Dialysis Clinical Manager Registered Nurse - RN

About this Role

As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close‑knit, collaborative team responsible for delivering individualized care plans and providing dialysis treatment to patients with end‑stage renal disease or chronic kidney disease.

Principal Duties and Responsibilities

Clinic Operations

• Provides leadership, coaching, and development plans for all direct reports.
• Partners with internal Human Resources, Quality, Education, and Technical Services departments.
• Collaborates with the Home Therapies Program Manager to oversee the facility’s Home Therapies Program.
• Maintains integrity of medical and operations records and complies with all data collections and auditing activities.
• Accountable for completion of the Internal Classification of Disease (ICD) coding.
• Responsible for all required network reporting and on‑site state or federal surveys.
• Manages the tactical execution of short‑ and long‑term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
• Responsible for the administration of the daily business operations of the dialysis clinics including managing the functions and actions related to center staff, quality of overall provision of patient care, maintenance of the physical plant and center equipment, and inventory control.
• Manages the profit and loss and other related financial aspects for the center, ensuring optimal facility operations to achieve or exceed the budget and key performance indicators.

Patient Care

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.
• Acts as a resource for the patient and family to address concerns and questions.
• Oversees the timely completion of patient care assessments and care plans.
• Manages timely patient schedules to ensure facility efficiency and develops action plans for missed treatments.
• Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues.

Staff

• Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training.
• Ensures patient care employees complete appropriate training courses and that licensures/certifications are current.
• Provides support for all clinical staff members at regular intervals and encourages professional growth.
• Maintains current knowledge regarding company benefits, policies, procedures, and processes.
• Obtains clinical feedback for employee evaluations; establishes annual goals and conducts employee evaluations.
• Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.
• Manages staff scheduling and payroll.

Physicians

• Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By‑Laws.
• Maintains strong physician relationships and ensures regular and effective communication.
• Participates in Governing Body, an interdisciplinary team for each region including MDs, DOs, etc., that governs policies.

Other

• Collaborates closely with the Clinical Manager/Charge RN, the Medical Director, and physicians regarding direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with pertinent company policies and procedures.
• Coordinates all aspects of patient care from admission through discharge.
• Addresses patient concerns, issues, and questions including the review of patient satisfaction surveys.
• Develops and communicates efficient and timely patient schedules to ensure maximization of facility efficiency.
• Assists as needed with patient workflow.
• Implements and maintains a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI) improvement team that involves staff and pertinent physicians in problem‑solving activities meeting on a regular basis to address identified issues.
• Continuously reviews Center operations to ensure compliance with Federal and State laws.
• Develops and maintains strong Medical Director and physician relationships, facilitating staff relationships with physicians, and ensuring regular and effective communication with all physicians including participating in regular meetings with Medical Directors.
• Supports and drives FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools.
• Works with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility‑specific action plans to achieve FMS quality standards.
• Oversees and monitors the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives.
• Collaborates with the Charge RN to ensure the aggressive treatment of, and actions taken regarding, adverse safety events and action thresholds.
• Ensures all quality policies and procedures are communicated to and implemented by the facility staff.
• Maintains integrity of medical records and other FMS administrative and operational records.
• Complies and assists with all data collection and auditing activities.
• Manages the day‑to‑day activities and workload of the facility staff providing guidance and leadership as appropriate to ensure the effective, efficient and timely execution of duties and tasks.
• Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily, consulting with Charge RN and Medical Director to optimize clinical staffing.
• Provides informal feedback to staff on an ongoing basis and formal feedback in the form of the annual performance evaluation during the focal merit review process; obtains feedback and input regarding staff performance from the Medical Director and Charge RN and acts on the feedback as appropriate; collaborates with staff and Charge RN and Medical Director to set annual goals for staff.
• Manages department staffing through the appropriate hiring, firing and disciplinary actions.
• Maintains written documentation of all disciplinary meetings in accordance with the established personnel policies and confers with Human Resources and Director of Operations regarding the nature of the disciplinary decisions.
• Ensures successful execution of new hire orientation and training, and ICD‑9 code training when ICD‑10 applicable for new hires and works with Medical Director to ensure mandatory in‑services are completed.
• Ensures appropriate documentation is completed for current licensure, annual in‑service and policy and procedure in‑service updates.
• Respects all facility employees receive appropriate training according to company policy including company risk management initiatives.
• Provides training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth.
• Collaborates with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures.
• Participates in Corporate and Division specific employee recognition and satisfaction programs.
• Maintains a close working relationship with Division and Corporate office personnel and ensures appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff.
• Utilizes knowledge of FMCNA and FMS services and products to contribute to the growth of the business.
• Maintains facility environmental integrity and safety.
• Schedules maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed.
• Monitors the security of the facility.
• Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution and competitive pricing.
• Responsible for efficient utilization of medication, laboratory, inventory, supplies, and equipment to achieve supply cost goals following all guidelines established in the FMS/FMS formularies.
• Contributes to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals.
• Directs any necessary information gathering, as required, to support billing, billing issues and collection activities.
• Coordinates and approves facility payroll.
• Participates in all on‑site internal and external (state and federal) surveys.
• Reviews new and existing provider contracts for various vendor services, including but not limited to insurance, laboratory, and facility cleaning.
• Performs other related duties as assigned.

Supervision

• Supervises Charge RN and DPC Staff.

Physical Demands and Working Conditions

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Day‑to‑day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• The position requires frequent prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required with assistance to move patients and equipment of up to 200 lbs. There is a two‑person assist program and “material assist” devices for the heavier items.
• Travel to regional, Business Unit and Corporate meetings may be required.

Education

• Graduate of an accredited School of Nursing (RN).
• Current RN state licensure.

Experience and Required Skills

• Experience in clinical nursing.
• Additional 6 months chronic or acute dialysis nursing experience.
• Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
• Demonstrated management skills necessary to provide leadership in the supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.
• Successfully passed the Ishihara Color Blind Test.

Preferred

• Experience in a supervisory/management role in a medical facility preferred.
• Med/surg or ICU/CCU experience preferred.
• Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) – experience with medical database software preferred.

EEO Statement

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non‑merit‑based factors.