Dialysis Charge Nurse - Hemodialysis/SNF/MWF

Hemodialysis Charge Nurse – Job Description

Work Schedule: Monday, Wednesday, Friday

Position Summary

The Charge Registered Nurse (RN) provides direct patient care and on-shift clinical coordination for dialysis treatments delivered in SNF/Sub-Acute settings. This role functions primarily as a working nurse and participates in patient care activities while supporting safe and efficient treatment operations during assigned shifts. This is a non-exempt position and is eligible for overtime in accordance with California labor laws. Reports to: Regional Clinical Manager

FLSA Status: Non-Exempt (Hourly)

Essential Duties and Responsibilities – Direct Patient Care (Primary Function)

• Performs pre-, intra-, and post-dialysis patient assessments.
• Initiates, monitors, and discontinues hemodialysis treatments per physician orders.
• Performs AVF/AVG cannulation and CVC access in accordance with policy.
• Monitors vital signs and patient response to treatment; intervenes appropriately.
• Accurately documents all treatment data, assessments, and interventions.
• Notifies provider and leadership of significant patient condition changes.
• Administers medications as ordered and within scope of practice.
• Ensures proper infection control practices are followed.
• Assists with emergency response situations during dialysis treatments.

Shift-Level Clinical Coordination

• Serves as clinical point of contact during assigned shift.
• Communicates with SNF staff regarding dialysis scheduling and coordination.
• Ensures dialysis equipment is operational and prepared prior to treatments.
• Assists in maintaining adequate supplies for safe treatment delivery.
• Provides guidance to dialysis staff during treatment activities as needed.

Note: This role does not have authority to hire, terminate, discipline, or independently evaluate employees.

Documentation and Compliance

• Ensures accurate and timely completion of dialysis treatment records.
• Participates in audits and quality initiatives as requested.
• Attends required in-services and staff meetings.
• Follows all company policies and CMS Conditions for Coverage.

Scope of Authority

The Charge RN:

• Does not independently hire, fire, or discipline staff.
• Does not approve payroll, mileage, or timesheets.
• Does not set budgets or staffing ratios.
• Does not independently implement company policy changes.
• Provides feedback regarding staff performance to leadership when requested.

Work Schedule

• Scheduled shifts may include 10–12 hour shifts.
• Overtime may be required based on patient census and operational needs.
• Must clock in/out in accordance with company policy.

Physical Requirements

• Ability to stand for extended periods (up to 12 hours).
• Ability to lift up to 35 pounds unassisted.
• Ability to bend, reach, stretch, and move dialysis equipment.
• Ability to respond quickly in emergency situations.

Exposure Risk Level: Level I – High Risk

• Frequent exposure to blood and body fluids including: 
• Cannulation of vascular access
• Central venous catheter access
• Handling bloodlines
• Responding to blood leaks
• Cleaning dialysis equipment

Must comply with OSHA Bloodborne Pathogen standards.

Qualifications

• •Current California RN license in good standing
• BLS certification (ACLS preferred)
• Minimum 1 year dialysis experience preferred
• Knowledge of CMS Conditions for Coverage preferred

Disclaimer

This job description describes the general nature and level of work performed. It is not intended to be an exhaustive list of all duties, nor is it a contractual guarantee of employment.