Outpatient Registered Nurse - RN

Fresenius Medical Care; St. Johnsbury (VT); On-site; USD 37,195 - 64,747; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid time off

Parental leave

Performance-based bonuses

Job summary

Fresenius Medical Care is seeking an Outpatient RN CAP 1 to provide clinically competent care in St. Johnsbury, Vermont. This entry-level position involves patient assessment, treatment planning and collaboration with healthcare teams.

Responsibilities include performing and documenting hemodialysis treatments, educating patients, and ensuring a safe care environment. The role offers an hourly rate of $27.00 - $47.00 and a comprehensive benefits package, including medical, dental, and vision insurance.

Qualifications

• Registered Nurse with less than 2 years of Nephrology Nursing experience.
• Must meet practice requirements in the state of employment.

Responsibilities

• Provide clinical care and coordinate patient treatment plans.
• Assess and document patient data during hemodialysis treatments.
• Ensure patient education on treatment modalities.

Skills

Nephrology Nursing experience

Chronic/acute hemodialysis experience

CPR BLS Certification

Education

Graduate of an accredited School of Nursing

Current appropriate state licensure

Job description

PURPOSE AND SCOPE

The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision‑making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
• Performs ongoing, systematic collection and analysis of patient data pre‑during‑post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
• Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
• Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
• Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
• Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
• Ensures patient awareness related to transplant and treatment modality options.
• Required to complete CAP requirements to advance.
• Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS

• The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
• This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• Day‑to‑day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
• The position may require travel to training sites or other facilities.
• May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

SUPERVISION

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:

• Successful completion of all FKC education and training requirements for new employees.
• Must have a minimum of 9 months experience as a RN.
• Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

EDUCATION AND LICENSURE

• Graduate of an accredited School of Nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS Certification.
• Must meet the practice requirements in the state in which he or she is employed.

EXPERIENCE AND REQUIRED SKILLS

• Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
• Chronic/acute hemodialysis experience (preferred).

COMPENSATION AND BENEFITS

Hourly Rate: $27.00 - $47.00

Benefit Overview: This position offers a comprehensive benefits package including 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 in accordance with applicable federal and state laws.

• 12 weeks of structured dialysis education
• MWF schedule after training complete
• Full‑time, full benefits
• Advanced education program