Clinical Manager Registered Nurse - RN - Dialysis

Fresenius Medical Care•Hilo, HI

About The Position

The Clinical Manager is the facility leader responsible for delivering quality patient care while maintaining clinical operations. The role leads a collaborative team that develops care plans and provides dialysis treatment to patients with end-stage renal disease or chronic kidney disease. The manager oversees clinic operations, patient care, staffing, and physician relationships, and may also collaborate with or function as the Home Therapies Program Manager. The position includes participation in Fresenius Medical Care’s Clinical Leadership Program, with training in onboarding, essential functions, business leadership, and advanced leadership. Potential career advancement paths include Area Team Lead and Director of Operations.

Requirements

  • Bachelor’s degree or an equivalent combination of education and experience.
  • Graduate of an accredited School of Nursing (RN).
  • Current appropriate state licensure.
  • At least 6 years of business operations experience in a healthcare facility.
  • At least 12 months of clinical nursing experience.
  • At least 6 months of chronic or acute dialysis nursing experience.
  • Successfully pass the Ishihara Color Blind Test.
  • The position’s direct patient care regularly involves heavy lifting, moving patients, and assisting with ambulation; equipment or coworkers may provide assistance.
  • May be exposed to infectious and contagious diseases or materials.

Nice To Haves

  • At least 3 years of supervisory or project/program management experience.
  • Med/surg or ICU/CCU experience.

Responsibilities

  • Manage clinic operations, including costs, processes, staffing, and quality standards.
  • Provide leadership, coaching, and development plans for direct reports.
  • Partner with Human Resources, Quality, and Technical Services departments.
  • Collaborate with or function as the Home Therapies Program Manager to oversee the facility’s Home Therapies Program.
  • Maintain medical and operational records and comply with data collection and auditing activities.
  • Complete the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.
  • Manage clinic financials, including supply and equipment utilization and regular profit-and-loss reviews.
  • Complete required network reporting and support on-site state or federal surveys.
  • Coordinate patient care with appropriate staff from admission through discharge.
  • Ensure patients receive education about quality measures, transplant options, modality awareness, and access care.
  • Serve as a resource for patients and families addressing concerns and questions.
  • Ensure timely completion of patient care assessments and care plans.
  • Manage patient schedules, develop action plans for missed treatments, and validate patient eligibility for treatment.
  • Report changes in patient status involving clinical, insurance, travel, or transportation issues.
  • Participate in selecting and hiring team members and ensure new-hire orientation and mandatory training are completed.
  • Ensure patient-care employees complete appropriate training and maintain current licensures and certifications.
  • Support clinical staff regularly and encourage professional growth.
  • Maintain current knowledge of company benefits, policies, procedures, and processes.
  • Complete employee evaluations and establish annual goals.
  • Document disciplinary actions and consult with the clinic Director of Operations and Human Resources when needed.
  • Manage staff scheduling and payroll.
  • Facilitate physician privilege applications and compliance with Fresenius Medical Care Medical Staff By-Laws.
  • Build strong physician relationships and ensure regular, effective communication.
  • Participate in the regional Governing Body, an interdisciplinary team that governs policies.
  • Travel between assigned facilities or within the community, and potentially to regional, business unit, and corporate meetings.

Benefits

  • Medical, dental, and vision insurance.
  • 401(k) with company match.
  • Paid time off.
  • Parental leave.
  • Tuition reimbursement and scholarships for family members are described as employee support offerings.
  • Financial support may be available during personal hardship, and relief may be provided after natural disasters.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service