Charge Registered Nurse - RN
Company: Fresenius Medical Care
Location: Anaheim
Posted on: November 26, 2025
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Job Description:
This role requires dialysis experience. The weekly schedule will
be T/TH/SAT, 12 hr shifts, 9a-10p PURPOSE AND SCOPE: Functions as
the hemodialysis team leader in the provision of chronic
hemodialysis care and treatment. Provides day to day direction and
supervision to assigned direct patient care staff. Communicates
with the physician and other members of the healthcare team to
interpret, adjust, and complete patient care plans. Provides safe,
effective delivery of patient care in compliance with standards
outlined in the facility procedure manual, as well as regulations
set forth by the company, state, and federal agencies. PRINCIPAL
DUTIES AND RESPONSIBILITIES: General and Staff Related: Provides
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. Participates
in the department staffing and the appropriate hiring, firing and
disciplinary actions. Recommends disciplinary action to Clinical
Manager and initiate as appropriate. Ensures compliance with all
company and facility approved procedures and policies as well as
regulations set forth by state and federal agencies in clinics with
more than 100 patients. Approves or disapproves time or personnel
schedule changes in the absence on the Clinical Manager ensuring
compliance with applicable regulations, policies and procedures for
documenting time of work hours for staff members on assigned shift.
Participates in patient care plan meetings. Maintains knowledge in
the current practices related to the principles and techniques of
dialysis by participating in all scheduled inservices. Trains and
orients staff as necessary. Routinely observes and guides direct
patient care staff for appropriate technique and adherence to
facility policies and procedures. Promotes and assists with
compliance to OSHA programs in order to maintain a safe and clean
working environment. Maintains overall shift operation in a safe,
efficient, and effective matter. Conducts staff meeting with
Clinical Manager 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. Meets routinely with the Clinical Manager
to discuss personnel and patient care status, issues, and
information. Supervise all documentation of patient information.
Coordinates Charge Nurse duties with Staff RNs acting in the relief
charge capacity. Patient Care: Assesses daily patient care needs
and develop and distribute patient care assignments appropriately.
Assesses patient needs, respond to dialysis treatments, and
communicate concerns to rounding physician. Implement changes
inpatient care/treatment as directed. Assumes primary
responsibility in an emergency situation. Monitors and supervises
all patient care activity during dialysis and assist as necessary.
Collaborates with direct patient care team in making decisions to
benefit patient care. Continuously monitors patient’s condition
with regards to problems and potential complications associated
with dialysis. Administers medications to patients per physician’s
orders. Acts as the subject matter expert and as a resource for
staff members. Technical: Supervises and participates in completion
of short and long term care plans. Admits new patients according to
facility procedure. Ensures educational needs of patients are met
and educate the patient and family about End Stage Renal Disease,
dialysis therapy, diet, and medication. Supervises the safe and
effective use of all equipment involved in direct patient care.
Operates all dialysis related and emergency equipment safely and
efficiently when needed. Performs required testing and verification
and initial the checklist for start-up and shut-down procedures as
outlined in the Technical Services Manual. Completes Nurse’s
Technical Training Program/Water Quality Facility Training. Other:
Assists with special projects or other duties as assigned by the
Clinical Manager and the interviewing of potential direct patient
care staff as requested. Promotes efficient use of medical
supplies. Attends and participates in monthly Quality Assurance
meetings. 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. 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. SUPERVISION: Direct
Patient Care Staff, Ward Clerk as assigned. EDUCATION AND REQUIRED
CREDENTIALS: Bachelor’s Degree; Advanced Degree of an accredited
school of Nursing (R.N.) desirable or an equivalent combination of
education and experience. Current appropriate state licensure.
EXPERIENCE AND SKILLS : Minimum of 9 months of nursing experience
and an additional 3 months of clinical experience in dialysis RN
charge nurses assuming responsibility for nursing and patient
services in the absence of the Clinical Manager must have one-year
clinical experience and six months dialysis experience. Supervisory
or management experience preferred. Successfully complete a
training course in the theory and practice of hemodialysis. Good
communication skills – verbal and written. Must meet appropriate
state requirements (if any). ACKNOWLEDGEMENT: I acknowledge that I
have read and accepted this job description. I understand what is
expected of me in this position, and I am able to perform the
essential functions as outlined with or without reasonable
accommodation. Furthermore, I understand that the duties and
responsibilities listed in this job description are intended only
as illustrations of the various types of work that may be
performed. The omission of specific statements of duties does not
exclude them from the position if the work is similar, related, or
a logical assignment to the position. If I have any questions about
duties and responsibilities not specified in this job description
that I am asked to perform, I should discuss them with my immediate
supervisor or my Human Resources representative. 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: $23.00 - $69.00
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. EOE, disability/veterans
Keywords: Fresenius Medical Care, Anaheim , Charge Registered Nurse - RN, Healthcare , Anaheim, California