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<h4>How you will change lives</h4>As a Social Worker at US Renal Care, you will be an integral part of a cross-functional&nbsp;team, working to help patients living with kidney disease achieve maximum social functioning and psychological adjustment to dialysis treatment and rehabilitation.<h4>What you will be doing </h4>Advocate &amp; Support. &nbsp;You will be part of an interdisciplinary team working to ensure&nbsp;patients receive the best care, including conducting all required patient assessment and&nbsp;care planning activities such as assessing new patient psychosocial needs and completing the KDQOL in accordance with company policy and all state/CMS regulations. You will identify and counsel psychosocial issues and provide&nbsp; patient and family education. As an advocate for your patients' needs, you will coordinate communities of support for patients and their families, identify social agencies and other resources (e.g.,&nbsp; financial/funding), provide information and referrals, coordinate transient arrangements, and represent your patient as needed with appropriate local, state, and federal agencies. Teamwork. As part of the interdisciplinary clinic team, promote teamwork, educate staff, and provide training around patient psychosocial care. You will participate in all required continuing education and staff meetings. You will collaborate with the Medical Director and physicians and maintain positive relationships with area hospitals, agencies, vendors, and the community. Safety &amp; Quality. &nbsp;You will help with clinical and operational processes to improve patient health and minimize missed treatments and hospitalizations, achieving target goals for patient outcomes. You will also participate in monthly Quality Assessment and Performance Improvement (QAPI) activities and ensure compliance with federal, state, and local laws and regulations.SOCIAL WORKERSTATE SPECIFIC LICENSURE REQUIREMENTS&nbsp;Alabama Licensed Master Social Worker (LMSW) or Licensed Independent Clinical Social Worker (LICSW)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ArkansasLicensed Certified Social Worker (LCSW)CaliforniaLicensed Clinical Social Worker (LCSW)ColoradoLicensed Clinical Social Worker (LCSW)ConnecticutLicensed Clinical Social Worker (LCSW)DelawareLicensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)FloridaLicensed Clinical Social Worker (LCSW)GeorgiaLicensed Master Social Worker (LMSW+CEU) or Licensed Clinical Social Worker (LCSW)HawaiiLicensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW)IdahoLicensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)IllinoisLicensed Clinical Social Worker (LCSW)IndianaLicensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW)IowaLicensed Master Social Worker (LMSW)MarylandLicensed Certified Social Worker - Clinical (LCSW-C)MassachusettsLicensed Independent Clinical Social Worker (LICSW)MichiganLicensed Master Social Worker (LMSW)MissouriLicensed Clinical Social Worker (LCSW)New JerseyLicensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW)New MexicoLicensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)New YorkLicensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)North CarolinaLicensed Clinical Social Worker (LCSW)OhioLicensed Social Worker (LSW) or Licensed Independent Social Worker (LISW)OklahomaLicensed Master Social Worker (LMSW) or Licensed Social Worker (LSW) or Licensed Social Worker with Administration Specialty (LSW-ADM) or Licensed Clinical Social Worker (LCSW) OregonLicensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)South CarolinaLicensed Master Social Worker (LMSW) or Licensed Independent Social Worker -- Clinical Practice (LISW-CP)TennesseeLicensed Clinical Social Worker (LCSW)TexasLicensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)VirginiaLicensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)WyomingLicensed Clinical Social Worker (LCSW)***&nbsp; ANY EXCEPTIONS TO THE ABOVE LICENSURE REQUIREMENTS MUST BE APPROVED IN ADVANCE BY THE VICE PRESIDENT OF OPERATIONS AND VICE PRESIDENT OF CLINICAL SERVICES.&nbsp; ALL EXCEPTIONS WILL REQUIRE A PLAN OF SUPERVISION IN ACCORDANCE TO STATE AND COMPANY REQUIREMENTS.

U.S. Renal Care

Dialysis Social Worker

SUMMARYThe Director of Clinical Services plans, coordinates, implements high quality care through analysis and evaluation of multiple methods and tools that measure quality, such as the Network Performance Measures, USRC Clinical Quality Reports, policies, procedures, and directives. This position assumes a proactive role in adhering to guidelines, policies, procedures, and directives and collaborates with Clinical Specialists, Facility Administrators, and clinic staff to ensure compliance with company policy, Federal and State agencies.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.GROWTH<ul><li> Oversight of guidance provided to the facility teams by the Clinical Specialists within assigned regions.</li><li> Work with regional operations management to assist with the opening of denovo facilities and transitioning acquired facilities.</li><li> Evaluate trends in clinical data and provide guidance to Clinical Specialists to prepare for educating the facility staff on the effective and efficient use of company resources, (i.e. supplies), safety and risk reduction, and the best methodologies to achieve.</li><li> Evaluate readmissions, hospitalizations, and catheter rates to identify opportunities to improve treatment rates and decrease infections and missed treatments.</li><li>Work with Clinical Specialists toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives.</li></ul>OUTCOMES<ul><li> Develop, implement, and monitor quality of care processes for program regulatory compliance in accordance with Company goals. </li><li> Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations. Review audits performed by Clinical Specialists in assigned facilities. Ensure findings are reported to the Facility Administrator and regional management teams and POC is developed and implemented appropriately. Report delays in the execution of the POC to the VP of Clinical Services and RVP as indicated.</li><li> Assist with the development of quality goals and measures by reporting field requests and trends in data to the VP of Clinical Services. Responsible for positively impacting clinical outcomes by working collaboratively with the clinical and local management.</li><li>Oversee Clinical Specialists in achieving program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics.</li></ul>OPERATIONAL&nbsp;READINESS<ul><li> Knowledge of and remain current with technology, federal, state, local laws and regulations.</li><li> Knowledge of state specific education requirements. Collaborate with policy development committee with the purpose of developing state specific policies, where indicated.</li><li> Assist Clinical Specialists as needed to support clinics with remaining in compliance with all applicable federal, state, and local laws and regulations by conducting internal clinical audits. Ensure audits are scheduled in an efficient manner taking travel, the clinic's regulatory health and required resources into consideration.</li></ul><ul><li> Provide guidance to local/regional teams and Clinical Specialists in the implementation of the ESRD Emergency Preparedness regulations.</li><li> Provide written follow up on any deficiencies for all internal audits and state and federal surveys to Facility Administrator, RVP and VP of Clinical Services.</li><li> Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards. Report issues to Facility Administrators and regional management.</li><li> May participate in Policy and Procedure committee to create and maintain clinical, education and QAPI policies. </li><li> Review regional trends in Incident Reports and identify educational opportunities in response to identified patterns. Ensure the process for reporting events to the state(s) are effective, where indicated. </li><li> Evaluate types, frequency and facilities required to complete Network projects. Ensure Clinical Specialists offer education to address if patterns exist.</li><li> Participate in actual disaster planning and response team efforts as needed.</li><li> Support Clinical Specialists and collaborate with Home department leadership to assess how the Clinical Services team can assist. Discuss need for policy/procedure revisions with VP of Clinical Services. </li><li> Serve as the regional resource person for involuntary discharges (IVD) and managing grievances. Ensure VP of Clinical Services aware of all IVDs and grievances that cannot be resolved at the local level.</li><li> Be familiar with emergency operational procedures.</li><li> Use appropriate safety measures including personal protective equipment, as necessary.</li><li>Be familiar with OSHA regulations.</li></ul>PARTNERSHIPS<ul><li> Understand, lead, and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives.</li><li> Communicate with VP of Clinical Services and regional management on a consistent basis regarding the status of each clinic in the region.</li><li> Maintain collaborative working relationship with Facility Administrators and regional management. Partner with Facility Administrator(s) and regional management to ensure clinic needs are met.</li><li> Acts as liaison with Medical Directors and physicians to coordinate quality patient care.</li><li> Maintain a positive/collaborative relationship with physicians, state agencies and the community.</li><li> Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.</li><li>Respond effectively to inquiries or concerns.</li></ul>STAFF DEVELOPMENT/ RETENTION<ul><li> Identify specific training needs of assigned region and communicate findings to VP of Clinical Services.</li><li> Developed corporately and included in CS JD. Develop and implement clinic based in-service programs as directed or requested.</li><li> Developed corporately and included in CS JD. Responsible for professional development of each Clinical Specialist in assigned region including appropriate orientation to the role upon hire.</li><li> Supervise the hiring of clinical services staff as needed in collaboration with VP of Clinical Services and Human Resources Department.</li><li> Maintain effective personnel management and employee relations, including evaluating the performance of all Clinical Specialist personnel; approving and submitting time worked and counseling and disciplining employees.</li><li> Uphold management goals of corporation by leading staff in team concepts and promoting a team effort.</li><li>Effectively communicates expectations; accepts accountability and holds others accountable for performance.</li></ul>&nbsp;&nbsp;

Director, Clinical Services

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.<ul><li> Monitor access prevalence for each center to ensure maximum fistula and graft use; and minimum catheter use.</li><li> Responsible for communication related to vascular access management Policies and Procedures to each facility vascular access contact across the region.</li><li> Collaborate with Clinical Specialist on staff and patient training and education needs.</li><li> Utilize and support staff adoption and use of USRC tools.</li><li> Review monthly all facility referrals for permanent access placement and outcomes of those referrals with the Area Director/Regional Director.</li><li> Identify the facilities with higher than expected catheter rates and work closely with Facility Administrator, Medical Director and clinic vascular access contact to create improvement plan.</li><li> Follow up on all improvement plans monthly to ensure plans are active and implemented. As necessary, visits facilities with catheter rates over region or enterprise outlier goals to ensure plans of correction are in place.</li><li> Work closely with vascular access center staff to communicate specific needs regarding scheduling, etc. to each facility.</li><li> Meet with vascular access surgeons quarterly or more frequently as needed.</li><li> Track access quality measures for each facility and meet regularly with Vascular Access Center.</li><li> Participate in planning and delivery of patient and staff celebrations.</li><li> Travel to facilities in assigned region as needed.</li><li> Actively promotes GUEST customer service standards; develops effective relationships at all levels of the organization.</li><li> Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures.</li><li> Regular and reliable attendance is required for the job.</li></ul>

Vascular Access Coordinator

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

Dialysis Patient Care Technician Floater - PCT Chronic In-center

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.&nbsp; This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.&nbsp;&nbsp; ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.<ul><li>Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.</li><li>Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.</li><li>Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.&nbsp; Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.</li><li>Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li>Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.&nbsp; Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.</li><li>Participate in infection control monitoring, implementation, and recording as requested.</li><li>Be familiar with emergency equipment and all emergency operational procedures.&nbsp; Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.</li><li>Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.</li><li>Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.&nbsp; Assist in obtaining data for the continuous quality improvement activities.</li><li>Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.</li><li>Complete and document monthly review of patient medication profiles.&nbsp; Administer medications as ordered by the physician.</li><li>Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.</li><li>Flexible with staffing locations and hours to accommodate patient and USRC home program needs.</li><li>Regular and reliable attendance is required for the position.</li></ul>Home Hemodialysis Only:<ul><li>Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.</li><li>Ensure required and appropriate water sampling is complete per policy and product requirements.&nbsp; Monitor and report water sample and culture results.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</li></ul>

Dialysis Registered Nurse, Home Hemo & Peritoneal RN

<h4>How you will change lives</h4>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.<h4>What you'll be doing</h4>Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California<ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul>Maryland<ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul>New Mexico<ul><li>Must have New Mexico dialysis technician certificate at time of hire OR</li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR</li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul>OHIO<ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul>OREGON<ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;

Dialysis Patient Care Technician

SUMMARYThe Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned.GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures.OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals.OPERATIONAL&nbsp;READINESS· Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse's responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment &amp; Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations.OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines.PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints.STAFF&nbsp;DEVELOPMENT/&nbsp;RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.ADMINISTRATORState Specific RegulationsAlabamaIF DESIGNATED CEO FOR THE CLINIC, MUST: <ul><li> Hold at least a baccalaureate degree and has at least one (1) year of experience in a dialysis unit OR</li><li> Meets the qualifications for a qualified physician director or qualified registered supervising nurse.</li></ul>Georgia <ul><li> Hold at least a baccalaureate degree and has at least one (1) year experience in an end stage renal disease facility OR</li><li> Meets the qualifications for a physician director or a nurse responsible for nursing services for an end stage renal disease facility OR</li><li> Has been acting for at least two (2) years as a facility administrator for an end stage renal disease facility which has been certified for the federal Medicare program.</li></ul>Maryland IF NOT THE DESIGNATED CEO FOR THE CLINIC, MUST: <ul><li> Be 21 years old or older.</li><li> Possess a high school diploma or a high school equivalency diploma.</li><li> Have at least one (1) year of dialysis experience.</li><li> Have no criminal conviction or other criminal history that indicates behavior that is potentially harmful to patients, documented through either a criminal history records check or criminal background check completed within one (1) month before employment.</li></ul>New Jersey <ul><li> A baccalaureate degree from an accredited college or university and the equivalent of at least one (1) year experience in supervising renal dialysis services OR</li><li> Five (5) years full-time experience in the provision of renal dialysis services and documentation of supervisory experience for at least one (1) year.</li></ul>South Carolina <ul><li> Hold at least a baccalaureate degree or have a minimum of an associate degree in a health-related field with at least two (2) years experience in ESRD within the past five (5) years.</li></ul>Wyoming PERSON IN CHARGE OF THE OPERATION OF THE FACILITY TWENTY-FOUR (24) HOURS PER DAY AND IS:<ul><li> A physician OR</li><li> A Registered Nurse who has at least six (6) months of experience working in a renal dialysis center OR</li><li> An individual with a bachelors degree and one (1) year experience in health service administration, preferably in a renal dialysis center.</li></ul>REGISTERED SUPERVISING NURSEState Specific RegulationsGeorgia <ul><li> RN with twelve (12) months of experience in clinical nursing, and an additional six (6) months of experience in nursing care of the patient with permanent kidney failure or undergoing kidney transplantation, including training in and experience with the dialysis process OR</li><li> RN with eighteen (18) months of experience in nursing care of the patient with on maintenance dialysis, or the nursing care of the patient with a kidney transplant, including training in and experience with the dialysis process.</li><li> Where the RN responsible for nursing services is also in charge of self-care dialysis training, at least three (3) months of the total required dialysis experience is in training patients in self-care.</li></ul>New Jersey THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF NJ AND MUST:<ul><li> Have twelve (12) months full time experience in nursing supervision and/or nursing administration obtained in a hemodialysis setting within the last twenty-four (24) months.</li></ul>South Carolina THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF SC AND MUST: <ul><li> Be a registered nurse with at least eighteen (18) months of experience in clinical nursing, with at least six (6) months experience in care of patients with ESRD.</li></ul>Texas THIS POSITION ALSO MAY BE KNOWN AS THE DIRECTOR OF NURSING IN THE STATE OF TX AND MUST:<ul><li> Have at least eighteen (18) months experience as an RN, which includes at least twelve (12) months experience in dialysis within the last twenty-four (24) months; OR </li><li> Have at least eighteen (18) months experience as an RN, and holds a current certification from a nationally recognized board in nephrology nursing or hemodialysis.</li></ul>

Dialysis Facility Administrator

Qualified candidates with prior peritoneal dialysis or hemodialysis experience may be eligible for up to $7,500 signing bonus - please inquire!USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.&nbsp; This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.&nbsp;&nbsp; &nbsp; ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.<ul><li>Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.</li><li>Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.</li><li>Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.&nbsp; Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.</li><li>Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li>Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.&nbsp; Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.</li><li>Participate in infection control monitoring, implementation, and recording as requested.</li><li>Be familiar with emergency equipment and all emergency operational procedures.&nbsp; Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.</li><li>Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.</li><li>Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.&nbsp; Assist in obtaining data for the continuous quality improvement activities.</li><li>Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.</li><li>Complete and document monthly review of patient medication profiles.&nbsp; Administer medications as ordered by the physician.</li><li>Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.</li><li>Flexible with staffing locations and hours to accommodate patient and USRC home program needs.</li><li>Regular and reliable attendance is required for the position.</li></ul>Home Hemodialysis Only:<ul><li>Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.</li><li>Ensure required and appropriate water sampling is complete per policy and product requirements.&nbsp; Monitor and report water sample and culture results.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</li></ul>Salary / Compensation StatementCompensation for the role will depend on several factors, including a candidate's experience, qualifications and skills. U.S. Renal Care offers a comprehensive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.

Dialysis Registered Nurse, Peritoneal RN - Signing Bonus up to $7,500

SUMMARYThe Home Therapy Registered Nurse -- Traveler, as qualified by federal and state regulations, travels to various U.S. Renal Care locations to provide patient training and ongoing support for all patients choosing a home dialysis modality. This position provides nursing relief/support for assigned programs on a temporary or short-term basis.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.GROWTH· Participate in and support corporate initiatives that promote improved care and increase growth of the home department.· Understand vendor product delivery methods and associated fees. Teach patients the importance of proper and timely order placement. Ensure patients receive all supplies in timely manner to not disrupt care.· Assist with clinic and patient supply inventory, ensuring usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. · May assist with equipment management including equipment tracking and retrieval as needed.· Perform duties as assigned to meet the patient care or operational needs of the program.OUTCOMES· May assist with improving patient outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. May assist in obtaining data for the continuous quality improvement activities.· Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.· May complete and document monthly review of patient medication profiles as directed. Administer medications as ordered by the physician.· Provide patient education and follow up as needed.· Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals.OPERATIONALREADINESSOPERATIONALREADINESS (cont.)· Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.· Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.· Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.· May conduct home visits to assess the patient's home environment per policy and as needed to improve care.· Inform (Direct Supervisor) and program Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy.· Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.· May assist with developing and implementing the patient plan of care with the interdisciplinary team.· Participate in infection control monitoring, implementation, and recording as requested.· Use personal protective equipment as necessary.· Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.· Communicate on-call system to patients and ensure patients have access to nursing support at all times. Teach patients the importance of timely communication.· May perform on call nursing services, nights and weekends, on a rotational basis as needed or assigned.· Flexible with staffing locations and hours to accommodate patient and USRC home program needs.· Regular and reliable attendance is required for the position.Home Hemodialysis Only:· May coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.· May assist with ensuring required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results.PARTNERSHIPS· Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.· Maintain a positive/collaborative working relationship with physicians, state agencies and the community.· Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.· Respond effectively to inquiries or concerns.STAFF DEVELOPMENT/ RETENTION· Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.· May delegate tasks to competent licensed and unlicensed staff per applicable state practice act.· Assist with staff training as requested.· Lead staff in team concepts and promote a team effort.

Dialysis Registered Nurse, Home Hemo & Peritoneal RN - Floater

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.The Biomedical Technician is responsible for overseeing the overall operational condition, maintenance and repair of all water treatment equipment, all medical equipment and mechanical/electrical systems to ensure patient safety and the safety of all staff operating such equipment for their assigned clinic(s).ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.&nbsp;<ul><li>Demonstrate effective use of supplies and staff labor hours.</li><li>Assist with purchasing as needed: place orders, perform weekly and month end inventory counts.</li><li>Be familiar with the overall procedures used in Inventory Control (FIFO) and assist in the documentation and control of excess inventory.</li><li>Perform duties as assigned to meet the patient care or operational needs of the clinic.</li><li>Troubleshoot, repair and maintain equipment as recommended by the manufacturer.</li><li>Repair, calibrate, test, clean and disinfect dialysis machines, water distribution loop and RO's according to protocol.</li><li>Perform water quality checks to include but not limited to: free chlorine, total chlorine, and water hardness testing.</li><li>Perform safety checks and tests on all pretreatment water equipment including but not limited to carbon tanks, water softeners, RO units, UV lamps and ultrafilters.</li><li>Collect samples of RO water and dialysate for microbiology testing according to protocol.</li><li>Collect water samples for AAMI analysis testing according to protocol.</li><li>Disinfection of central bicarbonate system and mixing tank according to protocol.</li><li>Disinfection of RO, distribution system, and hemodialysis machines according to protocol.</li><li>Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.</li><li>Perform electrical safety on dialysis machines and related equipment.</li><li>Be familiar with instruction manuals and operation for equipment in accordance with manufacturer's recommendations. Be capable of starting up and shutting down facility's equipment if necessary.</li><li>Maintain established preventative maintenance programs and required support documentation.</li><li>Maintain accurate maintenance records for the facility's equipment.</li><li>Have knowledge of the function and safe operation of water treatment equipment and related mechanical and electrical systems.</li><li>Address physical environment issues which could impact patient and staff safety.</li><li>Mix bicarbonate solution according to protocol. Mix acid concentrate solution according to protocol.</li><li>Assist in receiving, storing and stocking of supplies.</li><li>Be familiar with all emergency equipment and emergency operational procedures.</li><li>Use appropriate safety measures including personal protective equipment as necessary.</li><li>Be familiar with OSHA regulations.</li><li>Update Material Safety Data Sheets (MSDS) as required.</li><li>Be aware of all contracts and contacts necessary for the emergency repair of the clinic's equipment and mechanical systems.</li><li>Obtain quotes from reputable and approved contractors as needed to address physical environment issues.</li><li>Present technical summaries in QAPI meetings.</li><li>Maintain collaborative working relationship with Administrator(s). Partner with Administrator(s) to ensure clinic needs are met.</li><li>Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.</li><li>Respond effectively to inquiries or concerns.</li><li>Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.</li><li>Complete initial and annual technical training on clinical staff as required.</li><li>Instruct staff in use and care of equipment and answer questions.</li><li>Participate in team concepts and promote a team effort.</li></ul>

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