CLINICAL MANAGER AMBULATORY PROCEDURE UNIT - RENAL DIALYSIS

Cook County•Chicago, IL

4h•Onsite

About The Position

The Clinical Manager for the Ambulatory Procedure Unit in Renal Dialysis works closely with the Chair of the Division of Renal Dialysis (Nephrology), department directors, and physician leaders to plan, direct, organize, and oversee patient care delivery for inpatient and outpatient dialysis and the service line. The role oversees clinic operations and patient care services, including clinical, administrative, and interdisciplinary staff; patient access and flow; resource allocation; and quality service delivery. The manager is accountable for staff management, financial performance, labor productivity, patient access and practice standards, quality improvement, and regulatory compliance. The position oversees safe hemodialysis and peritoneal dialysis administration and safe access of arteriovenous fistulas. The manager is responsible for interdisciplinary data collection and unit quality indicators, care-plan coordination, patient and family care management, and direct supervision of staff providing acute and chronic dialysis. The role independently initiates, delegates, supervises, and monitors clinic functions, including resource allocation, work assignments, daily priorities, policies, procedures, and actions to meet deadlines and resolve problems. It carries 24-hour administrative accountability and day-to-day unit management, and partners with physician site leadership to achieve system goals. The manager implements approved clinical practices and standards in accordance with compliance requirements and Medicare ESRD regulations. The position manages unit finances, staffing, scheduling, payroll, supplies, equipment, patient experience, clinical standards, quality improvement, staff training and competency, and compliance with applicable CCH policies and regulatory requirements. It may assist with direct patient care, including initiating and terminating dialysis, and responds to emergencies as needed. The role also has management responsibilities involving labor relations, collective bargaining agreements, employee discipline, recruitment, retention, personnel records, and coordination with Human Resources.

Requirements

Active Registered Professional Nurse license in the State of Illinois; proof must be provided at interview if already obtained.
Bachelor of Science in Nursing (BSN) from a National League of Nursing-accredited school of nursing; official transcripts must be provided at interview.
Five years of nursing leadership experience as a Supervisor, Charge Nurse, Assistant Nurse Manager, and/or Nurse Manager; alternatively, three years of nursing leadership experience in a clinical procedural unit such as endoscopy, cardiac catheterization, interventional radiology, procedural unit, or dialysis.
One year of experience in dialysis services, including acute, chronic, and/or peritoneal dialysis.
Ability to work flexible schedules, including evenings and weekends.
Current CPR certification; proof must be provided at interview if already obtained.
Thorough knowledge of management principles and practices.
Knowledge of business operations and experience leading project teams.
Thorough knowledge and understanding of HIPAA and protection of confidential and secure healthcare information.
Knowledge of Microsoft Office, including PowerPoint, Word, Excel, and Outlook.
Excellent management, leadership, verbal communication, and written communication skills.
Time-management skills for situations with competing priorities.
Ability to work independently and manage multiple complex projects simultaneously.
Ability to serve as a role model for clinical excellence.
Ability to assign, prioritize, review, and evaluate work performed by employees, vendors, and consultants.
Ability to calculate budget estimates to evaluate costs.
Ability to train others by presenting concepts and demonstrating tasks.
Ability to multitask and meet deadlines in a fast-paced, stressful environment.
Ability to maintain a professional demeanor and composure when challenged.
Must provide an adequate means of transportation for travel to work assignments throughout Cook County.
Must meet required qualifications at the time of application.
Employment offer is contingent on satisfactory professional and employment references, healthcare and criminal background checks, appropriate licensure and certifications, and successful completion of a physical and pre-employment drug screen.

Nice To Haves

Master’s degree in nursing, business, or healthcare administration from an accredited college or university.
Five years of clinical practice experience.
Previous work experience in a union environment.
Certification in American Nephrology Nurses Association (CNN).
Bilingual ability.

Responsibilities

Plan, direct, organize, and oversee inpatient and outpatient dialysis patient care delivery and service-line operations.
Manage clinical, administrative, and interdisciplinary staff, patient access and flow, resource allocation, quality service delivery, staff performance, and labor productivity.
Oversee safe administration of hemodialysis and peritoneal dialysis and safe access of arteriovenous fistulas.
Manage unit quality indicators and interdisciplinary data collection; coordinate care plans and patient/family care.
Initiate, delegate, supervise, and monitor clinic functions, work assignments, daily priorities, and resource allocation; resolve problems and meet deadlines.
Provide 24-hour administrative accountability and day-to-day management of the unit; partner with physician site leadership on system goals.
Implement approved clinical practices and standards consistent with compliance requirements and Medicare ESRD regulations.
Review practice reports on volumes, cycle time, provider productivity, and fiscal-year statistics; share information with staff and providers.
Maintain and approve dialysis scheduling templates, address variances, and develop action plans.
Ensure provider and ancillary encounters are billed accurately and on time; manage operating and capital budgets and respond to expense variances.
Ensure staff use IT systems and remain current with CCH registration and insurance-plan requirements.
Ensure daily staffing coverage; prepare and post schedules, schedule staff according to patient-care needs, and approve payroll.
Monitor vacancies, turnover, staffing models, productivity, performance benchmarks, attendance, tardiness, overtime, and clinical practice compliance; create action plans and individualized improvement plans as needed.
Respond to emergencies and assist with patient care, including delivery of hemodialysis and peritoneal dialysis and initiating or terminating dialysis when needed.
Delegate and oversee dialysis-water testing, monitor and report results, and take appropriate action.
Conduct and document monthly staff meetings and maintain attendance records.
Ensure Joint Commission, regulatory, and clinical practice requirements are met, including patient access, huddles, screening, pre-visit planning, reminder and follow-up calls, and patient safety during and after procedures.
Handle patient complaints and service recovery; document and track concerns, conduct patient interviews and follow-up, and respond to EMERS reports in an acceptable timeframe.
Collect, review, and share patient satisfaction and staff engagement data; implement improvement plans and monitor customer-relations performance.
Engage patients to gather feedback, address experience concerns, and track daily patient activity and trends through dashboards.
Order medical consumables, office supplies, and printed forms; manage supply inventory, storage, cost-effective use, invoices, contract compliance, and renewals.
Develop and implement evidence-based clinical standards and an effective hemodialysis and peritoneal dialysis program, including patient-care standards, documentation, and training tools.
Organize staff to respond rapidly to changes in case flow and medical emergencies; support multidisciplinary quality improvement and report quality data to committees and regulatory agencies.
Maintain the CROWNWeb dialysis database and participate in developing patient-care policies and procedures.
Ensure care meets CCH service standards, regulatory requirements, and professional standards; coordinate care across the continuum and support patient/family education and engagement.
Ensure staff orientation, training, competency, and clinical preparedness; oversee training and competency development.
Maintain the environment of care and ensure offices and public areas are clean and orderly; conduct rounds with Environmental Service and Facilities staff and develop corrective action plans.
Ensure clinical areas have appropriate supplies and that equipment is clean, maintained, and tagged when not working.
Support new patient initiatives as required.
Work with Human Resources on recruitment, retention, hiring packets, employee conflicts, personnel files, and Worker’s Compensation and FMLA documentation.
Ensure compliance with applicable local, state, and federal requirements, including OSHA, ADA, FMLA, IDPH, CMS, The Joint Commission, HIPAA, emergency and disaster preparedness, MSDS, sexual harassment, universal precautions, confidentiality, security, and privacy.
Ensure annual staff training documentation is complete and clinical staff licenses, CPR, and other job requirements are current.
Follow downtime procedures for emergency codes and ensure Risk Management, Corporate Compliance, and Quality Management policies are followed.
Keep current with changes in renal and peritoneal dialysis, Medicare requirements, and dialysis standards of practice.
Review and apply collective bargaining agreements; consult with Labor Relations; participate in negotiations and related meetings; document, recommend, and effectuate discipline in accordance with applicable agreements and CCH policies.
Direct CCH management policies and practices, access and navigate CCH records systems, contribute to system development, and participate in developing CCH policies and procedures.
Perform other related duties as assigned or requested.
Travel to work assignments throughout Cook County using the employee’s own adequate means of transportation.