.

Qualifications:

• Master's degree in Social Work (MSW), Nursing (BSN), Gerontology, or a related field.
• Licensed or certified in North Carolina (e.g., LCSW, RN, GCM).
• Minimum of 5 years of experience in geriatric care management, social work, or a related healthcare setting.
• Proven leadership and supervisory experience.
• Extensive knowledge of aging-related health issues, community resources, and long-term care services.
• Strong assessment, care planning, and case management skills.
• Excellent communication, interpersonal, and crisis intervention skills.
• Proficiency in electronic health record (EHR) systems and other relevant software.
• Ability to work collaboratively with physicians, families, and other stakeholders.
• Commitment to upholding ethical standards and patient advocacy.

**PURPOSE** **AND** **SCOPE:**
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
**PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:**
**Patient Related**
Education:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Treatment:
+ Welcome assigned patients and inquire as to their wellbeing since their last treatment.
+ Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
+ Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient prior to discharge.
+ Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
+ Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
+ Monitors patients performing self-care under the supervision of RN.
**Staff Related**
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
Education/Communication:
+ Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
**RECORD KEEPING:**
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
**INFECTION CONTROL:**
+ Assists in collecting information for infection control audits.
+ Supports staff and patient Adherence to infection control practices.
+ Follows infection control Policies and Procedures
+ Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
**TRANSITIONAL CARE UNIT:**
+ Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
+ Reinforces all education and care related matters as it relates to the new patient as allowed by state law
+ Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
+ Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
+ Sets and preforms a treatment on all machines used in the transitional care unit.
+ Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
+ Assists with coordination of transition to patient's modality choice.
+ Assists with supply ordering and inventory for TCU
**PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
+ Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION** **AND** **LICENSES:**
+ HighSchooldiplomaorG.E.D. required.
+ Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
+ Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**

**PURPOSE AND SCOPE:**
Functions as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe and clean working environment within the home therapy program. Supports the organization's commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization's Quality Enhancement Goals (QEP).
**All duties and responsibilities of the PCT I HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with and as permissible per state laws, regulations, and policies.**
**PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES (Not Home Assist):**
+ Reinforces home hemodialysis (HHD) and/or peritoneal dialysis (PD) training as permitted by law.
+ Identifies and welcomes patients, obtains vital signs, weights, and gathers information needed to complete the Clinic Visit Intake form.
+ Builds and maintains strong communication and collaboration processes and rapport with patients, care partners, the HT RN, direct and non-direct patient care staff, providers, and other team members.
+ Obtains treatment records from patients and/or systems, reviews for completion, and reports missing or abnormal data to the HT RN.
+ Assists with electronic home treatment/medication/oral nutritional supplement reconciliation and reports missing data/orders to the HT RN.
+ May assist HT RNs with home visits.
+ Provides home support as applicable and permissible.
+ Prepares supplies for the collection of prescribed laboratory testing and prepares specimens for shipping.
+ Assists with the tracking and shipping of transplant-related laboratory specimens and reinforces transplant education.
+ Completes opening/closing daily chores and documents as appropriate.
+ Disinfects dialysis machines, chairs, tables, and other equipment in between patient visits, and routinely.
+ Prepares the exam/training room for home dialysis training, treatment, or other visits.
+ Stocks exam, training, treatment, and storage rooms with supplies.
+ Develops or follows a process for the management of supplies to maximize use and minimize waste.
+ Schedules patient appointments and contacts patients/caregivers regarding dates, times, and reminders.
+ Supports patient registration and use of connected health.
+ Assists patients and care partners with supplies/inventory ordering and management.
+ Maintains logs and tracking.
+ May order and track clinic/office supplies, as directed.
+ Participates in medical records, infection control, and other audit processes as directed.
+ Actively collaborates with others during staff huddles or meetings.
+ Helps collect required documentation for patient admission, prepares and maintains the electronic and/or hard-copy patient chart, as directed.
+ Performs other clerical duties, as assigned (answering phones, faxing, email, provider office contact, etc.).
**Home Hemodialysis**
+ Reinforces HHD training.
+ Sets up, tears down, programs, tests, and disinfects the HHD machine, as directed.
+ Troubleshoots HHD Machinery/tools and connectivity issues.
+ Prepares dialysate for use, as directed.
+ Prepares dialysis supplies for HHD treatment according to standing/provider orders.
+ Evaluates the dialysis access before treatment, documents all findings in the medical record, and reports abnormal findings to the HT RN.
+ Initiates HHD treatment, while monitoring and documenting patient status, vital signs, and machine data in the treatment record.
+ Performs and documents safety checks during treatment at intervals designated by CMS and facility policy.
+ Reports observed significant changes in patient status during treatment to the HT RN, and documents in the medical record.
+ Provides interventions during treatment in response to interdialytic events, and documents in the medical record, as directed and permissible.
+ Obtains pre-treatment termination vitals and documents in the treatment record.
+ Ensures hemostasis of the patient dialysis access is achieved before leaving the treatment area.
+ Collects and documents post-treatment vitals in the treatment record and reports to the HT RN.
+ Assists with quarterly, semi-annual, and annual water and dialysate testing as directed.
+ Other duties, as assigned.
**Peritoneal Dialysis**
+ Reinforces PD training.
+ Troubleshoots PD cycler, modem, and connectivity issues.
+ Performs phlebotomy to obtain prescribed laboratory testing, as directed (must meet state and/or competency requirements to perform).
+ Sets up PD cycler and prepares and warms PD solutions, as directed.
+ Assists with exit site care, as directed.
+ May help with tracking of PD equipment.
+ Other duties, as assigned.
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
+ Employees are required to take Ishihara's Color Blindness test as a condition of employment. Note: failing the Ishihara Test for Color Blindness does not preclude employment. The company will consider whether reasonable accommodations can be made.
+ Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The
position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit, and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May
be exposed to infectious and contagious diseases/materials
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayassist.This positionrequiresfrequent,prolongedperiods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment,exertingupto15poundsofforce.Theemployeemayberequiredtoliftandlowersolutionsfrequentlyof up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for heavier items.
**EDUCATION** **AND** **LICENSES:**
+ High School diploma or G.E.D. required.
+ Must meet Centers for Medicaid and Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
+ All appropriate state licensure, education, and training (if any) required.
+ Demonstrated commitment to organizational mission, culture, core values, and customer service standards.
**EXPERIENCE AND REQUIRED** **SKILLS** **:**
+ Previouspatientcareexperienceinahospitalsettingorarelatedfacilitypreferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**

**PURPOSE** **AND** **SCOPE:**
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
**PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:**
**Patient Related**
Education:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Treatment:
+ Welcome assigned patients and inquire as to their wellbeing since their last treatment.
+ Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state Law.
+ Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient prior to discharge.
+ Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
+ Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
+ Monitors patients performing self-care under the supervision of RN
**Staff Related**
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
+ Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education regarding all ESRD regulatory and legal requirements and the practice of Continuous Quality Improvement.
+ Provides developmental support to applicable clinical and facility staff.
Education/Communication:
+ Participates in implementing educational programs for PCT staff including contests and other team-based programs.
+ Assists in monitoring processes in the delivery of patient care through regular Continuous Quality Improvement (CQI) activities.
+ Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
**RECORD KEEPING:**
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
**INFECTION CONTROL:**
+ Assists in collecting information for infection control audits.
+ Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee monitors staff and patient adherence to infection control practices.
+ Reinforces new hire employee adherence to infection control Policies and Procedures
+ Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice.
+ Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law
**TRANSITIONAL CARE UNIT:**
+ Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
+ Reinforces all education and care related matters as it relates to the new patient as allowed by state law
+ Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
+ Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
+ Sets and preforms a treatment on all machines used in the transitional care unit.
+ Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
+ Assists with coordination of transition to patient's modality choice.
+ Assists with supply ordering and inventory for TCU
**PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
+ Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION** **AND** **LICENSES:**
+ HighSchooldiplomaorG.E.D. required.
+ Must have a valid PCT national certification or state specific certification as defined by Center for Medicaid/Medicare Services (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ At least two years previous patient care experience in a hospital setting or a related facility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**ACKNOWLEDGEMENT:**
I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.
Employee Name (Please Print)
Employee Signature
Date
**ADDENDUM:**
**Home Therapies Program (Not Home Assist)**
This list pertains to task performed in the Home Therapies program under the direct supervision of the Home Therapies registered nurse (HT RN) and in compliance with state law.
+ May assist HT RN on Home Visit as directed
+ Reinforces PD/HHD patient education under supervision of HT Registered Nurse as permitted under state law
+ Schedules and contacts patients regarding appointments
+ Weigh patient and obtain vital signs
+ Collect patient's treatment records and review for completion. Notify RN of incomplete / missing records.
+ Cleaning and prepping treatment room; preparing charts prior to clinic visit
+ Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
+ Clerical duties as assigned (faxing, mailing to physician offices etc.)
+ Set-up of the home hemodialysis machine and PD Cycler
+ Assist with exit site care when directed by HT RN
+ Obtain home hemodialysis water and dialysate samples and process for testing as directed by HT RN
+ Perform water dialysate collection and processing for testing as directed by the HT RN
+ Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
+ Prepare initial patient chart for admission. Complies and maintains medical records according to company policy and procedure and in compliance with all appropriate regulatory requirements
+ Maintains logs as directed and applicable
+ Support patient registration and use of connected health
+ Provide patient home support as indicated and permissible under state law and applicable regulations
Inventory of Home Program
+ Maintains par levels of home department supplies
+ Files home patient packing slips/invoices
Inventory for Patients
+ Assists patient with supply management and contacting customer service
**EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Patient Related

Education:

• Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.

Treatment:

• Welcome assigned patients and inquire as to their wellbeing since their last treatment.
• Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
• Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
• Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).   
• Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
• Monitor patients’ response to dialysis therapy. 
• Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
• Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
• Obtain Hemostasis and apply appropriate dressings.   
• Evaluate the patient prior to discharge.
• Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification   
• Responsible for calculating and entry of individual patients’ dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.   
• Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.   
• Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification   
• Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.   
• Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.   
• Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.  
• Perform and document any intervention for unusual patient status and document patients' response to intervention.
• Evaluate patients’ vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
• Obtain all prescribed laboratory testing and prepare specimens for collection.   
• Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.   
• Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.   
• Monitors patients performing self-care under the supervision of RN.

Staff Related

• Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.

Education/Communication:

• Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices

• Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
• Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
• Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
• Initiate Solution Delivery System (SDS) system.

RECORD KEEPING:

• Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
• Enters all treatment data into the designated clinical application in an accurate and timely manner.
• Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure

omitted entries are completed or corrected by appropriate staff.

• Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.   
• Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.   
• Collect, label, appropriately prepare and store lab samples according required laboratory specifications.   
• Ensure collection of lab specimens by appropriate lab courier.

   

INFECTION CONTROL:

• Assists in collecting  information for infection control audits.   
• Supports staff and patient Adherence to infection control practices.   
• Follows infection control Policies and Procedures   
• Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.

   

TRANSITIONAL CARE UNIT:

• Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care   
• Reinforces all education and care related matters as it relates to the new patient as allowed by state law
• Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.   
• Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.   
• Sets and preforms a treatment on all machines used in the transitional care unit.
• Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
• Assists with coordination of transition to patient’s modality choice.   
• Assists with supply ordering and inventory for TCU   

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee

encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable

individuals with disabilities to perform the essential functions.

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable

accommodations can be made.

• Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials  
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.
• Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organization culture, values, and customer service standards

EXPERIENCE AND REQUIRED SKILLS :

• Previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

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

EOE, disability/veterans

PURPOSE AND SCOPE:

Functions as part of the dialysis health care team in providing safe and effective home dialysis therapy and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists in the setup of home dialysis equipment and the maintenance of a safe and clean working environment within the home therapy program. Supports the organization's commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction, and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization's Quality Enhancement Goals (QEP).

All duties and responsibilities of the PCT I HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with and as permissible per state laws, regulations, and policies.

PRINCIPAL DUTIES AND RESPONSIBILITIES (Not Home Assist):

• Reinforces home hemodialysis (HHD) and/or peritoneal dialysis (PD) training as permitted by law.
• Identifies and welcomes patients, obtains vital signs, weights, and gathers information needed to complete the Clinic Visit Intake form.
• Builds and maintains strong communication and collaboration processes and rapport with patients, care partners, the HT RN, direct and non-direct patient care staff, providers, and other team members.
• Obtains treatment records from patients and/or systems, reviews for completion, and reports missing or abnormal data to the HT RN.
• Assists with electronic home treatment/medication/oral nutritional supplement reconciliation and reports missing data/orders to the HT RN.
• May assist HT RNs with home visits.
• Provides home support as applicable and permissible.
• Prepares supplies for the collection of prescribed laboratory testing and prepares specimens for shipping.
• Assists with the tracking and shipping of transplant-related laboratory specimens and reinforces transplant education.
• Completes opening/closing daily chores and documents as appropriate.
• Disinfects dialysis machines, chairs, tables, and other equipment in between patient visits, and routinely.
• Prepares the exam/training room for home dialysis training, treatment, or other visits.
• Stocks exam, training, treatment, and storage rooms with supplies.
• Develops or follows a process for the management of supplies to maximize use and minimize waste.
• Schedules patient appointments and contacts patients/caregivers regarding dates, times, and reminders.
• Supports patient registration and use of connected health.
• Assists patients and care partners with supplies/inventory ordering and management.
• Maintains logs and tracking.
• May order and track clinic/office supplies, as directed.
• Participates in medical records, infection control, and other audit processes as directed.
• Actively collaborates with others during staff huddles or meetings.
• Helps collect required documentation for patient admission, prepares and maintains the electronic and/or hard-copy patient chart, as directed.
• Performs other clerical duties, as assigned (answering phones, faxing, email, provider office contact, etc.).

Home Hemodialysis

• Reinforces HHD training. 

• Sets up, tears down, programs, tests, and disinfects the HHD machine, as directed.
• Troubleshoots HHD Machinery/tools and connectivity issues.
• Prepares dialysate for use, as directed.

• Prepares dialysis supplies for HHD treatment according to standing/provider orders.
• Evaluates the dialysis access before treatment, documents all findings in the medical record, and reports abnormal findings to the HT RN.
• Initiates HHD treatment, while monitoring and documenting patient status, vital signs, and machine data in the treatment record.
• Performs and documents safety checks during treatment at intervals designated by CMS and facility policy.
• Reports observed significant changes in patient status during treatment to the HT RN, and documents in the medical record.
• Provides interventions during treatment in response to interdialytic events, and documents in the medical record, as directed and permissible.
• Obtains pre-treatment termination vitals and documents in the treatment record.
• Ensures hemostasis of the patient dialysis access is achieved before leaving the treatment area. 
• Collects and documents post-treatment vitals in the treatment record and reports to the HT RN.
• Assists with quarterly, semi-annual, and annual water and dialysate testing as directed.
• Other duties, as assigned.  

Peritoneal Dialysis

• Reinforces PD training.
• Troubleshoots PD cycler, modem, and connectivity issues.

• Performs phlebotomy to obtain prescribed laboratory testing, as directed (must meet state and/or competency requirements to perform).
• Sets up PD cycler and prepares and warms PD solutions, as directed.
• Assists with exit site care, as directed.
• May help with tracking of PD equipment.
• Other duties, as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
• Employees are required to take Ishihara's Color Blindness test as a condition of employment. Note: failing the Ishihara Test for Color Blindness does not preclude employment. The company will consider whether reasonable accommodations can be made.
• Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The

position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit, and Corporate meetings may be required.

• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May

be exposed to infectious and contagious diseases/materials

• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may assist. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and lower solutions frequently of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for heavier items.

EDUCATION AND LICENSES:

• High School diploma or G.E.D. required.
• Must meet Centers for Medicaid and Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
• All appropriate state licensure, education, and training (if any) required.
• Demonstrated commitment to organizational mission, culture, core values, and customer service standards.

EXPERIENCE AND REQUIRED SKILLS :

• Previous patient care experience in a hospital setting or a related facility preferred.
• Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.

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

EOE, disability/veterans