Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Boone, NC

About The Position

The Clinical Coordinator - Charge Registered Nurse supports FMCNA’s mission, vision, core values, and customer service philosophy while following the company Compliance Program and applicable regulatory and policy requirements. The role ensures quality, cost-effective clinical operations and, as Charge Nurse, manages daily decisions that support continuity of care, patient and staff safety, and effective clinical outcomes. The position provides guidance and direction to direct patient care staff, helps coordinate staffing and performance management, and oversees patient care, documentation, equipment use, and compliance during the assigned shift. It also supports staff training, patient education, care planning, quality assurance, and safe dialysis operations. The role may include responsibilities for one or more departments or locations and requires travel between assigned facilities and other locations in the community. The role supervises direct patient care staff and ward clerks as assigned. Applicants must graduate from an accredited nursing school and hold current RN licensure in the applicable state. Required experience includes at least 12 months of nursing experience and 6 months of specialized clinical nursing care for dialysis patients in a chronic or acute setting. CPR certification is required, or the employee must successfully complete a CPR certification course.

Requirements

Graduate of an accredited school of Nursing (R.N.).
Registered and licensed to practice in the applicable state.
At least 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.
Employees are required to take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will 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; provide 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 applicable 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 completion of short- and long-term care plans.
Maintain current knowledge of dialysis practices by participating in scheduled in-services; train and orient staff as necessary.
Observe and guide direct patient care staff to ensure appropriate 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 routinely meet with the Facility Administrator about personnel and patient-care matters.
Supervise documentation of patient information and coordinate Charge Nurse duties with Staff RNs serving in relief charge capacity.
Assess daily patient-care needs and develop and distribute appropriate patient-care assignments.
Assume primary responsibility during emergency situations.
Assess patient needs and responses to dialysis treatments, communicate concerns to the rounding physician, and implement directed changes in patient care or treatment.
Monitor and supervise patient care during dialysis, assisting as needed; collaborate with the direct patient-care team on care decisions.
Continuously monitor patients for problems and potential complications associated with dialysis.
Administer medications according to physician orders.
Serve as a subject-matter expert and resource for staff members.
Admit new patients according to facility procedures.
Ensure patients’ educational needs are met and educate patients and families about End Stage Renal Disease, dialysis therapy, diet, and medication.
Supervise the 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 the checklist for start-up and shut-down procedures in the Technical Services Manual.
Complete the Nurse’s Technical Training Program/Water Quality Facility.
Assist with special projects or other duties assigned by the Facility Administrator.
Assist with interviewing potential direct patient care staff.
Promote efficient use of medical supplies.
Attend and participate in monthly Quality Assurance meetings.
Travel between assigned facilities and locations in the community; travel to regional, Business Unit, and Corporate meetings may be required.