Clinical Workflow Lead, In-Center HD
Fresenius Medical Care
Summary
Leads the design, standardization, implementation, and optimization of in-center hemodialysis workflows within the enterprise EHR transformation program. Responsible for translating dialysis operations, treatment delivery processes, regulatory requirements, clinical best practices, and enterprise value objectives into scalable EHR workflows that support safe, efficient, and compliant care delivery across approximately 2,600 dialysis clinics.
Job description
Key Responsibilities
- Serve as the enterprise owner and lead designer for in-center hemodialysis workflows across all dialysis clinics, ensuring standardized processes and documentation practices.
- Lead current-state assessment and future-state workflow design for all aspects of dialysis treatment delivery, including patient scheduling, treatment documentation, clinical assessments, prescription execution, monitoring, and post-treatment workflows.
- Design and standardize EHR treatment records, flowsheets, standing orders, worklists, and clinical documentation tools.
- Establish enterprise standards for dialysis prescription management, dry weight tracking, recurring treatment schedules, laboratory workflows, and adequacy calculations.
- Define requirements for dialysis machine integration, device-generated data capture, documentation validation, and treatment performance reporting.
- Ensure clinical workflows support regulatory compliance, including CMS Conditions for Coverage, ESRD QIP measures, EQRS reporting, NHSN reporting, and interdisciplinary care planning requirements.
- Facilitate workflow design sessions with clinic managers, nurses, technicians, physicians, and operational leaders.
- Partner with clinical, operational, and digital innovation teams to define and operationalize AI-enabled workflows.
- Lead workflow validation and testing activities, including integrated patient scenarios, data conversion validation, device integration testing, and defect resolution.
- Review and approve system build components, including treatment navigators, flowsheets, scheduling workflows, standing order sets, and adequacy reporting tools.
- Evaluate and approve training materials, job aids, and readiness activities.
- Support deployment readiness through clinic assessments, super-user readiness, proficiency validation, device preparation, and command center support.
- Provide clinical leadership during go-live activities, monitoring workflow adoption, treatment record completion, documentation quality, and issue resolution.
- Balance enterprise standardization with operational needs by evaluating requests for local workflow variations and directing change control processes.
- Lead continuous optimization efforts by identifying workflow inefficiencies, reducing documentation burden, improving usability, and supporting clinical content governance.
Purpose and Scope
Provides direction, leadership, strategic vision, objectives and guidance regarding EHR design and operational process improvement opportunities related to clinical workflows, clinical informatics, government initiatives, process reengineering and clinical safety. Integrates clinical science, computer science, and information science to manage and communicate data, information, and knowledge in clinical practices.
Principal Responsibilities and Duties
- Uses a structured problem-solving method to optimize clinical systems and select, develop, implement, and evaluate informatics solutions.
- Analyzes and maps clinical workflows to evaluate efficiency, usability, and data integrity.
- Creates, designs and maintains clinical process & workflow documentation and serves as a content expert.
- Initiates, develops, seeks intra and interdepartmental approvals, deploys and evaluates company-wide clinical practice standards, policies, procedures, forms and guidance documents.
- Participates in the development of or develops clinical training and educational materials.
- Works as a change agent for organizational leadership and clinicians.
- Conducts site visits to review and evaluate clinical practice as necessary.
- Manages the activities & operations of the Clinical Informatics Department.
- Establishes and assures adherence to budgets, schedules, work plans, and performance requirements.
- Serves as liaison between the organization and physicians regarding requests, questions or concerns.
- Provides senior level project management and team facilitation support to process improvement.
- Regularly interacts with senior management or executive levels and develops formal presentations.
Supervision
Responsible for the direct supervision of various levels of clinical quality and/or administrative support staff.
Physical Demands and Working Conditions
Day to day work includes desk and personal computer work, interaction with patients, field and corporate staff and physicians. The position requires travel for clinical assessment and problem solving as well as presentations at Company-wide, Corporate, Division, Regional or Area Meetings. The work environment is characteristic of both a health care facility and office environment. May be exposed to infectious and contagious diseases/materials.
Requirements
- Bachelor's or higher degree in nursing or related clinical field
- 6+ years' experience in design, development and implementation of electronic health records
- Experience in dialysis highly valued
- 2-4 years of patient care experience
- 3+ years of management experience preferred
- Strong influencing, collaboration and relationship-building skills
- Knowledge and experience in patient care environments and in-depth knowledge of clinical processes and clinical workflows
- Excellent written and verbal communication skills
- Exemplary customer service
- Skilled level knowledge of Microsoft Office suite
- Knowledge of project management and systems life cycle
- Critical thinking and decision making
- Master's degree in Informatics, public health or related Healthcare discipline preferred
Company overview
Fresenius Medical Care AG & Co. KGaA is the world's leading provider of products and services for individuals with renal diseases, serving as a global healthcare company specializing in kidney dialysis treatment. Founded in 1996 and headquartered in Bad Homburg, Germany with North American operations based in Waltham, Massachusetts, the company operates an extensive network of 4,171 outpatient dialysis centers across approximately 50 countries, serving over 345,000 dialysis patients worldwide. As the clear market leader in dialysis services, Fresenius Medical Care holds a dominant 38% market share of the dialysis market in the United States. The company provides comprehensive renal care solutions including hemodialysis machines, dialyzers, peritoneal dialysis solutions, and related medical devices through its 42 production sites globally. With approximately 128,000 employees, Fresenius Medical Care focuses on improving patients' quality of life through innovative technologies and therapies for end-stage renal disease treatment, offering both in-center and home dialysis options while maintaining a strong commitment to value-based care and patient well-being.