Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care•Davison, MI

1d•Hybrid

About The Position

Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety.

Requirements

Bachelor’s Degree; Advanced Degree desirable or an equivalent combination of education and experience.
Graduate of an accredited School of Nursing (RN).
Current appropriate state licensure.
6 – 8 years’ related experience or an equivalent combination of education and experience.
3+ years’ supervisory or project/program management experience preferred.
Minimum of 12 months experience in clinical nursing is required.
Experience in med/surg or ICU/CCU is preferred.
Minimum of 6 months chronic or acute dialysis nursing experience is required.
Must be available as a full-time employee and provide on-call coverage when necessary.
Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.
Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients.
Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line.

Nice To Haves

Advanced Degree desirable

Responsibilities

Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.
Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools.
Responsible for addressing and acting on adverse events and action thresholds.
Oversees facility’s Home Therapies Program if applicable.
Accountable for compliance with all applicable federal, state and local laws and regulations.
Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff.
Maintains integrity of medical records and other FMS administrative and operational records.
Complies with all data collections and auditing activities.
Maintains facility environmental integrity, including safety.
Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
Provides technical guidance.
Performs other related duties as assigned.
Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
Acts as a resource for the patient to address patient concerns and questions.
Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility’s Interdisciplinary Team to discuss patient care plans and to resolve patient problems.
Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no- shows, catheter use, and any significant change in patient care status.
Develops action plans for unexcused and missed treatments in collaboration with the Director.
Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility.
Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team.
Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company.
Maintains current knowledge of disease management software and systems as pertinent.
Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.
Participates in the recruitment and interview process, and decision to hire new personnel.
Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable.
Ensures documentation completed for annual in service training, and policy and procedure in service updates.
Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.
Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities.
Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff.
Provides employee education and guidance, and feedback related to performance.
Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.
Completes timely employee evaluations and establishes annual goals for staff.
Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions.
Participates in Corporate and Business Unit specific employee recognition and satisfaction programs.
Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility.
Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving.
Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws.
Responsible for strong Director and physician relationships and facilitating staff relationships with physicians.
Ensures regular and effective communication with all physicians, through regular meetings with Directors.
Participates in Governing Body.
Schedules and coordinates CQI meetings with physicians.
Responsible for the integrity and safety of the facility water system.
Must be knowledgeable in the operation of all facility equipment and technology.
Responsible for maintaining and updating all FMS manuals.
Accountable for completion of the Annual Standing Order Review and ICD coding.
Checks correspondence whether electronic, paper or voice mail, and responds as appropriate.
Directs information gathering as required supporting billing and collection activities.
Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies.
Participates in the completion and interpretation of the Pl-17 inventory supply use analysis.
Reviews and approves facility payroll.
Reviews profit and loss statements with Director.
Responsible for participating in all required Network reporting and on-site state or federal surveys.
Participates in the completion of the FMS Administrative Clinical Review.

Benefits

FMCNA Compliance Program adherence
FMS patient care and administrative policies adherence
Quality Assessment and Improvement (QAI) practices
Compliance with federal, state and local laws and regulations
FMS Clinical Quality policies and procedures implementation
Medical records integrity
FMS administrative and operational records integrity
Data collection and auditing compliance
Facility environmental integrity and safety
Disease management software and systems knowledge
FMS staffing and medical supply models implementation
New hiring orientation and training completion
Mandatory in-services and ICD code training
Annual in service training documentation
Policy and procedure in service updates
Risk management initiatives compliance
Professional growth and training opportunities
Clinical competence assurance
Licensed staff assuming Team Leader responsibilities
Employee education, guidance, and performance feedback
FMCNA benefits, Human Resources policies, procedures, and processes knowledge
Counseling for clinical staff
Timely employee evaluations and annual goal establishment
Written documentation of disciplinary conferences
Corporate and Business Unit specific employee recognition and satisfaction programs
Efficient and timely employee schedules
Continuous Quality Improvement (CQI) Process Improvement Team involvement
Physician privilege application process facilitation
FMS Medical Staff By-Laws compliance
Strong Director and physician relationships
Regular and effective communication with physicians
Governing Body participation
CQI meetings with physicians scheduling
Facility water system integrity and safety
Operation of all facility equipment and technology knowledge
FMS manuals maintenance and updating
Annual Standing Order Review and ICD coding completion
Correspondence checking and response
Information gathering for billing and collection activities
Efficient utilization of medication, laboratory, inventory, supplies and equipment
Supply cost goals achievement
FMS formularies adherence
Pl-17 inventory supply use analysis completion and interpretation
Facility payroll review and approval
Profit and loss statements review
Network reporting participation
On-site state or federal surveys participation
FMS Administrative Clinical Review completion
Reasonable accommodations for disabilities
Ishihara's Color Blindness test (with consideration for accommodations if failed)
Desk and personal computer work
Interaction with patients, facility staff and physicians
Travel between assigned facilities and various locations
Travel to regional, Business Unit and Corporate meetings
Health care facility environment (air temperature control, moderate noise levels)
Exposure to infectious and contagious diseases/materials
Direct supervision of various levels of staff
Fresenius Medical Care maintains a drug-free workplace
Equal opportunity employer status