Clinical Operations Nurse (Dialysis)

Clinical Operations Nurse (Dialysis)

Corporate Wisconsin - Brookfield, WI 53005

Concerto Renal Services is an industry leader in nursing home dialysis. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model.

The Clinical Operations Nurse (CON) provides clinical leadership, coaching, and operational support across assigned markets to ensure consistent delivery of safe, high-quality dialysis care. The CON serves as the bridge between frontline nurses, regional management, and corporate quality teams - providing real-time clinical guidance, hands-on training, and ensuring compliance with Concerto's quality, regulatory, and operational standards. This role is a key driver of clinical excellence, survey readiness, and nursing staff development across all assigned facilities.

Accountability

• Reviews outlier labs and ensures timely interventions are executed, providing feedback, remediation, and follow-through.
• Provides ongoing education and in-services to nurses and PCTs on Concerto policies, clinical protocols, and regulatory standards.
• Provides direct support during surveys, including being onsite when possible.
• Steps in to provide leadership coverage in the absence of a Regional Manager (RM) or when requested by leadership.
• Performs other related duties and responsibilities as assigned; responsibilities are not solely limited to those listed above.

Ownership

• Identifies and addresses market-level clinical outlier trends, develops action plans, and tracks follow-up to closure.
• Provides minimum biweekly updates on unit performance and monthly written summaries of strengths and opportunities, copying the VPO/RDO as required.
• Collaborates with physicians on outlier patients and clinical interventions.
• Participates in corporate and regional initiatives, pilots, and special projects.
• Works closely with dietitians and social workers to address barriers to care, including nutrition and psychosocial challenges.

Process / Structure

• Acts as a hands-on clinical leader and primary resource for facility RNs.
• Reviews and interprets lab values (Hgb, TSAT, ferritin, Kt/V) and ensures timely interventions with nursing staff and physicians.
• Ensures critical lab results are addressed, documented, and escalated appropriately to physicians, facility leaders, and Regional Quality and Regulatory Managers (RQRMs).
• Monitors long-term catheter use and collaborates on AVF/AVG placement and catheter removal plans.
• Reviews data accuracy and completeness, ensuring patient records and clinical metrics reflect true performance.
• Conducts monthly clinical audits, including "red clinic" audits and facility observation reviews.
• Collaborates with Clinical Operations leadership to ensure all assigned facilities maintain continuous survey readiness.
• Develops and/or conducts corrective action plans following internal audits, surveys, or adverse findings.
• Educates staff on survey processes and reinforces Concerto's regulatory expectations.
• Participates in QAPI, Clin Ops, and outlier meetings, collaborating closely with compliance/quality and operations teams.
• Serves as a Renvio and Ascend super user, supporting staff in EMR documentation and troubleshooting.
• Assists with signing off on initial and annual RN and PCT skills checklists and verifies competency documentation.

Clinical Development

• Coaches RNs and PCTs in anemia management, adequacy troubleshooting, vascular access monitoring, and infection control practices.
• Conducts monthly check-ins with facility RNs and escalates barriers or opportunities for improvement.
• Provides hands-on support in addressing clinical and workflow inefficiencies.
• Promotes a culture of accountability, teamwork, and patient-centered care at every site.

Staffing Model

• Provides backup staffing support as necessary to maintain safe and effective operations during call-outs, vacancies, or survey activity.

Qualifications

You Might Be a Good Fit If

• Leadership experience
• Reliability
• Excellent Communication skills (written and verbal)

What's Required?

Education and Required Credentials

• Registered Nurse (RN) - active, unrestricted license in assigned state(s); additional multistate or compact licensure preferred.
• Bachelor's degree preferred.
• Current CPR certification required.
• CNN/CDN certification preferred.

Experience and Skills

• Minimum of 3 years dialysis nursing experience, including 12 years in a leadership, educator, or preceptor role.
• Demonstrated success in clinical audits, survey readiness, and quality improvement initiatives.
• Strong understanding of CMS Conditions for Coverage and ESRD Network requirements.
• Excellent communication, teaching, and coaching skills.
• Proficiency in Microsoft Office, EMR systems (Renvio, Ascend), and data analysis tools.
• Ability to independently problem-solve and make sound clinical decisions in fast-paced environments.

Physical Requirements & Work Environment

Work includes both computer-based activities and field engagement with dialysis and skilled nursing facilities. Travel up to 6080% is expected within assigned markets. Exposure to healthcare environments and infectious materials is possible. Must be able to sit, stand, and travel for extended periods.

SUPERVISION

Reports to: Director of Operations

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.