About The Position

The Home Therapy Registered Nurse provides patient training and ongoing support for patients choosing a home dialysis modality. The role is responsible for delivering quality patient care and superior customer service in internal and external interactions. The nurse must comply with applicable federal, state, and local regulations and practice requirements. The role may include home visits, on-call nursing services, and flexibility across staffing locations and hours to meet patient and program needs. For home hemodialysis patients, the nurse coordinates home evaluations with technical services to confirm electrical, plumbing, and drainage requirements, and ensures required water sampling is completed and results are monitored and reported. Compensation depends on experience, qualifications, and skills. U.S. Renal Care offers a total rewards package that includes a 401(k) match, healthcare coverage, and other benefits.

Requirements

  • Current RN license in the applicable state, maintained in good standing.
  • At least 12 months of clinical nursing-care experience and 3 months of experience in the specific home dialysis modality for which training will be provided; states with more stringent requirements may require more, including Texas, which requires at least 6 months in the specific home modality.
  • CPR certification before patient-care assignment.
  • Ability to distinguish all primary colors.
  • Successful completion of the Home Therapy Nurse Orientation program and annual demonstration of skills and competency for the assigned modality.
  • Working knowledge of English and ability to communicate verbally and in writing.
  • Basic computer skills and proficiency in all USRC clinical applications within 90 days of hire.
  • Meet applicable state practice requirements.
  • Meet minimum hiring standards, which may include additional background clearances and orientation requirements for the assigned program.

Nice To Haves

  • Previous experience providing nursing care to patients on maintenance dialysis.

Responsibilities

  • Train patients and/or care partners in self-care peritoneal dialysis or hemodialysis, subject to applicable qualification requirements.
  • Conduct home visits to assess the patient's home environment initially and at least annually, and reassess more often as needed.
  • Communicate patient assessment, reassessment, and monitoring results to physicians, team members, and others as appropriate.
  • Document nursing services and patient interactions in the Electronic Medical Record to support accurate records and continuity of care.
  • Participate in infection-control monitoring, implementation, and recording as requested.
  • Understand emergency equipment and procedures, and review emergency preparedness procedures regularly with home patients.
  • Ensure clinic and patient supply inventory and usage align with prescriptions, and place orders in a timely manner.
  • Track and trend program and patient performance, use critical thinking and root-cause analysis to improve outcomes, and assist with continuous quality improvement data collection.
  • Obtain ordered routine and non-routine laboratory tests and promptly communicate critical lab values and urgent patient needs to the responsible physician or physician extender.
  • Review patient medication profiles monthly and administer medications as ordered by the physician.
  • Provide on-call nursing services on a rotational basis as needed or assigned, including nights and weekends.
  • Be flexible with staffing locations and hours to accommodate patient and home-program needs, and maintain regular, reliable attendance.
  • For home hemodialysis, coordinate home evaluations with technical services to confirm electrical, plumbing, and drainage requirements before patient acceptance into the home program.
  • For home hemodialysis, ensure required water sampling is completed and monitor and report water sample and culture results.

Benefits

  • 401(k) with employer match
  • Medical and pharmacy coverage
  • Dental coverage
  • Vision coverage
  • Voluntary benefits
  • Virtual care
  • Life insurance
  • Paid time off (PTO)
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