Dialysis Clinical Manager Registered Nurse - RN

PURPOSE AND SCOPE:

Manages and oversees the daily operations of the facility ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates 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, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. Markets available services through presentations to physicians and dialysis facilities.

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.
• 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.
• 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.
  • Ensuring the provision of education to the patient and the patient’s family regarding access care including medical instructions.
  • 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, monitoring pre, intra, and post, procedures as appropriate.
  • Implementing and maintaining a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff and pertinent physicians in problem solving activities meeting on a regular basis to address identified issues.
  • Continually reviewing Center operations to ensure compliance with Federal and State laws. Ensures compliance with all state agency regulations. 

• 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 Clinical Manager/Charge RN and Medical Director to implement FMS quality goals and develop facility specific action plans in order 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 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 on a daily basis.  Consults with DON/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 DON/Charge RN and acts on the feedback as appropriate.  Collaborates with staff and DON/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 execution of new hire orientation and training, and ICD-9 code training when 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 trainings 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 FMS/FMCNA 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 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.

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 oversees the provision of patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Coworkers may provide assistance.
• The position requires frequent prolonged periods of standing and the employee must be able to bend over.
• The employee may occasionally be required to move, with assistance, 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.

SUPERVISION:

• Typically supervises Clinical Manager, Charge RN, Charge RN II, Social Worker, RD, RN, LPN, PCT, Secretary, Ward Clerk

EDUCATION AND REQUIRED CREDENTIALS:

• Bachelor’s Degree or an equivalent combination of education and experience

EXPERIENCE AND SKILLS:           

• 4 + years of business operations experience in increasing levels of responsibility required- preferably in a health care facility-  with at least year in a lead or senior position 
• Minimum of 1 years’ experience in a supervisory/management role, in a medical facility preferred.
• Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred.
• 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.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors