REGISTERED NURSE (Ambulatory Care-MDS Outpatient Hemodialysis Unit)

Michigan Medicine; Ann Arbor (MI); On-site; USD 60,000 - 93,000; Full time

Benefits offered by this job

Excellent medical, dental and vision

2:1 Match on retirement savings

Generous Paid Time Off

Tuition and certification support

Job summary

Michigan Medicine is seeking a Registered Nurse to provide specialized care for adults on in-center hemodialysis, including AKI/ESRD patients. You will collaborate with the care team, perform nursing assessments, and ensure proper documentation and adherence to CMS requirements.

This role requires a Michigan nursing license and at least two years of nursing experience, including dialysis exposure. The position is on-site with shift-based scheduling and competitive benefits.

Qualifications

• Registered Nurse with current license to practice in Michigan.
• Minimum two years recent full-time nursing experience; one year in outpatient chronic hemodialysis.
• Experience with policy and procedure auditing in preparation for state surveyors.
• Knowledge of water room opening and mixing.

Responsibilities

• Provide nursing care to adult in-center hemodialysis patients with AKI/ESRD.
• Collaborate with Interdisciplinary Team and participate in patient care conferences.
• Ensure accurate documentation in Medical Information System.

Skills

Registered Nurse

Dialysis experience

Outpatient dialysis

Policy and procedure auditing

Education

Bachelor's degree in Nursing

Tools

Epic

Outlook

M-Learning

eCube

Job description

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Job Summary

Purpose

To provide nursing care and support to the adult in-center hemodialysis patient with acute kidney injury (AKI) or end stage renal disease (ESRD). To maintain clinical expertise within this unique population requiring specialized renal therapies. To provide nursing advice and consultation to other health care team members.

Utilize the nursing process to provide nursing care to facilitate the attainment and maintenance of an optimal level of health for patients and families. To collaborate with other health care team members and utilize associated resources to provide continuity in patient care and participate with healthcare team members for problem solving.

Staff Related

- Collaborate and delegate with the Patient Care Technicians (PCT) provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.

- Participates in staff training and orientation of new staff as assigned.

- Assists with medication tracking and inventory as assigned.

- Checks availability of adequate emergency equipment and supplies as assigned.

- Monitors patient care staff for appropriate techniques and adherence to MM policy and procedures.

Patient Care

- Provides safe and effective comprehensive delivery of care to patients with AKI and ESRD.

- Completes Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to Michigan Dialysis Services (MDS) policies and procedures.

- Identifies expected outcomes, documents, and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.

- Participate in patient care conferences with the multidisciplinary team and completes all CMS requirements.

- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.

- Managing anemia algorithms

Patient Education

- Ensures educational needs of patients and families are met regarding renal disease.

- Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy and other related health conditions.

- Ensures patient awareness related to transplant and treatment modality options.

- Makes referrals to Social Worker and Registered Dietitian as appropriate for individual patient education and counseling.

Infection Prevention

- Ensures a clean, safe, and sanitary environment in the dialysis facility patient care area. Ensures competency in the operation of all dialysis related equipment safely and effectively.

- Promotes infection control, equipment, and environmental safety.

Medical Records and Documentation

- Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.

Professionalism

- Enforces policies and procedures, as well as regulations set forth by state and federal agencies and departments. Delegate appropriate duties to assistive personnel.

Professional Development/Education for Staff

- Successful completion of hemodialysis training with satisfactory performance. Contributes to the professional growth of peers and other interdisciplinary team members. Maintains clinical expertise within the unique patient population which require specialized renal therapies.

Leadership

- Responsible for driving the MDS culture through values and customer service standards.

- Develops and maintains effective professional relationships through effective and timely communication.

- Able to make appropriate independent nursing decisions and delegate responsibilities when necessary.

- Promotes outstanding quality patient care in a collaborative, cost effective manner by assessing the diverse needs of the unit and implementing change accordingly.

- Initiates or assists with emergency response measures.

- Document on the daily time sheet tardiness, when leaving early and absences.

Communication

- Promote teamwork by functioning as a resource to peers, other units and various team members involved in the care of patients requiring peritoneal dialysis. Effectively interacts willingly and professionally with peers, patients, families, and interdisciplinary team members.

Expectations Of The Position

Actively lead and participate in care plan meetings, including anemia management

Basic Cardiac Life Support (BCLS) certified

Demonstrated excellent interpersonal and communication skills to interact with the multidisciplinary team

Flexibility in adherence to facility specific policies and protocols

Management of clinical outcomes, patient care technicians and multiple simultaneous patient treatments

Actively participate in preventing and lowering access infection(s)

Participation in hospitalizations/missed treatment rate reduction

Participation in Quality Index (QI) improvement

Ability to push, lift and move heavy equipment

Ability to lift, move and position patients

Required Qualifications

• Registered Nurse with current license to practice in the State of Michigan
• Minimum two years recent full time nursing experience; one year must be in outpatient chronic hemodialysis -inpatient (acute) dialysis experience will be considered.
• Experience with policy and procedure auditing in preparation for state surveyors
• Knowledge and competence with water room opening and mixing.

Required qualifications must be met by the candidate in order to be interviewed and considered for the position.

RESUME REQUIRED (for Both Internal & External Applicants)

You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications

• Previous experience working in a dialysis tech role.
• Baccalaureate degree in Nursing
• Knowledge of Michigan Dialysis Services (MDS) policies and practices
• Previous experience with hospital-based computer systems, Epic, Outlook, M-Learning and eCube clinical charting applications.
• Experience with policy and procedure auditing in preparation for state surveyors
• Comprehensive understanding of End Stage Renal Disease (ESRD) CMS regulations
• ICU or Emergency Department Experience
• Certified Nephrology Nurse

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

Nursing at Michigan offers a competitive salary with excellent benefits!

Hourly range for Registered Nurses $43.46 -$67.40/ hour

Evening Shift Differential-$3.00 / hour

Night Shift Differential- $4.00 / hour

Day Shift Weekend Differential- $2.90 / hour

Evening Shift Weekend Differential- $5.90 / hour

Night Shift Weekend Differential- $6.90 / hour

Charge Nurse Differential- $1.00 / hour

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage
• 2:1 Match on retirement savings and immediate vesting
• Generous Paid Time Off Allowances
• Robust tuition and certification support programs
• Large offering of no-cost CEs and professional development for advancement

Nursing Specific Info

Salary & Nursing Framework Level This UMPNC RN posting is posted as Nursing Framework LEVEL C. Actual Nursing Framework LEVEL and salary will be determined at time of hire. Nursing Framework levels range from Level A to Level F. Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Work Schedule

• Hours per Week: 30
• Shift: Day/Evening
• Hours: Shifts vary between 4:30 AM and 9:30 PM
• Days: Scheduled shifts vary Monday through Saturday.
• Location: Michigan Dialysis Services- Livonia

Note: All new employees will be expected to float to a designated unit(s) in times of low census.

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the Michigan Nurses Association and the U-M Professional Nurse Council union, which contains and settles all matters with respect to wages, benefits, hours and other terms and conditions of employment.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.