Registered Nurse - RN

Fresenius Medical Care; Brownwood (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

Fresenius Medical Care is seeking an entry-level RN to serve as an on-site Home Therapies Educator and Case Manager, coordinating patient education and dialysis care in clinic and during home visits.

The role requires a current RN license, CPR/BLS certification, and the ability to train patients and families in home dialysis modalities with a collaborative care team.

Qualifications

• Graduate of an accredited nursing program.
• Current state RN licensure and CPR/BLS certification.
• Entry-level RN with nephrology/home dialysis exposure preferred.

Responsibilities

• Provide on-site patient education and case management in clinic and during home visits.
• Coordinate dialysis care with physicians and interdisciplinary team.
• Perform and document assessments, plan of care, and monitor patient progress.
• Participate in on-call rotation and travel as needed.

Skills

RN

Home dialysis

Patient education

Education

Graduate of an accredited school of nursing

Current state RN licensure

CPR/BLS certification

Job description

Job Summary

Paid one on one training and education provided. Empower, engage, and train dialysis patients on peritoneal and home hemodialysis using state‑of‑the‑art training programs and equipment. Primarily works in the clinic setting and conducts initial home visits with another staff member present. Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours.

Purpose and Scope

The registered professional nurse Home Therapies 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. Assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed protocols and communicates patient‑related issues to the physician as needed. 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, with guidance from the educator, preceptor, or collaborative registered nurse.
• Performs ongoing, systematic collection and analysis of dialysis data for assigned patients; documents results in the medical record, makes adjustments to the treatment plan as indicated, and notifies the supervisor or physician as needed.
• Assesses, collaborates, and documents patient/family learning needs to provide initial and ongoing education to patients and family.
• Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient‑care staff, all aspects of the safe and effective delivery of dialysis therapy to assigned patients.
• Administers medications as prescribed or in accordance with approved algorithms; documents appropriate medical justification and effectiveness.
• Initiates or assists with emergency response measures.
• Serves as a resource for the 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.
• Assists in the identification, evaluation, selection, and education of home dialysis candidates and home partners.
• Performs assessment and identifies barriers of the home dialysis candidate’s environment and partner/family readiness to perform dialysis treatments at home.
• Trains home dialysis patients and/or home partners on the safe, effective operation and maintenance of all home dialysis equipment and treatment supplies through an organized and formal training program.
• Required to complete CAP requirements to advance.
• Performs all other duties as assigned by the 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 equipment, 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 ft.
• 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.
• Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage.
• Position requires participation in on‑call rotation, night, weekend, holiday or as defined by individual program needs.
• The position may require travel to training sites, other facilities or patient homes.
• May be asked to provide essential functions of this position in other locations, including patient’s home, with the same physical demands and working conditions as described above.
• Day‑to‑day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.

Supervision

Assigned oversight of LPNs/LVNs, RNs, patient‑care technicians and home therapy care team assistants 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 12 months experience as an RN.
• Successful completion of 3 months experience as an RN in home peritoneal dialysis and/or hemodialysis.

Education and Licensure

• Graduate of an accredited school of nursing.
• Current appropriate state licensure.
• Current or successful completion of CPR BLS certification.
• Must meet practice requirements in the state in which employed.

Experience and Required Skills

• Entry level for RNs with less than 2 years of nephrology nursing experience.
• Minimum of 1 year experience as an RN (preferred).
• Home dialysis therapy experience (preferred).

Legal Statements

Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans