About The Position

Supports FMCNA’s mission, vision, core values, and customer service philosophy while following its Compliance Program and applicable regulatory and facility policies. The Charge Nurse manages daily clinical decisions to ensure continuity of care, patient and staff safety, and safe, effective, quality outcomes while maintaining cost-effective operations. The role guides and supports direct patient care staff, contributes to staffing and personnel decisions, helps ensure regulatory and policy compliance, and oversees shift operations and documentation. It coordinates patient assignments and care plans, monitors patients during dialysis, administers medications as ordered, responds to emergencies, and communicates patient concerns to the rounding physician. The Charge Nurse also trains and orients staff, supports patient and family education, oversees equipment use and required technical procedures, promotes a safe working environment, and participates in quality assurance activities. The position involves desk and computer work and interaction with patients, facility staff, and physicians. Travel between assigned facilities and community locations is required; travel to regional, Business Unit, and Corporate meetings may also be required. The work environment is a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered. The annual pay range is $71,000–$119,000, depending on work location and the candidate’s qualifications. The position offers medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave, and potential performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace and is an equal opportunity employer.

Requirements

  • Graduate of an accredited school of Nursing (R.N.).
  • Must be registered and licensed to practice in the applicable state.
  • Minimum of 12 months of nursing experience, plus 6 months of specialized clinical nursing experience providing dialysis patient care in a chronic or acute setting.
  • Certified in CPR or successfully complete a CPR certification course.
  • Good verbal and written communication skills.
  • Must take the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodation will be considered.

Nice To Haves

  • Medical/surgical nursing experience preferred.
  • Supervisory or management experience preferred.

Responsibilities

  • Provide day-to-day guidance, support, and direction to direct patient care staff; provide ongoing informal feedback and input for annual performance evaluations.
  • Participate in department staffing and appropriate hiring, firing, and disciplinary actions; recommend disciplinary action to the Facility Administrator and initiate it as appropriate.
  • Ensure compliance with company and facility procedures and policies and state and federal regulations.
  • Approve or disapprove time or personnel schedule changes in the Facility Administrator’s absence, ensuring compliant timekeeping documentation for staff on the assigned shift.
  • Participate in patient care plan meetings and supervise completion of short- and long-term care plans.
  • Maintain knowledge of current dialysis practices by participating in scheduled in-services; train and orient staff as necessary.
  • Observe and guide direct patient care staff to ensure appropriate techniques and adherence to facility policies and procedures.
  • Promote and assist with OSHA program compliance to maintain a safe and clean working environment.
  • Maintain safe, efficient, and effective shift operations.
  • Conduct staff meetings with the Facility Administrator at least monthly or as needed, and meet routinely with the Facility Administrator regarding personnel and patient care status, issues, and information.
  • Supervise documentation of patient information.
  • Coordinate Charge Nurse duties with Staff RNs serving in a relief charge capacity.
  • Assess daily patient care needs and develop and distribute patient care assignments appropriately.
  • Assume primary responsibility in emergency situations.
  • Assess patient needs, respond to dialysis treatments, and communicate concerns to the rounding physician; implement changes in patient care or treatment as directed.
  • Monitor and supervise patient care during dialysis and assist as necessary; collaborate with the direct patient care team on care decisions.
  • Continuously monitor patient condition for problems and potential dialysis-related complications.
  • Administer medications according to physician orders.
  • Serve as a subject matter expert and resource for staff members.
  • Admit new patients according to facility procedures and ensure patients’ educational needs are met; educate patients and families about End Stage Renal Disease, dialysis therapy, diet, and medication.
  • Supervise safe and effective use of equipment involved in direct patient care, and operate dialysis-related and emergency equipment safely and efficiently when needed.
  • Perform required testing and verification, and initial checklists for start-up and shut-down procedures as outlined in the Technical Services Manual.
  • Complete the Nurse’s Technical Training Program/Water Quality Facility.
  • Assist with special projects or other duties as assigned by the Facility Administrator.
  • Assist with interviewing potential direct patient care staff.
  • Promote efficient use of medical supplies.
  • Attend and participate in monthly Quality Assurance meetings.
  • Travel between assigned facilities and community locations, and travel to regional, Business Unit, and Corporate meetings when required.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave
  • Potential performance-based bonuses depending on company and individual performance
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