U.S. Renal Care

SUMMARY The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH Develop and implement processes for program growth in accordance with Company goals. Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. May assume Charge Nurse's responsibilities as needed. Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. May fulfill responsibility of facility CEO as delegated by Governing Body. Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. Know and understand the water treatment and mechanisms of the equipment of the facility. Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS Monitor all contractual agreements; update as needed with corporate oversight. Maintain collaborative working relationship with Medical Director and physicians. Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. Recruit, train, develop, and supervise all personnel. Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. Demonstrated analytical and problem-solving skills are required. Strong time management and organizational skills required. 1 year previous dialysis management experience preferred. Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire. Must meet applicable, specific state requirements. (See addendum for Administrator. Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications: Must be full-time employee of the Company and available to clinic staff during time clinic is open. Current RN license in applicable state. License must be maintained as current and in good standing. 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure. CPR certification required within 90 days of hire. Confirmation of ability to distinguish all primary colors. Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse) All Full Time employees are eligible for the following benefits: Medical / Pharmacy Dental Vision Voluntary benefits 401k with employer match Virtual Care Life Insurance Voluntary Benefits PTOAll Part Time employees are eligible for the following benefits: 401k with employer match PTO Required Preferred Job Industries Other

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY The Director of Supply Chain Inventory Operations oversees inventory management of medical supplies and pharmaceuticals across all clinic locations. This role ensures clinics are adequately stocked, inventory is tracked accurately, and supplies are used efficiently to support patient care. Director is also responsible for developing and implementing inventory management strategies and processes, optimizing supply chain operations and spend, guide the execution of Inventory Tasks by clinic personnel, and leading inventory staff as applicable. This is a hybrid role. Tuesdays are onsite at our Plano Corporate Office. Candidates should be in the Dallas/Fort Worth, TX area. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Develop and oversee the implementation of inventory management policies and procedures across all clinic locations. Monitor inventory levels to ensure adequate stock while minimizing excess and obsolete inventory. Work with IT to Implement and maintain software systems that support Inventory Management tasks. Develop and maintain strong relationships with suppliers, Category Directors, and Clinical Leadership to timely manage backorder and substitutions. Support creation of new onboarding strategies and execute effective conversions. Identify and implement strategies to reduce supply chain costs and improve operational efficiency. Lead and mentor clinic's personnel responsible for Inventory tasks providing guidance and support to ensure high performance. Foster a culture of continuous improvement and innovation. Conduct performance evaluations, set goals, and identify training needs for team members as appropriate. Collaborate with corporate and regional leadership, clinic managers and staff to understand their inventory needs and ensure timely replenishment of supplies. Address and resolve inventory-related issues that arise in the clinics. Ensure compliance with healthcare regulations and standards related to inventory management. Conduct clinic visits to evaluate adherence to procedures and process improvement. Analyze inventory data to identify trends, forecast future needs, and make informed decisions. Prepare and present regular reports on inventory status, supply chain performance, and cost-saving initiatives to senior management. Utilize data to improve inventory accuracy, implement demand driven PAR management, oversee Key Performance indicators, and reduce waste. Identify opportunities for cash flow improvement, cost reduction, and implement strategies to achieve budgetary targets. Regular and reliable attendance is required for the job. Upholds management goals of corporation by leading staff in team concepts and promoting a team effort. Maintains effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. Recruits, trains, develops, and supervises personnel. Actively promotes GUEST customer service standards; develop effective relationships at all levels of the organization. Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Bachelor's degree or equivalent work experience; degree in business, supply chain, healthcare administration, or finance preferred. Master's degree a plus. 7-10 years of experience in inventory management, supply chain management or related field, preferably in the healthcare industry. Proven experience managing inventory across multiple locations or a large organization Strong leadership, negotiation, and team management skills. Excellent communication skills and interpersonal skills Previous dialysis experience strong plus. Project Management abilities a strong plus. Demonstrated understanding of the principles of supply chain management including contracting, purchasing, distribution, utilization, and inventory management as it applies to healthcare. Proficient with all Microsoft Office products, ERP systems and inventory software tools. Strong ability to interpret and make decisions from data; ability to predict and request necessary data for decision making; intermediate or advanced analytical skills (Excel, Access, other data management or data modeling). All Full Time employees are eligible for the following benefits: Medical / Pharmacy Dental Vision Voluntary benefits 401k with employer match Virtual Care Life Insurance Voluntary Benefits PTOAll Part Time employees are eligible for the following benefits: 401k with employer match PTO

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY The Director of Supply Chain Inventory Operations oversees inventory management of medical supplies and pharmaceuticals across all clinic locations. This role ensures clinics are adequately stocked, inventory is tracked accurately, and supplies are used efficiently to support patient care. Director is also responsible for developing and implementing inventory management strategies and processes, optimizing supply chain operations and spend, guide the execution of Inventory Tasks by clinic personnel, and leading inventory staff as applicable. This is a hybrid role. Tuesdays are onsite at our Plano Corporate Office. Candidates should be in the Dallas/Fort Worth, TX area. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Develop and oversee the implementation of inventory management policies and procedures across all clinic locations. Monitor inventory levels to ensure adequate stock while minimizing excess and obsolete inventory. Work with IT to Implement and maintain software systems that support Inventory Management tasks. Develop and maintain strong relationships with suppliers, Category Directors, and Clinical Leadership to timely manage backorder and substitutions. Support creation of new onboarding strategies and execute effective conversions. Identify and implement strategies to reduce supply chain costs and improve operational efficiency. Lead and mentor clinic's personnel responsible for Inventory tasks providing guidance and support to ensure high performance. Foster a culture of continuous improvement and innovation. Conduct performance evaluations, set goals, and identify training needs for team members as appropriate. Collaborate with corporate and regional leadership, clinic managers and staff to understand their inventory needs and ensure timely replenishment of supplies. Address and resolve inventory-related issues that arise in the clinics. Ensure compliance with healthcare regulations and standards related to inventory management. Conduct clinic visits to evaluate adherence to procedures and process improvement. Analyze inventory data to identify trends, forecast future needs, and make informed decisions. Prepare and present regular reports on inventory status, supply chain performance, and cost-saving initiatives to senior management. Utilize data to improve inventory accuracy, implement demand driven PAR management, oversee Key Performance indicators, and reduce waste. Identify opportunities for cash flow improvement, cost reduction, and implement strategies to achieve budgetary targets. Regular and reliable attendance is required for the job. Upholds management goals of corporation by leading staff in team concepts and promoting a team effort. Maintains effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. Recruits, trains, develops, and supervises personnel. Actively promotes GUEST customer service standards; develop effective relationships at all levels of the organization. Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Bachelor's degree or equivalent work experience; degree in business, supply chain, healthcare administration, or finance preferred. Master's degree a plus. 7-10 years of experience in inventory management, supply chain management or related field, preferably in the healthcare industry. Proven experience managing inventory across multiple locations or a large organization Strong leadership, negotiation, and team management skills. Excellent communication skills and interpersonal skills Previous dialysis experience strong plus. Project Management abilities a strong plus. Demonstrated understanding of the principles of supply chain management including contracting, purchasing, distribution, utilization, and inventory management as it applies to healthcare. Proficient with all Microsoft Office products, ERP systems and inventory software tools. Strong ability to interpret and make decisions from data; ability to predict and request necessary data for decision making; intermediate or advanced analytical skills (Excel, Access, other data management or data modeling). All Full Time employees are eligible for the following benefits: Medical / Pharmacy Dental Vision Voluntary benefits 401k with employer match Virtual Care Life Insurance Voluntary Benefits PTO All Part Time employees are eligible for the following benefits: 401k with employer match PTO

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our . Renal Care! Are you with US? Apply today!

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our . Renal Care! Are you with US? Apply today!

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our . Renal Care! Are you with US? Apply today!

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our . Renal Care! Are you with US? Apply today!

SUMMARY The Director, Indirect Sourcing is responsible for leading the company-wide Purchased Services category management program. This includes developing and executing category-specific sourcing strategies, identifying opportunities for enterprise-wide optimization, negotiating and managing contracts, and collaborating with executives, suppliers, and internal category/sourcing managers. The role oversees key indirect spend areas such as professional services, human resources, indirect products, technology, and facilities management. This director-level position carries significant leadership responsibility within a matrixed organization, requiring the ability to influence, align, and drive results across diverse business units and functions to ensure enterprise-wide success. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Accountable for value creation, enterprise optimization, and delivery of budget-impact cost reductions while ensuring high-quality, safe, patient-centered, and cost-effective products, services, equipment, and technologies. Develop go-to-market sourcing strategies and contract award recommendations based on documented category strategies and business case justifications, optimizing total value to the organization. Lead cross-functional teams at all levels of the organization to strategically place spend, balancing operational, clinical, and regulatory requirements. Key partners include finance, accounting, supply chain operations, biomed, legal, and operations. Collaborate across the organization to set category priorities and optimize sourcing outcomes. Partner with executives, medical staff leaders, and operational leaders to develop and monitor category strategies and annual roadmaps, identifying optimization and sourcing opportunities that drive measurable value and efficiency. Communicate progress relative to supply chain and enterprise goals. Oversee supplier selection, contract negotiations, vendor management, and escalation of vendor performance issues. Provide oversight of contract drafting, including review of language revisions, redlines, and supplier negotiations, ensuring alignment with compliance, risk, and legal requirements. Maintain all contracts in current and compliant status. Facilitate and actively lead the implementation of Purchased Services programs in partnership with stakeholders, facilities, suppliers, operational excellence, business transformation, and finance to ensure effective execution of optimization programs and contracts. Support management objectives by promoting teamwork, collaboration, and a culture of accountability. Oversee personnel management and employee relations, including performance evaluations, scheduling, approval of hours worked, and counseling actions as needed. Recruit, train, develop, and supervise assigned staff. Communicate expectations clearly, demonstrate accountability, and hold team members accountable for performance. Maintain regular and reliable attendance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Bachelor's degree in supply chain, finance, accounting, business, or a related field. A combination of education, specialty certifications, and relevant experience may be considered in lieu of a degree. Master's degree preferred. 10+ years of experience in category management and strategic sourcing. Minimum 5 years of experience in Indirect category management. Leadership experience with direct reports (preferred). Extensive knowledge of Purchased Services categories and related business operations. Strong presentation skills with the ability to influence and engage C-level executives. Proven leadership skills with the ability to coach, develop, and direct teams in alignment with company standards. Exceptional multitasking, prioritization, and organizational skills. Excellent written and verbal communication skills. Proficiency in Microsoft Office (Word, Excel, Outlook). Proficiency in all USRC applications required within 90 days of hire.

How you will change lives As a Unit Clerk at US Renal Care, you will be an integral part of a cross-functional team, providing operational support to maintain clinic operations and provide the best customer care for patients living with kidney disease. What you will be doing Customer Care. You will be a critical member of the clinic team, creating a welcoming and professional atmosphere by greeting patients and visitors, answering phones, answering patient questions, and assisting patients with transportation arrangements, as needed. Operational Support. You will maintain clinic operations effectively by updating and maintaining medical records, preparing patient records and charts for treatments, and assisting in auditing records for ongoing compliance. You will support financial operations by entering charges and preparing billing and patient attendance logs. You will also complete forms and reports as required by governmental agencies. You will ensure adequate supplies and inventory and reordering when required. In addition, you will help process lab work by preparing lab slips and tubes and directing labs to the appropriate laboratory. What we're looking for Six months of relevant experience in clinical/healthcare setting preferred. Minimum one year experience in administrative position preferred. High School diploma or equivalent. Computer proficiency with Microsoft Office, (including Word and Excel). Must be able to organize time and tasks efficiently. Proficiency in all USRC applications required within 90 days of hire. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care. Are you with US? Apply today!

SUMMARY The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. GROWTH Develop and implement processes for program growth in accordance with Company goals. Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Achieve financial targets to include budget, labor costs, supply costs and expenditures. OUTCOMES Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals. OPERATIONAL READINESS Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. May assume Charge Nurse's responsibilities as needed. Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. May fulfill responsibility of facility CEO as delegated by Governing Body. Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. Oversee the maintenance of equipment and supplies to meet current laws and regulations. OPERATIONAL READINESS (cont.) Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. Know and understand the water treatment and mechanisms of the equipment of the facility. Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines. PARTNERSHIPS Monitor all contractual agreements; update as needed with corporate oversight. Maintain collaborative working relationship with Medical Director and physicians. Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or complaints. STAFF DEVELOPMENT/ RETENTION Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. Recruit, train, develop, and supervise all personnel. Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Effectively communicates expectations; accepts accountability and holds others accountable for performance. Qualifications/Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment. Demonstrated analytical and problem-solving skills are required. Strong time management and organizational skills required. 1 year previous dialysis management experience preferred. Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire. Must meet applicable, specific state requirements. (See addendum for Administrator. Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications: Must be full-time employee of the Company and available to clinic staff during time clinic is open. Current RN license in applicable state. License must be maintained as current and in good standing. 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure. CPR certification required within 90 days of hire. Confirmation of ability to distinguish all primary colors. Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse)

The Patient Care Technician, under the direction and supervision of the Registered Nurse, assists with providing care and delegated activities of treatment to patients with renal failure. This position performs duties as assigned by the Charge Nurse and Registered Nurse. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. • Obtain blood samples for laboratory analysis as required to complete physician orders. • Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations. • Use appropriate safety measures including personal protective equipment as necessary. • Clean, disinfect, and rinse dialysis machines in accordance with policy and procedures. • Prepare machines for hemodialysis treatments. • Obtain pre and post treatment weights of patients per protocols. • Safely initiate and terminate dialysis treatments per center protocol, and within scope of practice and as allowed by state regulations. • Monitor patients during dialysis treatments. • Mix acids and bicarbonate according to protocol. • Complete water testing on dialysis machine at the beginning of each treatment day and as directed by the Administrator. Complete/document quality control logs throughout the day and after all treatments, as required. • Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: High school graduate or equivalent. CPR certification required within 90 days of hire or as required by the state. Confirmation of ability to distinguish all primary colors. Prefer a minimum of 3 months in dialysis healthcare or phlebotomy experience or CNA experience. Must be certified under a State certification program or a national commercially available certification program as follows (see addendum for Patient Care Technician)- Certification must be obtained within 18 months of hire date as Patient Care Technician. Time employed as a Patient Care Technician prior to employment with USRC will count towards the 18-month deadline for certification, unless a gap in employment as a Patient Care Technician is more than 18 months. Certification must be maintained as current and in good standing. Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire. Successful completion of USRC training course in the theory and practice of hemodialysis within 8 weeks of hire. ADDENDUM PATIENT CARE TECHNICIAN STATE SPECIFIC BOARD OF NURSING REQUIREMENTS California Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. Maryland Must possess current Certified Nursing Assistants - Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification. New Mexico Must have New Mexico dialysis technician certificate at time of hire OR Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program OR New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. National hemodialysis certification is not required in New Mexico. Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients. Ohio Must have Ohio dialysis technician intern certificate at time of hire OR Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program. Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program. Oregon Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran. Additional Information

The Vice President of Value‐Based Care - Business Development will accelerate U.S. Renal Care's shift towards value-based care in kidney care by closing new value-based contracts with health plans and other risk bearing entities. The role will ensure growth by messaging the USRC's commitment, scale, and deep clinical expertise to deliver a unique value proposition to patients, payers, and partner physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Develop a strong pipeline of health plan and other risk bearing entities to sell our VBC solution. Proactively leverage personal and professional networks to build pipeline. Implement marketing strategies including presence at trade shows, conferences, events, to aggressively penetrate the health plan market. Act with urgency to navigate multi-level relationships with health plan customers. Identify, gain access to, and build strong relationships with appropriate health plan executives (e.g., Chief Executive Officer, Chief Medical Officer) and decision makers. Develop an understanding of health plan products, membership, geographic presence, and organizational structures to effectively navigate these organizations. Understand health plan market trends, product-market fit, and market opportunities. Effectively articulate our VBC solution to health plans including our clinical approach and differentiation, operational processes, and financial value of our solution and services. Engage with health plan entities to thoroughly understand their total cost of care and quality metrics related to their members with kidney disease. Work collaboratively with internal USRC analytics team to evaluate cost savings and MLR improvement opportunity for health plans. Work collaboratively with various departments at USRC including clinical, operational, legal, and our physician partners to build consensus for new contracts and gain support to close deals. Collect market information and trends to inform future product/solution development efforts. Strategize on effective positioning, product features, and communication of our value proposition to health plans. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Effectively communicate expectations; accept accountability and hold others accountable for performance. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. Regular and reliable attendance is required for the job. QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Bachelor's degree in related field required. MBA or master's degree strongly preferred. Ten (10) plus years of experience in healthcare sales, corporate/business development, consulting, and/or physician consulting required. Five (5) plus years of experience selling solutions to and closing value based, risk based or capitation contracts with health plans. Demonstrated experience building and implementing strategy to network and C-level contacts within health plan entities. Experience structuring and negotiating value-based contracts required. Proven analytical thinking skills and financial acumen to structure complex financial contracts. Knowledge of kidney care and/or End-Stage Renal Disease (ESRD) or similar field is strongly preferred. Intermediate computer skills, including Microsoft Office (Word, Excel, PowerPoint, Outlook and web-based tools) required; proficiency in USRC applications required within 90 days of hire. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran. Additional Information

The Kidney Care Options Educator & Care Coordination role supports the growth of home dialysis and patient admissions by providing education for optimal management of advanced CKD and modality options to patients and families, physicians, community members, USRC Staff and Hospital partners. This role acts as a patient liaison to coordinate care in preparation for initiation of dialysis or navigation between dialysis modalities. This position provides support and care coordination in the CKD period through education on Kidney Care Options, access placement, and financial concerns and introduces the patient to USRC facilities and modality of choice. The Kidney Care Options Educator & Care Coordinator bridges care/communication between physician practice and USRC to ensure continuity of care in timely manner. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Strategically promote USRC Kidney Care Options Program to Nephrology Offices, Hospital Case Managers and Primary Care Physicians. Develop and sustain strong relationships with external and internal physicians/hospitals. Provide follow-up to Nephrologists regarding education provided to their patients. Develop and provide scheduled group and individual classes for CKD Stage 4 and 5 patients and their families for optimal management of advanced stage CKD, including Kidney Care Options education. Under direct supervision of a Registered Nurse, provide Kidney Care Option Education to all new patients admitted to the in-center facilities within 60 days and identified existing in-center patients. Manage overall Kidney Care Options education calendar. Communicate the group class schedule to all local Administrators, Regional Vice Presidents, Director of Home Therapies, Home Therapy Registered Nurses, physician groups and community and Hospital partners. Manage process for monitoring and tracking patients through the Kidney Care Options program. Maintain communications throughout to In Center and Home Personnel on patient status. Report metrics to Home Management at an established cadence. Act as the patient liaison to coordinate care for patient including, but not limited to, access placement, financial concerns, and transition to USRC facility Strategize with Administrators, Social Workers, Home Therapy Registered Nurses, Regional Vice Presidents and Home Therapy Management for Home growth opportunities. Cultivate professional relationships outside of USRC by participating in community activities at a minimum of once per quarter. Participate in USRC staff training and education programs to ensure knowledge of program. Regular and reliable attendance is required for the job. QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Bachelor's degree or equivalent work experience. One (1) plus years of experience in a healthcare organization working ideally with patients and/or physicians in a clinical setting. Knowledge of nephrology, End-Stage Renal Disease (ESRD) or similar field required. Experience in educating patients and staff preferred. Sales experience is a plus. Strong verbal and written communication skills. Bi-lingual preferred. Excellent customer service skills and ability to communicate effectively, both verbally and in writing. Must have intermediate computer skills, including Microsoft Office (Word, Excel, Power Point, Outlook and web based tools); proficiency in USRC applications required within 90 days of hire. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran. Additional Information

The Kidney Care Options Educator & Care Coordination role supports the growth of home dialysis and patient admissions by providing education for optimal management of advanced CKD and modality options to patients and families, physicians, community members, USRC Staff and Hospital partners. This role acts as a patient liaison to coordinate care in preparation for initiation of dialysis or navigation between dialysis modalities. This position provides support and care coordination in the CKD period through education on Kidney Care Options, access placement, and financial concerns and introduces the patient to USRC facilities and modality of choice. The Kidney Care Options Educator & Care Coordinator bridges care/communication between physician practice and USRC to ensure continuity of care in timely manner. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Strategically promote USRC Kidney Care Options Program to Nephrology Offices, Hospital Case Managers and Primary Care Physicians. Develop and sustain strong relationships with external and internal physicians/hospitals. Provide follow-up to Nephrologists regarding education provided to their patients. Develop and provide scheduled group and individual classes for CKD Stage 4 and 5 patients and their families for optimal management of advanced stage CKD, including Kidney Care Options education. Under direct supervision of a Registered Nurse, provide Kidney Care Option Education to all new patients admitted to the in-center facilities within 60 days and identified existing in-center patients. Manage overall Kidney Care Options education calendar. Communicate the group class schedule to all local Administrators, Regional Vice Presidents, Director of Home Therapies, Home Therapy Registered Nurses, physician groups and community and Hospital partners. Manage process for monitoring and tracking patients through the Kidney Care Options program. Maintain communications throughout to In Center and Home Personnel on patient status. Report metrics to Home Management at an established cadence. Act as the patient liaison to coordinate care for patient including, but not limited to, access placement, financial concerns, and transition to USRC facility Strategize with Administrators, Social Workers, Home Therapy Registered Nurses, Regional Vice Presidents and Home Therapy Management for Home growth opportunities. Cultivate professional relationships outside of USRC by participating in community activities at a minimum of once per quarter. Participate in USRC staff training and education programs to ensure knowledge of program. Regular and reliable attendance is required for the job. QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Bachelor's degree or equivalent work experience. One (1) plus years of experience in a healthcare organization working ideally with patients and/or physicians in a clinical setting. Knowledge of nephrology, End-Stage Renal Disease (ESRD) or similar field required. Experience in educating patients and staff preferred. Sales experience is a plus. Strong verbal and written communication skills. Bi-lingual preferred. Excellent customer service skills and ability to communicate effectively, both verbally and in writing. Must have intermediate computer skills, including Microsoft Office (Word, Excel, Power Point, Outlook and web based tools); proficiency in USRC applications required within 90 days of hire. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran. Additional Information

The Acute Registered Nurse provides acute dialysis care and treatment to patients within a hospital environment. This position performs duties as assigned by the Charge Nurse or Acute Manager, including assisting and supervising Patient Care Technicians and Licensed Vocational Nurses. Acute nurses may report directly to an Acute Manager, Administrator or the first line of regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned. Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Ensure patient and treatment charge information and other related data are accurate and submitted to the appropriate corporate personnel in a timely manner. Perform duties as assigned to meet the patient care or operational needs of the acute program and hospital. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Assist with program's target goals for patient outcomes in accordance with quality patient care and Company goals. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. Complete pre and post treatment physical assessments. Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites per protocol. Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures. Participate in infection control monitoring, implementation, and recording as requested. Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so. Participate in all JCAHO, CMS, DPH and OSHA surveys as required. Ensure nursing care is carried out as directed and treatment is administered in accordance with physician instructions. Inform Acute Manager or Administrator of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy. Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to resolve minor problems independently. Notify Bio-Medical Technician regarding machine or water treatment malfunctions and provide appropriate documentation. Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient. Assure proper coordination of care between hospitals and outpatient dialysis facilities as applicable. Maintain communication and continuity of planned care when a patient is transferred to other company facilities. Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure. QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Current RN license in applicable state. License must be maintained as current and in good standing. 12 months or more current nursing experience preferred. Previous experience in providing nursing care to patients on maintenance dialysis preferred. CPR certification required. Confirmation of ability to distinguish all primary colors. Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire. Must meet any practice requirement(s) for the applicable state. Ability to meet minimum hospital/agency hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment. U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran. Additional Information