Outpatient Registered Nurse - RN - Dialysis

Fresenius Medical Care AG; Kenilworth (NJ); On-site; USD 69,000 - 116,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with company match

Paid time off and parental leave

Job summary

Fresenius Kidney Care is seeking an experienced Outpatient RN CAP 5 to oversee and coordinate dialysis care for a designated group of patients in a clinical setting.

The role emphasizes clinical leadership, patient education, and collaboration with a multidisciplinary team to ensure high-quality care and adherence to regulatory standards. Comprehensive benefits and professional development opportunities are provided.

Qualifications

• RN CAP 5 progression through CAP ladder.
• Current state nursing license required.
• CPR BLS certification required.
• 12+ years nephrology/dialysis nursing experience preferred.

Responsibilities

• Coordinate and deliver comprehensive dialysis care to assigned patients.
• Lead and mentor patient care staff as Team Leader or nurse in charge.
• Administer medications per protocol and document outcomes.
• Engage in quality improvement activities and patient education.

Skills

12+ years nephrology nursing

Dialysis nursing

Nephrology certification (CDN/CNN/CHN)

Education

RN nursing degree

State licensure

CPR/BLS certification

Job description

PURPOSE AND SCOPE:

The professional registered nurse Outpatient RN CAP 5 is a designation in the Clinical Advancement Program (CAP) and is attained through advancement from RN CAP 4. 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.

PURPOSE AND SCOPE:

The professional registered nurse Outpatient RN CAP 5 is a designation in the Clinical Advancement Program (CAP) and is attained through advancement from RN CAP 4. 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:

All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.

• Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with another Registered Nurse.
• 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 chronic 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, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility, area, region, group, division and corporate level.
• 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.
• Serves as a lead for educational or quality improvement projects at the facility, area, regional, division, group or corporate level as directed or approved by Supervisor.
• Required to complete CAP requirements to maintain level.
• Performs all other duties as assigned by Supervisor.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 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:

• 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:

• Minimum of 12 years Nephrology Nursing experience as a RN.
• National certification in Dialysis Nursing (CDN), Nephrology Nursing (CNN) or Certified Hemodialysis Nurse (CHN).
• Chronic/acute hemodialysis experience (preferred).

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Hourly Rate: $50.00 - $84.00

Non-Bonus Eligible Positions: include language below.

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.

Bonus Eligible Positions – include language below.

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 for 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.

EOE, disability/veterans