Clinical Workflow Lead, In-Center HD

Fresenius Medical Care•Waltham, MA

About The Position

The Clinical Workflow Lead, In-Center HD leads the design, standardization, implementation, and optimization of in-center hemodialysis workflows within the enterprise EHR transformation program. The role translates dialysis operations, treatment delivery processes, regulatory requirements, clinical best practices, and enterprise value objectives into scalable EHR workflows supporting safe, efficient, and compliant care across approximately 2,600 dialysis clinics. It partners with operational, clinical, and program leadership to align workflow and technology design with clinical outcomes, staff and provider experience, documentation burden, operational efficiency, regulatory performance, and long-term organizational sustainability throughout planning, implementation, go-live, and post-deployment optimization. The role provides strategic direction and leadership for EHR design and operational process improvement relating to clinical workflows, clinical informatics, government initiatives, process reengineering, and clinical safety. It integrates clinical, computer, and information sciences to support data-informed decisions by patients and clinicians, using structured problem-solving to identify, develop, implement, and evaluate informatics solutions. The position reports into the transformation organization and partners with Information Technology management and the business operational improvement team. It directly supervises various levels of clinical quality and/or administrative support staff. The work includes desk and computer work, interaction with patients, field and corporate staff, and physicians, and travel for clinical assessments, problem-solving, and presentations. The environment includes health care facilities and offices with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials may occur.

Requirements

Bachelor’s or higher degree in nursing or a related clinical field.
At least 6 years of experience in design, development, and implementation of electronic health records.
2–4 years of patient care experience.
Strong influencing, collaboration, and relationship-building skills.
Knowledge and experience in patient care environments and in-depth knowledge of clinical processes and patient-care workflows.
Excellent written and verbal communication skills.
Exemplary customer service skills.
Skilled-level knowledge of the Microsoft Office suite.
Knowledge of project management and systems life cycle.
Critical thinking and decision-making skills.
Ability to travel for clinical assessments, problem-solving, and presentations.
Direct supervision of clinical quality and/or administrative support staff.

Nice To Haves

Dialysis experience is highly valued.
3 or more years of management experience preferred.
Master’s degree in informatics, public health, or a related healthcare discipline preferred; this requirement may be waived in favor of extensive experience in clinical systems implementation or optimization.

Responsibilities

Own and lead enterprise in-center hemodialysis workflows across dialysis clinics, standardizing processes and documentation practices.
Assess current-state workflows and design future-state workflows across scheduling, treatment documentation, clinical assessments, prescription execution, monitoring, and post-treatment activities.
Design and standardize EHR treatment records, flowsheets, standing orders, worklists, and clinical documentation tools.
Establish enterprise standards for dialysis prescription management, dry weight tracking, recurring treatment schedules, laboratory workflows, and adequacy calculations.
Define requirements for dialysis machine integration, device-generated data capture, documentation validation, and treatment performance reporting.
Ensure workflows support applicable regulatory requirements, including CMS Conditions for Coverage, ESRD QIP measures, EQRS and NHSN reporting, and interdisciplinary care planning.
Facilitate workflow design sessions with clinic managers, nurses, technicians, physicians, and operational leaders to establish standardized processes and governance decisions.
Incorporate business case value drivers, process standardization, automation, and AI-enabled solutions into workflow design to support clinical quality, workforce efficiency, patient experience, compliance, operational performance, and value realization.
Partner with clinical, operational, and digital innovation teams to define and operationalize AI-enabled workflows while supporting safety, compliance, and clinician adoption.
Lead workflow validation and testing, including integrated patient scenarios, data conversion validation, device integration testing, and defect resolution.
Review and approve system build components, including treatment navigators, flowsheets, scheduling workflows, standing order sets, and adequacy reporting tools.
Evaluate and approve training materials, job aids, and readiness activities for alignment with approved workflows and operational standards.
Support deployment readiness through clinic assessments, super-user readiness, proficiency validation, device preparation, and command center support.
Provide clinical leadership during go-live, monitoring workflow adoption, treatment record completion, documentation quality, and issue resolution across deployment waves.
Evaluate requests for local workflow variations and direct appropriate change control processes while balancing enterprise standards and operational needs.
Lead continuous optimization to identify workflow inefficiencies, reduce documentation burden, improve usability, and support clinical content governance.
Partner with clinical, operational, informatics, technical, and executive stakeholders to implement, adopt, and sustain the enterprise EHR platform.
Use structured problem-solving to optimize clinical systems and select, develop, implement, and evaluate informatics solutions.
Analyze and map clinical workflows for efficiency, usability, and data integrity; identify and implement improvements consistent with policies, procedures, and best practices.
Create, design, and maintain clinical process and workflow documentation, serving as a content expert.
Initiate, develop, obtain approvals for, deploy, and evaluate company-wide clinical practice standards, policies, procedures, forms, and guidance documents; participate in or develop clinical training and educational materials.
Act as a change agent for organizational leaders and clinicians, directing processes to maximize performance and benefit from clinical information systems.
Conduct site visits to review and evaluate clinical practice as needed; participate in and lead committees and task forces as appropriate.
Manage Clinical Informatics Department activities and operations, including budgets, schedules, work plans, performance requirements, and delegation of assignments when appropriate.
Use clinical and informatics experience to develop, troubleshoot, and improve clinical systems and address unforeseen issues.
Liaise with physicians regarding requests, questions, or concerns and collaborate with the medical office on clinical procedures based on new technologies or innovations.
Provide senior-level project management and team facilitation for process improvement, using the project life cycle to plan, implement, monitor, and sustain improvements.
Interact regularly with senior management and executives and develop and deliver formal presentations to diverse audiences inside and outside the organization.
Perform other duties as assigned; responsibilities may focus on one or more departments or locations.