RN Full-time
Fresenius Medical Care

Clinical Coordinator - Charge Registered Nurse - Dialysis

$76,000 - $128,000 / year

PURPOSE AND SCOPE:

Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs.  As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.


PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
  • Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
  • Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
  • Participate in patient care plan meetings.
  • Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services.
  • Train and orient staff as necessary.
  • Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
  • Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
  • Maintain overall shift operation in a safe, efficient, and effective matter.
  • With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
  • Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
  • Supervise all documentation of patient information.
  • Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
  • Assess daily patient care needs and develop and distribute patient care assignments appropriately.
  • Assume primary responsibility in an emergency situation.
  • Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
  • Monitor and supervise all patient care activity during dialysis and assist as necessary.
  • Collaborate with direct patient care team in making decisions to benefit patient care.
  • Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.
  • Administer medications to patients per physician’s orders.
  • Act as the subject matter expert and as a resource for staff members.
  • Supervise and participate in completion of short and long term care plans.
  • Admit new patients according to facility procedure.
  • Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
  • Supervise the safe and effective use of all equipment involved in direct patient care.
  • Operate all dialysis related and emergency equipment safely and efficiently when needed.
  • Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
  • Complete Nurse’s Technical Training Program/Water Quality Facility
  • Assist with special projects or other duties as assigned by the Facility Administrator
  • Assist with the interviewing of potential direct patient care staff
  • Promote efficient use of medical supplies.
  • Attend and participate in monthly Quality Assurance meetings.

Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions.


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.
    • Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.
    • 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.
  • Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.

  • Travel to regional, Business Unit and Corporate meetings may be required.

SUPERVISION:

  • Direct Patient Care Staff, Ward Clerk as assigned.

EDUCATION:

  • Graduate of an accredited school of Nursing (R.N.)
  • Must be registered and licensed to practice in the applicable State.

EXPERIENCE AND REQUIRED SKILLS:

  • Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
  • Medical/surgical nursing preferred.
  • Supervisory or management experience preferred.
  • Certified in CPR or successfully complete course in CPR certification.
  • Good communication skills – verbal and written.




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.

Annual Rate: $76,000.00 - $128,000.00

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.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

BAYADA Home Health Care

Registered Nurse - Home Care Residency

$30 - $43 / hour
Be the Nurse You Always Wanted to be at BAYADA We want you to flourish here — learning new skills, growing with every challenge, succeeding in each assignment, and advancing in your nursing career. BAYADA Offers : One on one patient care Flexible scheduling around your availability Paid Time Off (PTO) Weekly Pay Electronic charting using Statewise In-depth paid training from day one Award-winning adult and pediatric Simulation labs Short commute times working close to home Around the clock clinical support Nurse referral bonuses What Sets BAYADA Apart: BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). As a non-profit organization, our focus is always on quality care for our clients. Our Clinical Managers take their time with each new nurse to be sure you enter the field comfortable and confident in your skills. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your passions. Benefits Include: Preventive Care Coverage for ALL employees Medical, Dental, and Vision benefits Company-paid life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Requirements: Current valid nursing license in U.S. and graduation from a qualified nursing program CPR in good standing Pay: RN NRP pay starts at $30/hour then $33-$43/hour after 90 days Apply now and ask your recruiter about our Live Info Sessions to learn more! NER-DE As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
Beebe Healthcare

RN - PHYSICIAN OFFICE NURSE - WALKIN MILLSBORO

$26.12 - $40.49 / hour
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via Work Advantage Employee Assistance Program Pet Insurance Overview The Registered Nurse (RN) provides comprehensive nursing care through skillful assessment, outcomes identification, planning, implementation, and evaluation in accordance with facility or department policies, procedures, and/or protocols in accordance with the Nurse Practice Act and the State of Delaware Board of Nursing Rules and Regulations. The RN will function at the top of their license in areas of leadership, delegation, initial patient education, triage of patients, precepting new staff, mentorship, and behaving as a role model for other clinical team members. The RN functions as a liaison between clinical team members and leadership to develop office specific policies, procedures, and/or protocols to promote a safe working environment and efficient workflows. Responsibilities Triages patients and uses clinical judgement to implement nursing interventions in a timely manner. Delegates elements of care to appropriate healthcare workers in accordance with the Nurse Practice Act and the State of Delaware Board of Nursing Rules and Regulations. Acts as a preceptor and mentor for other licensed and unlicensed clinical team members. Timely completion of assigned education and annual competencies. Develops, implements, and evaluates an identified plan of care. Prioritizes and coordinates care delivery and provides initial education to patients, families, and/or caregivers. Administers medications according to policy. (IV push medications may only be administered by RNs per the Nurse Practice Act and the State of Delaware Board of Nursing Rules and Regulations) Collects, analyzes, and documents the assessment data to determine the actual or potential nursing diagnoses, problems, and identifies expected outcomes. Recognizes unit needs and is a liaison between the clinical staff and leadership to assist in development and maintenance of office specific policies, procedures, and/or protocols that will promote safety and encourage efficient workflows. Communicates and collaborates with multidisciplinary teams and other key stakeholders in the conduct of nursing practice. Utilizes appropriate resources to plan, provide, and sustain evidence-based nursing services that are safe, effective, and fiscally responsible. Advocates for clients. Actively assists others and accepts additional duties or assignments. Works in other BMG office locations and/or other shift times when needed. Models the Beebe Healthcare mission, vision, and values. Practices in a manner that is congruent with cultural diversity and inclusion principles. Qualifications Education: RN Diploma RN Degree Program Essential Credentials: RN - Registered Nurse license from the state of Delaware or Compact State BLS - Basic Life Support (American Heart Association) Credentials Education Entry USD $26.12/Hr. Max USD $40.49/Hr.
Beebe Healthcare

RN / REGISTERED NURSE - HOME CARE - ADMISSIONS NURSE

$36.20 - $59.73 / hour
Why Beebe? Become part of the Beebe team—an inclusive, mission‑driven organization located in a vibrant coastal community. At Beebe, you’ll build a rewarding career while making a meaningful impact on the health and well‑being of our patients. Join a team committed to excellence, collaboration, and compassionate care, and experience the fulfillment that comes from supporting a community that trusts and values the work you do every day. In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,250 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview The Home Health Admission Nurse is a licensed professional responsible for performing comprehensive patient admissions and completing OASIS assessments for individuals requiring skilled nursing services in the home setting. This role also includes the delivery of direct skilled nursing care in accordance with physician orders. Working collaboratively with an interdisciplinary home health team, the Admission Nurse ensures high‑quality, patient‑centered care under the guidance and supervision of the Clinical Supervisor. Key responsibilities include evaluating patient needs, establishing care plans, coordinating services, and supporting continuity of care throughout the home health episode. This position follows a four‑day workweek , consisting of 10‑hour shifts , and includes a requirement to work one weekend per month and two holidays per year . Responsibilities Patient Assessment & Admission Assess and admit eligible patients for home health care services. Conduct comprehensive OASIS assessments in accordance with regulatory and organizational standards. Evaluate patient needs and determine appropriate levels of home health services. Care Planning & Implementation Develop individualized plans of care based on patient assessments, physician orders, and clinical standards. Implement, monitor, and revise care plans to ensure high‑quality, safe, and effective patient outcomes. Skilled Nursing Care Provide skilled nursing services and comprehensive clinical assessments in the home setting. Perform and manage physician‑ordered treatments including: PleurX drain care Finger-stick coagulation checks Wound care and wound VAC management IV therapy Phlebotomy Tracheostomy care PEG tube care Ostomy care Telehealth monitoring and support Teaching, Supervision & Counseling Educate clients and caregivers on disease management, medication administration, treatments, and safety. Provide supervision and clinical guidance to patients and family members to promote independence and self‑care. Offer counseling to support patient understanding and participation in the care plan. Interdisciplinary Collaboration Work collaboratively with members of the multidisciplinary home health team to ensure coordinated, patient‑centered care. Communicate effectively with physicians, therapists, social workers, and supervisors regarding patient status and care needs. Clinical Documentation Complete accurate, timely OASIS documentation in compliance with regulatory and agency standards. Maintain thorough and clear clinical records to support quality care and continuity of services. Professional Skills & Problem Solving Utilize strong critical thinking and clinical judgment to identify patient needs and respond effectively. Address patient and caregiver concerns promptly, employing sound problem‑solving strategies. Additional Responsibilities Participate in required weekend and holiday rotations. Perform other duties as assigned to support optimal patient care and agency operations. Qualifications Minimum of one (1) years recent experience as a professional nurse in Home Health. Valid DL With No More Than 3 Moving Violations Credentials RN - Registered Nurse BLS - Basic Life Saving certification (American Heart Association) Education Graduate of an accredited school of nursing Entry USD $36.20/Hr. Max USD $59.73/Hr.
Beebe Healthcare

RN / REGISTERED NURSE - HOME HEALTH - CASE MANAGER

$36.20 - $59.73 / hour
Why Beebe? Become part of the Beebe team—an inclusive, mission‑driven organization located in a vibrant coastal community. At Beebe, you’ll build a rewarding career while making a meaningful impact on the health and well‑being of our patients. Join a team committed to excellence, collaboration, and compassionate care, and experience the fulfillment that comes from supporting a community that trusts and values the work you do every day. In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,250 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview Are you a compassionate and dedicated Registered Nurse seeking an opportunity to make a meaningful impact—one patient at a time? Join our dynamic home health care team as a Home Care RN, where your clinical expertise and caring presence help clients receive the skilled nursing support they need in the comfort of their own homes. This is a full-time RN opportunity, allowing you to truly connect with patients and their families. As a Home Care RN, you will deliver high‑quality, patient‑centered care to individuals requiring nursing services outside of the traditional clinical setting. Working closely with a multidisciplinary team—including therapists, social workers, physicians, and other healthcare professionals—you’ll ensure each client receives a comprehensive, individualized plan of care designed to support their health, safety, and overall well‑being. You will provide clinical care in alignment with physician orders and under the guidance and supervision of a Clinical Supervisor. Additionally, you will build meaningful relationships with clients and families, offering not only skilled nursing services but also reassurance, education, and emotional support throughout their care journey. If you are a licensed RN with a passion for home health care and a commitment to delivering exceptional services in a supportive, team‑oriented environment, we invite you to apply. Join us in making a difference—one home visit at a time. Responsibilities Skilled Nursing Care & Patient Assessment Perform comprehensive patient assessments during home visits, evaluating physical, emotional, and environmental needs. Deliver skilled nursing care in accordance with physician orders and individualized care plans. Monitor patient progress regularly to ensure goals are met and adjust care interventions as needed. Teaching, Supervision & Counseling Educate clients and caregivers on disease management, medications, treatments, and self‑care techniques. Provide ongoing supervision and support to patients and their families, helping them gain confidence in managing health needs at home. Offer counseling and guidance to promote patient independence, safety, and well‑being. Interdisciplinary Collaboration Work closely with an interdisciplinary team—including physicians, therapists, social workers, and other healthcare professionals—to coordinate and optimize patient care. Communicate changes in patient condition or care needs promptly to ensure seamless teamwork and continuity of care. Clinical Decision‑Making & Problem Solving Apply strong critical thinking skills to identify changes in patient status, resolve issues proactively, and implement appropriate nursing interventions. Develop safe and effective solutions to support patient outcomes and address emerging challenges in the home setting. Documentation & Compliance Complete timely and accurate OASIS documentation in accordance with regulatory, organizational, and clinical standards. Maintain clear and thorough records of assessments, interventions, patient responses, and communications. Specialized Treatment & Procedure Management Provide care for a wide range of physician‑ordered treatments, including: PleurX drain management Finger‑stick coagulation checks Wound care and wound vac therapy IV administration Phlebotomy Tracheostomy care PEG tube management Ostomy care Telehealth monitoring Ensure all procedures are performed using proper technique, infection control practices, and patient safety standards. Qualifications Minimum of one (1) years recent experience as a professional nurse in Home Health. Must complete Point of Care Testing training as part of Department Orientation. Valid DL With No More Than 3 Moving Violations Credentials RN - Registered Nurse BLS - Basic Life Saving certification (American Heart Association) Education Graduate of an accredited nursing program Entry USD $36.20/Hr. Max USD $59.73/Hr.
IntelyCare

Registered Nurse (RN)

$43 - $60 / hour
Now you can make up to $60 an hour as a Registered Nurse (RN) in Millsboro, Delaware, and surrounding areas, with the peace of mind that truly flexible schedules allow. At IntelyCare, we understand the value of a healthy work-life balance in the healthcare field. That's why we hire our nursing professionals as W2 employees and offer the freedom to choose your own shifts at our partnering facilities, taking time off whenever you like. Real scheduling flexibility means you can choose shifts that complement your life, without having to miss out on important milestones or personal responsibilities. Maybe you're planning a family camping trip at Trap Pond State Park, or you're hoping to attend a stand-up comedy show at the Dickens Parlour Theater. IntelyCare gives you the freedom to live a full life. See what else we have to offer and consider joining our team today. Benefits Registered Nurse (RN) hourly pay range: $43-$60 (25% higher than average) Your choice of our partnering facilities and shifts (including per diem, weekends, etc.) Get paid weekly or even daily Eligibility for health benefits (medical, dental, and vision), which includes qualifying family members Employer-covered malpractice insurance and workers' compensation and tax withholding Easily find shifts in multiple states, based on licensure Eligibility for retirement savings through IntelyCare's 401k plan Through our app, keep track of shifts, pay, and other job functions Overtime, holiday, travel, and hazard pay eligibility Access to free training and continuing education resources through our app Generous tuition discounts at Excelsior University (up to 34%) for undergraduate and graduate programs Nursing professionals come first on our team, which is why we thought you might like to hear directly from them. Here are some of the reasons why they love working at IntelyCare: "I really like how this company operates. The last company I worked for was very demanding/threatening and did not care about the employees. At IntelyCare, there’s no pressure to pick up shifts and we get benefits and rewards based on our performance. I also like the variety of facilities in my area." "I love IntelyCare because it gives me the flexibility to help others while working around my family’s schedule. I also love how nice the representatives are…they are extremely helpful!" "IntelyCare provides a great work-life balance. The flexibility and earning potential this company offers is unmatched. For me personally, the fact that I make my own schedule is what prevents burnout. I make sure I take a break from time to time to reset and recharge." "IntelyCare is what I’ve been looking for my entire career in nursing! I get to work when I want, where I want, and the pay is extremely nice. I also love being a nurse and possibly making a difference in someone’s life." Job Responsibilities Providing quality care in post-acute facilities as an RN Going over options for care and observing outcomes with physicians other staff Developing care plans and best options with medical staff and residents Being accountable to follow and adhere to resident care plans Setting up medical equipment and monitoring their use Drawing fluids, such as blood and urine, for lab work Administering appropriate treatments and medications to residents Ensuring proper staff compliance with nursing standards and facility policies Working with residents and family members regarding best care options Supervising and training of nursing and other staff, as needed Making sure resident histories and interventions are properly documented Helping with incident investigations Qualifications and Skills Current Delaware state license to practice as a Registered Nurse (RN) Successful completion of approved nursing program 6 months of experience ( RN or related role) Ability to lift a minimum of 50 lbs Advanced organizational skills Advance Your Career and Take Control of Your Schedule Want to take the next step in your career, but also crave a healthy work-life balance? Get the flexible schedules and career support that you deserve as an RN by reaching out to the team of nursing professionals ranked #1 in quality. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Millsboro, Delaware 19966