Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care•Iron Mountain, MI

About The Position

The Clinical Manager oversees the daily operations of a dialysis facility, ensuring cost-effective operations and compliance with legal, regulatory, and company requirements. The role leads facility staff and coordinates with the Medical Director, Charge RN, and other clinical partners to provide quality patient care from admission through discharge for people with end-stage renal disease or chronic kidney disease. The manager has authority to make daily decisions supporting continuity of care and patient and staff safety, and may promote available services to physicians and dialysis facilities. Responsibilities span clinical operations, patient care, staffing, physician relationships, quality improvement, financial performance, facility maintenance, inventory, payroll, and regulatory surveys. The manager directs staff development and performance, ensures training and credentials are current, maintains accurate medical and operational records, oversees patient schedules and care plans, and monitors facility quality and safety programs. The position supervises the Charge RN and DPC staff and collaborates with Human Resources, Quality, Education, Technical Services, the Home Therapies Program Manager, and corporate and regional personnel. Fresenius Medical Care provides entry into its Clinical Leadership Program, covering onboarding, essential functions, business leadership, and advanced leadership. Potential career advancement includes Area Team Lead or Director of Operations. The company describes a supportive workplace and employee resource groups. The role involves desk and computer work, interaction with patients, staff, and physicians, frequent prolonged standing and bending, and possible assisted movement of patients or equipment. Travel to regional, Business Unit, and Corporate meetings may be required.

Requirements

  • Graduate of an accredited School of Nursing (RN).
  • 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 sufficient to lead 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

  • Oversee daily facility operations and ensure compliance with legal, regulatory, and company requirements.
  • Manage facility business operations, including staffing, costs, methods, physical plant, equipment, and inventory.
  • Manage facility profit and loss, financial performance, budgets, and key performance indicators.
  • Coordinate patient care from admission through discharge and address patient and family concerns.
  • Oversee timely completion of patient assessments and care plans, patient schedules, and action plans for missed treatments.
  • Report changes in patient status, including clinical, insurance, travel, and transportation issues.
  • Lead, coach, develop, hire, schedule, evaluate, and manage facility staff, including disciplinary actions when necessary.
  • Ensure staff orientation, mandatory training, licensure, certifications, and in-service documentation are current.
  • Coordinate physician privileges and maintain effective relationships and communication with physicians and the Medical Director.
  • Oversee the facility’s Home Therapies Program in collaboration with the Home Therapies Program Manager.
  • Implement and maintain CQI and QAPI processes, quality standards, and facility-specific improvement plans.
  • Ensure compliance with Federal and State requirements and participate in internal, state, and federal surveys.
  • Maintain medical, administrative, and operational records and complete required data collection, audits, ICD coding, and network reporting.
  • Maintain facility environmental integrity and security; schedule equipment, operating systems, and building maintenance and repairs.
  • Manage inventory and supply purchasing, medication and equipment utilization, and supply cost goals.
  • Coordinate and approve facility payroll and support billing, billing issues, and collections information gathering.
  • Review provider contracts for vendor services and contribute to facility policy and procedure updates.
  • Communicate company, division, and corporate initiatives, policies, and procedures to facility staff.
  • Promote available services and contribute to business growth using knowledge of company services and products.
  • Perform other related duties as assigned.

Benefits

  • Tuition reimbursement
  • Scholarships for family members
  • Financial support during personal hardship
  • Relief support when natural disasters strike
  • Employee resource groups for professional and personal development, discussion, activities, and peer support
  • Clinical Leadership Program with training in onboarding, essential functions, business leadership, and advanced leadership
  • Career advancement opportunities into Area Team Lead or Director of Operations roles
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