Dialysis Clinical Manager Registered Nurse - RN

Principal Duties and Responsibilities

• 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.
• Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.
• Technically proficient in the specific department and knowledge of industry practice and business principles.
• Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI).
• Responsible for addressing and acting on adverse events and action thresholds.
• Oversees facility's Home Therapies Program if applicable.
• Accountable for compliance with all applicable federal, state and local laws and regulations.
• Ensures all FMS Clinical 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 with all data collections and auditing activities.
• Maintains facility environmental integrity, including safety.
• Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.

Patient Care

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
• Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
• Acts as a resource for the patient to address patient concerns and questions.
• Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility's Interdisciplinary Team.
• Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
• Develops action plans for unexcused and missed treatments in collaboration with the Director.
• Plans, coordinates and acts as the liaison for patient care as per the disease management agreement.
• Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation.
• Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company.

Staff

• Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.
• Participates in the recruitment and interview process, and decision to hire new personnel.
• Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable.
• Responsible for all patient care employees receiving appropriate training according to FMS policy.
• Provides opportunities for professional growth, and training to ensure clinical competence.
• Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff.
• Completes timely employee evaluations and establishes annual goals for staff.
• Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility.
• Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving.

Physicians

• Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws.
• Responsible for strong Director and physician relationships and facilitating staff relationships with physicians.
• Ensures regular and effective communication with all physicians, through regular meetings with Directors.
• Participates in Governing Body.
• Schedules and coordinates CQI meetings with physicians.

Maintenance/Technical

• Responsible for the integrity and safety of the facility water system.
• Must be knowledgeable in the operation of all facility equipment and technology.

Administrative

• Responsible for maintaining and updating all FMS manuals.
• Accountable for completion of the Annual Standing Order Review and ICD coding.
• Directs information gathering as required supporting billing and collection activities.
• Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals.
• Reviews and approves facility payroll.
• Reviews profit and loss statements with Director.
• Responsible for participating in all required Network reporting and on-site state or federal surveys.
• Participates in the completion of the FMS Administrative Clinical Review.

Physical Demands and Working Conditions

Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. Position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. 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.

Supervision

Responsible for the direct supervision of various levels of staff as designated by region.

Education and Required Credentials

• Bachelor's Degree; Advanced Degree desirable or an equivalent combination of education and experience.
• Graduate of an accredited School of Nursing (RN).
• Current appropriate state licensure.

Experience and Skills

• 6 – 8 years' related experience or an equivalent combination of education and experience.
• 3+ years' supervisory or project/program management experience preferred.
• Minimum of 12 months experience in clinical nursing is required.
• Experience in med/surg or ICU/CCU is preferred.
• Minimum of 6 months chronic or acute dialysis nursing experience is required.
• Must be available as a full-time employee and provide on-call coverage when necessary.
• Demonstrated leadership competencies and 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 dialysis personnel and to ensure the delivery of maximum quality care to all patients.
• Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line.