Registered Nurse - RN

Fresenius Medical Care · South Lake, TX Full Time
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Job Description

Join Fresenius Kidney Care as a Registered Nurse in our Clinical Advancement Program (CAP). This entry-level position provides and coordinates clinically competent home dialysis care for assigned patients with End Stage Kidney Disease.

What You'll Do
  • Assess and manage patients' responses to home dialysis training and treatment therapy
  • Collect, analyze dialysis data for assigned patients and adjust treatment plans as needed
  • Train home dialysis patients and partners on safe equipment operation and maintenance
  • Administer medications and provide patient and family education on treatment options
  • Participate in staff training, team leadership, and quality improvement activities
Requirements
  • Graduate of accredited School of Nursing with current state licensure
  • Current or successful completion of CPR BLS Certification
  • Minimum one year experience as a Registered Nurse (preferred)
  • Entry-level for RNs with less than two years nephrology nursing experience
  • Home dialysis therapy experience preferred; willingness to complete CAP requirements
Physical Demands and Working Conditions
  • Frequent standing, bending, heavy lifting, and patient assistance required
  • May lift up to 30 lbs and move equipment up to 200 lbs with assistance
  • Exposure to infectious and contagious diseases; on-call and weekend rotation required
  • May travel to training sites, other facilities, or provide care in patient homes

This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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