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.

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 provide support 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 during personal hardship.

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

Responsibilities

• Manage and oversee the daily operations of the facility, ensuring cost-effective operations in accordance with all legal, compliance, and regulatory requirements.
• Collaborate with the Medical Director and the Clinical Manager/Charge Nurse to ensure the provision of quality patient care from admission through discharge.
• Make daily decisions to ensure 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.
• Complete the Internal Classification of Disease (ICD) coding and manage all required network reporting and on-site state or federal surveys.
• Manage the tactical execution of short- and long-term objectives, including costs, methods, and staffing.
• Administer the daily business operations of the dialysis clinics, including staff management, quality of patient care, maintenance of the physical plant and equipment, and inventory control.
• Manage the profit and loss and other financial aspects for the center to achieve or exceed the budget and key performance indicators.
• Coordinate all aspects of patient care with appropriate staff members, from admission through discharge.
• Act as a resource for patients and families to address concerns and questions.
• Oversee timely completion of patient care assessments and care plans.
• Manage patient schedules to ensure facility efficiency and develop action plans for missed treatments.
• Report changes in patient status regarding clinical, insurance, or travel and transportation issues.
• Participate in the selection and hiring of new team members and ensure completion of new hire orientation and mandatory training.
• Ensure all patient care employees complete appropriate training courses and maintain current licensures/certifications.
• Provide support for clinical staff members and encourage professional growth.
• Maintain current knowledge regarding company benefits, policies, procedures, and processes.
• Obtain clinical feedback for employee evaluations, establish annual goals, and conduct employee evaluations.
• Document 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.
• Ensure strong physician relationships and regular, effective communication.
• Participate in the Governing Body, an interdisciplinary team for each region.
• Collaborate with the Clinical Manager/Charge RN, Medical Director, and physicians to ensure outstanding quality of patient care and compliance with company policies.
• Coordinate all aspects of patient care from admission through discharge and address patient concerns and issues.
• Develop and communicate efficient and timely patient schedules to maximize facility efficiency.
• Implement and maintain a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI).
• Ensure compliance with Federal and State laws through regular review of center operations.
• Develop and maintain strong Medical Director and physician relationships.
• Support and drive FMS quality standards through meeting regulatory requirements and practicing CQI.
• Oversee and monitor appropriate training according to FMS policy to ensure compliance with risk management initiatives.
• Ensure aggressive treatment of adverse safety events and action thresholds.
• Communicate and implement all Quality policies and procedures.
• Maintain integrity of medical records and other administrative and operational records.
• Manage day-to-day activities and workload of facility staff, providing guidance and leadership.
• Create, maintain, and communicate efficient and timely employee schedules according to staffing needs.
• Provide informal and formal feedback to staff, including annual performance evaluations.
• Obtain feedback regarding staff performance from the Medical Director and Charge RN.
• Collaborate with staff, Charge RN, and Medical Director to set annual goals.
• Manage department staffing through hiring, firing, and disciplinary actions.
• Maintain written documentation of all disciplinary meetings and confer with Human Resources and Director of Operations.
• Ensure successful execution of new hire orientation, training, and ICD-9/10 code training.
• Ensure appropriate documentation for current licensure, annual in-service, and policy updates.
• Provide training and guidance to facility staff to develop clinical competencies and encourage professional growth.
• Collaborate with HR to provide information on company benefits, policies, and procedures.
• Participate in employee recognition and satisfaction programs.
• Maintain a close working relationship with Division and Corporate office personnel.
• Communicate FMS, Division, and Corporate initiatives, policies, and procedures to facility staff.
• Maintain facility environmental integrity and safety.
• Schedule maintenance and repair of equipment, operating systems, and physical structure of the facility.
• Monitor facility security.
• Coordinate inventory and supply management, review monthly inventory counts, and approve purchase orders.
• Ensure efficient utilization of medication, laboratory, inventory, supplies, and equipment to achieve supply cost goals.
• Contribute to the development and revision of facility policies and procedures.
• Direct information gathering to support billing, billing issues, and collection activities.
• Coordinate and approve facility payroll.
• Participate in all on-site internal and external (state and federal) surveys.
• Review new and existing provider contracts for various vendor services.

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.