Acute Inpatient Dialysis Registered Nurse – RN

Fresenius Medical Care

. Provide direct inpatient patient care across hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration .

Posted 11/11/2026full-timeFlorissant • Missouri • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in providing direct inpatient care for dialysis and nephrology patients, including the ability to assess patient responses and adjust treatment plans. Strong leadership skills are essential for supervising Patient Care Technicians and collaborating with healthcare teams to ensure effective patient care.

Highest-signal resume keywords

Current State LicensureOne Year RN ExperienceNephrology ExperienceBLS CPR RecognitionLeadership Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient AssessmentDialysis Treatment TechniquesIntradialytic TransfusionsEquipment CalibrationDocumentation in ACESMinor TroubleshootingQAI Activities ParticipationPatient Care CoordinationDialysis Machine Safety TestingHeavy Lifting

Soft Skills

Communication SkillsOrganizational SkillsSupervisory SkillsProblem-Solving SkillsTeam Collaboration

Tools & Technologies

Dialysis MachinesACES Documentation SystemPatient Care Equipment

Certifications & Qualifications

BLS CPR CertificationACLS CPR Certification (Preferred)Nurses Technical Training

Industry Keywords

HemodialysisPeritoneal DialysisContinuous Renal Replacement TherapyApheresisEnd-Stage Renal Disease (ESRD)Patient Care Technician (PCT)Clinical GuidelinesHealthcare RegulationsPatient Care StandardsInpatient Care

About the role

Key responsibilities & impact

Provide direct inpatient patient care across hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration
Supervise and direct Patient Care Technicians and clerical staff
Provide direction and education to ICU staff for CRRT
Deliver prescribed treatment techniques for assigned patients across all applicable modalities
Assess patient responses and adjust treatment plans as indicated by credentialed physicians
Communicate patient problems and concerns to the Inpatient Program Manager, physicians, hospital nurses, and other appropriate parties
Deliver safe, effective, timely care
Provide organized shift reports and adjust patient schedules to meet critical patient needs
Implement, administer, monitor, and document intradialytic transfusions and adverse reactions
Collaborate with physicians and healthcare team members to coordinate daily care plans
Accurately document treatment information in ACES and hospital records
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments
Prepare for dialysis treatments and perform pre-treatment machine alarm testing
Operate related equipment safely, perform minor troubleshooting, and prevent supply waste
Conduct and document dialysis/apheresis machine safety tests, alarm tests, equipment calibration, dialysate testing, functional testing, and water and machine disinfection
Complete and document participation in QAI activities
Participate in staff meetings, training, and orientation
Act as a subject matter expert for hospital staff regarding dialysis-related patient and equipment complications
Report incidents, complaints, problems, and adverse events
Assist with assigned projects and other duties
May provide in-center patient care as needed
Comply with company policies, Code of Business Conduct, and applicable laws and regulations

Requirements

What you’ll need

Current appropriate state licensure
Must meet the practice requirements in the state in which employed
One year RN experience required
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
Required nursing skills
Demonstrated strong assessment skills related to critically ill patients
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
Competency toward completing continuing and ongoing Renal/Nephrology education
Leadership skills and ability to direct and supervise PCTs, CCHTs, and clerical staff
Successful completion of Nurses Technical Training
Employees are required to take the Ishihara's Color Blindness test as a condition of employment
Ability to provide direct patient care involving heavy lifting and moving patients and/or equipment over 200 lbs with assistance, and lifting chemical and water solutions up to 30 lbs up to 5 feet
Availability for on-call rotation including nights, days, weekends, and holidays
Ability to travel between assigned hospitals and facilities and to regional meetings/educational events

Benefits

Comp & perks

Evening shift available
Shift differential authorized
Reasonable accommodations may be made for individuals with disabilities
Regional meetings/educational events
Staff training and orientation
Continuing and ongoing Renal/Nephrology education