Dialysis Nurse Manager

Winnebago Comprehensive Healthcare System•Winnebago, NE

About The Position

The Ambulatory Dialysis Nurse Manager develops, implements, coordinates, and manages the WCHS Ambulatory Dialysis Program. The role provides clinical and operational leadership to support safe, effective, evidence-based, and culturally centered dialysis services. It oversees nursing practice, staffing, care coordination, regulatory readiness, quality improvement, infection prevention, equipment and water-treatment safety, and daily operations, working collaboratively with the Nephrology Medical Director, WCHS leadership, medical staff, interdisciplinary departments, and external partners. During program development, the Nurse Manager supports operational readiness, policies and procedures, staff training and competency validation, equipment readiness, emergency preparedness, and preparation for applicable regulatory review. The role promotes accessible, compassionate, culturally centered care for Indigenous relatives while respecting patient dignity, self-determination, and individual needs. Duties and responsibilities may change with or without notice; other related duties may be assigned.

Requirements

Graduation from an accredited nursing program.
Current, unrestricted Registered Nurse (RN) license in Nebraska or a license recognized under applicable law; the license must meet requirements for practice in Nebraska.
Meet applicable CMS ESRD personnel qualifications and requirements for assigned nursing leadership responsibilities.
Knowledge of clinical nursing practice, patient safety, infection prevention, quality improvement, clinical documentation, and regulatory compliance.
Ability to develop policies, procedures, workflows, staff education, competency plans, and quality improvement initiatives.
Ability to evaluate clinical data and performance indicators to identify risks and improve patient outcomes.
Strong organizational, communication, problem-solving, decision-making, and time-management skills.
Ability to supervise, educate, and develop nursing personnel and collaborate with providers, departments, vendors, and organizational leaders.
Ability to manage competing priorities, maintain confidentiality, exercise sound judgment, and respond appropriately to clinical and operational concerns.
Professionalism, integrity, accountability, and commitment to culturally centered care for Indigenous relatives and families.
Proficiency with electronic health records and other applicable clinical and operational information systems.
Current Basic Life Support (BLS) certification.
Advanced Cardiovascular Life Support (ACLS) certification, or ability to obtain it within a timeframe established by WCHS if applicable to the role and facility policy.
Complete dialysis-specific orientation, equipment training, water-treatment safety training, emergency preparedness, infection prevention, and competency validation before independently performing applicable duties.
Complete ongoing education and competency assessment as required by WCHS policy and applicable regulatory standards.
Ability to function in a clinical healthcare environment and safely perform essential job functions, with or without reasonable accommodation.
Ability to read, write, calculate, analyze clinical information, and interpret policies, procedures, and regulatory requirements.
Ability to apply critical thinking and sound judgment to clinical, staffing, quality, and operational issues; organize priorities, analyze performance data, develop action plans, and follow issues through resolution.
Ability to communicate effectively and work independently and collaboratively with an interdisciplinary team, maintain confidentiality, and respond professionally to sensitive or urgent situations.
Fluency in reading, writing, and speaking English, with effective professional verbal and written communication skills.
Comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, including signing the required declaration regarding arrests and convictions of child abuse or violent felonies, and comply with PL 101-630 and PL 101-637 regarding criminal records checks.
Meet applicable WCHS occupational health requirements.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Additional education in nursing leadership, healthcare administration, quality improvement, or nephrology nursing.
A minimum of three years of nursing experience, including dialysis, nephrology, acute care, or another relevant clinical setting.
Previous nursing leadership, supervisory, or management experience.
Certified Nephrology Nurse (CNN), Certified Dialysis Nurse (CDN), or another relevant nephrology certification.

Responsibilities

Demonstrate WCHS’s core Mission, Vision, and Values in professional interactions and decisions.
Provide clinical and operational leadership for daily ambulatory dialysis services and promote safe, consistent, relative-centered care.
Collaborate with the Nephrology Medical Director and interdisciplinary care team to implement treatment plans and respond to changes in patient condition.
Oversee nursing assessments, treatment monitoring, medication administration, vascular access assessment and care, patient education, and clinical documentation.
Ensure appropriate patient monitoring before, during, and after treatment and timely escalation of complications, including hypotension, fluid imbalance, access complications, and suspected infection.
Support patient and family education concerning kidney disease, dialysis, medication management, fluid and nutrition recommendations, vascular access protection, and treatment adherence.
Coordinate continuity of care and referrals with WCHS Primary Care Clinic, Winnebago Public Health Department, diabetes education, case management, social services, and other appropriate services.
Lead nursing-related implementation and operational readiness activities, including workflows, patient scheduling, staffing plans, supply needs, and treatment processes.
Collaborate with Facilities, Biomedical Engineering, Infection Prevention, vendors, and water-treatment specialists on dialysis equipment, water systems, environmental readiness, and required documentation.
Ensure equipment maintenance, preventive maintenance, water-quality monitoring, testing, disinfection, and corrective actions are completed and documented according to applicable standards, manufacturer instructions, and approved procedures.
Develop, review, and maintain departmental policies, procedures, protocols, checklists, and documentation tools.
Ensure services comply with applicable CMS ESRD Conditions for Coverage, including 42 CFR Part 494, and other applicable federal, Tribal, and organizational requirements.
Coordinate preparation for applicable regulatory surveys, certification, accreditation, and other compliance reviews.
Participate in the WCHS quality assurance and performance improvement program; monitor clinical outcomes, treatment complications, infection trends, incidents, patient concerns, and documentation audits.
Develop and monitor corrective action plans and evaluate whether improvement activities achieve and sustain intended results.
Recruit, supervise, schedule, evaluate, and support assigned dialysis personnel in accordance with WCHS policies and applicable staffing requirements.
Ensure staff orientation, education, and competency validation are completed for dialysis procedures, equipment, vascular access care, medication safety, infection prevention, emergency response, and documentation.
Promote staff engagement, professional development, accountability, respectful communication, and a safe and supportive work environment.
Maintain dialysis-specific emergency procedures and ensure staff readiness for medical emergencies, equipment malfunction, water-system failure, utility interruption, and other service disruptions.
Ensure required emergency equipment and supplies are available and maintained and that drills, incident reporting, and follow-up activities are completed as required.
Monitor patient volumes, treatment capacity, staffing needs, supply utilization, and operational barriers; provide updates and recommendations to WCHS leadership.
Participate in budget planning, resource allocation, purchasing, and evaluation of operational needs with WCHS leadership.
Maintain professional relationships with the Nephrology Medical Director, external consultants, equipment manufacturers, service vendors, and other partners supporting dialysis operations.
Promote culturally centered care that respects Tribal community values, patient preferences, autonomy, and shared decision-making.
Perform other related duties as assigned.