Registered Nurse - In Center

Dialysis Care Center•Taylor, MI
•Onsite

About The Position

The In Center Hemodialysis Registered Nurse supports Dialysis Care Center, LLC’s mission, core values, and customer service standards while providing safe, high-quality patient care. The role coordinates daily clinical operations, supervises direct-care staff, ensures regulatory compliance, promotes operational excellence, and supports exceptional patient outcomes. The nurse provides and oversees dialysis care, assesses patient responses, documents care, administers dialysis medications, transcribes physician orders, and supports treatment-plan adjustments as prescribed. The role also coordinates staffing and workflow, monitors quality metrics, supports patient education and outreach, maintains emergency readiness, and collaborates with physicians and other disciplines. The position may require work across facilities and a flexible schedule, including mornings, evenings, weekends, and holidays.

Requirements

  • Graduate of an accredited school of nursing; an Associate Degree in Nursing (ADN) is required.
  • Current state Registered Nurse licensure in good standing.
  • Current CPR certification.
  • Proficiency with computers and Microsoft Office, including Outlook, Word, and Excel.
  • Ability to work effectively in a fast-paced setting, communicate and present effectively, be productive and resourceful, and meet deadlines.
  • Ability to pass the Ishihara Color Blindness test as a condition of employment; failure does not preclude employment, and reasonable accommodations may be considered.
  • Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, assisting with patient movement and ambulation, lifting and lowering solutions, and occasionally pushing or pulling equipment.

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 records for completeness and regulatory compliance.
  • Use DCC Labor Logic to optimize staffing, labor productivity, scheduling efficiency, overtime management, and patient treatment schedules while maintaining safe staffing.
  • Work with the Clinical Nurse Manager to develop employee staffing and patient schedules, coordinate shift workflow, and communicate timely schedules.
  • Complete assigned daily opening and closing procedures.
  • Monitor DCC quality metrics, including Kt/V, anemia, catheter rates, access infections, and missed treatments.
  • Support missed-treatment interventions through patient outreach, rescheduling, and interdisciplinary communication.
  • Serve as a clinical resource for patient needs, staff education, and in-service sessions in collaboration with relevant education and quality staff.
  • Monitor and document information on DCC Dashboards.
  • Supervise and provide direct dialysis care, including vital-sign monitoring, assessments, treatment initiation and monitoring, termination, access hemostasis, and post-treatment assessment.
  • Document care, complete physical nursing assessments, administer dialysis medications, transcribe physician orders, assess dialysis adequacy and target weights, and support catheter-reduction initiatives.
  • Assist with patient scheduling, conduct clinical huddles, delegate patient assignments, and coach staff.
  • Review laboratory orders and results through Ascend, oversee specimen collection and shipment, and promptly communicate critical values to physicians.
  • Communicate emergencies and life-threatening complications to the medical director, physician, and Clinic Manager; maintain emergency-procedure competency and verify emergency equipment availability.
  • Assess patient responses to hemodialysis and make treatment-plan adjustments as prescribed by the physician.
  • Promote safety and infection prevention, conduct routine audits, and monitor adverse events.
  • Educate patients and families about end-stage renal disease, dialysis, vascular access, fluid management, diet, medication compliance, treatment options, transplant awareness, and pre- and post-dialysis care.
  • Complete DCC University training, annual competency validation, mandatory continuing education, and staff water-quality training.
  • Train and orient staff and assist with competency validation.
  • Attend required staff meetings, care conferences, and QAPI activities.
  • Float between facilities, travel to other locations as needed, and work a flexible schedule that may include mornings, evenings, weekends, and holidays.
  • Support company customer-service standards, maintain effective relationships, and respond promptly to customer-service concerns.
  • Perform other duties as assigned.

Benefits

  • Medical, dental, and vision insurance
  • Hospital indemnity, critical illness, accident insurance, and long-term disability
  • Voluntary life and AD&D insurance
  • Flexible Spending Account (FSA) and Health Savings Account (HSA)
  • Company-paid short-term disability and basic life/AD&D coverage (1× salary)
  • Employee Assistance Program (EAP) and LifeMart discounts
  • 401(k) with company match
  • Paid Time Off (PTO) and Extended Sick Leave (ESL)
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