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  3. Registered Nurse - RN - Dialysis
FM

Registered Nurse - RN - Dialysis

Fresenius Medical Care·Kailua Kona, Hawaii

$41 - $58/hr·Full Time·On Site·Remote friendly·2-5 yrs
·Posted 2 months ago
Practice for this role

About the role

Provides safe and effective home dialysis therapy training and oversight to patients with End Stage Renal Disease. Manages patient care coordination, medical documentation, and equipment maintenance to ensure quality health outcomes.

Purpose and scope

Functions as part of the Home Therapies dialysis health care team. Ensures provision of quality home patient care in accordance with company policies, procedures and training. Supports the company’s commitment to the Quality Enhancement Program (QEP) and CQI activities, including those related to patient satisfaction. Actively participates in process improvement activities that enhance the likelihood that patients will achieve the company’s Quality Enhancement Goals (QEP).

Principal duties and responsibilities

Staff Related

Provides safe and effective training and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well as regulations set forth by the Corporation, state and federal agencies.

Rotates with other licensed staff to ensure adequate coverage.

Participates in staff training and orientation of new staff as assigned.

Participates in all required staff meetings as scheduled.

Quality

Provides outstanding quality of patient care, as defined by company quality goals and standards.

Submits CQI information to Clinical Manager for completion of HT QAI Template for inclusion in facility CQI packet.

Participates in all monthly CQI meetings.

Education

Assists in the identification and evaluation of candidates for the company Home Therapies Program, including assessment of patients’ home environment.

Trains home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment through a formal Home Therapies training program.

Educates patients and family regarding End Stage Renal Disease (ESRD) and the delivery of the company Kidney Options Program.

Assesses patient and family readiness and ability to perform dialysis treatments at home and patients’ home environment for suitability in the ongoing delivery of home dialysis therapy.

Provides ongoing education to patients regarding their renal dialysis, peritoneal or vascular access and home dialysis therapy, and other related health conditions.

Dialysis Treatment

Provides safe and effective delivery of home therapy support care to patients with ESRD.

Assesses patients’ response to home dialysis treatment therapy by following predetermined protocols.

Communicates patient related issues to the physician as needed.

Reports adverse patient events at home or in the clinic as well as equipment and technology related problems to the Clinical/Home Therapies management and physician including the correct documentation of such events.

Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate.

Laboratory Related

  • Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
  • Follows company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results.

General Duties

  • Maintains competency with all emergency operational procedures, and initiate CPR and emergency measures in the event of a cardiac and/or respiratory arrest when the patient is in the medical office.
  • Administers medications as prescribed including following algorithms (as appropriate), and document appropriate medical justification if indicated and maintain records on controlled substances as required by law.

Maintenance/Technical

Maintains appropriate skill level in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.

Directs patients in the preventative maintenance of home therapies equipment, including water systems and analyses as appropriate.

Coordinates with the company products division on the delivery, operation and maintenance of all home therapy dialysis equipment.

Medical Records & Documentation

Admits all new patients and documents as needed.

Documents all relevant data including physician orders, lab results, vital signs, and treatment parameters, and patient status and any treatment related data appropriately, and enters into Medical Information System.

Participates in and ensures all company policies regarding patient admission, transfer, and discharge are appropriately implemented.

Completes all monthly and annual reporting as required by company policies and government regulations.

Other

• Performs other related duties as assigned

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

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 accommodations can be made.

Supervision

• None

Education and required credentials

  • Graduate of an accredited School of Nursing (R.N.)
  • Current appropriate state licensure

Experience and skills

  • Minimum of one year medical-surgical nursing experience preferred, ICU experience preferred.
  • Minimum of one year dialysis experience preferred, peritoneal experience preferred.
  • Successfully complete a training course in the theory and practice of dialysis therapies.
  • Competent at operating all Home Therapies related equipment.
  • Successfully complete CPR certification with maintenance as required.
  • Icd-9 coding Training.
  • Demonstrated teaching abilities.

"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.

Hourly Rate

$41.00 - $58.00"

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

Requirements

Requires a graduate degree from an accredited School of Nursing with current state RN licensure and CPR certification. Preference is given to candidates with one year of experience in medical-surgical, ICU, or dialysis nursing.

  • professional certificate
  • Case Management
  • Medication Administration
  • CPR
  • Patient Education
  • Medical Documentation
  • Equipment Troubleshooting
  • Clinical Assessment
  • ICD-9 Coding
  • Dialysis Therapy
  • Patient Training

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$41 - $58/hr
Location
Kailua Kona, Hawaii
Posted
May 8, 2026
Closes
Jul 31, 2026
Application
Employer website
FM

Hiring organization

Fresenius Medical Care

Fresenius Medical Care is the world’s leading provider of products and services for individuals with renal diseases. We aim to create a future worth living for chronically and critically ill patients – worldwide and every day. Thanks to our decades of experience in dialysis, our...

Salary listed on 424 jobs
IndustryHospitals and Health Care
TypePublic Company
Size10,001+ employees
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Market context

Dialysis RN demand remains steady in Hawaii

Hawaii healthcare employers often seek dialysis RNs to support ongoing outpatient and inpatient renal care, and candidates with med-surg, ICU, or hemodialysis experience are typically more competitive. This role is especially competitive when you already hold current state licensure, CPR certification, and can show comfort with patient education and treatment monitoring. Review the AI-summarized requirements and benefits on this page to save time, then confirm the original posting details and tailor your application to dialysis-specific experience.

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