Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care • Waimea, HI

21d

About The Position

The Clinical Coordinator - Charge Registered Nurse supports Fresenius Medical Care North America’s mission, vision, values, and customer service philosophy while following its compliance program and applicable regulatory and facility requirements. The role manages daily clinical decisions to ensure continuity of care, patient and staff safety, and safe, effective, quality outcomes, while maintaining cost-effective clinical operations.

The Charge Nurse guides and supports direct patient care staff, contributes to staffing and personnel decisions, trains and orients staff, monitors clinical practices, and oversees documentation and shift operations. The role assesses patient needs, coordinates assignments and care plans, responds to emergencies, monitors dialysis treatment, administers medications as ordered, and educates patients and families about end-stage renal disease, dialysis therapy, diet, and medication. The position also oversees the safe use and operation of patient-care and dialysis equipment, completes required testing and procedures, participates in quality assurance activities, and assists with projects and other duties as assigned.

The position involves desk and computer work and interaction with patients, facility staff, and physicians. Travel between assigned facilities and community locations is required; travel to regional, Business Unit, and Corporate meetings may also be required. The work environment is a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious and contagious diseases or materials. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered. The role directly supervises direct patient care staff and a Ward Clerk as assigned.

Requirements

• Graduate of an accredited school of Nursing (R.N.).
• Must be registered and licensed to practice in the applicable state.
• Minimum of 12 months of nursing experience.
• At least 6 months of specialized experience providing clinical nursing care to dialysis patients in a chronic or acute setting.
• Certified in CPR or successfully complete a CPR certification course.
• Good verbal and written communication skills.
• Must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation may be considered.

Nice To Haves

• Medical/surgical nursing experience preferred.
• Supervisory or management experience preferred.

Responsibilities

• Provide day-to-day guidance, support, and direction to direct patient care staff, including ongoing informal feedback and input for annual performance evaluations.
• Participate in department staffing and appropriate hiring, firing, and disciplinary actions; recommend disciplinary action to the Facility Administrator and initiate it as appropriate.
• Ensure compliance with company and facility procedures and policies and state and federal regulations.
• Approve or disapprove time or personnel schedule changes in the Facility Administrator’s absence, ensuring compliant documentation of staff work hours.
• Participate in patient care plan meetings and supervise and participate in completing short- and long-term care plans.
• Maintain current knowledge of dialysis practices and techniques by participating in scheduled in-services.
• Train and orient staff as necessary; observe and guide patient care staff on technique and adherence to facility policies and procedures.
• Promote and assist with OSHA program compliance to maintain a safe and clean working environment.
• Maintain safe, efficient, and effective shift operations; conduct staff meetings with the Facility Administrator at least monthly or as needed and meet routinely with the administrator about personnel and patient care matters.
• Supervise documentation of patient information and coordinate Charge Nurse duties with Staff RNs acting in a relief charge capacity.
• Assess daily patient care needs and develop and distribute patient care assignments.
• Assume primary responsibility in emergencies; assess patient needs, respond to dialysis treatments, communicate concerns to the rounding physician, and implement directed changes in care or treatment.
• Monitor and supervise patient care during dialysis, assisting as necessary, and collaborate with the care team on patient-care decisions.
• Continuously monitor patient condition for problems and potential dialysis-related complications.
• Administer medications according to physician orders.
• Serve as a subject matter expert and resource for staff.
• Admit new patients according to facility procedure and ensure patient and family education needs are met, including education about end-stage renal disease, dialysis therapy, diet, and medication.
• Supervise safe and effective use of equipment involved in direct patient care; operate dialysis-related and emergency equipment safely and efficiently when needed.
• Perform required testing and verification and initial checklists for start-up and shut-down procedures as specified in the Technical Services Manual.
• Complete the Nurse’s Technical Training Program/Water Quality Facility.
• Assist with special projects or other duties as assigned by the Facility Administrator.
• Assist with interviewing potential direct patient care staff and promote efficient use of medical supplies.
• Attend and participate in monthly Quality Assurance meetings.
• Travel between assigned facilities and locations in the community, and travel to regional, Business Unit, and Corporate meetings as required.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off
• Parental leave
• Potential performance-based bonuses depending on company and individual performance
• Sign-on bonus eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level