Registered Nurse - In Center

Dialysis Care Center • Taylor, MI

6d • Onsite

About The Position

The In Center Hemodialysis Registered Nurse supports Dialysis Care Center’s mission, values, customer service standards, policies, procedures, and compliance requirements. The nurse provides safe, high-quality patient care while coordinating daily clinical operations, supervising direct-care staff, ensuring regulatory compliance, and promoting operational excellence and positive patient outcomes.

The role includes supervising and mentoring Patient Care Technicians, coordinating workflow and schedules, monitoring quality metrics and dashboards, maintaining complete and compliant documentation, and supporting staff education and training. The nurse provides direct hemodialysis care, assesses patients and their response to treatment, administers medications, communicates with physicians and other disciplines, and educates patients and families about kidney disease and dialysis care.

The position may require floating between facilities, travel to other locations or meetings, and a flexible schedule that can include mornings, evenings, nights, weekends, and holidays. The work takes place in a healthcare facility and includes regular patient interaction, exposure to infectious or contagious materials, prolonged standing, bending, and lifting or moving patients and supplies.

Requirements

• Graduate of an accredited School of Nursing; an Associate Degree in Nursing (ADN) is required.
• Current state Registered Nurse licensure, maintained in good standing.
• Current CPR certification.
• PC proficiency and ability to work in a fast-paced setting; proficiency with Microsoft Outlook, Word, and Excel.
• Good presentation and communication skills.
• Productive and resourceful, with the ability to meet deadlines.
• Pass the Ishihara Color Blindness test as a condition of employment; the employer will consider reasonable accommodations, and failure of the test does not automatically preclude employment.
• Ability to perform direct patient care involving frequent, prolonged standing and bending; assist with patient lifting, moving, and ambulation; occasionally push or pull equipment with up to 15 pounds of force; frequently lift and lower solutions up to 30 pounds and occasionally up to 50 pounds as high as 5 feet.
• Ability to work a flexible schedule that may include mornings, evenings, nights, weekends, and holidays, and travel between assigned facilities and other locations as required.

Nice To Haves

• Bachelor of Science in Nursing (BSN).
• At least 6 months of hemodialysis experience.

Responsibilities

• Supervise and mentor Patient Care Technicians and direct day-to-day patient care.
• Review new staff documentation for accuracy and review documentation for completeness and regulatory compliance.
• Use DCC Labor Logic and collaborate with the Clinical Nurse Manager to optimize staffing, schedules, labor productivity, overtime management, and patient treatment schedules while maintaining safe staffing standards.
• Coordinate workflow during assigned shifts; create, maintain, and communicate employee schedules; complete opening and closing procedures.
• Monitor DCC quality metrics, including Kt/V, anemia, catheter rates, access infections, and missed treatments.
• Participate in missed-treatment interventions, including patient outreach, rescheduling, and interdisciplinary communication.
• Serve as a resource for patient needs, staff education, and in-service sessions; work with educators, outcome managers, anemia managers, and the DCC Dashboard specialist.
• Monitor and document information on DCC dashboards.
• Provide and supervise direct patient care, including vital signs, pre-treatment assessments, dialysis initiation and monitoring, termination, access hemostasis, and post-treatment assessments.
• Document care, perform physical nursing assessments, administer dialysis medications, transcribe physician orders, assess dialysis adequacy, and support catheter-reduction initiatives.
• Assist with patient scheduling, conduct daily clinical huddles, delegate patient assignments, and coach staff.
• Review laboratory orders and results in Ascend, ensure proper specimen collection and shipment, and promptly communicate critical results to physicians.
• Escalate emergencies and life-threatening complications to the medical director, physician, and Clinic Manager; maintain competency in emergency procedures and ensure emergency equipment is available.
• Assess patients’ responses to hemodialysis, make prescribed treatment-plan adjustments, and assess target weights.
• Ensure compliance with safety and infection-prevention measures, conduct routine audits, and monitor adverse events and patient safety.
• Educate patients and families about end-stage renal disease, dialysis, vascular access, fluid management, diet, medication compliance, treatment modalities, and transplantation; provide pre- and post-dialysis instructions.
• Collaborate with other disciplines to support patient outcomes and participate in care conferences and QAPI.
• Complete DCC University modules, annual competency validation, mandatory continuing education, water-quality facility training, in-services, staff meetings, and required competencies.
• Train staff, assist with new-employee orientation, and support competency validation.
• Float between facilities as needed, travel to other locations and meetings as required, and perform other assigned duties.
• Support DCC customer-service standards, maintain effective relationships through timely communication, and respond to and follow up on customer-service issues.

Benefits

• Medical, dental, and vision insurance (voluntary).
• Hospital indemnity, critical illness, accident insurance, and long-term disability (voluntary).
• Voluntary life and accidental death and dismemberment insurance.
• Flexible Spending Account (FSA) and Health Savings Account (HSA).
• Short-term disability and basic life/AD&D coverage paid by the company (basic life/AD&D at one times salary).
• Employee Assistance Program (EAP) and LifeMart discounts.
• 401(k) with company match.
• Paid Time Off (PTO) and Extended Sick Leave (ESL).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree