Assistant Director Of Dialysis/Facility Admin

Colquitt Regional Medical Center•Moultrie, GA

1d•Onsite

About The Position

This role provides overall administrative leadership for daily dialysis facility operations. The Assistant Director of Dialysis/Facility Admin is responsible for developing, implementing, and evaluating operational processes to support safe and efficient patient care. This includes establishing priorities and accountability for staff performance, participating in strategic planning, budgeting, and resource management, and identifying operational barriers and implementing corrective actions. The position also involves partnering with the Medical Director and interdisciplinary team to develop, implement, and monitor the Quality Assessment and Performance Improvement (QAPI) program, reviewing quality metrics, and ensuring action plans are developed and sustained when performance goals are not met. Promoting a patient-centered care environment focused on dignity, respect, and safety, ensuring patient rights are protected, and supporting patient education and adherence initiatives are key aspects of the role. Additionally, the Assistant Director is responsible for recruiting, retaining, training, and developing qualified dialysis personnel, ensuring staff meet required qualifications, conducting performance evaluations, and promoting teamwork and professional accountability. Financial management includes assisting with budget development and management, monitoring expenses, and identifying cost-effective improvements. Collaboration with the Medical Director and interdisciplinary team is crucial for clinical oversight and effective communication. Finally, the role ensures accurate and timely completion of required facility documentation and maintains records for regulatory compliance and operational oversight.

Requirements

CMS Conditions for Coverage compliance
Georgia Department of Community Health requirements compliance
ESRD Network expectations compliance
Organizational policies compliance
CMS certification survey readiness
State inspection readiness
Accreditation review readiness
Current licenses, certifications, permits, policies, and documentation
Infection prevention monitoring
Water quality standards monitoring
Equipment maintenance monitoring
Emergency preparedness monitoring
Patient safety requirements monitoring
Accurate and timely reporting
Administrative leadership for dialysis facility operations
Development, implementation, and evaluation of operational processes
Establishment of priorities and accountability for staff performance
Participation in strategic planning, budgeting, and resource management
Identification and correction of operational barriers
Partnership with Medical Director for QAPI program
Review of quality metrics (Dialysis adequacy, Vascular access outcomes, Infection rates, Hospitalizations and mortality trends, Patient experience measures, CMS QIP measures)
Development and sustainability of action plans for unmet performance goals
Promotion of patient-centered care environment
Protection of patient rights
Timely addressing of patient complaints/grievances
Support for patient education and adherence initiatives
Maintenance and testing of emergency preparedness plans
Promotion of safe dialysis practices
Reduction of adverse events
Recruitment, retention, training, and development of qualified dialysis personnel
Ensuring staff meet required qualifications, competencies, and annual training
Conducting performance evaluations
Addressing performance concerns
Promotion of teamwork, communication, and professional accountability
Ensuring adequate staffing levels
Assistance with facility operating budget development and management
Monitoring of productivity, staffing expenses, supply utilization, and operational expenses
Identification of cost-effective improvement opportunities
Participation in capital planning and equipment replacement needs
Collaboration with Medical Director for clinical oversight
Support for effective communication among interdisciplinary team
Facilitation of interdisciplinary team meetings
Follow-up on identified patient needs
Ensuring accurate and timely completion of facility documentation
Maintenance of records for regulatory compliance and operational oversight
Review of audits
Implementation of corrective actions from audits

Responsibilities

Ensure facility operations comply with CMS Conditions for Coverage, Georgia Department of Community Health requirements, ESRD Network expectations, and applicable organizational policies.
Maintain readiness for CMS certification surveys, state inspections, and accreditation reviews.
Ensure required licenses, certifications, permits, policies, and documentation are current.
Monitor compliance with infection prevention, water quality standards, equipment maintenance, emergency preparedness, and patient safety requirements.
Ensure required reporting is completed accurately and timely.
Provide overall administrative leadership for daily dialysis facility operations.
Develop, implement, and evaluate operational processes to support safe and efficient patient care.
Establish priorities and accountability for staff performance.
Participate in strategic planning, budgeting, and resource management.
Identify operational barriers and implement corrective actions.
Partner with the Medical Director and interdisciplinary team to develop, implement, and monitor the Quality Assessment and Performance Improvement (QAPI) program.
Review quality metrics including: Dialysis adequacy, Vascular access outcomes, Infection rates, Hospitalizations and mortality trends, Patient experience measures, CMS Quality Incentive Program (QIP) measures.
Ensure action plans are developed and sustained when performance goals are not met.
Promote a patient-centered care environment focused on dignity, respect, and safety.
Ensure patient rights are protected and complaints/grievances are addressed timely.
Support patient education and adherence initiatives.
Ensure emergency preparedness plans are maintained and tested.
Promote safe dialysis practices and reduction of adverse events.
Recruit, retain, train, and develop qualified dialysis personnel.
Ensure staff meet required qualifications, competencies, and annual training requirements.
Conduct performance evaluations and address performance concerns appropriately.
Promote teamwork, communication, and professional accountability.
Ensure adequate staffing levels to support safe patient care.
Assist with development and management of the facility operating budget.
Monitor productivity, staffing expenses, supply utilization, and operational expenses.
Identify opportunities for cost-effective improvements while maintaining quality care.
Participate in capital planning and equipment replacement needs.
Collaborate with the Medical Director to ensure appropriate clinical oversight.
Support effective communication among physicians, nurses, dietitians, social workers, and technicians.
Facilitate interdisciplinary team meetings and follow-up on identified patient needs.
Ensure accurate and timely completion of required facility documentation.
Maintain records required for regulatory compliance and operational oversight.
Review audits and implement corrective actions as needed.