Director of Clinical Operations

Concerto Renal Services•Kansas City, MO

2d•$120,000 - $140,000•Onsite

About The Position

The Director of Clinical Operations owns clinical performance across the assigned Central & South market, covering Missouri, Kansas, Oklahoma, Texas, Georgia, and Minnesota. Reporting to the Vice President of Operations, this field-based leader partners with Regional Managers and Medical Directors and leads Clinical Operations Nurses to improve clinical performance across assigned sites. The role uses clinical performance data, site observations, and frontline insight to identify trends, risks, and improvement opportunities, and directs coaching, interventions, and support where needed. The Director drives consistent frontline execution of clinical standards and QAPI action plans, leads clinical responses to Survey deficiencies and audit results in partnership with Quality & Regulatory Compliance, and supports clinical readiness for new sites, transitions, and significant market changes. The role also develops clinical talent and stays connected to frontline practice by working alongside site teams for at least one clinical shift per month. It requires regular travel between assigned sites, with an expectation of spending 3–4 days per week in the field.

Requirements

Active, unrestricted Registered Nurse license in assigned state(s), with multistate or compact licensure as required for the assigned market.
Bachelor’s degree in nursing or a related field, or an equivalent combination of education and relevant experience.
At least 5 years of dialysis nursing experience, including progressive leadership experience.
Demonstrated experience leading and developing clinical teams across multiple sites or a geographically dispersed market.
Demonstrated experience using clinical performance data to identify trends, address performance gaps, and drive improvement.
Strong knowledge of CMS Conditions for Coverage, QAPI requirements, ESRD Network requirements, and applicable state and federal regulatory standards.
Experience leading Survey readiness, including participation in state Surveys and implementation of plans of correction, as well as clinical audits and quality improvement.
Valid, unencumbered driver’s license.
Current CPR/BLS certification.
Ability to perform light lifting of at least 25 lbs.
Ability to provide mental, visual, and auditory attention to patients, customers, and staff.

Nice To Haves

CNN or CDN certification.
Clinical leadership experience in skilled nursing, post-acute, or nursing home dialysis settings.
Experience supporting new site openings, clinical transitions, or performance turnarounds.

Responsibilities

Own clinical performance across the assigned market, using clinical data, site observations, and frontline insight to identify trends, outliers, risks, and improvement opportunities.
Partner with Regional Managers to prioritize sites requiring additional attention, understand root causes, and develop coordinated improvement plans.
Own relationships with Medical Directors across the market and align clinical priorities, performance trends, and improvement plans.
Direct Clinical Operations Nurses to sites requiring additional expertise, coaching, or intervention.
Drive improvement in anemia management, adequacy, vascular access, infection prevention, and other performance measures.
Monitor the effectiveness of interventions, adjust support when performance does not improve, and escalate significant or systemic risks as appropriate.
Provide the Vice President of Operations with actionable insight into market performance, risks, priorities, and progress.
Lead, coach, and develop Clinical Operations Nurses, setting clear expectations and accountability for effective support across assigned sites.
Ensure Clinical Operations Nurses provide consistent, hands-on coaching, intervention, and follow-through in partnership with Regional Managers and site teams.
Build team capability to identify issues early, provide effective guidance, and drive sustained improvement.
Work alongside site teams for at least one clinical shift per month.
Partner with Quality & Regulatory Compliance to translate clinical and regulatory standards into consistent frontline practice.
Lead clinical responses to QAPI findings, Survey deficiencies, and audit results, ensuring corrective actions are implemented and sustained.
Identify recurring knowledge or competency gaps and coordinate coaching, remediation, or formal training with Learning & Development.
Support clinical readiness and stabilization for new sites, transitions, and significant changes affecting the market.
Travel regularly between assigned sites and markets, with an expectation of spending 3–4 days per week in the field.