Dialysis Clinical Manager Registered Nurse - RN

Clinical Manager

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.

Your role will involve managing and overseeing the daily operations of the facility, ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. You will 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, you will have the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. You will also market available services through presentations to physicians and dialysis facilities.

Principal duties and responsibilities include:

• Clinic Operations: Provides leadership, coaching, and development plans for all direct reports. Partners with internal Human Resources, Quality, Education, and Technical Services departments. Collaborates with the Home Therapies Program Manager to oversee the facility's Home Therapies Program. Maintains integrity of medical and operations records and complies with all data collections and auditing activities. Accountable for completion of the Internal Classification of Disease (ICD) coding. Responsible for all required network reporting and on-site state or federal surveys. 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. 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. Manages 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.
• Patient Care: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Acts as a resource for the patient and family to address concerns and questions. Oversee the timely completion of patient care assessments and care plans. Manages timely patient schedules to ensure facility efficiency and develop action plans for missed treatments. Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues.
• Staff: Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training. Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. Provides support for all clinical staff members at regular intervals and encourages professional growth. Maintains current knowledge regarding company benefits, policies, procedures, and processes. Obtains clinical feedback for employee evaluations and establishes annual goals and conducts employee evaluations. Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. Manages staff scheduling and payroll.
• Physicians: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. Responsible for strong physician relationships and ensures regular and effective communication. Participates in Governing Body, an interdisciplinary team for each region including MDs, DOs etc. that governs policies.
• Other: Collaborates 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. Collaboration activities include: coordinating all aspects of patient care from admission through discharge of the patient. Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. Developing and communicating efficient and timely patient schedules to ensure maximization of facility efficiency. Assisting as needed with patient workflow. Implementing and maintaining 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. Develops and maintains 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. Supports and drives FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools. Works with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility specific action plans to achieve FMS quality standards. Oversees and monitors the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives. Collaborates with the Charge RN to ensure the aggressive treatment of, and actions taken, regarding adverse safety events and action thresholds. Ensures all 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 and assists with all data collection and auditing activities. Manages 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. Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily. Consults with Charge RN and Medical Director to optimize clinical staffing. Provides 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. Obtains feedback and input regarding the staff performance from the Medical Director and Charge RN and acts on the feedback as appropriate. Collaborates with staff and Charge RN and Medical Director to set annual goals for staff. Manages the department staffing through the appropriate hiring, firing and disciplinary actions. Maintains written documentation of all disciplinary meetings in accordance with the established personnel policies and confers with Human Resources and Director of Operations regarding the nature of the disciplinary decisions. Ensures 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. Ensures 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. Provides training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth. Collaborates with HR regarding providing information to staff pertaining to FMCNA and FMS benefits, Human Resources policies and procedures. Participates in Corporate and Division specific employee recognition and satisfaction programs. Maintains a close working relationship with Division and Corporate office personnel and ensures appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff. Utilizes knowledge of FMCNA and FMS services and products to contribute to the growth of the business. Maintains facility environmental integrity and safety. Schedules the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed. Monitors the security of the facility. Coordinates 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. Contributes to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals. Directs any necessary information gathering, as required, to support billing, billing issues and collection activities. Coordinates and approves facility payroll. Responsible for participating in all on-site internal and external (state and federal) surveys. Reviews new and existing provider contracts for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning. Performs other related duties as assigned.

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. 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. The position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required with assistance to move patients and equipment of up to 200 lbs. There is a two-person assist program and "material assist" devices for the heavier items. Travel to regional, Business Unit and Corporate meetings may be required.

Education: Graduate of an accredited School of Nursing (RN) Current RN state licensure

Experience and Required Skills: Experience in clinical nursing. Additional 6 months chronic or acute dialysis nursing experience. Demonstrated leadership competencies and management 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 facility personnel and to ensure the delivery of maximum quality care to all patients. Successfully passed the Ishihara Color Blind Test.

Preferred: Experience in a supervisory/