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Job Profile:
Join our fun, high-energy team as a Senior Home Lending Advisor in Chase Home Lending and put your exceptional knowledge and understanding of home lending products to good use by serving as your customers' chief point of contact throughout the life of the loan while the Home Lending team supports you by sharing demonstrated knowledge in this area of specialization.
You will adhere to all regulatory requirements while marketing and promoting the financial products offered by Chase.
You will have a unique opportunity to grow your career while making a significant impact on our business.
As a Senior Home Lending Advisor in Chase Home Lending, you will take your clients on a first-class journey to home ownership and deliver strong sales results.
You will put your exceptional knowledge and understanding of home lending products to good use by serving as your customers' chief point of contact throughout the life of the loan.
You will adhere to all regulatory requirements while marketing and promoting the financial products offered by Chase.
Job responsibilities
* Coaches and mentors the branch team by providing training on products and services.
* Works together with bankers, meeting with their customers and introducing new clients to bankers for additional products and services
* Partners with your team to create an outstanding customer experience by utilizing centrally managed direct mail, media advertisements, cross-sell efforts, relocation programs, statement programs, Chase.com, electronic newsletters, outbound lead sourcing, and other marketing efforts
* Develops a strong partnership with the assigned retail branches to promote mortgage loan originations (in footprint territories), and can function well within formal and dotted-line reporting relationships
* Builds role as the internal and external mortgage expert; builds and maintains good relationships with customers; and exhibits consultative skills to provide recommendations based on financial analysis and expertise, product knowledge, and knowledge of the customer's financial needs, goals, and circumstances
Required qualifications, capabilities, and skills
* Minimum three years of mortgage lending and proven sales experience in retail banking
* Knowledge of real estate market in local area
* Excellent written and oral communication skills
* Knowledge of FHA, VA, FNMA, and FHLMC guidelines
Preferred qualifications, capabilities, and skills
* FHA/VA sales experience
* Marketing, promoting, relationship building, and consulting skills
* Intermediate PC skills in a Windows environment
* Bachelor's degree or equivalent work experience in sales and/or real estate
This position is subject to the Dodd Frank/Truth in Lending Act qualification requirements for Loan Originators.
As such, an employment offer for this position is contingent on JPMC's review of your criminal conviction history, credit report, informatio...
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Type: Permanent Location: Fort Myers, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:53
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Job Profile:
Join our fun, high-energy team as a Senior Home Lending Advisor in Chase Home Lending and put your exceptional knowledge and understanding of home lending products to good use by serving as your customers' chief point of contact throughout the life of the loan while the Home Lending team supports you by sharing demonstrated knowledge in this area of specialization.
You will adhere to all regulatory requirements while marketing and promoting the financial products offered by Chase.
You will have a unique opportunity to grow your career while making a significant impact on our business.
As a Senior Home Lending Advisor in Chase Home Lending, you will take your clients on a first-class journey to home ownership and deliver strong sales results.
You will put your exceptional knowledge and understanding of home lending products to good use by serving as your customers' chief point of contact throughout the life of the loan.
You will adhere to all regulatory requirements while marketing and promoting the financial products offered by Chase.
Job responsibilities
* Coaches and mentors the branch team by providing training on products and services.
* Works together with bankers, meeting with their customers and introducing new clients to bankers for additional products and services
* Partners with your team to create an outstanding customer experience by utilizing centrally managed direct mail, media advertisements, cross-sell efforts, relocation programs, statement programs, Chase.com, electronic newsletters, outbound lead sourcing, and other marketing efforts
* Develops a strong partnership with the assigned retail branches to promote mortgage loan originations (in footprint territories), and can function well within formal and dotted-line reporting relationships
* Builds role as the internal and external mortgage expert; builds and maintains good relationships with customers; and exhibits consultative skills to provide recommendations based on financial analysis and expertise, product knowledge, and knowledge of the customer's financial needs, goals, and circumstances
Required qualifications, capabilities, and skills
* Minimum three years of mortgage lending and proven sales experience in retail banking
* Knowledge of real estate market in local area
* Excellent written and oral communication skills
* Knowledge of FHA, VA, FNMA, and FHLMC guidelines
Preferred qualifications, capabilities, and skills
* FHA/VA sales experience
* Marketing, promoting, relationship building, and consulting skills
* Intermediate PC skills in a Windows environment
* Bachelor's degree or equivalent work experience in sales and/or real estate
This position is subject to the Dodd Frank/Truth in Lending Act qualification requirements for Loan Originators.
As such, an employment offer for this position is contingent on JPMC's review of your criminal conviction history, credit report, informatio...
....Read more...
Type: Permanent Location: Fort Lauderdale, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:52
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Join JPMorganChase as a Loan Origination Associate I and make a significant impact on our lending services.
This role offers a unique opportunity for career growth and development, where your skills in conflict management and strategic planning will be highly valued.
Be part of a dynamic team that fosters collaboration and innovation, contributing to the success of our firm.
As a Loan Origination Associate I within JPMorganChase, you will play a crucial role in the loan lifecycle by ensuring smooth transaction closings, directly impacting clients and the wider community.
We value a collaborative team culture and are committed to providing opportunities for professional growth and development.
Your role involves engaging with internal and external clients to gather necessary documentation and manage expectations for a diverse range of loan products.
You will also contribute to process improvement projects, optimizing resources and achieving objectives.
Join us to be part of a team dedicated to efficient and effective lending services.
Job responsibilities
* Collaborate with Sales, Client, Relationship Managers, and Underwriters to facilitate loan documentation and closing.
* Engage with clients to gather necessary items for closing, managing expectations throughout the process.
* Prepare and dispatch documentation packages, ensuring compliance with credit and asset conditions.
* Assist in researching Sales and PPT tax items, applying critical thinking skills.
* Contribute to projects aimed at improving processes and procedures.
Required qualifications, capabilities, and skills
* Expertise in loan origination or a closely related field, with over two years of experience and proficiency in managing and resolving conflicts through collaborative solutions.
* Advanced strategic planning capabilities, demonstrated by effective resource allocation decisions.
* Strong critical thinking skills for evaluating various aspects of loan transactions, ensuring informed decision-making.
* Proficiency in time management and organization, with the ability to efficiently manage multiple tasks and projects.
Preferred qualifications, capabilities, and skills
* Experience in a financial services environment, leveraging AI/ML to enhance lending processes and improve decision-making capabilities.
* Strong emotional intelligence and listening skills, fostering a collaborative and productive work environment.
* Proven ability to manage change initiatives, adapting lending services to evolving market conditions and technologies.
* Expertise in driving continuous improvement and process automation to optimize lending workflows and efficiency.
* Ability to use market product knowledge to align lending services with industry trends and client needs.
* Skilled in developing and delivering presentations to effectively communicate insights and updates to stakeholders.
JPMorganChase, one of the o...
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Type: Permanent Location: Charlotte, US-NC
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:49
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General Summary: Coordinates human resource and payroll activities.
Benefits and Culture
We offer a competitive compensation and benefits package designed to help employees live a healthier life, build rewarding careers and save for the future.
Reser's offers choices whenever possible, because we recognize the diverse and ever changing needs of our employees.
Full-time employee benefits include medical, dental, vision, AD&D, life, 401(k) with discretionary match, wellness programs, paid time off, company paid holidays and a variety of voluntary benefit options.
We strive to be your Employer of Choice.
As one of our five cornerstones, this means that we go all-out to create an environment that shows we are committed to investing in employee growth and creating a culture of belonging where employees want to build a lasting career.
Visit our website to learn more about our competitive benefit programs - https://www.resers.com/careers/#benefits
Principal Duties and Responsibilities
1.
Coordinates the administration and communication of employee benefits and assists employees
through the new hire and open enrollment process.
2.
Coordinates payroll activities and audits for errors.
3.
Conducts new hire orientation and oversight of onboarding process.
4.
Provides employee relations support and may provide coverage for HR Generalist or HR Manager during periods of absence.
5.
Provides employees and managers with information on benefit and compensation programs including leaves of absence.
6.
Assists with recruiting and reviews employment applications to evaluate qualifications or eligibility of applicants; may assist with interviews.
7.
Records and completes unemployment claims and workers compensation claims.
8.
Files and analyzes I-9 forms for accuracy.
9.
Creates and maintains employee files.
Job Specifications
1.
2+ years of HR experience in a fast-paced environment is required.
2.
High School Diploma is required, Bachelor’s Degree is preferred.
3.
Excellent PC skills with prior HRIS experience.
4.
Bilingual in English/Spanish is preferred.
5.
Experience in high growth, small or mid-size manufacturing company is preferred.
Working Conditions
1.
Office, production and warehouse environment.
2.
The environment may be wet and cold with temperatures ranging from 25°F to 110°F.
3.
Production demands may require overtime and/or evening or weekend scheduling.
Recipe for Success
Reser’s is the leading provider of fresh refrigerated deli salads, side dishes, and prepared foods for the supermarket, club store, and food service industries.
Family owned and operated, Reser’s has been a proud sponsor of good times at racetracks, picnics, BBQs, music festivals, and affordable family meals since 1950.
Reser’s family of brands include Reser’s American Classics, Main St Bistro, Stonemill Kitchens, and more.
With more than 4,500 employees, Reser’s operates 14 facilities in the US, Mexico, and Can...
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Type: Permanent Location: Halifax, US-NC
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:40
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How you will change lives \n
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.
\n What you'll be doing \n
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.
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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.
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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.
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Type: Permanent Location: Altoona, US-PA
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:33
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WHAT YOU WILL DO
The Staff RN, Advanced leads the treatment floor, overseeing patient care, directing patient care technicians, and coordinating with the interdisciplinary team and physicians to meet the patients' kidney needs.
The Staff RN will advocate for patients and effectively coordinate with other team members for smooth kidney care in a holistic environment.
The role is dedicated to serving the patients and the team with a positive attitude and strong collaboration.
\n
The Staff RN, Advanced is invested in providing the highest quality care to patients while ensuring compliance with policies, procedures, and regulations and providing education to staff and patients.
The Staff RN runs the treatment floor with a calm, collected, and positive attitude that creates a comfortable and secure environment for patients and the team.
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WHAT WE EXPECT OF YOU
\n
You will play a vital role to ensure that we deliver on our Mission to make life better for those with kidney disease and our Vision to be unsurpassed in our individualized experience, our quality, and our compassion.
You approach your work with an indisputable sense of greater purpose.
Lastly, you are high energy, seek out opportunities to improve the environment for patients and staff, are goal-oriented, and gain deep satisfaction from building relationships.
\n
WHAT YOU WILL GAIN
Relationships: You will work directly with a multi-disciplinary team that is as passionate as you in making a difference in others' lives.
You will become a servant leader, bringing up your team to provide care that is unsurpassed by others in our industry.
\n
Impact: You will set the tone that enables our patients to live a better life and address their needs holistically.
You will make a difference for our patients so that they do dialysis to live instead of living for dialysis.
Growth: You will have formal and informal opportunities for professional growth in a supportive environment.
You will become a subject-matter expert and have a wide range of opportunities for career advancement.
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MINIMUM QUALIFICATIONS
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Experience:
\n
\n
* Minimum of twenty-five (25) months of registered nurse experience.
\n
* Minimum of twenty-five (25) months of experience as a Nephrology Nurse with dialysis experience required; a combination of in-center/an or acute hemodialysis is required \n
\n
Education :
\n
\n
* Graduation from an accredited nursing school or equivalent; bachelor's degree preferred\n
\n
License/Certification :
\n
\n
* Current state RN licensure\n
* Current Healthcare Provider certification (CPR) required \n
* CNN/CDN Certification preferred\n
\n
Minimum Knowledge, Skills & Abilities :
\n
\n
* Competent and in-depth knowledge regarding the use of Electronic Health Records\n
* Ability to organize, prioritize and complete projects independently\n
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Type: Permanent Location: Jamestown, US-CA
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:32
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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...
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Type: Permanent Location: Akron, US-OH
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:29
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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.
....Read more...
Type: Permanent Location: Hyattsville, US-MD
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:27
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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 Licensed Master Social Worker provides social services to patients and their families in a timely and efficient manner in order to promote maximum social functioning and psychological adjustment to dialysis and rehabilitation of the patient.
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.
* Coordinate transient arrangements.
* Demonstrate effective use of supplies.
* Perform duties as assigned to meet the patient care or operational needs of the clinic.
* Identify and counsel psychosocial issues.
* Provide patient and family education.
* Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals.
* 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.
* Act as advocate on patient's behalf with the appropriate local, state, and federal agencies.
* Complete initial assessment of new patient psychosocial needs in adherence to state/CMS regulations and company policy.
* Complete KDQOL in accordance with company policy.
* Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities.
* Identify social agencies and other resources as appropriate to the needs of the patients, including but not limited to financial/funding sources.
* Be familiar with professional organizations related to kidney disease (i.e.
National Kidney Foundation, American Kidney Foundation).
* Use personal protective equipment as necessary.
* Be familiar with all emergency operational procedures.
* Regular and reliable attendance is required for the job.
* Provide information and referrals as needed.
* Attend and participate in the monthly Quality Assessment and Performance Improvement (QAPI) activities.
* Coordinate development and maintenance of patient/family support groups.
* 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.
* Participate in staff meetings as required.
At...
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Type: Permanent Location: McMinnville, US-TN
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:27
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SUMMARY
The Licensed Master Social Worker provides social services to patients and their families in a timely and efficient manner in order to promote maximum social functioning and psychological adjustment to dialysis and rehabilitation of the patient.
Essential Duties and Responsibilities include the following.
Other duties and tasks may be assigned.
GROWTH
• Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.
• Coordinate transient arrangements.
• Demonstrate effective use of supplies.
• Perform duties as assigned to meet the patient care or operational needs of the clinic.
OUTCOMES
• Identify and counsel psychosocial issues.
• Provide patient and family education.
• Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals.
OPERATIONAL
READINESS
• 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.
• Act as advocate on patient's behalf with the appropriate local, state, and federal agencies.
• Complete initial assessment of new patient psychosocial needs in adherence to state/CMS regulations and company policy.
• Complete KDQOL in accordance with company policy.
• Participate as a member of the Interdisciplinary team in all required patient assessment and care planning activities.
• Identify social agencies and other resources as appropriate to the needs of the patients, including but not limited to financial/funding sources.
• Be familiar with professional organizations related to kidney disease (i.e.
National Kidney Foundation, American Kidney Foundation).
• Use personal protective equipment as necessary.
• Be familiar with all emergency operational procedures.
• Regular and reliable attendance is required for the job.
PARTNERSHIPS
• Provide information and referrals as needed.
• Attend and participate in the monthly Quality Assessment and Performance Improvement (QAPI) activities.
• Coordinate development and maintenance of patient/family support groups.
• 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.
STAFF DEVELOPMENT/ RETENTION
• Participate in staff meetings as required.
Attend in-service and continuing education offerings in compliance with company policy and procedure.
• Educate staff and provide inservice training in relation to patient psychosocial care.
• Lead staff in team concepts and promote a team effort...
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Type: Permanent Location: Richardson, US-TX
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:26
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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 disc...
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Type: Permanent Location: McAllen, US-TX
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:25
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SUMMARY
The Acute Registered Nurse provides acute dialysis care and treatment to patients within a hospital environment.
This position performs duties as assigned by the Charge Nurse or Acute Manager, including assisting and supervising Patient Care Technicians and Licensed Vocational Nurses.
Acute nurses may report directly to an Acute Manager, Administrator or the first line of 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
• Assist with clinical and operational processes to improve patient health and minimize hospitalizations and rehospitalization.
• Ensure patient and treatment charge information and other related data are accurate and submitted appropriately.
• Demonstrate effective use of supplies and staff labor hours.
• May participate in inventory management, including end-of-month inventory reporting and adherence to company purchasing protocols.
• Perform duties as assigned to meet the patient care or operational needs.
OUTCOMES
• Administer medications as ordered by the physician..
• Provide patient education and follow up as needed.
• Assist with program's target goals in meeting quality metrics for patient outcomes in accordance with quality patient care and Company goals.
OPERATIONAL
READINESS
• 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, hospital policy, applicable state and federal laws and regulations.
• Complete water quality verification and equipment safety checks prior to each treatment, to include second verification as required.
• Complete pre and post treatment physical assessments.
• Complete pre and post Handoff Communication with hospital nurses.
• Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites.
• Set up dialysis machines; report machine problems to biomedical technician and/or Acute Manager as appropriate.
• Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures.
• Participate in infection control monitoring, implementation, and recording as requested.
• Use personal protective equipment as necessary.
• Be familiar with emergency equipment and all emergency operational procedures, as required by hospital.
OPERATIONAL
READINESS
(cont.)
• Demonstrate effective staffing based on acuity, skill mix and company guidelines.
• Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so.
• Partici...
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Type: Permanent Location: Gallup, US-NM
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:25
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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.
....Read more...
Type: Permanent Location: Easley, US-SC
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:22
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"Qualified candidates may be eligible for up to $10,000.00 Sign-on Bonus- Please Inquire"
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.
....Read more...
Type: Permanent Location: Crownpoint, US-NM
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:20
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The Dialysis Registered Nurse position is for our Cape Coral North Clinic, located at 3571 Del Prado Blvd N, Suite 11, Cape Coral, FL 33909.
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.
....Read more...
Type: Permanent Location: Cape Coral, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:17
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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
....Read more...
Type: Permanent Location: Arlington, US-TX
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:17
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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.
....Read more...
Type: Permanent Location: Aiken, US-SC
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:14
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How you'll change lives
As a Dietitian at U.S.
Renal Care, you will be an integral part of an interdisciplinary team, providing excellent care for patients living with kidney disease.
U.S.
Renal care dietitians work under the supervision of a RDN Regional Manager.
What you'll be doing
Patient Nutrition.
Using the most current, science-based practices, you will recommend therapeutic diets based on patient nutritional needs, preferences, and changes in treatment, in consultation with the patient's physician.
You will review lab results and provide appropriate education for nutritional interventions on such topics as fluid and sodium, potassium, and CKD-Mineral and Bone Disorder management.
You will also conduct patient assessments and care planning activities, as well as participating in monthly interdisciplinary patient care conferences.
Teamwork.
You will collaborate with the Medical Director, physician/advanced practice provider, facility administrator, social worker, nurse, and patient care technician to maintain positive relationships with area hospitals, skilled nursing facilities, agencies, vendors, and the community.
Safety & Quality.
You will help with clinical and operational processes, with a focus on improving patient health and achieving target goals for patient outcomes.
You will also help maintain a productive quality assurance program and participate in monthly Quality Assessment and Performance Improvement (QAPI) activities.
....Read more...
Type: Permanent Location: Lone Tree, US-CO
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:11
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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
....Read more...
Type: Permanent Location: Burleson, US-TX
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:11
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The Dialysis Patient Care Technician position is for our Palmer Ranch Clinic, located at 5700 Honore Ave, Sarasota, FL 34233.
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 TECHNICIAN
STATE 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 appl...
....Read more...
Type: Permanent Location: Sarasota, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:08
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The Dialysis Patient Care Technician position is for our Cape Coral North Clinic, located at 3571 Del Prado Blvd N, Suite 11, Cape Coral, FL 33909.
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 TECHNICIAN
STATE 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 , ...
....Read more...
Type: Permanent Location: Cape Coral, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:06
-
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 TECHNICIAN
STATE 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 app...
....Read more...
Type: Permanent Location: Paragould, US-AR
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:03
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The Dialysis Patient Care Technician position is for our North Tampa Clinic, located at 3421 N Lakeview Dr, Tampa, FL 33618.
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 TECHNICIAN
STATE 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 appli...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-11 09:40:00
-
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 TECHNICIAN
STATE 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 app...
....Read more...
Type: Permanent Location: Easley, US-SC
Salary / Rate: Not Specified
Posted: 2026-06-11 09:39:58
-
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 TECHNICIAN
STATE 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 app...
....Read more...
Type: Permanent Location: Greenville, US-SC
Salary / Rate: Not Specified
Posted: 2026-06-11 09:39:58