Fresenius Medical Care

Patient Care

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Evaluate vascular access, perform cannulation, administer delegated heparin, and monitor access pressures
• Obtain and document pre- and post-treatment vital signs, weights, evaluations, and treatment parameters
• Initiate, monitor, intervene in, and discontinue dialysis treatments according to prescribed orders and established procedures
• Monitor patient responses and report significant changes or unusual findings to the registered nurse or supervisor
• Calculate and enter dialysis machine programming for ultrafiltration goals, treatment time, and UF modeling
• Perform machine safety checks and ensure appropriate safety alarms are enabled
• Obtain laboratory tests, prepare specimens, and coordinate collection by laboratory courier
• Clean and disinfect dialysis machines, chairs, equipment, and treatment areas
• Conduct pretreatment machine alarm testing and initiate the Solution Delivery System
• Complete clinical documentation, treatment sheets, patient charts, lab requisitions, and CQI records
• Assist with infection control audits and reinforce infection control education
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional care
• Educate patients about treatment options, home dialysis, and peritoneal dialysis setup
• Coordinate transitions to patients' chosen dialysis modality
• Assist with TCU supply ordering and inventory
• Assist in training direct patient care staff under nurse supervision
• Monitor patients performing self-care under RN supervision

Patient Care Technician, Dialysis

Nurse

• Provide and coordinate clinically competent care for assigned inpatient dialysis patients
• Assess, plan, intervene, evaluate, and document patient care before, during, and after treatment
• Delegate appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians
• Adjust treatment plans and notify supervisors, physicians, primary nurses, and other appropriate personnel
• Assess and provide patient and family education
• Recognize changes in patient status and collaborate with the health care team
• Direct and provide safe, effective modality-specific dialysis treatment procedures
• Assess daily patient care needs and collaborate with direct and ancillary care staff
• Coordinate communication with FKC and non-FKC dialysis providers and contracted facility personnel
• Implement, administer, monitor, and document intradialytic transfusions and adverse reactions
• Administer prescribed medications and document medical justification and effectiveness
• Initiate and assist with emergency response measures
• Serve as a resource, leader, coach, mentor, and role model for employees
• Provide specialized nursing care instructions to hospital/facility staff as needed
• Assist in an outpatient facility as needed
• Serve as a preceptor to new employees
• Complete CAP requirements to maintain or advance
• Perform other duties assigned by the Supervisor

Acute Inpatient Registered Nurse – RN – Dialysis

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Welcome assigned patients and assess their wellbeing
• Evaluate vascular access, perform cannulation, and administer heparin as delegated or permitted by law
• Obtain and document pre- and post-treatment vital signs, weights, and vascular access evaluations
• Initiate, monitor, intervene in, and discontinue dialysis treatments according to prescribed orders and established procedures
• Monitor patient responses and report significant changes or unusual findings to the registered nurse or supervisor
• Calculate and enter dialysis machine programming for ultrafiltration goals, treatment time, and UF modeling
• Perform machine safety checks and ensure appropriate safety alarms are enabled
• Obtain laboratory testing, prepare and collect specimens, and coordinate laboratory courier collection
• Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments
• Maintain a safe, clean, and environmentally integrated facility
• Enter treatment data accurately and participate in Continuous Quality Improvement activities
• Review treatment sheets, prepare patient charts, and ensure documentation completeness
• Support infection-control audits, practices, and patient/family education
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care
• Educate patients about home dialysis, treatment options, and peritoneal dialysis setup
• Set up and perform treatments on machines used in the transitional care unit
• Assist with transition to the patient’s chosen modality and with TCU supply ordering and inventory
• Assist in training applicable direct patient-care staff under nurse supervision

Patient Care Technician – Dialysis

Supply Chain

• Lead the definition and implementation of sourcing and procurement process requirements, including RFX management, contracting, supplier onboarding, and source-to-contract lifecycle processes
• Contribute to the design and optimization of source-to-contract processes within SAP S/4HANA environments
• Support configuration and deployment of sourcing workflows, approval hierarchies, procurement controls, and compliance processes
• Collaborate with business stakeholders, IT teams, and implementation partners
• Oversee data model design, master data readiness, integration validation, user acceptance testing, cut-over planning, and go-live readiness
• Identify process improvement opportunities to streamline procurement operations, increase automation, and enhance sourcing effectiveness
• Ensure sourcing and procurement processes comply with internal governance, regulatory requirements, and organizational standards
• Define and execute sourcing strategies balancing cost optimization, supplier value, operational risk, sustainability, and innovation
• Build and maintain strategic supplier partnerships
• Lead supplier evaluation, segmentation, performance management, and risk mitigation initiatives
• Identify cost optimization and value creation opportunities across direct and indirect spend categories
• Monitor market conditions, supplier trends, geopolitical risks, and industry developments
• Champion process standardization, simplification, and procurement best practices
• Facilitate collaboration across Supply Chain, Operations, Finance, Legal, Quality, and IT teams
• Support organizational change management and adoption of new sourcing technologies and processes

Supply Chain – Sourcing Process Expert, Senior Manager

Dietitian

• Provide nutritional services for in-center and home patients to maximize nutritional status and improve clinical outcomes
• Assess patients’ knowledge of diet and kidney disease and provide individualized education
• Educate patients, families and caregivers on nutritional status, adequacy measures, fluid status and nutrition-related laboratory parameters
• Complete nutritional assessments and participate in interdisciplinary comprehensive assessments
• Develop individualized comprehensive plans of care with the interdisciplinary team
• Calculate diet prescriptions according to standards of practice
• Complete progress notes and maintain accurate medical-record documentation
• Provide ongoing nutrition assessment and outcome-oriented nutrition counseling
• Identify malnourished or at-risk patients and implement appropriate interventions
• Monitor adherence and response to nutrition therapy and adjust therapy as needed
• Collaborate on Urea Kinetic Modeling, mineral metabolism, renal bone disease, anemia, iron status, psychosocial status, vascular access, modality, rehabilitation and sodium/volume control
• Report nutrition QAI results and participate in quality improvement activities
• Coordinate Pre-ESRD education and patient education plans
• Review nutrition-related laboratory results, counsel patients, recommend treatment changes and communicate results to physicians and care providers
• Participate in staff and care plan meetings
• Consult with the FMS Corporate Dietitian as needed
• Maintain and improve professional knowledge and skills
• Collaborate with the interdisciplinary team to ensure work areas are safe and clean
• Perform other nutrition management and related duties as assigned

Registered Dietitian

Social Worker

• Provide psychosocial services to in-center and home dialysis patients
• Assess patients’ psychosocial status, strengths, and needs affecting rehabilitation and treatment outcomes
• Participate in care planning and develop interventions with patients and the healthcare team
• Monitor and support patients adjusting to dialysis and improving psychosocial status and quality of life
• Provide supportive, educational, and goal-directed counseling, including transplant counseling
• Refer patients to community, vocational, educational, home health, and rehabilitation resources
• Assist with advance directive and DNR discussions with patients, families, physicians, and nurses
• Document social work interactions and interventions
• Provide psychosocial support for adherence, quality outcomes, and quality-of-life concerns
• Participate in monthly quality review meetings and report adherence and quality indicators
• Educate patients and families about kidney disease, treatment modalities, ESRD psychosocial issues, rights, responsibilities, and support services
• Facilitate transplant referrals and collaborate on transplant waitlist management
• Support patient admission, continuity of care, scheduling, and discharge-request investigations
• Liaise with Insurance Coordinators regarding coverage, payment, renal programs, AKF HIPP, and entitlement programs
• Refer billing questions to the patient billing solutions department
• Assist with hiring when requested, maintain patient resource lists, train staff, and participate in weekly team huddles
• Perform other related duties as assigned

Master Social Worker – MSW

General

• Function as part of the hemodialysis healthcare team under the direction or supervision of a Staff Registered Nurse
• Provide safe and effective chronic hemodialysis care to patients with end-stage renal disease
• Direct and monitor Patient Care Technicians and delegate tasks to direct patient care staff
• Assess daily patient care needs and develop patient care assignments
• Educate patients and families about renal disease, vascular access, dialysis therapy, diet, medications, laboratory values, transplant and treatment modalities
• Implement treatment prescriptions, monitor patient responses, and adjust treatment plans as indicated
• Perform nursing assessments, ongoing evaluations, documentation, access care, transfusions, medications, vaccinations, and emergency interventions
• Review, enter, process, and follow up on physician lab orders and specimens
• Communicate patient issues, abnormal laboratory results, and care concerns to physicians and the healthcare team
• Maintain accurate patient records, physician orders, treatment data, progress notes, care plans, and quality improvement reports
• Ensure safe, clean, sanitary, and properly equipped dialysis treatment areas
• Maintain competency in dialysis equipment operation and emergency procedures
• Collaborate with the Clinical Manager, physicians, and other healthcare team members
• Participate in staff training, orientation, meetings, CQI activities, and opening and closing procedures
• Perform other related duties as assigned

New Graduate RN

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Welcome assigned patients and assess their wellbeing
• Evaluate vascular access, perform cannulation, and administer heparin as delegated or permitted by state law
• Obtain and document pre- and post-treatment vital signs, weights, and vascular access evaluations
• Initiate, monitor, and discontinue dialysis treatments according to prescribed orders and established procedures
• Evaluate intradialytic problems and provide prescribed interventions
• Monitor patient responses and report significant changes to the registered nurse or supervisor
• Calculate and enter dialysis machine programming for ultrafiltration goals, treatment time, and UF modeling
• Ensure safety alarms are enabled and perform machine safety checks
• Document treatment parameters, patient evaluations, interventions, and progress notes accurately and timely
• Obtain laboratory tests, prepare specimens, and coordinate collection and courier delivery
• Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas
• Participate in CQI activities and infection-control audits and practices
• Train applicable direct patient-care staff under nurse supervision
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care
• Reinforce education on treatment options, home dialysis, and peritoneal dialysis setup
• Coordinate transitions to patients’ chosen modality
• Assist with supply ordering and inventory for the Transitional Care Unit

• Provide and coordinate clinically competent care for an assigned group of outpatient dialysis patients
• Perform ongoing assessment and analysis of patient data before, during, and after hemodialysis treatment
• Document patient data in medical records and modify treatment plans as indicated
• Assess and provide initial and ongoing education to patients and families
• Direct and provide safe, effective daily hemodialysis therapy in collaboration with patient care staff
• Administer prescribed medications and document medical justification and effectiveness
• Initiate or assist with emergency response measures
• Serve as a resource for the health care team and participate in staff training and new-staff orientation
• Ensure correct laboratory collection, processing, and shipping procedures
• Update nursing assessments and plans of care in collaboration with the Interdisciplinary Team
• Ensure patient awareness of transplant and treatment modality options
• Complete Clinical Advancement Program requirements
• Perform other duties assigned by the Supervisor

Outpatient Registered Nurse, RN – Dialysis

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Evaluate vascular access, perform cannulation, administer delegated heparin, and monitor access pressures
• Obtain and document patient vital signs, weights, treatment parameters, evaluations, and responses
• Initiate, monitor, intervene in, and discontinue dialysis treatments according to prescribed orders and procedures
• Calculate and enter ultrafiltration goals, treatment time, and UF modeling
• Perform machine safety checks and ensure appropriate safety alarms are enabled
• Report significant information, changes in patient condition, and unusual findings to the registered nurse or supervisor
• Obtain laboratory tests, prepare and handle specimens, and coordinate laboratory courier collection
• Maintain a safe, clean environment and disinfect dialysis equipment and treatment areas
• Monitor patients performing self-care under RN supervision
• Assist with training direct patient care staff under nurse supervision
• Participate in CQI activities and enter treatment data accurately into clinical applications
• Prepare patient charts and laboratory requisitions and review treatment records for completeness
• Support infection control audits, practices, and patient/family education
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care
• Reinforce education about home dialysis, treatment options, and peritoneal dialysis setup
• Coordinate transitions to patients' selected dialysis modality
• Set up and perform treatments on machines used in the transitional care unit
• Assist with supply ordering and inventory for the transitional care unit

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Assist with maintaining a safe and clean working environment
• Educate patients regarding adequacy measures, disease processes, vascular access, infection control, and treatment options
• Welcome patients and inquire about their wellbeing
• Evaluate vascular access, perform cannulation, administer heparin as delegated or permitted by state law, and monitor access pressures
• Obtain and document pre- and post-treatment vital signs, weights, evaluations, and treatment parameters
• Initiate, monitor, intervene in, and discontinue dialysis treatments according to prescribed orders and established procedures
• Calculate and enter dialysis machine programming for ultrafiltration goals, treatment time, and UF modeling
• Perform machine safety checks and ensure appropriate safety alarms are enabled
• Report significant information, patient-condition changes, and unusual findings to the registered nurse or supervisor
• Obtain laboratory testing and collect, label, prepare, store, and coordinate delivery of specimens
• Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments
• Conduct pretreatment machine alarm testing and initiate the Solution Delivery System
• Enter treatment data and complete, review, and correct treatment records and charts
• Participate in Continuous Quality Improvement and infection-control audits and practices
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care
• Support education about home dialysis, treatment options, peritoneal dialysis setup, and modality transition
• Set up and perform treatments on machines used in the transitional care unit
• Assist with transitional care unit supply ordering and inventory
• Assist in training applicable direct patient care staff under nurse supervision
• Monitor patients performing self-care under RN supervision

Patient Care Technician

• Provide and coordinate clinically competent care for assigned dialysis patients
• Assess, plan, intervene and evaluate patient care before, during and after hemodialysis treatment
• Collect and analyze patient data and document it in medical records
• Modify treatment plans and notify clinical leadership or physicians as needed
• Assess and provide patient and family education
• Direct and provide safe, effective daily hemodialysis therapy
• Administer medications and document medical justification and effectiveness
• Initiate or assist with emergency response measures
• Serve as a resource, leader, coach, mentor and role model for employees
• Ensure correct laboratory collection, processing and shipping procedures
• Update nursing assessments and plans of care in collaboration with the Interdisciplinary Team
• Educate patients about transplant and treatment modality options
• Participate in educational and quality improvement projects
• May serve as a preceptor to new employees
• Complete CAP requirements to maintain or advance
• Perform other duties assigned by the Supervisor

• Provide psychosocial services to in-center and home dialysis patients
• Assess patients’ psychosocial status, strengths, and areas of need
• Participate in care planning with patients and the healthcare team
• Provide supportive, educational, and goal-directed counseling
• Support patients adjusting to dialysis and achieving optimal psychosocial status and quality of life
• Refer patients to community, vocational, educational, home health, and financial resources
• Assess advance directives and support informed care decisions
• Participate in discussions of patient DNR status
• Document social work interactions and interventions
• Provide psychosocial support for non-adherence, quality outcomes, and quality-of-life concerns
• Participate in monthly quality review meetings and report quality indicators
• Educate patients and families about kidney disease, ESRD, treatment modalities, rights, responsibilities, and support services
• Facilitate transplant referrals and collaborate on transplant waitlist management
• Support patient admission, continuity of care, scheduling, and discharge-request assessment
• Liaise with Insurance Coordinators regarding insurance, payment, coverage changes, and financial assistance
• Refer patients to the patient billing solutions department
• Assist with personnel interviews and hiring decisions when requested
• Maintain patient resource lists
• Train staff on psychosocial topics as needed
• Participate in weekly team huddles and discuss urgent patient issues
• Perform other related duties as assigned

Master Social Worker, MSW

• Provide direct patient care for assigned patients
• Perform technical aspects of prescribed hemodialysis procedures
• Administer and monitor dialysis treatments according to treatment plans or supervisor direction
• Monitor and document dialysis treatment parameters and patient-care information
• Report significant information, changes in patient condition, equipment problems, incidents, complaints, and other issues to the supervisor
• Assist with patient and family education regarding end stage renal disease, dialysis therapy, diet, and medications
• Assist with emergency operational procedures
• Administer intravenous medication according to physician orders and state nurse practice laws
• Perform and document pre-, interim, and post-treatment patient-condition reviews
• Initiate basic CPR and respond to dialysis-related emergencies
• Safely operate dialysis and emergency equipment
• Perform minor troubleshooting
• Maintain a clean, safe, and sanitary treatment environment
• Address blood spills according to FMCNA Bloodborne Pathogen Control Policies
• Participate in staff meetings and patient care plan meetings
• Maintain current dialysis practice knowledge through in-service classes
• Act as a resource for staff members
• Coordinate care plans with physicians, dietitians, and social workers
• Provide customer service and resolve customer service issues
• Perform other duties as assigned

Licensed Practical Nurse, Dialysis

Clinical Operations

• Develop, implement, maintain, and evaluate data-driven quality assessment and performance improvement programs
• Promote and support Continuous Quality Improvement principles, methods, and tools to improve processes and patient outcomes
• Oversee clinical quality across in-center, inpatient, home hemodialysis, and home peritoneal dialysis modalities
• Facilitate implementation of FKC Quality programs and initiatives into facility standard operating procedures
• Serve as a clinical quality subject matter expert and identify improvement opportunities to meet CMS Conditions for Coverage and FMS quality requirements
• Manage execution of quality initiatives, interventions, and standardized education materials with facility RNs
• Provide nursing and clinical guidance to facility RNs on quality, patient satisfaction, teamwork, unit culture, and employee satisfaction
• Collaborate with Clinical Quality leadership, Education, Clinical Services, Regulatory, Compliance, and other stakeholders
• Mentor and train staff to collect, trend, and analyze data to improve patient-centered care and outcomes
• Apply evidence-based practices, clinical pathways, policies, procedures, algorithms, and standing orders to address quality barriers
• Use tools, resources, and informatics technology to focus on targeted patient populations
• Review facility QAPI documentation, attend QAPI meetings, and evaluate facility QAPI and CQI effectiveness
• Review QAI activities, calendars, tools, and electronic applications
• Attend regional, area, facility, and team meetings
• Identify risk areas, assist with root cause analyses and action plans, and provide recommendations to management
• Execute education programs using adult education principles
• Maintain effective relationships and communication with patients, staff, physicians, field management, payers, and other customers
• Assist with projects and perform other related duties as assigned

Patient Care Technician, Dialysis

Acute Inpatient Registered Nurse – RN – Dialysis

Patient Care Technician – Dialysis

Supply Chain – Sourcing Process Expert, Senior Manager

Registered Dietitian

Master Social Worker – MSW

New Graduate RN

Patient Care Technician – Dialysis

Outpatient Registered Nurse, RN – Dialysis

Patient Care Technician – Dialysis

Patient Care Technician

Outpatient Registered Nurse, RN – Dialysis

Master Social Worker, MSW

Licensed Practical Nurse, Dialysis

Strategic Clinical Quality Manager