Clinical Manager Registered Nurse - RN - Dialysis

Fresenius Medical Care•Ewa Beach, HI

About The Position

The Clinical Manager leads and oversees the daily operations of a dialysis facility, ensuring cost-effective operations and compliance with legal, regulatory, and company requirements. The role collaborates with the Medical Director, Clinical Manager/Charge Nurse, physicians, and facility staff to coordinate quality patient care from admission through discharge for patients with end-stage renal disease or chronic kidney disease. The facility leader makes day-to-day decisions to support continuity of care and patient and staff safety, and markets available services through presentations to physicians and dialysis facilities. The position manages facility staffing, patient care, quality improvement, financial performance, records, reporting, equipment, inventory, and the physical plant. It supervises the Charge RN and DPC staff, supports staff development and training, and maintains physician and internal stakeholder relationships. The role participates in facility surveys and supports compliance with applicable policies, quality standards, and risk-management initiatives. Travel to regional, Business Unit, and Corporate meetings may be required. The position includes entry into a Clinical Leadership Program covering onboarding, essential functions, business leadership, and advanced leadership. Potential career advancement includes Area Team Lead or Director of Operations roles.

Requirements

Graduate of an accredited School of Nursing.
Current RN state licensure.
Experience in clinical nursing.
An additional six months of chronic or acute dialysis nursing experience.
Demonstrated leadership competencies and management skills, including communication, customer service, continuous quality improvement, relationship development, results orientation, team building, employee motivation, performance management, and decision-making.
Management skills necessary to supervise facility personnel and ensure delivery of quality patient care.
Successfully pass the Ishihara Color Blind Test.

Nice To Haves

Experience in a supervisory or management role in a medical facility.
Med/surg or ICU/CCU experience.
Proficiency with Microsoft Office (Word, Excel, PowerPoint); experience with medical database software.

Responsibilities

Lead, coach, and develop direct reports, including the Charge RN and DPC staff.
Oversee daily dialysis facility operations, including staffing, patient care, quality, costs, methods, and business objectives.
Coordinate all aspects of patient care from admission through discharge, address patient and family concerns, and oversee timely assessments and care plans.
Manage patient schedules, address missed treatments, and support patient workflow and facility efficiency.
Manage facility financial performance, including profit and loss, budget and key performance indicators, payroll, billing information, and collection support.
Maintain medical, operational, and administrative records; complete ICD coding; and comply with data collection, auditing, reporting, and survey requirements.
Ensure compliance with federal and state laws, company policies, regulatory requirements, quality standards, and risk-management initiatives.
Implement and maintain Continuous Quality Improvement and Quality Assessment and Improvement programs, including facility-specific action plans.
Hire and onboard staff; ensure completion of orientation, training, mandatory in-services, and current licensure and certifications.
Schedule staff, obtain performance feedback, establish annual goals, conduct evaluations, and document and address disciplinary matters in consultation with Human Resources and the Director of Operations.
Develop strong physician relationships, facilitate physician privileges and by-law compliance, and maintain regular communication with physicians and the Medical Director.
Partner with Human Resources, Quality, Education, Technical Services, the Home Therapies Program Manager, and other internal teams.
Maintain facility environmental integrity, safety, and security; arrange equipment, operating system, and facility maintenance and repairs.
Manage inventory and supplies, review monthly counts, approve purchase orders, and promote cost-effective utilization of medications, laboratory services, supplies, and equipment.
Review provider contracts for vendor services, including insurance, laboratory, and facility cleaning.
Communicate company, division, and corporate initiatives, policies, and procedures to facility staff and participate in employee recognition and satisfaction programs.
Market available services through presentations to physicians and dialysis facilities.
Perform other related duties as assigned.