Dialysis Program Manager Registered Nurse - RN

Fresenius Medical Care•Albuquerque, NM

1d•Onsite

About The Position

Manages the provision of quality patient care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Takes the appropriate actions and makes the necessary decisions to ensure the continuity of care and patient and staff safety. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapy patients to ensure that the highest standards of care are provided. Collaborates with the Business Unit management team to grow the assigned Home Therapies program(s).

Requirements

Graduate of an accredited School of Nursing (R.N.)
Current appropriate state licensure.
Minimum of one year nursing experience.
Minimum of six months dialysis nursing experience.
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.
Competent at operating all Home Therapies related equipment.
Must be available as a fulltime 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.
Successfully complete CPR Certification with maintenance as required.
Must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment.

Nice To Haves

Advanced education preferred.
3+ years' supervisory or project/program management experience preferred.

Responsibilities

Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, operational methods, growth, and quality and staffing.
Provide leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.
Work on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current industry trends.
Determine how to use resources to meet schedules and goals.
Manage the operations of one or more HT Programs, direct impact within assigned area.
Manage the coordination of activities of a section or department with direct responsibility for results, including costs, operational methods, and staffing.
Follow processes and operational policies in selecting methods and techniques for obtaining solutions.
Recommend changes to policies and procedures following company protocol as needed.
Ensure that subordinates follow policy and procedures.
Frequently interact with supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
Participate and present at meetings with internal and external representatives.
Lead a cooperative effort among members of a project team.
Interact with internal departments and external customers; particularly in problem resolution.
Act as an advisor to subordinate(s) to meet schedules and/or resolve problems.
Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
Participate in the development and implements the area strategic plans, goals and objectives ensuring alignment with those of the region, division and company.
Implement HT program-specific and area quality goals and action plans in order to achieve quality standards.
Responsible and accountable for facility maintenance and environmental integrity.
Promote a culture of safety in assigned market.
Provide technical guidance.
Assist with various projects as assigned.
Direct and manage all aspects of patient care for Home Therapies patients in assigned program from admission through discharge of the patient.
Provide direction, guidance and support to staff members to ensure the safe and effective delivery of home therapy support care to patients with End Stage Renal Disease (ESRD).
Ensure that the standard of dialysis provided is at least equivalent to that provided to facility patients.
Oversee the identification and evaluation of candidates for the Home Therapies Program including assessment of patients' home environment if needed.
Accountable for timely completion of patient care plans by organizing meetings of the health care team to discuss patient care plans and resolve patient problems.
Maintain and communicate efficient and timely patient schedules to ensure maximization of the facility station efficiency.
Ensure completion of Initial and Annual Nursing assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures is completed.
Ensure patients' response to home dialysis treatment therapy is documented according to company policies and procedures and in compliance with pertinent regulatory requirements.
Ensure appropriate intervention for changes in patient adequacy status and troubleshooting peritoneal and access flow issues are completed per physician orders.
Identify and communicate patient related issues to the physician.
Develop action plans for missed treatments in collaboration with the Medical Director.
Administer medications as prescribed including algorithm (as appropriate), and document appropriate medical justification if indicated.
Responsible for the appropriate recording of controlled substances as required by law.
Ensure reports of alert/panic and abnormal lab results are communicated to appropriate physician.
Implement staffing and medical supply models to ensure provision of quality patient care.
Ensure all educational needs of patient and family are met regarding End Stage Renal Disease (ESRD).
Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including vascular catheter reduction and adherence to treatment regime.
Oversee coordination transplant education and assists in transplant workup process.
Ensure all patients are educated regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedules medications, and fluid as appropriate.
Oversee the safe, effective and timely training of all home patients and their families/significant others on the safe and effective operation and maintenance (as appropriate), of all home therapies equipment.
Act as a resource for the patient to address concerns and questions.
Develop a mechanism or process for acquiring and maintaining knowledge of the specific situation of each patient, including hospitalizations, and any significant change in patient care status.
In the absence of a Kidney Care Advocate, manage the delivery of the Treatment Options Program.
Manage and ensure all physician orders are accurately entered into the Medical Information System and that company policies and government regulations related to the collection, packaging, and delivery of lab specimens and reporting of results are followed.
Maintain appropriate skill levels with all emergency operational procedures, and initiate CPR and emergency measures in the event of cardiac and/or respiratory arrests when the patient is in the medical office.
Manage assigned program Home Therapies licensed personnel, direct patient care staff, indirect patient care personnel, and when necessary, technical staff.
Provide employee education and guidance, and performance related feedback through ongoing informal advice and formally through the annual performance evaluation.
Manage the Home Therapies staffing through the appropriate hiring, firing and disciplinary actions.
Ensure completion of new hire orientation and training including mandatory in-services and ICD-9 code training when applicable.
Collaborate with staff to establish personal goals and provides opportunities for professional growth and training to achieve these goals to ensure clinical competence.
Conduct regular staff meetings to ensure appropriate communication of area, regional and corporate initiatives and policies and procedures, to educate and monitor staff regarding appropriate patient care techniques and other company and regulatory policies and procedures.
Responsible for all patient care employees receiving appropriate training according to policy, including training to ensure ongoing compliance with all risk management initiatives.
Ensure documentation completed for all annual in-service training.
Collaborate with all appropriate departments to promote home therapy growth.
Provide written documentation of all disciplinary conferences in accordance with the established personnel policies, and confer with the Director of Operations regarding the nature of the disciplinary decisions.
Participate in Corporate and Business Unit specific employee recognition and satisfaction programs.
Create, maintain and communicate efficient and timely employee schedules according to the needs of the facility.
Ensure all staff is trained in the principles and concepts and practice Customer Service Model.
Create and implement a (CQI) Process Improvement Team that involves staff in problem solving.
Ensure competency of HT personnel in the operation of all home dialysis therapy-related equipment, including the ability to troubleshoot equipment problems with the patient via telephone.
Direct staff and patients in the preventive maintenance of home therapy equipment, including water systems and analyses as appropriate.
Other duties as assigned.