Chronic RN

the Client•Tyler, TX
•Onsite

About The Position

The Chronic RN provides and coordinates clinically competent care for an assigned group of patients, including assessment, planning, intervention, and evaluation. As a member of the End Stage Kidney Disease (ESKD) health care team, the nurse participates in decision-making, patient and family education, leadership functions, and quality improvement activities to enhance patient outcomes and facility operations. The role may include delegating appropriate tasks to direct patient care staff, including RNs, LVN/LPNs, and Patient Care Technicians. Duties are performed in accordance with Fresenius Kidney Care policies, procedures, nursing practice standards, and state and federal regulations. The nurse performs essential functions under the Supervisor’s direction, with guidance from a Clinical Educator or Preceptor, or in collaboration with other Registered Nurses. The position is an onsite, three-month contract in Tyler, Texas, paying $45.00–$46.00 per hour. Applicants must be authorized to work for any U.S. employer; visa sponsorship is unavailable.

Requirements

  • Graduate of an accredited School of Nursing.
  • Current appropriate state licensure.
  • Current or successfully completed CPR BLS Certification.
  • Must meet the practice requirements of the state where employed.
  • One year of nephrology nursing experience as an RN within the last two years.
  • Chronic hemodialysis experience required.
  • Ability to assess and analyze patient data before, during, and after hemodialysis.
  • Ability to administer medications and document justification and effectiveness.
  • Ability to collaborate with Interdisciplinary Teams on expected outcomes and nursing care plans.
  • Ability to initiate or assist with emergency response measures.
  • Ability to coordinate daily hemodialysis therapy delivery with ancillary patient care staff.
  • Ability to assess, document, and address patient and family education needs.
  • Ability to ensure proper laboratory collection, processing, and shipping procedures.
  • For Team Leader or Nurse in Charge eligibility: complete all FKC new-employee education and training requirements, have at least nine months of RN experience, and have at least three months of chronic or acute hemodialysis experience as an RN.
  • Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.
  • Applicants must be authorized to work for any employer in the United States; the employer cannot sponsor or take over sponsorship of an employment visa.

Responsibilities

  • Collect and analyze patient data systematically before, during, and after hemodialysis; document findings, adjust treatment plans as indicated, and notify the appropriate clinical personnel or physician when needed.
  • Assess, collaborate on, and document patient and family learning needs, and provide initial and ongoing education.
  • Coordinate and provide safe, effective daily hemodialysis therapy with direct and ancillary patient care staff.
  • Administer medications as prescribed or according to approved algorithms, documenting 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 as assigned.
  • Ensure laboratory specimens are collected, processed, and shipped correctly, and reschedule missed or insufficient collections.
  • Collaborate with the Interdisciplinary Team to identify expected outcomes and document and update nursing assessments and plans of care.
  • Ensure patients are aware of transplant and treatment modality options.
  • Perform other duties assigned by the Supervisor.
  • After meeting eligibility requirements, provide oversight of Patient Care Technicians, LPNs/LVNs, or RNs as a Team Leader or designated Nurse in Charge.

Benefits

  • Medical insurance
  • Vision insurance
  • Dental insurance
  • 401(k) retirement fund
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service