Benefits:

401(k)

Employee discounts

Health insurance

Paid time off

Job Type: Full-Time or Part-Time Setting: Long-Term Care (LTC) / Skilled Nursing Facility – Dialysis Den Schedule: Monday/Wednesday/Friday (MWF) or Monday/Wednesday (MW), with additional shifts available

Position Overview

We are seeking an experienced Dialysis Registered Nurse (RN) to join our team providing hemodialysis services in a dedicated Dialysis Den within a Long-Term Care / Nursing Home setting.

Both full-time and part-time opportunities are available. Candidates may work a consistent Monday/Wednesday/Friday (MWF) schedule or Monday/Wednesday (MW) schedule, with opportunities to pick up additional shifts.

The Dialysis RN is responsible for providing safe, high-quality hemodialysis treatments while supervising Patient Care Technicians (PCTs), coordinating with nursing facility staff and the nephrology team, and maintaining compliance with clinical, infection-control, and regulatory requirements.

Key Responsibilities

Supervise, mentor, and provide clinical direction to Patient Care Technicians (PCTs).

Perform and supervise direct patient care for hemodialysis, including pre-treatment assessment, initiation, monitoring, termination, access hemostasis, and post-treatment evaluation.

Complete nursing assessments and accurately document patient condition, treatment progress, and outcomes.

Assess patients' response to hemodialysis and make appropriate adjustments or recommendations in accordance with physician orders.

Assess and monitor target/dry weights and fluid status.

Administer dialysis-related medications as ordered.

Review, transcribe, and implement physician orders.

Monitor dialysis adequacy and support vascular access management and catheter-reduction initiatives.

Monitor and review laboratory results and coordinate required laboratory testing and follow-up.

Ensure proper specimen collection, correct laboratory tubes, labeling, packaging, and shipment.

Promptly report critical, panic, or abnormal laboratory results to the physician.

Recognize and respond appropriately to dialysis-related complications, emergencies, and adverse events.

Communicate significant changes in patient condition to the nephrologist, Medical Director, nursing home staff, and dialysis management.

Maintain competency in emergency procedures and ensure required emergency equipment is available and operational.

Maintain compliance with infection prevention, patient safety, and dialysis policies and procedures.

Participate in routine infection-control and safety audits.

Assist with patient scheduling and coordination of dialysis treatments.

Collaborate with nursing home staff, nephrologists, dietitians, social workers, PCTs, and other members of the interdisciplinary team.

Educate patients and families regarding ESRD, dialysis therapy, vascular access, fluid management, diet, medication compliance, treatment modalities, and transplant awareness.

Participate in care conferences, QAPI activities, staff meetings, and ongoing education.

Perform other duties as assigned.

Minimum Qualifications

Current and unrestricted Registered Nurse (RN) license.

Minimum of one year of dialysis nursing experience required.

Current BLS certification.

Demonstrated competency in hemodialysis treatments and vascular access management.

Ability to recognize and appropriately respond to dialysis-related complications and emergencies.

Strong nursing assessment, documentation, organizational, and communication skills.

Ability to supervise PCTs and provide clinical leadership during dialysis treatments.

Ability to work independently while collaborating effectively with the interdisciplinary care team.

Preferred Qualifications

Previous experience in a Long-Term Care, Skilled Nursing Facility, or Dialysis Den setting.

Experience caring for medically complex and elderly dialysis patients.

Familiarity with dialysis laboratory monitoring, QAPI, infection-control requirements, and regulatory standards.

Schedule & Employment Options

Full-Time or Part-Time positions available

Monday / Wednesday / Friday (MWF) schedule available

Monday / Wednesday (MW) schedule available

Additional shifts available for candidates interested in additional hours

We offer scheduling flexibility based on the candidate's availability and program needs.

Why Join Our Team?

Competitive compensation

Full-time and part-time opportunities

Consistent and predictable dialysis schedule

Additional shifts available

Specialized LTC/Nursing Home dialysis environment

Experienced dialysis leadership and clinical support

Opportunity to work with a growing dialysis program

If you are an experienced Dialysis RN looking for a consistent schedule and the opportunity to provide high-quality dialysis care in an LTC/Nursing Home setting, we encourage you to apply.