Dialysis Clinical Manager Registered Nurse - RN

About the 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 unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.

Training and advancement

You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.

Culture

We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.

Diversity

We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.

Purpose and scope

Manage and oversee the daily operations of the facility, ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Manager/Charge Nurse regarding the provision of quality patient care in the dialysis facility incorporating all activities from admission through to discharge. As the clinic leader, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. Markets available services through presentations to physicians and dialysis facilities.

Principal duties and responsibilities

• Provides leadership, coaching, and development plans for all direct reports.
• Pairs 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 the 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.
• Clinic Operations:
  • Provides leadership, coaching, and development plans for all direct reports.
  • Pairs 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 the 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:
  • Carefully coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
  • Acts as a resource for the patient and family to address concerns and questions.
  • Oversight of the timely completion of patient care assessments and care plans.
  • Management of timely patient schedules to ensure facility efficiency and development of action plans for missed treatments.
  • Reporting of changes in patient status regarding any clinical, insurance, or travel and transportation issues.
• Staff:
  • Participation in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training.
  • Responsibility for all patient care employees completing appropriate training courses and that licensures/certifications are current.
  • Support for all clinical staff members at regular intervals and encouragement of professional growth.
  • Maintenance of current knowledge regarding company benefits, policies, procedures, and processes.
  • Obtaining clinical feedback for employee evaluations and establishment of annual goals and conducting employee evaluations.
  • Documentation of any disciplinary actions and conferencing with the clinic Director of Operations and Human Resources when needed.
  • Management of staff scheduling and payroll.
• Physicians:
  • Facilitation of the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
  • Responsibility for strong physician relationships and ensuring regular and effective communication.
  • Participation in Governing Body, an interdisciplinary team for each region including MDs, DOs etc. that governs policies.
• Other:
  • Collaboration with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the 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 the pertinent company policies and procedures.
  • Coordination of all aspects of patient care from admission through discharge of the patient.
  • Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys.
  • Development and communication of efficient and timely patient schedules to ensure maximization of facility efficiency.
  • Assistance as needed with patient workflow.
  • Implementation and maintenance of 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.
  • Continual review of Center operations to ensure compliance with Federal and State laws.
  • Development and maintenance of strong Medical Director and physician relationships, facilitation of staff relationships with physicians, and ensuring regular and effective communication with all physicians including participation in regular meetings with Medical Directors.
  • Support and driving of FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools.
  • Work with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility specific action plans to achieve FMS quality standards.
  • Ensuring all Quality policies and procedures are communicated to and implemented by the facility staff.
  • Maintaining integrity of medical records and other FMS administrative and operational records.
  • Compliance and assistance with all data collection and auditing activities.
  • Management of the department staffing through the appropriate hiring, firing and disciplinary actions.
  • Maintenance of written documentation of all disciplinary meetings in accordance with the established personnel policies and conferencing with Human Resources and Director of Operations regarding the nature of the disciplinary decisions.
  • Ensuring successful execution of new hire orientation and training, and ICD-10 code training when ICD-10 applicable for new hires and working with Medical Director to ensure mandatory in-services are completed.
  • Ensuring appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates.
  • Providing training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth.
  • Collaboration with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures.
  • Participation in Corporate and Division specific employee recognition and satisfaction programs.
  • Maintaining facility environmental integrity and safety.
  • Scheduling the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed.
  • Monitoring the security of the facility.
  • Coordinating 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.
  • Directing any necessary information gathering, as required, to support billing, billing issues and collection activities.
  • Coordinating and approving facility payroll.
  • Participation in all on-site internal and external (state and federal) surveys.
  • Reviewing new and existing provider contracts for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning.
• 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. Recessed lighting, computer terminal, and desk. Occasional bending, kneeling, crouching, crawling, reaching overhead, standing, walking, pushing, pulling, lifting, carrying, climbing, stooping, squatting, twisting, and repetitive hand movements. Occasional exposure to dust, fumes, odors, chemicals, noise, temperature extremes, and radiation. Occasional exposure to blood, body fluids, and infectious materials. Occasional exposure to hazardous materials, such as chemicals, and electrical hazards. Occasional exposure to extreme cold and heat. Occasional exposure to allergens, such as pollen and animal dander. Occasional exposure to radiation. Occasional exposure to ergonomic hazards, such as repetitive motion, forceful exertions, and vibrations. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical parts, electrical hazards, and motor vehicles. Occasional exposure to workplace hazards, such as moving mechanical