Dialysis Nurse Salary in Fort Worth, TX

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.

SUMMARY The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH • Develop and implement processes for program growth in accordance with Company goals. • Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. • Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. • Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES • Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. • Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. • Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. • Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. • Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS • Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. • Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. • Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. • May assume Charge Nurse's responsibilities as needed. • Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. • May fulfill responsibility of facility CEO as delegated by Governing Body. • Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. • Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. • Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. • Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) • Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. • Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. • Know and understand the water treatment and mechanisms of the equipment of the facility. • Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS • Monitor all contractual agreements; update as needed with corporate oversight. • Maintain collaborative working relationship with Medical Director and physicians. • Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. • Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. • Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION • Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. • Recruit, train, develop, and supervise all personnel. • Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. • Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. • Effectively communicates expectations; accepts accountability and holds others accountable for performance.ADMINISTRATOR State Specific Regulations Alabama IF DESIGNATED CEO FOR THE CLINIC, MUST: Hold at least a baccalaureate degree and has at least one (1) year of experience in a dialysis unit OR Meets the qualifications for a qualified physician director or qualified registered supervising nurse. Georgia Hold at least a baccalaureate degree and has at least one (1) year experience in an end stage renal disease facility OR Meets the qualifications for a physician director or a nurse responsible for nursing services for an end stage renal disease facility OR Has been acting for at least two (2) years as a facility administrator for an end stage renal disease facility which has been certified for the federal Medicare program. Maryland IF NOT THE DESIGNATED CEO FOR THE CLINIC, MUST: Be 21 years old or older. Possess a high school diploma or a high school equivalency diploma. Have at least one (1) year of dialysis experience. Have no criminal conviction or other criminal history that indicates behavior that is potentially harmful to patients, documented through either a criminal history records check or criminal background check completed within one (1) month before employment. New Jersey A baccalaureate degree from an accredited college or university and the equivalent of at least one (1) year experience in supervising renal dialysis services OR Five (5) years full-time experience in the provision of renal dialysis services and documentation of supervisory experience for at least one (1) year. South Carolina Hold at least a baccalaureate degree or have a minimum of an associate degree in a health-related field with at least two (2) years experience in ESRD within the past five (5) years. Wyoming PERSON IN CHARGE OF THE OPERATION OF THE FACILITY TWENTY-FOUR (24) HOURS PER DAY AND IS: A physician OR A Registered Nurse who has at least six (6) months of experience working in a renal dialysis center OR An individual with a bachelors degree and one (1) year experience in health service administration, preferably in a renal dialysis center. REGISTERED SUPERVISING NURSE State Specific Regulations Georgia RN with twelve (12) months of experience in clinical nursing, and an additional six (6) months of experience in nursing care of the patient with permanent kidney failure or undergoing kidney transplantation, including training in and experience with the dialysis process OR RN with eighteen (18) months of experience in nursing care of the patient with on maintenance dialysis, or the nursing care of the patient with a kidney transplant, including training in and experience with the dialysis process. Where the RN responsible for nursing services is also in charge of self-care dialysis training, at least three (3) months of the total required dialysis experience is in training patients in self-care. New Jersey THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF NJ AND MUST: Have twelve (12) months full time experience in nursing supervision and/or nursing administration obtained in a hemodialysis setting within the last twenty-four (24) months. South Carolina THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF SC AND MUST: Be a registered nurse with at least eighteen (18) months of experience in clinical nursing, with at least six (6) months experience in care of patients with ESRD. Texas THIS POSITION ALSO MAY BE KNOWN AS THE DIRECTOR OF NURSING IN THE STATE OF TX AND MUST: Have at least eighteen (18) months experience as an RN, which includes at least twelve (12) months experience in dialysis within the last twenty-four (24) months; OR Have at least eighteen (18) months experience as an RN, and holds a current certification from a nationally recognized board in nephrology nursing or hemodialysis.

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient's home. We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. Work Schedule - Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility. Competitive on-call pay when placed in on-call rotation. Holidays - Home Training Nurses rarely work on a holiday. We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program. We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes. The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality. This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements. Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications. Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter. Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations. Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care. Participate in infection control monitoring, implementation, and recording as requested. Be familiar with emergency equipment and all emergency operational procedures. Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home. Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties. Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes. Assist in obtaining data for the continuous quality improvement activities. Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned. Flexible with staffing locations and hours to accommodate patient and USRC home program needs. Regular and reliable attendance is required for the position. Home Hemodialysis Only: Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program. Ensure required and appropriate water sampling is complete per policy and product requirements. Monitor and report water sample and culture results.

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. May assist with billing log preparation and updates. Perform duties as assigned to meet the patient care or operational needs of the clinic Obtain blood samples for laboratory analysis as required to complete physician orders. Complete and document monthly review of patient medication profiles. Knowledge of and comply with applicable health care professionals practice act requirements. Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. Report any significant information or change in patient condition to the Charge Nurse. Report machine problems to Biomedical Technician and Administrator. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. Assist with staff training as requested.

How you will change lives As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure. What you'll be doing Patient care. You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders. Technician Duties. You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed. Safety and Quality. You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings. PATIENT CARE TECHNICIANSTATE SPECIFIC BOARD OF NURSING REQUIREMENTS California Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. Maryland Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification. New Mexico Must have New Mexico dialysis technician certificate at time of hire OR Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. After January 1 st , 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate. The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization. Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients OHIO Must have Ohio dialysis technician intern certificate at time of hire OR Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program. Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program. OREGON Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Demonstrate effective use of supplies and staff labor hours. May assist with billing log preparation and updates. Perform duties as assigned to meet the patient care or operational needs of the clinic Obtain blood samples for laboratory analysis as required to complete physician orders. Complete and document monthly review of patient medication profiles. Knowledge of and comply with applicable health care professionals practice act requirements. Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports. Report any significant information or change in patient condition to the Charge Nurse. Report machine problems to Biomedical Technician and Administrator. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. Assist with staff training as requested.

SUMMARY The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH • Develop and implement processes for program growth in accordance with Company goals. • Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. • Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. • Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES • Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. • Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. • Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. • Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. • Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS • Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. • Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. • Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. • May assume Charge Nurse's responsibilities as needed. • Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. • May fulfill responsibility of facility CEO as delegated by Governing Body. • Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. • Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. • Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. • Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) • Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. • Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. • Know and understand the water treatment and mechanisms of the equipment of the facility. • Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS • Monitor all contractual agreements; update as needed with corporate oversight. • Maintain collaborative working relationship with Medical Director and physicians. • Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. • Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. • Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION • Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. • Recruit, train, develop, and supervise all personnel. • Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. • Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. • Effectively communicates expectations; accepts accountability and holds others accountable for performance.ADMINISTRATOR State Specific Regulations Alabama IF DESIGNATED CEO FOR THE CLINIC, MUST: Hold at least a baccalaureate degree and has at least one (1) year of experience in a dialysis unit OR Meets the qualifications for a qualified physician director or qualified registered supervising nurse. Georgia Hold at least a baccalaureate degree and has at least one (1) year experience in an end stage renal disease facility OR Meets the qualifications for a physician director or a nurse responsible for nursing services for an end stage renal disease facility OR Has been acting for at least two (2) years as a facility administrator for an end stage renal disease facility which has been certified for the federal Medicare program. Maryland IF NOT THE DESIGNATED CEO FOR THE CLINIC, MUST: Be 21 years old or older. Possess a high school diploma or a high school equivalency diploma. Have at least one (1) year of dialysis experience. Have no criminal conviction or other criminal history that indicates behavior that is potentially harmful to patients, documented through either a criminal history records check or criminal background check completed within one (1) month before employment. New Jersey A baccalaureate degree from an accredited college or university and the equivalent of at least one (1) year experience in supervising renal dialysis services OR Five (5) years full-time experience in the provision of renal dialysis services and documentation of supervisory experience for at least one (1) year. South Carolina Hold at least a baccalaureate degree or have a minimum of an associate degree in a health-related field with at least two (2) years experience in ESRD within the past five (5) years. Wyoming PERSON IN CHARGE OF THE OPERATION OF THE FACILITY TWENTY-FOUR (24) HOURS PER DAY AND IS: A physician OR A Registered Nurse who has at least six (6) months of experience working in a renal dialysis center OR An individual with a bachelors degree and one (1) year experience in health service administration, preferably in a renal dialysis center. REGISTERED SUPERVISING NURSE State Specific Regulations Georgia RN with twelve (12) months of experience in clinical nursing, and an additional six (6) months of experience in nursing care of the patient with permanent kidney failure or undergoing kidney transplantation, including training in and experience with the dialysis process OR RN with eighteen (18) months of experience in nursing care of the patient with on maintenance dialysis, or the nursing care of the patient with a kidney transplant, including training in and experience with the dialysis process. Where the RN responsible for nursing services is also in charge of self-care dialysis training, at least three (3) months of the total required dialysis experience is in training patients in self-care. New Jersey THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF NJ AND MUST: Have twelve (12) months full time experience in nursing supervision and/or nursing administration obtained in a hemodialysis setting within the last twenty-four (24) months. South Carolina THIS POSITION IS CONSIDERED DIRECTOR OF NURSING SERVICES IN THE STATE OF SC AND MUST: Be a registered nurse with at least eighteen (18) months of experience in clinical nursing, with at least six (6) months experience in care of patients with ESRD. Texas THIS POSITION ALSO MAY BE KNOWN AS THE DIRECTOR OF NURSING IN THE STATE OF TX AND MUST: Have at least eighteen (18) months experience as an RN, which includes at least twelve (12) months experience in dialysis within the last twenty-four (24) months; OR Have at least eighteen (18) months experience as an RN, and holds a current certification from a nationally recognized board in nephrology nursing or hemodialysis.

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Demonstrate effective use of supplies and staff labor hours. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Assist physician during patient rounds and transcribe and implement physician orders timely. Assist with the implementation of anemia management and medication protocols as requested. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. May give direct patient care to the extent of performing efficient, safe dialysis, if allowed by state regulations. Responds to all emergencies in clinic. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Maintain collaborative working relationship with Medical Director and physicians. Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities. Assist in orientation of new staff as a preceptor or in assigning a preceptor. Acts as resource person and participates in implementing and evaluating dialysis services and assures that policies and procedures are updated. Assists Administrator in interviewing, hiring, evaluating, and disciplinary actions of center staff

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. The Clinical Coordinator is responsible for assisting with management and operation of clinic. This position assumes full responsibility for the dialysis clinic in the absence of the Administrator. Growth: Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Assist with planning/coordinating patient scheduling to assure timely acceptance of patients and effective staffing levels. Demonstrate effective use of supplies and staff labor hours. Responsible for updating all logs and ensuring that dialysis run sheets and logs are sent to billing. Perform duties as assigned to meet the patient care or operational needs of the clinic. Outcomes: Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. Work with Administrator to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician, and other healthcare professionals. Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting as delegated by Administrator or Management. Operational Readiness: Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. Work with Administrator to assure clinic is in compliance with all applicable federal, state, and local laws and regulations. Assist Administrator with development, implementation and follow up of Corrective Action Plans required for internal and external surveys. May assume Charge Nurse's responsibilities as needed. May fulfill responsibility of facility Alternate CEO as delegated by Governing Body. Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff as delegated. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly as delegated. Assure that Quality Assessment & Performance Improvement Program is current at all times as delegated. Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center if delegated by Administrator. Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. Oversee the maintenance of equipment and supplies to meet current laws and regulations. Responds to all emergencies in clinic. Familiar with emergency equipment and all emergency operational procedures. Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. Partnerships: Maintain collaborative working relationship with Medical Director and physicians. Establish and maintain a positive relationship with all Administrators, area hospitals, agencies, vendors and the community. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or complaints. Staff Development: Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. Serves as a resource/subject matter expert for patient needs and concerns, staff education and in-service sessions as necessary. Assists with recruitment, training, development, and supervision of all personnel. Assists with maintaining effective personnel management and employee relations, including evaluating the performance of all personnel and counseling employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Effectively communicate expectations; accept accountability and hold others accountable for performance.