77,459 Home Therapy jobs in the United States

ABOUT THE ROLE
The Home Therapy RN will initiate the PRACTICE of a SHC coordinator of patient care, collaborating with other care providers and health team members to provide required care. The Home Therapy RN acts as a patient teacher and advocate, assisting the patient in seeking information, assuring the patient has the opportunity for informed consent for treatment decisions, and promotes the maximum level of patient-desired independence.

The Home Therapy RN identifies professional role development activities including continuing education, quality assessment and improvement, and the review and clinical application of research findings. The RN identifies ethically sound practices and confronts ethical challenges with minimal assistance from a mentor.

Will perform home visits to determine that the home environment is suitable for patient dialyzing at home and whether or not the home will be a safe and appropriate setting in compliance with CMS regulations.

WHAT WE EXPECT OF YOU

You will play a vital role to ensure that we deliver on our Mission to make life better for those with kidney disease and our Vision to be unsurpassed in our individualized experience, our quality, and our compassion. You approach your work with an indisputable sense of greater purpose. Lastly, you are high energy, seek out opportunities to improve the environment for patients and staff, are goal-oriented, and gain deep satisfaction from building relationships.

WHAT YOU WILL GAIN
Relationships: You will work directly with a multi-disciplinary team that is as passionate as you in making a difference in others' lives. You will become a servant leader, bringing up your team to provide care that is unsurpassed by others in our industry.

Impact: You will set the tone that enables our patients to live a better life and address their needs holistically. You will make a difference for our patients so that they do dialysis to live instead of living for dialysis.

Growth: You will have formal and informal opportunities for professional growth in a supportive environment. You will become a subject-matter expert and have a wide range of opportunities for career advancement.

MINIMUM QUALIFICATIONS

Experience:

• One (1) year of registered nurse experience.
• One (1) year of experience as a Nephrology Nurse with dialysis experience required; in peritoneal dialysis, home hemodialysis, or a combination of both.

Education :

• Graduation from an accredited nursing school or equivalent

License/Certification :

• Current, active, unencumbered state RN licensure
• Current Healthcare Provider certification (CPR) required

Minimum Knowledge, Skills & Abilities :

• Competent and in-depth knowledge regarding the use of Electronic Health Records
• Ability to organize, prioritize and complete projects independently
• Valid state driver's license and reliable transportation for home visits

PURPOSE AND SCOPE:

The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

· Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.

· Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.

· Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.

· Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.

· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.

· Initiates or assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

· Ensures patient awareness related to transplant and treatment modality options.

· Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.

· Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home.

· Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

· The position provides direct patient care that regularly involves heavy lifting, moving of equipment, 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.

· Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.

· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.

· The position may require travel to training sites, other facilities or patient homes.

· May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.

· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

SUPERVISION:

Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:

· Successful completion of all FKC education and training requirements for new employees.

· Must have a minimum of 12 months experience as a RN.

· Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification

· Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

· Minimum of 1-year experience as a Registered Nurse (preferred)

· Home dialysis therapy experience (preferred).

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.

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: $35 - $59

Non-Bonus Eligible Positions: include language below.

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.

Bonus Eligible Positions - include language below.

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 and potential for performance-based bonuses depending on company and individual performance.

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 Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP).

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Staff Related:

* Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.
* Rotates with other licensed staff to ensure adequate coverage.
* Participates in staff training and orientation of new staff as assigned.
* Participates in all required staff meetings as scheduled.

Quality:

* Provides outstanding quality of patient care, as defined by company quality goals and standards.
* Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
* Participates in all monthly CQI meetings.

Education:

* Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.
* Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.
* Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
* Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.
* Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.

Dialysis Treatment:

* Provides safe and effective delivery of home therapy support care to patients with ESRD.
* Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.
* Communicates patient related issues to the physician as needed.
* Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.
* Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.

Laboratory Related:

* Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
* Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.

General Duties:

* Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
* Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.

Maintenance/Technical:

* Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
* Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
* Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.

Medical Records & Documentation:

* Admits all new patients and documents as needed.
* Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.
* Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
* Completes all monthly and annual reporting as required by company policies and government regulations.

Other:

* Performs other related 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 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

* 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.

SUPERVISION:

* None

EDUCATION AND REQUIRED CREDENTIALS:

* Graduate of an accredited School of Nursing (R.N.)
* Current appropriate state licensure

EXPERIENCE AND SKILLS:

* Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.
* Minimum of one year dialysis experience preferred, peritoneal experience preferred.
* Successfully complete a training course in the theory and practice of dialysis therapies.
* Competent at operating all Home Therapies related equipment.
* Successfully complete CPR certification with maintenance as required.
* Icd-9 coding Training.
* Demonstrated teaching abilities.

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.

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: $37.00 - $63.00

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.

Primary Job Title:  Home Therapy Registered Nurse

Alternate/Related Job Titles:

• Home Dialysis RN

• Peritoneal Dialysis Nurse

• Home Hemodialysis Nurse

Location:  Wilmington, OH

Onsite Flexibility: Onsite

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Contract Details:

Contract Duration: 3 months
Start: 09/01/2025
End: 11/30/2025
 

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Job Summary:
The Home Therapy Registered Nurse is responsible for delivering and coordinating clinically competent care for patients undergoing home dialysis. This includes patient assessment, education, treatment planning, and therapy monitoring. The nurse supports patients across the continuum of care, ensuring compliance with clinical protocols, federal and state regulations, and company policies. The role plays a key part in improving patient outcomes through education, empowerment, and support for at-home treatment.

---

Key Responsibilities:

• Deliver patient care and training in accordance with home dialysis standards, under supervision or in collaboration with another RN.

• Collect, assess, and document dialysis-related data, making care adjustments as needed.

• Provide patient and family education on home dialysis procedures and safety.

• Administer medications and respond to emergencies as necessary.

• Serve as a clinical resource and participate in staff training and onboarding.

• Coordinate the correct lab collection and shipping processes.

• Support patients in exploring transplant and treatment options.

• Evaluate patients’ home environments and readiness for home dialysis.

• Lead formal training sessions for patients and caregivers on dialysis equipment and treatment procedures.

• Travel to training sites, patient homes, or other facilities as required.

• Participate in on-call rotations and flexible scheduling per program needs.

---

Required Experience:

• 1 year of nephrology nursing experience in the past 2 years

• Minimum 1 year of experience in home dialysis (peritoneal or hemodialysis)

• Graduate of an accredited school of nursing

• Active RN license in the state of Ohio

• Current CPR BLS certification

• 12 months of experience as a registered nurse required

• 3 months of experience in home dialysis required (for supervisory responsibilities)

Nice-to-Have Experience:

• Experience leading staff or teams in home therapy settings

• Exposure to peritoneal dialysis and hemodialysis in patient homes

• Knowledge of care coordination, emergency response, and equipment maintenance

---

Required Skills:

• Patient assessment and treatment planning

• Home dialysis training and education

• Regulatory compliance (FMC, FKC, CMS, OSHA)

Preferred Skills:

• Strong interpersonal and teaching abilities

• Familiarity with home dialysis equipment and troubleshooting

• Ability to travel to various care locations

• Documentation and EMR accuracy

• Patient safety and infection control practices

Additional Skills:

• Ability to lift/move equipment (up to 200 lbs with assistance)

• Standing/bending for prolonged periods

• Handling chemical/water solutions up to 30 lbs

• Color vision (Ishihara test required)

• Exposure to healthcare environments and contagious materials

---

Benefits:
Medical, Vision, and Dental Insurance Plans
401k Retirement Fund

---

About the Client:
A national healthcare provider specializing in kidney disease treatment and home dialysis services. The client delivers patient-centric care with a focus on education, empowerment, and home-based solutions for chronic kidney disease.

---

About GTT:
GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. As a Native American-owned, economically disadvantaged corporation, we highly value diverse and inclusive workplaces. Our clients are Fortune 500 banking, insurance, financial services, and technology companies, along with some of the nation’s largest life sciences, biotech, utility, and retail companies across the US and Canada. We look forward to helping you land your next great career opportunity!

25-24383: 

**PURPOSE AND SCOPE:**

Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP).

**PRINCIPAL DUTIES AND RESPONSIBILITIES:**

**Staff Related:**

+ Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.

+ Rotates with other licensed staff to ensure adequate coverage.

+ Participates in staff training and orientation of new staff as assigned.

+ Participates in all required staff meetings as scheduled.

**Quality:**

+ Provides outstanding quality of patient care, as defined by company quality goals and standards.

+ Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.

+ Participates in all monthly CQI meetings.

**Education:**

+ Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.

+ Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.

+ Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.

+ Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.

+ Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.

**Dialysis Treatment:**

+ Provides safe and effective delivery of home therapy support care to patients with ESRD.

+ Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.

+ Communicates patient related issues to the physician as needed.

+ Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.

+ Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.

**Laboratory Related:**

+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.

+ Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.

**General Duties:**

+ Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.

+ Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.

**Maintenance/Technical:**

+ Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.

+ Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.

+ Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.

**Medical Records & Documentation:**

+ Admits all new patients and documents as needed.

+ Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.

+ Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.

+ Completes all monthly and annual reporting as required by company policies and government regulations.

**Other:**

+ Performs other related 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 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

+ 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.

**SUPERVISION:**

+ None

**EDUCATION AND REQUIRED CREDENTIALS:**

+ Graduate of an accredited School of Nursing (R.N.)

+ Current appropriate state licensure

**EXPERIENCE AND SKILLS** **:**

+ Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.

+ Minimum of one year dialysis experience preferred, peritoneal experience preferred.

+ Successfully complete a training course in the theory and practice of dialysis therapies.

+ Competent at operating all Home Therapies related equipment.

+ Successfully complete CPR certification with maintenance as required.

+ Icd-9 coding Training.

+ Demonstrated teaching abilities.

**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.

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: $37.00 - $63.00

**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:

The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

* Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
* Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.
* Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
* Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.
* Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
* Initiates or assists with emergency response measures.
* Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
* Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
* Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
* Ensures patient awareness related to transplant and treatment modality options.
* Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.
* Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home.
* Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.
* Required to complete CAP requirements to advance.
* Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

* The position provides direct patient care that regularly involves heavy lifting, moving of equipment, 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.
* Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
* Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
* The position may require travel to training sites, other facilities or patient homes.
* May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.
* Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

SUPERVISION:

Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:

* Successful completion of all FKC education and training requirements for new employees.
* Must have a minimum of 12 months experience as a RN.
* Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.

EDUCATION and LICENSURE:

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

EXPERIENCE AND REQUIRED SKILLS:

* Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
* Minimum of 1-year experience as a Registered Nurse (preferred)
* Home dialysis therapy experience (preferred).

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.

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: $35 - $59

Non-Bonus Eligible Positions: include language below.

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.

Bonus Eligible Positions - include language below.

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 and potential for performance-based bonuses depending on company and individual performance.

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.

"

**PURPOSE AND SCOPE:**
Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company's commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company's Quality Enhancement Goals (QEP).
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
**Staff Related:**
+ Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.
+ Rotates with other licensed staff to ensure adequate coverage.
+ Participates in staff training and orientation of new staff as assigned.
+ Participates in all required staff meetings as scheduled.
**Quality:**
+ Provides outstanding quality of patient care, as defined by company quality goals and standards.
+ Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.
+ Participates in all monthly CQI meetings.
**Education:**
+ Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients' home environment.
+ Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.
+ Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.
+ Assesses patient and family readiness and ability to perform dialysis treatments at home and patients' home environment for suitability in the ongoing delivery of home dialysis therapy.
+ Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.
**Dialysis Treatment:**
+ Provides safe and effective delivery of home therapy support care to patients with ESRD.
+ Assesses patients' response to home dialysis treatment therapy by following predetermined protocols.
+ Communicates patient related issues to the physician as needed.
+ Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.
+ Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.
**Laboratory Related:**
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.
**General Duties:**
+ Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
+ Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.
**Maintenance/Technical:**
+ Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
+ Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.
+ Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.
**Medical Records & Documentation:**
+ Admits all new patients and documents as needed.
+ Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.
+ Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Completes all monthly and annual reporting as required by company policies and government regulations.
**Other:**
+ Performs other related 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 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
+ 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.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing (R.N.)
+ Current appropriate state licensure
**EXPERIENCE AND SKILLS** **:**
+ Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.
+ Minimum of one year dialysis experience preferred, peritoneal experience preferred.
+ Successfully complete a training course in the theory and practice of dialysis therapies.
+ Competent at operating all Home Therapies related equipment.
+ Successfully complete CPR certification with maintenance as required.
+ Icd-9 coding Training.
+ Demonstrated teaching abilities.
**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.
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: $37.00 - $63.00
**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:
The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
· Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.
· Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.
· Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.
· Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.
· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
· Initiates or assists with emergency response measures.
· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
· Ensures patient awareness related to transplant and treatment modality options.
· Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.
· Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home.
· Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.
· Required to complete CAP requirements to advance.
· Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
· The position provides direct patient care that regularly involves heavy lifting, moving of equipment, 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.
· Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.
· The position may require travel to training sites, other facilities or patient homes.
· May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above.
· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
SUPERVISION:
Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:
· Successful completion of all FKC education and training requirements for new employees.
· Must have a minimum of 12 months experience as a RN.
· Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.
EDUCATION and LICENSURE:
· Graduate of an accredited School of Nursing.
· Current appropriate state licensure.
· Current or successful completion of CPR BLS Certification
· Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
· Minimum of 1-year experience as a Registered Nurse (preferred)
· Home dialysis therapy experience (preferred).
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.
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: $35 - $59
Non-Bonus Eligible Positions: include language below.
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.
Bonus Eligible Positions - include language below.
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 and potential for performance-based bonuses depending on company and individual performance.
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:

The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

· Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse.

· Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed.

· Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.

· Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients.

· Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.

· Initiates or assists with emergency response measures.

· Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.

· Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

· Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

· Ensures patient awareness related to transplant and treatment modality options.

· Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners.

· Performs assessment and identifies barriers of the Home Dialysis candidate’s home environment and partner / family readiness and ability to perform dialysis treatments in the home.

· Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program.

· Required to complete CAP requirements to advance.

· Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

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

· The position provides direct patient care that regularly involves heavy lifting, moving of equipment, 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.

· Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.

· Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs.

· The position may require travel to training sites, other facilities or patient homes.

· May be asked to provide essential functions of this position in other locations including patient’s home with the same physical demands and working conditions as described above.

· Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

SUPERVISION:

Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following:

· Successful completion of all FKC education and training requirements for new employees.

· Must have a minimum of 12 months experience as a RN.

· Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis.

EDUCATION and LICENSURE:

· Graduate of an accredited School of Nursing.

· Current appropriate state licensure.

· Current or successful completion of CPR BLS Certification

· Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS:

· Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.

· Minimum of 1-year experience as a Registered Nurse (preferred)

· Home dialysis therapy experience (preferred).

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.

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: $35 - $59

Non-Bonus Eligible Positions: include language below.
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.

Bonus Eligible Positions – include language below.
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 and potential for performance-based bonuses depending on company and individual performance.

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