Clinical Coordinator - Charge Registered Nurse - Dialysis

Fresenius Medical Care•Charlotte, NC

About The Position

The Clinical Coordinator - Charge Registered Nurse supports FMCNA’s mission, vision, core values, and customer service philosophy while following the FMCNA Compliance Program and all applicable regulatory and facility policy requirements. The role ensures quality patient care and cost-effective clinical operations while maintaining legal, compliance, and regulatory standards. As Charge Nurse, the position manages daily decisions that support continuity of care, patient and staff safety, and safe, effective, quality outcomes. The position provides day-to-day guidance to direct patient care staff, supports staffing and personnel processes, trains and orients staff, and monitors adherence to clinical techniques and facility policies. It oversees shift operations, patient assignments, documentation, dialysis care, emergency response, and the safe use of equipment. The role also educates patients and families, participates in care planning and quality assurance, and coordinates regularly with the Facility Administrator and care team. The work includes desk and computer work and interaction with patients, facility staff, and physicians. Travel is required between assigned facilities and locations in the community; travel to regional, Business Unit, and Corporate meetings may also be required. The environment is characteristic of a healthcare facility, with temperature control and moderate noise, and may involve exposure to infectious or contagious diseases and materials. Employees must take the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodation will be considered.

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.

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 with state and federal regulations.
  • Approve or disapprove time or personnel schedule changes when the Facility Administrator is absent, ensuring applicable requirements for documenting staff work hours are followed.
  • Participate in patient care plan meetings and maintain current knowledge of dialysis practices by attending scheduled in-services.
  • Train and orient staff, observe and guide direct patient care staff, and promote adherence to appropriate techniques and facility policies.
  • Promote compliance with OSHA programs to maintain a safe and clean work environment.
  • Maintain safe, efficient, and effective shift operations; conduct staff meetings with the Facility Administrator and meet routinely with them regarding 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 patient care assignments.
  • Assume primary responsibility in 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, assist as needed, collaborate with the care team, and monitor for problems and potential dialysis-related complications.
  • Administer medications according to physician orders and serve as a subject matter expert and resource for staff.
  • Supervise and participate in short- and long-term care plans and admit new patients according to facility procedure.
  • Ensure patients’ educational needs are met and educate patients and families 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 as needed.
  • Perform required testing and verification and complete start-up and shut-down checklist initials according to 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 and assist in interviewing potential direct patient care staff.
  • Promote efficient use of medical supplies and attend and participate in monthly Quality Assurance meetings.
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