Director of Clinical Operations

Concerto Renal Services•Stoughton, MA

2d•$120,000 - $140,000

About The Position

The Director of Clinical Operations owns clinical performance across Concerto Renal Services’ East market, covering Massachusetts, New Jersey, Delaware, Maryland, Pennsylvania, and Florida. Reporting to the Vice President of Operations, this field-based clinical leader works with Regional Managers, Medical Directors, Quality & Regulatory Compliance, site teams, and Clinical Operations Nurses to identify performance risks and opportunities and drive consistent improvement across assigned sites. The role leads and develops Clinical Operations Nurses, directs coaching and interventions at sites that need additional support, and monitors whether improvement efforts are effective. It also leads clinical responses to QAPI findings, Survey deficiencies, and audits; supports corrective action and regulatory readiness; and helps stabilize new sites, transitions, and significant market changes. The Director is expected to spend 3–4 days per week in the field and work at least one clinical shift per month alongside site teams. Concerto Renal Services provides sub-acute hemodialysis in skilled nursing and long-term care facilities, with a care model intended to make dialysis more convenient and continuous for people with end-stage renal disease.

Requirements

Active, unrestricted Registered Nurse license in assigned state(s); 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.
Availability for regular travel between assigned sites and markets, with an expectation of spending 3–4 days per week in the field.

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, identify 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 needing expertise, coaching, or intervention.
Drive improvement in anemia management, adequacy, vascular access, infection prevention, and other clinical performance measures.
Monitor interventions, adjust support when performance does not improve, and escalate significant or systemic risks.
Provide the Vice President of Operations with actionable updates on market performance, risks, priorities, and progress.
Lead, coach, and develop Clinical Operations Nurses, with clear expectations and accountability.
Ensure Clinical Operations Nurses provide consistent hands-on coaching, intervention, and follow-through with Regional Managers and site teams.
Build team capability to identify issues early, provide guidance, and sustain 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 market changes.