Clinical Workflow Lead, Home Therapies

Fresenius Medical Care•Waltham, MA

About The Position

The Clinical Workflow Lead, Home Therapies leads the design, standardization, implementation, and optimization of enterprise EHR workflows for home dialysis, including Peritoneal Dialysis (PD) and Home Hemodialysis (HHD). The role translates home therapy operations, patient training, remote monitoring, regulatory requirements, clinical best practices, and enterprise value objectives into scalable workflows that support safe, efficient, compliant care. It establishes workflow and data foundations for analytics, remote patient monitoring, and AI-enabled care delivery throughout planning, implementation, go-live, and post-deployment optimization. The position partners with clinical, operational, informatics, technical, vendor, analytics, digital innovation, and executive stakeholders. It leads current- and future-state workflow design across patient education, onboarding, training, competency validation, home visits, telehealth, remote monitoring, care transitions, documentation, equipment and data integration, supplies, quality processes, and clinical escalation pathways. It also supports testing, deployment readiness, go-live, adoption monitoring, value realization, and ongoing governance and optimization. As part of the transformation organization, the role provides leadership and strategic guidance on EHR design and clinical process improvement, clinical informatics, government initiatives, process reengineering, and clinical safety. It applies structured problem-solving to identify, develop, implement, and evaluate informatics solutions; analyzes clinical workflows; develops and maintains process documentation and standards; supports training and change management; and provides senior project management and facilitation. The role regularly engages with senior and executive management, physicians, clinicians, and operational teams, and directly supervises clinical quality and/or administrative support staff. The work includes desk and personal computer work, interaction with patients and staff, clinical assessment and problem-solving travel, and presentations at company meetings. The work environment includes healthcare facility and office settings with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials may occur. Reasonable accommodations may be made for individuals with disabilities.

Requirements

Bachelor's degree or higher in nursing or a related clinical field.
At least 6 years of experience designing, developing, and implementing electronic health records.
At least 2 years of patient care experience.
Strong influencing, collaboration, and relationship-building skills.
Knowledge and experience in patient care environments, including in-depth knowledge of clinical processes and workflows associated with patient care.
Excellent written and verbal communication skills.
Exemplary customer service skills.
Skilled-level knowledge of Microsoft Office Suite.
Knowledge of project management and systems life cycle.

Nice To Haves

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

Responsibilities

Lead and govern enterprise-standard, scalable EHR workflows for Peritoneal Dialysis and Home Hemodialysis.
Assess current-state operations and design future-state workflows for modality education, onboarding, training, competency validation, home visits, remote monitoring, telehealth, and ongoing patient management.
Design care-transition workflows among in-center dialysis, home dialysis, PD, and HHD, including hospitalization recovery and technique failure.
Design and optimize documentation for home visits, remote monitoring, telehealth, patient self-monitoring, and home-based care coordination.
Establish EHR integration and data-capture standards for dialysis cyclers, home hemodialysis machines, remote monitoring, blood pressure, weight, and treatment data.
Partner with clinical, operational, informatics, technical, and vendor teams on mobile documentation, offline charting, connectivity management, and data integrity.
Ensure home therapy workflows meet CMS Conditions for Coverage, regulatory documentation requirements, quality measures, and interdisciplinary care-planning standards.
Govern workflows for adequacy monitoring, water quality testing, equipment maintenance, infection monitoring, and emergency preparedness.
Develop workflows for supply ordering, inventory management, prescription-driven supply changes, equipment tracking, and home program logistics.
Design escalation pathways for peritonitis, access infections, technique failure, hospitalization, unplanned clinical events, and transitions back to in-center care.
Facilitate workflow-design sessions with home dialysis nurses, program managers, physicians, and operational leaders.
Partner with clinical, operational, analytics, and digital innovation teams to operationalize safe, compliant, and adoptable AI-enabled workflows for remote monitoring, risk identification, decision support, patient engagement, and care coordination.
Lead testing and validation of home therapy workflows, mobile solutions, offline documentation, device integrations, data conversion, and remote patient management scenarios.
Support deployment readiness through home program assessments, super-user preparation, virtual go-live support, and command center activities.
Monitor adoption, documentation quality, device connectivity, treatment data capture, home program performance, and workflow effectiveness during implementation and stabilization.
Drive ongoing optimization and governance of home dialysis content, workflows, device integrations, and clinical practices while reducing documentation burden.
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 aligned with policies, procedures, and best practices.
Create, design, and maintain clinical process and workflow documentation and serve as a content expert.
Develop, obtain approvals for, deploy, and evaluate company-wide clinical practice standards, policies, procedures, forms, and guidance documents; participate in or develop clinical training materials.
Act as a change agent for organizational leadership and clinicians and implement processes that maximize the performance and benefits of clinical information systems.
Conduct site visits to review and evaluate clinical practice as necessary.
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 handle unforeseen issues with tactical execution.
Serve as a liaison between the organization and physicians and collaborate with the medical office on clinical procedures involving 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 deliver formal presentations to diverse internal and external audiences.
Partner with Information Technology management and the business operational improvement team.
Directly supervise clinical quality and/or administrative support staff.
Perform other duties as assigned.