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.

Our 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.

Our focus on 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. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

Responsibilities

• 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.
• Collaborate 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.
• Market available services through presentations to physicians and dialysis facilities.
• Provide leadership, coaching, and development plans for all direct reports.
• Partner with internal Human Resources, Quality, Education, and Technical Services departments.
• Collaborate with the Home Therapies Program Manager to oversee the facility’s Home Therapies Program.
• Maintain integrity of medical and operations records and comply with all data collections and auditing activities.
• Account for completion of the Internal Classification of Disease (ICD) coding.
• Responsible for all required network reporting and on-site state or federal surveys.
• Manage 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.
• Manage 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.
• Coordinate all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
• Act as a resource for the patient and family to address concerns and questions.
• Oversee the timely completion of patient care assessments and care plans.
• Manage timely patient schedules to ensure facility efficiency and develop action plans for missed treatments.
• Report changes in patient status regarding any clinical, insurance, or travel and transportation issues.
• Participate in the selection and hiring of new team members and ensure completion of new hiring orientation and mandatory training.
• Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.
• Provide support for all clinical staff members at regular intervals and encourage professional growth.
• Maintain current knowledge regarding company benefits, policies, procedures, and processes.
• Obtain clinical feedback for employee evaluations and establish annual goals and conduct employee evaluations.
• Document any disciplinary actions and confer with the clinic Director of Operations and Human Resources when needed.
• Manage staff scheduling and payroll.
• Facilitate the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
• Responsible for strong physician relationships and ensure regular and effective communication.
• Participate in Governing Body, an interdisciplinary team for each region including MDs, DOs etc. that governs policies.
• Collaborate closely 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.
• Develop and maintain 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.
• Continually review Center operations to ensure compliance with Federal and State laws.
• Develop and maintain 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.
• Support and drive 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.
• Oversee and monitor the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives.
• Collaborate with the Charge RN to ensure the aggressive treatment of, and actions taken, regarding adverse safety events and action thresholds.
• Ensure all Quality policies and procedures are communicated to and implemented by the facility staff.
• Maintain integrity of medical records and other FMS administrative and operational records.
• Comply and assist with all data collection and auditing activities.
• Manage 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.
• Create, maintain, and communicate efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily.
• Consult with Charge RN and Medical Director to optimize clinical staffing.
• Provide 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.
• Obtain feedback and input regarding the staff performance from the Medical Director and Charge RN and act on the feedback as appropriate.
• Collaborate with staff and Charge RN and Medical Director to set annual goals for staff.
• Manage the department staffing through the appropriate hiring, firing and disciplinary actions.
• Maintain written documentation of all disciplinary meetings in accordance with the established personnel policies and confer with Human Resources and Director of Operations regarding the nature of the disciplinary decisions.
• Ensure 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.
• Ensure appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates.
• Responsible for ensuring all facility employees receive appropriate training according to company policy including company risk management initiatives.
• Provide training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth.
• Collaborate with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures.
• Participate in Corporate and Division specific employee recognition and satisfaction programs.
• Maintain a close working relationship with Division and Corporate office personnel and ensure appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff.
• Utilize knowledge of FMCNA and FMS services and products to contribute to the growth of the business.
• Maintain facility environmental integrity and safety.
• Schedule the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed.
• Monitor the security of the facility.
• Coordinate 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.
• Contribute to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals.
• Direct any necessary information gathering, as required, to support billing, billing issues and collection activities.
• Coordinate and approve facility payroll.
• Responsible for participating in all on-site internal and external (state and federal) surveys.
• Review 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.