Location & Practice Overview

The position is located at Fresenius Kidney Care Rancho, a dedicated outpatient dialysis center in San Diego’s Rancho Bernardo area. Nurses work within a structured interdisciplinary practice focused exclusively on kidney care services.

Facility Fresenius Kidney Care Rancho
Address 11031 Via Frontera, Suite C, San Diego, CA 92127
Practice Type Outpatient dialysis center
Care Model Interdisciplinary kidney care team

Responsibilities

  • Conduct systematic nursing assessments before, during, and after hemodialysis treatments and analyze collected data to evaluate clinical status and treatment response.
  • Monitor patients throughout the dialysis session, identify changes in condition, and promptly communicate findings to the Team Leader, Charge Nurse, Supervisor, or Physician.
  • Coordinate safe hemodialysis delivery for assigned patients in collaboration with direct and ancillary care staff while adhering to facility policies and nursing standards.
  • Administer medications according to prescriptions or approved clinical algorithms and document administration, clinical justification, and treatment effectiveness.
  • Educate patients and families on dialysis treatment, the prescribed care plan, kidney transplantation, and available modality options.
  • Coordinate laboratory specimen collection, processing, and shipping; identify incomplete collections and arrange necessary rescheduling.

Additional duties include participation in quality-improvement activities, emergency response support when needed, and completion of Clinical Advancement Program requirements under clinical supervision.

Qualifications & Requirements

This CAP 1 role is designed for Registered Nurses entering or early in their nephrology careers. Required credentials are listed below; hemodialysis experience is preferred but not mandatory.

Education
Graduation from an accredited School of Nursing
Licensure
Current California Registered Nurse license
Certification
Current CPR Basic Life Support (BLS) or ability to obtain the certification
Nephrology Experience
Less than two years of nephrology nursing experience (CAP 1 entry-level designation)
Preferred Background
Previous chronic or acute hemodialysis experience

Compensation & Benefits

Pay is determined by work location, education, professional experience, skills, and competencies.

  • Hourly rate: $39.00–$56.00
  • Medical, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Paid time off
  • Parental leave

Schedule & Work Environment

Employment Status Full Time
Work Arrangement Onsite
Physical Requirements Frequent standing and bending; regular patient handling; occasional movement of equipment up to 200 lb with assistance; lifting solutions up to 30 lb
Travel May include travel to training sites or other facilities under comparable conditions
Shift Details Specific hours, weekend, and holiday requirements not listed in the posting

Patient Population & Clinical Setting

Nurses care for adults living with end-stage kidney disease who return to the same center for scheduled, recurring hemodialysis. The clinical setting supports long-term relationships and continuous nursing observation across successive treatment visits.

Primary Population Adults with end-stage kidney disease (ESKD)
Care Pattern Recurring scheduled treatment visits
Relationship Continuity Ongoing clinical relationships across multiple treatment cycles
Observation Context Continuous nursing presence throughout each treatment session

Clinical Focus & Key Services

The position centers on specialized nephrology nursing within an outpatient hemodialysis program. Clinical work emphasizes the delivery of life-sustaining dialysis therapy, longitudinal patient management, and support of treatment adherence and modality decision-making.

Core Specialty Outpatient nephrology nursing
Therapeutic Focus In-center hemodialysis as primary renal replacement therapy
Longitudinal Care Ongoing management of patients receiving chronic dialysis
Education Emphasis Treatment understanding, care-plan adherence, and modality options including transplantation

Role Highlights

The CAP 1 structure provides a supported entry into nephrology nursing with clear developmental milestones and clinical mentorship.

  • Formal Clinical Advancement Program pathway designed for nurses building nephrology expertise
  • Structured guidance from a Clinical Educator, Preceptor, or experienced Registered Nurses during competency development
  • Defined experience thresholds that open eligibility for Team Leader or Charge Nurse responsibilities after initial training and practice time
  • Opportunity to specialize in outpatient dialysis nursing within a large national kidney-care organization

About Fresenius Medical Care (Fresenius Kidney Care)

Fresenius Medical Care is a global healthcare company focused on products and services for people with renal diseases. Its Fresenius Kidney Care network operates outpatient dialysis centers across the United States, providing treatment for patients with chronic kidney disease and end-stage kidney disease.

Organization Focus Kidney care services and dialysis products
Headquarters Bad Homburg v. d. Höhe, Germany
Global Reach Approximately 3,600 dialysis centers serving more than 290,000 patients worldwide
U.S. Brand Fresenius Kidney Care
Established 1996

Frequently Asked Questions

Is prior dialysis experience required?
No. CAP 1 is intended for nurses with less than two years of nephrology experience. Prior chronic or acute hemodialysis experience is preferred but not required.
What is the purpose of the CAP 1 designation?
CAP 1 marks the entry level of the Clinical Advancement Program. It provides structured training and support while nurses develop dialysis competency; later eligibility for Team Leader or Charge Nurse roles follows additional experience thresholds.
Will I see the same patients over time?
Yes. Patients return for recurring scheduled treatments, allowing nurses to build ongoing clinical relationships.
Are specific shift times or weekend rotations listed?
The posting does not specify exact hours, weekend, or holiday requirements. Candidates should confirm scheduling details with the employer.
Is travel required?
Travel to training locations or other facilities may be requested under comparable working conditions.
What physical demands are involved?
The role requires frequent standing, bending, and patient assistance, with occasional handling of heavier equipment and lifting of solutions up to 30 pounds. Assistance and equipment aids may be available.

Outpatient Registered Nurse (RN) in San Diego, CA

Outpatient Registered Nurse roles in San Diego nephrology centers focus on the specialized delivery of in-center hemodialysis for adults with end-stage kidney disease. Unlike episodic hospital nursing, this practice involves continuous observation across recurring treatment sessions, allowing nurses to track clinical trends, support treatment adherence, and guide patients through modality decisions such as transplantation. The work combines technical proficiency in dialysis therapy with ongoing patient education and interdisciplinary coordination inside a dedicated kidney-care facility. Nurses entering this specialty develop expertise in fluid and electrolyte management, vascular-access considerations, and the psychosocial aspects of long-term renal replacement therapy. In the San Diego region, such positions provide a structured pathway into nephrology nursing within large dialysis organizations that operate multiple outpatient centers.

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