Dialysis Program Manager Registered Nurse - RN

Fresenius Medical Care•New Haven, CT

5d•$99,000 - $166,000

About The Position

The Dialysis Program Manager Registered Nurse manages the provision of quality patient care in an independent Home Therapies program while maintaining cost-effective clinical operations and complying with legal, regulatory, and company requirements. The role directs and guides an interdisciplinary team, supports continuity of care and patient and staff safety, and collaborates with Business Unit management to grow assigned Home Therapies programs. The manager oversees program operations, staffing, costs, quality, and growth; leads and develops employees; and implements strategic and quality goals. The position directs patient care from admission through discharge, oversees patient assessment and care planning, ensures accurate documentation and compliance, supports patient and family education, and coordinates training and safe use of home dialysis equipment. The role also manages staff hiring, training, scheduling, performance, and development, and promotes safety, continuous quality improvement, and effective communication. The work includes desk and personal computer tasks and interaction with patients, facility staff, and physicians. Travel is required between assigned facilities and locations within the region; travel to regional, Business Unit, and Corporate meetings may also be required. The work environment is characteristic of a healthcare facility with controlled air temperature and moderate noise, and may involve exposure to infectious or contagious diseases or materials. The position requires on-call coverage when necessary.

Requirements

Graduate of an accredited School of Nursing (R.N.).
Current appropriate state licensure.
Minimum of one year of nursing experience and at least six months of dialysis nursing experience.
Demonstrated management skills to lead dialysis personnel and ensure high-quality patient care.
Competence operating all Home Therapies-related equipment.
Available as a full-time employee and able to provide on-call coverage when necessary.
Demonstrated leadership competencies, including communication, customer service, continuous quality improvement, relationship development, results orientation, team building, employee motivation, performance management, and decision-making.
Successfully complete CPR certification and maintain it as required.
Complete the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

Advanced education.
Three or more years of supervisory or project/program management experience.

Responsibilities

Manage the tactical execution of short- and long-term objectives, including costs, operational methods, growth, quality, and staffing.
Lead, coach, and develop direct reports, and partner with Human Resources on employee matters.
Manage operations of one or more Home Therapies programs and coordinate activities, resources, staffing, and results.
Follow and enforce company policies and procedures, recommend changes as needed, and provide technical guidance.
Participate in developing and implementing strategic plans, goals, objectives, and program-specific quality action plans.
Participate in and lead meetings and cooperative efforts with internal and external representatives, departments, customers, and project teams.
Hire, coach, counsel, evaluate, discipline, and, when appropriate, terminate employees.
Maintain facility maintenance and environmental integrity and promote a culture of safety.
Direct and manage all aspects of Home Therapies patient care from admission through discharge, ensuring safe and effective care at standards at least equivalent to facility care.
Oversee identification and evaluation of Home Therapies candidates, including assessment of the home environment when needed.
Organize healthcare team meetings and ensure timely completion of patient care plans.
Maintain and communicate patient schedules and ensure completion of nursing assessments and ongoing evaluations and documentation.
Ensure patient treatment responses and changes in patient status are documented and communicated in accordance with company policies and regulatory requirements.
Ensure appropriate interventions for changes in adequacy status and peritoneal or access flow issues are completed per physician orders, and communicate patient-related issues to physicians.
Develop action plans for missed treatments in collaboration with the Medical Director.
Oversee medication administration and documentation, controlled-substance records, and communication of alert, panic, and abnormal laboratory results.
Implement staffing and medical supply models to support quality patient care.
Ensure patients and families receive education on ESRD, quality measures, transplant options, modalities, access care, laboratory values, treatment adherence, medications, and fluid management.
Coordinate transplant education and assist with the transplant workup process.
Oversee safe and timely training of patients and families or significant others in the operation and maintenance of home therapy equipment.
Serve as a resource for patient concerns and questions and maintain a process for tracking each patient's circumstances and significant care-status changes.
Manage the Treatment Options Program when a Kidney Care Advocate is absent.
Ensure physician orders are accurately entered in the Medical Information System and that laboratory specimen and result processes comply with company policies and government regulations.
Maintain skills in emergency procedures and initiate CPR and emergency measures for cardiac or respiratory arrests when a patient is in the medical office.
Manage assigned Home Therapies licensed personnel, direct and indirect patient-care staff, and technical staff when assigned.
Ensure employee orientation, required training, in-services, and applicable ICD-9 code training are completed.
Support staff professional growth and clinical competence; conduct regular staff meetings and provide ongoing feedback and annual performance evaluations.
Create, maintain, and communicate employee schedules according to facility needs.
Ensure staff receive required risk-management and annual in-service training and that training is documented.
Collaborate with departments to promote Home Therapies growth and participate in employee recognition and satisfaction programs.
Document disciplinary conferences and consult with the Director of Operations regarding disciplinary decisions.
Ensure staff are trained in the Customer Service Model and establish and implement a Continuous Quality Improvement Process Improvement Team.
Ensure Home Therapies personnel are competent with related equipment and can troubleshoot equipment issues with patients by telephone.
Direct staff and patients in preventive maintenance of home therapy equipment, including water systems and analyses as appropriate.
Assist with projects and perform other duties as assigned.