RN Outpatient Full-time

5K Sign On Bonus added for experienced Dialysis

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Our clinic RNs build strong bonds and lasting relationships with people who entrust us with their care, their families, and fellow care team members.
How you grow or advance: As a Dialysis RN, you will enter our Clinical Advancement Program (CAP) to grow and advance in your career. By participating in CAP, you will develop clinical leadership skills, derive greater career satisfaction, have an opportunity to share your expertise with others, and be recognized for your experience, knowledge, and clinical expertise. All new hires will begin at the appropriate CAP level based on prior experience and education.

Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.

Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

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.

  •  As a member of the nephrology health care team, you will participate in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
  • Coordinates patient care including assessment, planning, intervention, and evaluation for an assigned group of hemodialysis patients. This includes delegation of appropriate tasks to direct patient care staff.
  • Performs ongoing analysis of patient data with each patient visit and documents in the patient medical record.
  • Adjusts or modify the treatment plan as indicated and notify supervisor as needed.
  • Provides initial and ongoing education to patient and family.
  • Administers medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
  • Initiates or assist with emergency response measures.
  • Ensures correct laboratory collection, processing, and shipping procedures are performed.
  • Collaborates with the Interdisciplinary Team on the patient care plan.
  • Ensures patient awareness related to transplant and treatment modality options.
  • Completes CAP requirements to either maintain or advance within the program.
  • Makes referrals to Social Worker and Registered Dietitian as appropriate.
  • Ensures patient awareness related to transplant and treatment modality options.

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 SKILLS:
•    Qualities and traits: compassion, caring, support for colleagues, collaborative, reliable.
•    Experience as a Registered Nurse (preferred but not required).
•    Chronic/acute hemodialysis experience (preferred but not required).
•    Successfully pass the Ishihara Color Blind Test.

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.

 

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

EOE, disability/veterans

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Job Summary The RNs within these areas provide care to adult patients in all of the specialty areas in Ypsilanti Health Center. These specialties include: Dermatology, Neurology, Urology, Cardiology, MEND and Wound Clinic. Provide the delivery of culturally sensitive, age specific team based care models in deliver of nursing care within the Ypsilanti Health Center for Internal/Specialty Medicine. 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. 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 $41.78-$64.81/ 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 Responsibilities* Clinical Skills And Knowledge Provide nursing care to patients within the YHC Specialty Clinics Provide telephone triage, patient teaching, direct patient care, documentation with follow-up and coordination with ancillary services and related departments. Provide functional supervision to allied health staff. Work with the patients to develop and carry out clinical standards of care for various patient diagnoses. May cross train to manage other Internal/Specialty Medicine specific patient population. Independently and completely performs focused assessment to provide best practice patient care for families and patients. Prioritizes key nursing diagnoses to address physical and psychosocial/emotional areas. Practice is driven by theory and experience. Independently develops, implements, and evaluates plan of care that recognizes subtle changes in patients condition and adapts plan as needed. Experience in tele-health communication and phone triage. Utilizes standard unit technology and uses advanced technology as appropriate. Utilizes computer for basic functions as well as reference on patient conditions and treatment. Accurately assesses patient's/family's readiness to learn, organizes and executes individualized teaching plan, evaluates patient's understanding and modifies approach as necessary. Seeks out additional patient education resources beyond unit. Demonstrates ease in application of hospital policies and unit procedures and protocols. Anticipates, identifies and intervenes when there are concerns related to patient safety, staff safety and safe medication processes. Consults documentation to identify trends in patient status and enhance continuity of assessment and ongoing nursing care. Monitors referrals. Collaboration with other members of the health care team for optimal patient outcomes. THERAPEUTIC RELATIONSHIPS Possesses clarity on one's own values and how they affect interactions, relationships and boundary setting. Individualizes communication based on assessment of the patients and families. Incorporates patient/family in planning and implementing care. Demonstrates empathy in interactions with patients/families. Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient/family outcomes. Recognizes ethical issues and seeks assistance in addressing them. Seeks to learn about and optimize the unique contribution inherent in the diversity and culture of each individual. PROFESSIONAL RELATIONSHIPS Recognizes and values professional collaborative communication Identifies and utilizes collaborative resources. Provides feedback to appropriate staff members. Functions as an independent and supportive team member, provides assistance to others. Demonstrates empathy and compassion in interactions with team members. Approaches conflict situations in a constructive manner. Seeks to learn about and optimize the unique contribution inherent in the diversity and culture of each individual on the health care team. Readily able to delegate to UAP according to the 5 Rights of Delegation. Facilitates continuity of care and nursing work flow through nurse to nurse delegation. Expectations Of The Position Validated leadership skills in a team setting Demonstrated ability to interact effectively and build respectful relationships within and between services and individuals as measured by interviews, references, and performance evaluations Demonstrated ability to work collaboratively and communicate well with others, including peers Demonstrated ability to seek constructive approaches to resolving workplace issues as measured by interviews, references, and performance evaluations Demonstrated adaptability to changing needs and priorities based on unit, site, and institutional goals/objectives Demonstrated ability to practice independently, set goals, promote teamwork, coordinate and perform multiple activities and problem solve as measured by interview, references, and performance evaluations. Demonstrated ability to set and implement priorities, organize and delegate effectively and efficiently. Demonstrated abilities in interpersonal, verbal and written communication skills, organizational skills and problem solving skills within all levels of the health care team Proven self-direction ability including initiative and creativity Demonstrated high standards of personal and professional conduct and attendance as evidenced by interviews, references, and performance evaluations 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 E. 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. If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at (734) 936-5183. Required Qualifications* Current licensure to practice nursing in the State of Michigan Recent (within 5 years) RN experience with adult medicine patients (non-research based, Non-OBGYN) in an ambulatory care setting. NOTE: 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* Experience with IV Skills Current ACLS certification RN Experience with Neurology patients Experience with patient/family education Experience in phone triage Proficient in MiChart In-basket management and documentation Experience in writing and creating patient and family education materials. BSN Tele-health Nursing experience Familiar with Epic electronic medical record platform Proficiency with Michart documentation/notifications. Knowledge of UMHHS policies and procedures. Excellent attendance as evident by attendance record Demonstrated commitment to Ypsilanti Community through work and/or volunteer experience Work Schedule Hours/Week: 40 hours per week Shift/Hours/Days: Monday through Friday; Day shift , potential for weekends with varied hours. Location: Ypsilanti Health Center Note: All new employees will be expected to float to a designated unit(s) in times of low census. 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. 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 employment opportunity employer.