19 Nurses jobs in Aibonito

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
** Candidate must reside in Puerto Rico and have Puerto Rico and Florida RN License**
At CVS Health, we believe we can change the world by improving patient lives, one call at a time. Our Telephonic Registered Nurses (RN) have patient contact in the uniqueness of a telephonic practice setting, where they are impacting lives across the country. You will continue to experience the reasons you became a nurse without having to be in a bedside patient care environment.
Working from home, you will be part of a specialized team on the cutting edge of patient care. Working collaboratively with health care professionals, you will provide a meaningful patient experience, while using your critical thinking skills to develop, implement, and evaluate comprehensive plans of care for multiple disease state patients. As a Telephonic Registered Nurse, you will a profound effect on the lives of the patients and caregivers via each outbound call, providing education and support for their new medication. Along with the Compliance and Persistency team, you are the continuity of care supporting defined patient populations through the use of our state-of-the-art telecommunications nursing outreach programs. To be successful in this Registered Nurse position, you must have excellent written and verbal customer service skills, as well as advanced computer skills in order to interact with patients.
Our Registered Nurses redefine the way health care is delivered every day. When you join our team, you'll play an integral role in educating patients with medication adherence and disease state training. As a national leader in the healthcare industry and a Fortune 7 company, we seek special RNs who not only possess strong clinical expertise with innovative ideas, but who have the deep compassion and sensitivity it takes to treat our patients.
This is a Monday thru Friday role. The work hours are 900-1730 AST for training and regular shift - (CST 8-4:30 spring/summer and 7-3:30 fall/winter)
These are set hours and this is a fulltime hourly position.
Required Qualifications:
-A Registered Nurse who resides in Puerto Rico and holds Puerto Rico and Florida Nursing Licenses.
-Must be fluent in Spanish and English.
A Registered Nurse must hold an unrestricted license in their state of residence, PR, and a license in Florida.
Many states' licensing bodies have their own requirements regarding the COVID-19 vaccines that apply to this role and are separate from the requirements of CVSHealth. A Registered Nurse must ensure that their vaccine or reasonable accommodation status meets state mandate requirements and complete any paperwork if necessary. 
-Candidate must be based in Puerto Rico for this requisition
-3+ years of clinical RN experience
-Experience using Microsoft Office, including Word, Excel and Outlook
COVID Vaccine Required :
N/A
COVID Requirements:
Preferred Qualifications:
-Previous Telephonic Nursing experience
-EPIC systems experience
-Bachelor's Degree preferred
-Licensure in multiple states preferred
Education:
RN Diploma, Associates or Bachelor's in nursing
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$26.01 - $56.14
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 08/29/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

**Your Future Evolves Here**
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
Job Description
The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures while complying with timeliness guidelines. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes for the Clients and Members we serve.
**Collaboration Opportunities:**
The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for collaboration include all-team and individual team meetings, Teams chats, and monthly communication on team metrics and accomplishments.
**What You Will Be Doing:**
+ Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures.
+ Documents communications with medical office staff and/or MD provider as required.
+ Interfaces with other departments to satisfactorily resolve issues related to appeals and retrospective reviews.
+ Provides optimum customer service through professional and accurate communication while maintaining accreditation and health plan's required timeframes.
+ Refers cases to appropriate internal reviewers according to the business needs of the particular health plan.
+ Reviews requests for Urgent appeals compared to expedited criteria for downgrade to Standard processing, documenting accordingly.
+ Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals.
+ Other duties as assigned.
**Qualifications Required and Preferred:**
+ 1-3 years' experience and as an RN - **Required**
+ Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required**
+ Able to work 10:30am to 7pm CST (which includes 30-minute unpaid lunch break) 3 days/week, to meet the business need of 2 nurses providing coverage until 7:00pm CST. Can negotiate flexing schedule on days when candidate has appointments/events before 7:00pm CST- 2 days/week 8-5 CST/EST or your time zone - **Required**
+ Must be able to exercise independent and sound judgment in clinical decision making. - **Preferred**
+ Able to navigate through internal and external computer systems. Working knowledge of Microsoft Office Product Suit - **Preferred**
+ Strong organizational and effective time management skills; demonstrated ability to manage multiple priorities. - **Preferred**
+ Outstanding interpersonal and negotiation skills to effectively establish positive relationships both internally and externally, including strong written and verbal communication skills. - **Preferred**
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $37-$42 /hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
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**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
+ Performs additional 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.
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND SKILLS** :
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**_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 hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
• Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
• Assesses daily patient care needs and develops appropriate patient care assignments.
• Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
• Participates in staff training and orientation of new staff as assigned
• Participates in all required staff meetings as scheduled.
• Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
• Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
• Discusses with patient, and records education related to diet/fluid and medication compliance.
• Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
• Ensures transplant awareness, modality awareness, and drive catheter reduction.
• Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
• Provides safe and effective delivery of care to patients with ESRD.
• Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
• Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
• Identifies and communicates patient related issues to Team Leader or physician.
• Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
• Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
• Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
• Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
• Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
• Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
• Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
• Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
• Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
• Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
• Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
• Ensures that all labs are directed and delivered to appropriate labs.
• Reports alert/panic and abnormal labs results to appropriate physician.
• Ensures lab results are forwarded to physicians as requested.
• Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
• Maintains overall shift operation in a safe, efficient, and effective manner.
• Act as a resource for other staff members.
• Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
• Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
• Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
• Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
• Oversees all documentation of patient information.
• Maintains facility drug list for all required stock medications.
• Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
• Ensures verification and availability of adequate emergency equipment.
• Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
• Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
• Maintains appropriate recording of controlled substances as required by law.
• Assists with the coordination of patient transportation if necessary.
• Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
• Ensures competency in the operation of all dialysis-related equipment safely and effectively.
• Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
• Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
• Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
• Ensures all appropriate patient related treatment data is entered into the Medical Information System.
• Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
• Ensures and verify accuracy of Patient Care Technician documentation.
• Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
• Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
• Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
• Completes monthly nurses' progress note.
• Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
• Reviews transplant status and follows established procedure regarding appropriate action to be taken.
• Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
• Completes any long-term programs that are due.
• Completes initial and annual Nursing History and Assessment physical.
• Ensures completion of Annual Standing Order Review with each physician as required.
• Performs additional 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.

• The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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.
• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

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

SUPERVISION:

• None

EDUCATION AND REQUIRED CREDENTIALS:

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND SKILLS :

• Minimum of one-year medical-surgical nursing experience preferred.
• Hemodialysis experience preferred.
• ICU experience preferred.
• Successfully complete a training course in the theory and practice of hemodialysis.
• Successfully complete CPR Certification.
• Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
• Provide coverage at any or all area facilities as required by management.
• Icd-9 coding Training.
• Nurses Technical Training.

• Must meet appropriate state requirements (if any).

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 Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The Inpatient RN will partner with the hospital to provide quality care to the patient and deliver care that provides a positive patient experience.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Under limited supervision, applies considerable knowledge to perform a broad range of tasks which include but are not limited to direct patient care in multiple modalities not limited to hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and Apheresis.
+ Provides supervision and direction of Patient Care Technicians and clerical staff; provides direction and education to ICU staff for CRRT.
+ Responsible for direct patient care of assigned patients in the Inpatient Renal Replacement and Apheresis Services setting and providing the appropriate treatment technique for assigned patients as prescribed in all modality procedures, as appropriately defined - hemodialysis, peritoneal, continuous renal replacement therapies, ultrafiltration, and Apheresis.
+ Assesses patients' responses to treatment therapy making appropriate adjustments and modifications to the treatment plan as indicated by the appropriately credentialed physician. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated.
+ Delivers safe, effective care in a timely an efficient manner.
+ Gives organized, concise shift reports for patients on assigned shifts. Apply high level thinking skills to shift patient schedules to meet needs of more critical patients due to labs, MD order, or patient assessment.
+ Responsible for the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate daily patient care plan to ensure continuity of care.
+ Initiates and communicates to FMS facility nursing staff and appropriate hospital personnel as needed.
+ Accurately documents all treatment information in the individual patient record (ACES) and the hospital record, as needed.
+ Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding areas between treatments according to inpatient renal services policies and procedures.
+ Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
+ Performs all required pre-treatment dialysis machine alarm testing.
+ If applicable, initiates Solution Delivery System.
+ Operates all related equipment appropriately and safely and provides minor trouble shooting when necessary; efficiently utilizes supplies to prevent waste.
+ Understands, conducts, and documents appropriately Dialysis/Apheresis machine safety tests/alarm tests, equipment calibration, dialysate testing, machine safety tests, functional testing, and internal and external disinfection on all water & dialysis machines, and complies with the documentation/notification standards per FMS policies.
+ Completes and documents ongoing participation in QAI activities.
+ Participates in staff meetings as scheduled.
+ Participates in staff training and orientation as assigned.
+ Acts as a subject matter expert to hospital staff for dialysis related patient/equipment complications.
+ Responsible for reporting all new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties per the Adverse Event Report requirements. May be assigned to in-center patient care on an as needed basis
+ Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
+ Assist with various projects as assigned by direct supervisor.
+ 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 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.
+ Direct patient care, interaction with patients, outpatient clinicians, hospital staff, and physicians. The position requires travel between assigned hospitals and facilities; as well as travel to regional meetings/educational events.
+ Position requires on call rotation including night, day, weekend, and holidays.
+ There is potential for exposure to potentially infectious material and contagious diseases/material.
+ Position provides direct patient care which regularly involves heavy lifting, moving of patient and/or equipment > 200lbs (with assistance); and may lift chemical and water solutions of up to 30lbs up as high as 5 feet.
**SUPERVISION:**
+ Provides supervision and direction of Patient Care Technicians (Certified Clinical Hemodialysis Technicians (CCHT)) and clerical staff; provides direction and education to ICU staff for CRRT.
**EDUCATION:**
+ Current appropriate state licensure.
+ Maintains acquired knowledge and remains current in advancements in nephrology, in particular, relative to inpatient care (hospitalized patients requiring varied treatment modalities, not limited to Renal Replacement, Apheresis, and Ultrafiltration services).
+ Must meet the practice requirements in the state in which employed.
+ Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ One year RN experience required and required nursing skills.
+ Minimum 6 months nephrology experience required before working independently with no other Dialysis RNs to provide dialysis and ultrafiltration services.
+ Minimum 6 months Nephrology experience required before working independently with no other Apheresis RNs to provide Apheresis services.
+ Demonstrated strong assessment skills related to the critically ill patient.
+ ICU experience preferred but not required.
+ Successful completion of training course in the theory and practice of care of the ESRD patient - Progressive Renal Education Preparation.
+ BLS CPR Recognition.
+ ACLS CPR Recognition preferred, but not required.
+ Demonstrates organizational and time management skills, and a competency toward completing continuing and ongoing Renal/Nephrology education.
+ Displays leadership skills and ability to direct and supervise others (such as PCTs, CCHTs, clerical staff).
+ Successful completion of Nurses Technical Training.
**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**

Ponce Centro
**_Description_**
_Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career._
**Connect with your goals and change lives**
**with Fresenius Medical Care North America.**
Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare, we know what it takes to create strong bonds among patients, their families, and our team members-and why it matters. Within this positive environment, those in our care can achieve better outcomes-and professionals can achieve their most important objectives.
**Why Join the Fresenius Team?**
Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following:
+ Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country.
+ Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development.
+ Superior training, UltraCare- quality control, and certification procedures ensure your potential to succeed and advance as a professional.
+ Competitive compensation and exceptional benefits.
+ Outstanding tuition reimbursement program.
+ Recognized among Fortune's World's Most Admired Companies- in 2011.
+ National Safety Award from CNA insurance companies for 11 consecutive years.
Opportunities to give back by participating in philanthropy and community outreach programs.
**Staff Registered Nurse**
This is an exceptional opportunity to succeed with a premier healthcare organization. As a key member of our hemodialysis team, this professional will manage our Patient Care Technicians in providing safe, effective delivery of chronic hemodialysis therapy. Delegating tasks, training, and monitoring all direct-patient staff, including LVNs/LPNs and Dialysis Assistants, this individual will assess care needs and develop assignments.
**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**DUTIES / ACTIVITIES** :
**CUSTOMER SERVICE:**
+ Responsible for driving the FMS culture though values and customer service standards.
+ Accountable for outstanding customer service to all external and internal customers.
+ Develops and maintains effective relationships through effective and timely communication.
+ Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
**STAFF RELATED:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
**PATIENT RELATED:**
Education:
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
Dialysis Treatment:
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
Laboratory-related:
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
General duties:
+ Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
**MAINTENANCE/TECHNICAL:**
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
**MEDICAL RECORDS & DOCUMENTATION:**
General
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
Daily
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
Monthly
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
Annually
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
**OTHER:**
+ Performs additional 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.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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.
**EDUCATION:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND REQUIRED SKILLS:**
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**_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 hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
+ Performs additional 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.
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION AND REQUIRED CREDENTIALS:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND SKILLS** :
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**_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**

**_Description_**
_Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career._
**Connect with your goals and change lives**
**with Fresenius Medical Care North America.**
Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare, we know what it takes to create strong bonds among patients, their families, and our team members-and why it matters. Within this positive environment, those in our care can achieve better outcomes-and professionals can achieve their most important objectives.
**Why Join the Fresenius Team?**
Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following:
+ Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country.
+ Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development.
+ Superior training, UltraCare- quality control, and certification procedures ensure your potential to succeed and advance as a professional.
+ Competitive compensation and exceptional benefits.
+ Outstanding tuition reimbursement program.
+ Recognized among Fortune's World's Most Admired Companies- in 2011.
+ National Safety Award from CNA insurance companies for 11 consecutive years.
Opportunities to give back by participating in philanthropy and community outreach programs.
**Staff Registered Nurse**
This is an exceptional opportunity to succeed with a premier healthcare organization. As a key member of our hemodialysis team, this professional will manage our Patient Care Technicians in providing safe, effective delivery of chronic hemodialysis therapy. Delegating tasks, training, and monitoring all direct-patient staff, including LVNs/LPNs and Dialysis Assistants, this individual will assess care needs and develop assignments.
**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**DUTIES / ACTIVITIES** :
**CUSTOMER SERVICE:**
+ Responsible for driving the FMS culture though values and customer service standards.
+ Accountable for outstanding customer service to all external and internal customers.
+ Develops and maintains effective relationships through effective and timely communication.
+ Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
**STAFF RELATED:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
**PATIENT RELATED:**
Education:
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
Dialysis Treatment:
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
Laboratory-related:
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
General duties:
+ Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
**MAINTENANCE/TECHNICAL:**
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
**MEDICAL RECORDS & DOCUMENTATION:**
General
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
Daily
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
Monthly
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
Annually
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
**OTHER:**
+ Performs additional 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.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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.
**EDUCATION:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND REQUIRED SKILLS:**
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**_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**

**_Description_**
_Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career._
**Connect with your goals and change lives**
**with Fresenius Medical Care North America.**
Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare, we know what it takes to create strong bonds among patients, their families, and our team members-and why it matters. Within this positive environment, those in our care can achieve better outcomes-and professionals can achieve their most important objectives.
**Why Join the Fresenius Team?**
Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities you'll find in the Fresenius Leadership Team. Our strength in the North American market and extensive global network provide our employees with the best of both worlds-the friendliness of a local organization and the stability of a worldwide organization-for diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team, you'll be welcomed into a company that is built on the philosophy that our employees are our most important asset. Our career advantages include the following:
+ Fresenius Medical Care is the nation's largest provider of renal care, meeting the needs of more than 135,000 patients at 1,800 clinics throughout the country.
+ Our well-established, trusted organization fosters a spirit of camaraderie, emphasizing friendly collaboration, professional support, and career development.
+ Superior training, UltraCare- quality control, and certification procedures ensure your potential to succeed and advance as a professional.
+ Competitive compensation and exceptional benefits.
+ Outstanding tuition reimbursement program.
+ Recognized among Fortune's World's Most Admired Companies- in 2011.
+ National Safety Award from CNA insurance companies for 11 consecutive years.
Opportunities to give back by participating in philanthropy and community outreach programs.
**Staff Registered Nurse**
This is an exceptional opportunity to succeed with a premier healthcare organization. As a key member of our hemodialysis team, this professional will manage our Patient Care Technicians in providing safe, effective delivery of chronic hemodialysis therapy. Delegating tasks, training, and monitoring all direct-patient staff, including LVNs/LPNs and Dialysis Assistants, this individual will assess care needs and develop assignments.
**PURPOSE AND SCOPE:**
Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA 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 FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies.
**DUTIES / ACTIVITIES** :
**CUSTOMER SERVICE:**
+ Responsible for driving the FMS culture though values and customer service standards.
+ Accountable for outstanding customer service to all external and internal customers.
+ Develops and maintains effective relationships through effective and timely communication.
+ Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
**STAFF RELATED:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
**PATIENT RELATED:**
Education:
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
Dialysis Treatment:
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
Laboratory-related:
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
General duties:
+ Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
**MAINTENANCE/TECHNICAL:**
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
**MEDICAL RECORDS & DOCUMENTATION:**
General
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
Daily
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
Monthly
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due.
Annually
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
**OTHER:**
+ Performs additional 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.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up 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.
**EDUCATION:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state licensure.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND REQUIRED SKILLS:**
+ Minimum of one-year medical-surgical nursing experience preferred.
+ Hemodialysis experience preferred.
+ ICU experience preferred.
+ Successfully complete a training course in the theory and practice of hemodialysis.
+ Successfully complete CPR Certification.
+ Provide coverage at any or all area facilities as required by management.
+ Icd-9 coding Training.
+ Nurses Technical Training.
+ Must meet appropriate state requirements (if any).
**_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**