Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care•Greensboro, NC

About The Position

The Clinical Manager oversees the daily operations of a dialysis facility, ensuring cost-effective operations and compliance with applicable legal, regulatory, and company requirements. The role is responsible for maintaining quality patient care and safe, continuous clinical operations for patients with end-stage renal disease or chronic kidney disease. The manager coordinates care from admission through discharge, works closely with the Medical Director, physicians, and Charge RN, and serves as a resource for patients and families. The position leads facility staff and daily business operations, including staffing, scheduling, payroll, training, performance management, quality improvement, records and reporting, equipment and facility maintenance, inventory, vendor services, and financial performance. The manager oversees regulatory surveys and reporting, maintains physician relationships, and supports compliance with company quality and risk-management standards. The role also participates in marketing available services to physicians and dialysis facilities. The manager supervises the Charge RN and DPC staff and partners with internal departments, including Human Resources, Quality, Education, and Technical Services. Travel to regional, Business Unit, and Corporate meetings may be required. The work includes desk and computer work and interaction with patients, staff, and physicians in a healthcare facility. The environment has controlled air temperature and moderate noise and may involve exposure to infectious or contagious materials. The role requires frequent, prolonged standing and bending; occasional assisted movement of patients or equipment weighing up to 200 pounds may be required, with two-person assistance and material-assist devices available for heavier items. The employer states it will train the hire on dialysis nursing. The role includes entry into a Clinical Leadership Program covering onboarding, essential functions, business leadership, and advanced leadership. Potential advancement paths include Area Team Lead or Director of Operations. Fresenius Medical Care describes its culture as supportive and inclusive, with employee resource groups and assistance that may include tuition reimbursement, family scholarships, disaster relief, and financial support during personal hardship.

Requirements

  • Graduate of an accredited School of Nursing and hold current state RN licensure.
  • Experience in clinical nursing.
  • At least six months of chronic or acute dialysis nursing experience; the employer states it will train on the dialysis nursing piece.
  • 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, including Word, Excel, and PowerPoint.
  • Experience with medical database software.

Responsibilities

  • Lead, coach, and develop direct reports and facility staff; establish goals and conduct performance evaluations.
  • Manage daily clinic operations and coordinate execution of short- and long-term objectives, including costs, methods, staffing, and results.
  • Oversee facility business operations, quality of patient care, physical plant and equipment, and inventory control.
  • Manage the facility’s profit and loss and related financial performance to achieve or exceed budget and key performance indicators.
  • Coordinate patient care from admission through discharge, address patient and family questions or concerns, and oversee timely assessments and care plans.
  • Develop timely patient schedules, manage missed-treatment action plans, and report changes in patient status, including clinical, insurance, travel, or transportation issues.
  • Collaborate with the Medical Director, Charge RN, physicians, and appropriate staff on patient care, clinical staffing, quality, and continuity of care.
  • Oversee the facility’s Home Therapies Program in collaboration with the Home Therapies Program Manager.
  • Maintain medical, administrative, and operational records; complete ICD coding; and assist with data collection and audits.
  • Complete required network reporting and participate in internal, state, and federal on-site surveys.
  • Implement and maintain CQI and QAPI processes and facility-specific quality improvement plans; monitor compliance with quality and risk-management requirements.
  • Participate in hiring, onboarding, orientation, mandatory training, and maintenance of staff licensures and certifications.
  • Manage staff scheduling and payroll; coordinate adequate staffing with the Charge RN and Medical Director.
  • Document disciplinary actions and consult Human Resources and the Director of Operations as needed.
  • Facilitate physician privilege applications and compliance with Medical Staff By-Laws; develop strong physician relationships and maintain regular communication.
  • Participate in the regional Governing Body and corporate or division employee recognition and satisfaction programs.
  • Communicate company, division, and corporate initiatives, policies, and procedures to facility staff.
  • Maintain facility environmental integrity and security; arrange maintenance and repair of equipment, operating systems, and the physical structure as needed.
  • Manage inventory and supplies, review monthly counts, approve purchase orders, and support cost containment and efficient utilization of medications, laboratory resources, supplies, and equipment.
  • Contribute to facility policies and procedures and maintain related manuals.
  • Gather information as needed to support billing, billing issues, and collections; review provider contracts for vendor services.
  • Market available services through presentations to physicians and dialysis facilities.
  • Perform other related duties as assigned.

Benefits

  • Tuition reimbursement
  • Scholarships for family members
  • Financial support during personal hardship
  • Disaster relief support
  • Employee resource groups for professional and personal development, discussion, activities, and peer support
  • Clinical Leadership Program and career advancement opportunities
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