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Purpose: The Facility Systems Specialist II (FSS II) is responsible for the operation, maintenance, and regulatory compliance of facility systems supporting dialysis treatment. This includes water treatment systems, dialysis equipment, acid concentrate delivery systems, and facility infrastructure. The FSS ensures safe, reliable operations while supporting staff training, emergency preparedness, vendor coordination, and overall facility management in alignment with NKC standards and regulatory requirements.

Job Type: Full-time, 1.0 FTE, M-F, 7:00am-3:30pm 
FLSA: Hourly

 Required qualifications: 

• Completion of high school diploma or GED.
• Coursework and demonstrated knowledge or experience in mathematics, physical sciences, life sciences, chemistry, physics, and/or electronics.
• Preferred:
• Associate (AA) degree in a science, technical field or maintenance field.
• Prior dialysis or healthcare facility experience performing equipment repairs or maintenance.
• Certified Biomedical Nephrology Technologist (CBNT), or Certified Hemodialysis Bio-Medical Technician (CHBT), or Certified Biomedical Equipment Technician (CBET).

• Complete training for certification of B Braun Aquaboss or other RO system, B Braun Dialog dialysis machine or other dialysis machine, and Fresenius Accumix equipment or other acid concentrate mixer.

• Ability to communicate effectively in English verbally, in writing, and over the telephone.
• Demonstrated proficiency with Microsoft Office and familiarity with clinical software systems.
• Demonstrated competency in water treatment and concentrate systems, maintained through regular testing and evaluation.
• Knowledge of and adherence to ESRD and applicable state regulatory requirements.
• Valid State driver’s license, proof of insurance, and reliable transportation for travel between units, on call duties, and travel to purchase materials needed to carry out duties.

Essential Functions:  

Water Treatment & Dialysis Systems Management 

• Operate, monitor, maintain, and troubleshoot reverse osmosis (RO) water treatment systems in accordance with AAMI Standards, NKC policies, CMS Conditions for Coverage, and manufacturer guidelines.
• Manage acid concentrate production and preparation/delivery systems, including calibration, maintenance, and required testing (e.g., specific gravity).
• Maintain dialysis equipment (e.g., Dialog machines, Aquaboss) and ancillary systems through preventive maintenance, troubleshooting, repair coordination, operational and AAMI standard environmental testing.
• Oversee inline chlorine systems, including routine maintenance, monitoring, alarm response, and reporting findings to the Medical Director.

Facility Operations & Vendor Management 

• Coordinate and manage facility vendors (HVAC, plumbing, electrical, housekeeping, linen, security, etc.), including service requests, follow-up, escalation, and documentation.
• Support physical facility operations, including general repairs maintenance, replacing lights, checking building systems, and seasonal maintenance (e.g., snow removal, ice mitigation), in coordination with Plant Operations.
• Identify and report equipment issues, including patient treatment chairs, and perform minor repairs as appropriate.

Regulatory Compliance & Quality Support 

• Maintain accurate and complete documentation, including system logs (RO, chlorine, timers), work orders, and compliance records.
• Participate in Quality Assurance and Performance Improvement (QAPI) activities, including preparation and attendance at monthly meetings.
• Support product recall coordination and resolution of product complaints at the facility level.
• Perform required inspections, including annual electrical safety checks of designated equipment.
• Complete all required training by assigned deadlines.
• Ensures all regulatory and OSHA requirements are met.

Safety & Emergency Preparedness 

• Conduct routine safety inspections, including fire extinguishers, eyewash stations, and emergency equipment.
• Perform and document fire drills and ensure follow-up on identified improvement actions.
• Maintain and audit emergency supplies, including backup equipment and emergency materials.
• Perform preventive maintenance and monitoring of backup generators.

Supply Chain & Inventory Management 

• Manage facility inventory, including ordering, receiving, stocking, and tracking clinical, operational, and emergency supplies.
• Coordinate special purchases through NKC Purchasing and ensure availability of essential materials.

Training & Staff Support 

• Provide training and onboarding support for new FSS staff.
• Educate clinical staff (Registered Nurse/Licensed Practical Nurse/Dialysis Technician) on water treatment, acid delivery systems, ancillary equipment, and dialysis machine operation.
• Conduct and document annual competency assessments for designated staff.

Team Participation & Coverage 

• Actively participate in weekly FSS huddles and monthly FSS and Biomed staff meetings.
• Participate in on-call rotations and provide coverage for additional duties during staff absences.

Professional Conduct & Communication 

• Maintain a high level of professionalism in interactions with staff, patients, physicians, and vendors.
• Communicate effectively with leadership, including Clinical Managers, Medical Directors, and support departments.

Other Duties 

• Perform additional responsibilities as assigned by the Director of Clinical Support Services or Support Services Leadership.

CUSTOMER SERVICE STANDARDS 

Staff are responsible for demonstrating good customer service and professionalism. 

Working Conditions 

• Duties are performed in a clinical dialysis environment.
• Exposure to chemical fumes (e.g., bleach), blood, and other body fluids is expected.
• Work may involve temperature variations and confined spaces.
• Must be comfortable working with patients with infectious conditions, including Hepatitis B and HIV, and patients requiring isolation, following NKC guidelines.
• Proof of Hepatitis B and measles vaccination or immunity is required.  Annual influenza shots are required.

Physical Requirements 

• Ability to climb, balance, crawl, push, pull, stand, walk, stoop, kneel, crouch, and reach throughout the workday.
• Frequent use of hands for grasping, fingering, and repetitive motion tasks.
• Requires strong hand-eye coordination and manual dexterity.
• Must have sufficient visual acuity to read technical documents, monitors, gauges, dials, and test strips, including the ability to distinguish colors (color perception testing may be required).
• Ability to lift or move:
• Up to 50 pounds frequently
• Up to 100 pounds occasionally
• Operates standard office equipment including phone, computer, and copier.
• Operates equipment and tools with appropriate training and use of safety equipment.

Learn more about us, NKC on YouTube 

Benefit offerings for eligible employees (.6-1.0 FTE): 
•    Choice of 3 medical insurance plans: Premera Blue Cross (HDHP, Low Option PPO, High Option PPO) 
•    Delta Dental & Vision Services Plan 
•    401 Retirement Plan, Employer Match dollar for dollar up to 4% of your wages and an additional 1% Discretionary Match 
•    Disability benefits: Short-term & Long-term Plans 
•    Life & AD&D Plans 
•    Tuition Reimbursement of up to $4,000 annually 
•    Employee Assistance Program 
•    Employee Scholarship Program 
•    Flexible Spending & Health Savings Accounts
•    100% employer subsidized Commute/Transit Benefits available
•    Paid Time Off (PTO) includes personal time off and holidays.  Employees may earn up to 192 hours of PTO in their first year. 
•    Paid Sick Time (PST) - Employees will earn 1 hour for every 30 eligible hours of work.

Founded in 1962 as the world’s first outpatient dialysis provider, Northwest Kidney Centers operates 19 dialysis clinics across the Puget Sound region in addition to hospital-based services and a large home-based dialysis program. We are a not-for-profit, community-based organization and consistently rank among the top dialysis providers in the United States in quality of care, patient outcomes and transplant rates. We’re expanding to Portland in late 2026 to bring our compassionate, high-quality dialysis care to more people.

At Northwest Kidney Centers, teamwork, integrity, respect, excellence and stewardship guide our approach to how we work. We differentiate ourselves by our patient centered approach and active commitment to advancing kidney research and dialysis innovation. Key to our success is the compassion and expertise of our dedicated team of staff that care for those we serve. Equal Employment Opportunity  
Northwest Kidney Center is an equal employment opportunity employer. Every employee has the right to work in surroundings that are free from all forms of unlawful discrimination. NKC will not engage in or tolerate any discrimination in the workplace prohibited by local, state, or federal law. Specifically, no employee will be discriminated against on the basis of their race (including physical characteristics historically associated with race, such as hairstyle or hair type), sex/gender, religion/creed, pregnancy, age, physical or mental disability, marital status, national origin, citizenship, immigration status, genetics/genetic markers, military or veteran status, sexual orientation, including gender expression or identity, actual or perceived victims of domestic violence, sexual assault, or stalking, or any other characteristic protected by applicable federal, state or local law.   

Preboarding Requirements:  At Northwest Kidney Centers, we are committed to maintaining a safe work environment for all employees and patients. As part of our hiring process, we conduct pre-employment background checks, drug screenings (we do not test for THC), employment verification and references, which are contingent to be hired on with NKC. These checks ensure we are in compliance with regulatory requirements and uphold our standards of safety, excellence, stewardship, and integrity. We value transparency and respect your privacy; any information obtained during these screenings will be handled with the utmost confidentiality. Should you have any questions regarding this process, please feel free to reach out to our People Team.   Please note: To protect our vulnerable patient population and our workforce, NKC strongly encourages all staff to receive the COVID-19 vaccine.