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
• Assist with maintenance of a safe and clean working environment
• Educate patients regarding adequacy measures, disease process, and vascular access
• Welcome patients and assess wellbeing, vascular access, vital signs, weight, and treatment response
• Cannulate vascular access and administer heparin as delegated or permitted by state law
• Initiate, monitor, document, and discontinue dialysis treatments according to prescribed orders and established procedures
• Evaluate and intervene in intradialytic problems as directed
• Calculate and enter dialysis machine programming for ultrafiltration goals, treatment time, and UF modeling
• Perform machine safety checks and report significant changes or unusual findings to the registered nurse or supervisor
• Obtain laboratory tests and collect, label, prepare, store, and arrange collection of specimens
• Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments
• Participate in CQI activities and enter treatment data accurately and timely into clinical applications
• Prepare patient charts and laboratory requisitions; review treatment sheets for completeness
• Support infection-control practices, audits, and patient/family education
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care
• Reinforce education on home dialysis and treatment options, demonstrate peritoneal dialysis setup, and assist with modality transitions
• Set up and perform treatments on all machines used in the transitional care unit
• Assist with TCU supply ordering and inventory
• Assist in training applicable direct patient-care staff under nurse supervision

Patient Care Technician

• 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, and administer heparin as delegated or permitted by state law
• Obtain and document pre-, intra-, and post-treatment vital signs, weights, assessments, and treatment parameters
• Initiate and discontinue dialysis treatments according to prescribed orders and established procedures
• Monitor patient responses, evaluate intradialytic problems, and perform prescribed interventions
• 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 patient information, changes, and unusual findings to the registered nurse or supervisor
• Obtain laboratory tests, collect and prepare specimens, and coordinate laboratory courier collection
• Maintain a safe and clean environment; clean and disinfect dialysis machines, chairs, equipment, and surrounding areas
• Conduct pretreatment machine alarm testing and initiate the Solution Delivery System
• Enter treatment data accurately and review treatment sheets and patient charts for completeness
• Participate in Continuous Quality Improvement and infection control activities
• Support infection control education for patients and families under the direction of the CM or designee
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care
• Reinforce education about treatment options, home dialysis products, and home dialysis benefits
• Set up and perform treatments on machines used in the Transitional Care Unit
• Assist with modality transitions, supply ordering, and TCU inventory
• Assist in training applicable direct patient care staff under nurse supervision

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Assist with patient-specific education regarding dialysis adequacy measures, disease process, and access
• Welcome patients and assess wellbeing
• Evaluate vascular access, perform cannulation, and administer heparin when delegated or permitted by state law
• Obtain and document pre- and post-treatment vital signs and weights
• Initiate, monitor, and discontinue dialysis treatments according to prescribed orders and established procedures
• Evaluate and intervene in intradialytic problems as directed
• Monitor patient response to dialysis therapy and report significant changes to the registered nurse or supervisor
• Calculate and enter ultrafiltration goals, treatment time, and UF modeling
• Conduct machine safety checks and ensure appropriate safety alarms are enabled
• Obtain laboratory testing and prepare, label, store, and coordinate delivery of specimens
• Maintain a safe, clean, and disinfected treatment environment
• Train applicable direct patient care staff under nurse supervision
• Complete treatment records, charts, requisitions, and CQI documentation
• Support infection-control audits, practices, and patient/family education
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional care
• Educate patients on home dialysis products, benefits, treatment options, and peritoneal dialysis setup
• Set up and perform treatments on machines used in the transitional care unit
• Assist with modality transitions, supply ordering, and TCU inventory

Insurance

• Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients
• Educate dialysis patients about Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA, and other insurance options
• Ensure patients follow through with insurance applications and obtain required premium statements and signatures
• Complete and follow up on paperwork for disputed claims and indigent waivers
• Determine Medicare eligibility and assist eligible patients with applications
• Liaise with local Medicare agents regarding terminations and reinstatements
• Complete annual open enrollment and Medicare reinstatement paperwork
• Track 30-month coordination periods for patients on employer Group Health Plans
• Monitor and verify patients' Medicaid status and determine spend-down amounts
• Evaluate patients' financial information and determine eligibility for indigent programs
• Maintain accurate insurance information for the Accounts Receivable Department
• Research and resolve insurance anomalies and discrepancies
• Meet with patients receiving direct insurance payments to ensure dialysis treatment payments owed to Fresenius are collected
• Prepare, analyze, and review monthly caseload and billing reports
• Audit billing-system insurance information and correct discrepancies
• Provide QA team members with monthly insurance-status and action-plan information
• Complete monthly audit exams and present insurance and financial assistance options as needed
• Assist with assigned projects and other duties
• Meet regularly with patients at clinics in the assigned region

Insurance Coordinator

Nurse

• Function as part of the hemodialysis health care 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 other direct patient care staff
• Delegate tasks and develop daily patient care assignments
• Educate patients and families about renal disease, vascular access, dialysis therapy, diet, medications, laboratory values, transplant awareness, and treatment compliance
• Assess patient response to treatment and adjust care plans as indicated by the prescribing physician
• Initiate nursing assessments and document patient care needs
• Monitor and provide hemodialysis access care and troubleshoot access flow issues
• Administer and document transfusions, medications, vaccinations, immunizations, and emergency interventions
• Review, process, document, and report laboratory orders, specimens, and abnormal results
• Collaborate with physicians and healthcare team members to coordinate patient care
• Maintain safe, clean, sanitary treatment areas and competency with dialysis equipment
• Ensure accurate medical records, treatment sheets, patient care plans, CQI activities, and monthly and annual assessments
• Coordinate patient transportation when necessary
• Follow company policies, state and federal regulations, and compliance requirements

New Graduate Nurse

Technician

• Maintain, troubleshoot, and repair dialysis equipment, ancillary equipment, and water treatment systems
• Maintain the physical plant as directed
• Ensure outside vendor services are completed according to contract
• Purchase and retain an inventory of service parts
• Perform, evaluate, and report water/dialysate sample collection and required actions
• Conduct daily, weekly, and monthly trend analysis on the water system
• Document all repairs and maintenance activity
• Assist in planning and installing biomedical equipment
• Transport equipment as needed with supervisor consent
• Participate in monthly technical and regulatory meetings
• Collaborate with facility staff to meet regulatory and OSHA requirements
• Manage inventory, receive and store deliveries, conduct inventory counts, transport goods between clinics, and assist with inventory costs
• Verify and monitor patient care staff’s water-system testing techniques and documentation
• Complete required technical training programs
• Provide scheduled after-hours technical on-call coverage

Biomedical Technician

• Provide and coordinate clinically competent care for assigned patients, including assessment, planning, intervention, and evaluation
• Delegate appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians
• Collect and analyze patient data before, during, and after hemodialysis treatment
• Document patient data in medical records and modify treatment plans as indicated
• Notify Team Leader, Charge Nurse, Supervisor, or Physician as needed
• Assess and document patient and family learning needs and provide education
• Direct and provide safe, effective hemodialysis therapy with patient care and ancillary staff
• Administer prescribed 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
• Identify outcomes and update nursing assessments and plans of care in collaboration with the Interdisciplinary Team
• Ensure patient awareness of transplant and treatment modality options
• Participate in facility- and area-level education 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

Outpatient Registered Nurse – RN

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Welcome patients and assess wellbeing since their last treatment
• Evaluate vascular access, perform cannulation, and administer heparin as delegated or allowed by state law
• Obtain and document pre- and post-treatment vital signs and weights
• 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
• Perform machine safety checks and document treatment parameters and interventions
• Obtain laboratory testing and prepare, label, store, and arrange courier collection of specimens
• Maintain a safe, clean environment; disinfect machines, chairs, equipment, and surrounding areas
• Participate in CQI activities and infection control audits and practices
• Assist with training direct patient care staff under nurse supervision
• Follow newly admitted patients through their first four weeks of dialysis and coordinate transitional dialysis care
• Educate patients about treatment options, home dialysis, and peritoneal dialysis setup
• Coordinate transition to the patient's chosen 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
• Enter treatment data accurately and review treatment sheets and patient charts for completeness

Patient Care Technician, PCT

• Provide safe and effective dialysis therapy under the direct supervision of a licensed nurse
• Set up and operate hemodialysis machines
• Assist with patient-specific education regarding dialysis adequacy, disease processes, and vascular access
• Welcome 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 evaluations
• Initiate, monitor, and discontinue dialysis treatments according to prescribed orders and established procedures
• Evaluate and intervene in intradialytic problems as directed
• Monitor patient responses and report significant changes to the registered nurse or supervisor
• Program dialysis machines for ultrafiltration goals, treatment time, and UF modeling
• Perform machine safety checks and ensure safety alarms are enabled
• Obtain laboratory tests, prepare specimens, and coordinate collection and courier pickup
• Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments
• Participate in Continuous Quality Improvement and infection control activities
• Enter treatment data accurately and review treatment sheets and patient charts for completeness
• Support newly admitted patients through their first four weeks of dialysis in the Transitional Care Unit
• Reinforce education about treatment options and home dialysis
• Set up and perform treatments on machines used in the Transitional Care Unit
• Coordinate transitions to patients’ chosen dialysis modality
• Assist with Transitional Care Unit supply ordering and inventory

• Provide and coordinate clinically competent care, including patient assessment, planning, intervention, and evaluation
• Delegate appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians
• Collect and analyze patient data before, during, and after treatment; document findings and modify treatment plans as indicated
• Assess and document patient and family learning needs and provide ongoing education
• Recognize abnormal patient status and collaborate with supervisors, physicians, primary nurses, and facility personnel
• Direct and provide safe, effective care for assigned patients during modality-specific treatments
• 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 report 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 or facility staff when contractually required
• Assist in outpatient facilities 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 and coordinate clinically competent care for assigned patients
• Assess, plan, intervene, and evaluate patient care before, during, and after hemodialysis treatment
• Collect, analyze, and document patient data in medical records
• Adjust or modify treatment plans and notify appropriate clinical personnel as needed
• Assess and provide ongoing education to patients and families
• Direct and provide safe and effective hemodialysis therapy with patient care staff
• Administer prescribed medications and document 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, shipping, and rescheduling procedures
• Update nursing assessments and plans of care in collaboration with the Interdisciplinary Team
• Ensure patient awareness of transplant and treatment modality options
• Complete CAP requirements to advance
• Perform other duties assigned by the Supervisor

Outpatient Registered Nurse, RN

• Provide direct inpatient renal replacement and apheresis patient care
• Perform hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and apheresis
• Supervise and direct Patient Care Technicians and clerical staff
• Provide direction and education to ICU staff for CRRT
• Apply appropriate treatment techniques according to prescribed modality procedures
• Assess patient responses and adjust treatment plans as directed by credentialed physicians
• Communicate patient concerns with the inpatient manager, physicians, hospital nurses, and healthcare team
• Deliver safe, effective, timely care and provide organized shift reports
• Adjust patient schedules to prioritize critical patients based on labs, physician orders, and assessments
• Implement, administer, monitor, and document intradialytic transfusions and adverse reactions
• Coordinate daily patient care plans with physicians and healthcare team members
• Document treatment information in ACES and hospital records
• Clean and disinfect dialysis machines, equipment, chairs, and surrounding areas
• Prepare dialysis treatments and perform pre-treatment machine alarm testing
• Operate related equipment safely and perform minor troubleshooting
• Conduct and document machine safety, alarm, calibration, dialysate, functional, and disinfection tests
• Complete and document QAI activities
• Participate in staff meetings, training, and orientation
• Act as a subject matter expert for dialysis-related patient and equipment complications
• Report incidents, complaints, problems, and adverse events
• Assist with in-center patient care as needed
• Comply with company policies, Code of Business Conduct, and applicable laws
• Assist with projects and other duties as assigned

Acute Inpatient Registered Nurse – Dialysis

• Provide and coordinate clinically competent care for an assigned group of outpatient dialysis patients
• Perform ongoing assessment, planning, intervention and evaluation before, during and after hemodialysis treatment
• Document patient data 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 healthcare team and participate in staff training and orientation
• Ensure correct laboratory collection, processing and shipping procedures
• Develop, document and update nursing assessments and plans of care 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 – Dialysis

• Provide and coordinate clinically competent care, including assessment, planning, intervention, and evaluation for assigned patients
• Delegate appropriate tasks to RNs, LVN/LPNs, and Patient Care Technicians
• Participate in decision-making, teaching, leadership, and quality improvement activities
• Perform ongoing pre-, during-, and post-treatment patient data collection and analysis
• Document patient data and treatment responses in medical records
• Adjust treatment plans and notify supervisors, physicians, primary nurses, and other appropriate personnel
• Assess and provide initial and ongoing patient and family education
• Recognize abnormal patient status and collaborate with appropriate healthcare team members
• Direct and provide safe, effective modality-specific treatment procedures
• Assess daily patient-care needs and coordinate with direct and ancillary 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 healthcare-team resource and participate in staff training and orientation
• Provide specialized nursing-care instruction to hospital/facility staff as contractually stipulated
• Assist in an outpatient facility as needed
• Complete CAP requirements to advance
• Perform other duties assigned by the Supervisor

Acute Inpatient Registered Nurse, RN, Dialysis

Director

• Coordinate facility operations and patient procedures to ensure quality patient care
• Provide nursing support to patients and staff
• Assist with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA, and regulatory compliance
• Drive quality standards, regulatory compliance, and Continuous Quality Improvement activities
• Supervise and direct facility staff providing vascular access procedures
• Assign and delegate tasks to direct patient care staff
• Manage daily staffing schedules, breaks, patient needs, and care assignments
• Monitor patient care techniques and adherence to policies and procedures
• Participate in staff selection, orientation, training, and performance evaluations
• Coordinate patient care from admission through discharge
• Educate patients and families regarding pre- and post-procedure vascular access care
• Support patient workflow and provide direct patient care as needed
• Ensure complete documentation, orders, consents, laboratory work, and medical records
• Respond to emergencies, initiate CPR and emergency measures, and administer medications and IV conscious sedation as ordered
• Participate in Governing Body and CQI meetings, preparing agendas, data, materials, and reports
• Ensure proper operation and maintenance of facility equipment and technology
• Manage medications, controlled substances, inventory, usage logs, and drug disposal records
• Conduct chart audits and participate in regulatory and accreditation surveys
• Act as Facility Manager in the manager's absence or at management direction
• Maintain CLIA license with the Facility Administrator
• Travel between assigned facilities and attend regional, Business Unit, and Corporate meetings as required

Patient Care Technician

Patient Care Technician

Patient Care Technician

Insurance Coordinator

New Graduate Nurse

Biomedical Technician

Outpatient Registered Nurse – RN

Patient Care Technician, PCT

Patient Care Technician

Acute Inpatient Registered Nurse, RN – Dialysis

Outpatient Registered Nurse, RN

Acute Inpatient Registered Nurse – Dialysis

Outpatient Registered Nurse – Dialysis

Acute Inpatient Registered Nurse, RN, Dialysis

Director of Nursing