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Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care•North Haven, CT

About The Position

The Dialysis Clinical Manager Registered Nurse supports FMCNA’s mission, vision, core values, and customer service philosophy while ensuring quality, cost-effective clinical operations that comply with applicable laws, regulations, and FMS policies. As the facility’s clinical leader, the manager makes daily decisions to support continuity of care and the safety of patients and staff. The role manages short- and long-term operational objectives, oversees staffing and resources, and drives clinical quality and regulatory compliance. It includes direct supervision and development of staff, coordination with physicians and interdisciplinary teams, and responsibility for patient care, facility administration, equipment and environmental safety, and operational records. The manager coordinates patient care from admission through discharge, supports patient education and care planning, monitors patient status and treatment schedules, and facilitates access management, dialysis services, hospitalizations, and transplant workups as appropriate. The role also oversees staff recruitment, onboarding, training, performance management, employee scheduling, and quality-improvement processes. Additional responsibilities include supporting physician relationships and governing activities, maintaining the facility water system and equipment integrity, managing manuals and administrative reviews, reviewing payroll and financial statements, and participating in reporting and regulatory surveys. The work includes desk and computer tasks and interaction with patients, facility staff, and physicians. Travel between assigned facilities and to community, regional, business-unit, or corporate locations may be required. The work environment is characteristic of a healthcare facility, with controlled air temperature and moderate noise; exposure to infectious or contagious diseases and materials may occur. The role requires full-time availability and on-call coverage when necessary. Salary is listed at an annual rate of $105,000–$175,000, depending on work location and qualifications.

Requirements

  • Bachelor’s degree, or an equivalent combination of education and experience; an advanced degree is desirable.
  • Graduate of an accredited School of Nursing and current appropriate state licensure as a Registered Nurse.
  • 6–8 years of related experience or an equivalent combination of education and experience.
  • At least 12 months of clinical nursing experience.
  • At least 6 months of chronic or acute dialysis nursing experience.
  • Must be available as a full-time employee and provide on-call coverage when necessary.
  • Demonstrated leadership competencies and skills, including communication, customer service, continuous quality improvement, relationship development, results orientation, team building, employee motivation, performance management, and decision-making.
  • Management skills necessary to supervise dialysis personnel and ensure delivery of quality patient care.
  • Must complete Clinical Manager training modules and ongoing developmental programs within the specified timeline.
  • Must take 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 degree.
  • 3 or more years of supervisory or project/program management experience.
  • Experience in med/surg or ICU/CCU.

Responsibilities

  • Manage the tactical execution of short- and long-term objectives, coordinating activities and taking responsibility for results, costs, methods, and staffing.
  • Lead, coach, and develop direct reports; partner with Human Resources on employee matters and oversee hiring, counseling, performance reviews, disciplinary actions, and terminations.
  • Drive FMS clinical quality standards, ESRD regulatory compliance, Quality Assessment and Improvement activities, and appropriate responses to adverse events and action thresholds.
  • Oversee the facility’s Home Therapies Program when applicable and ensure clinical quality policies and procedures are communicated and implemented.
  • Maintain the integrity of medical, administrative, and operational records; comply with data collection and auditing activities; and maintain facility environmental and safety integrity.
  • Coordinate patient care with appropriate staff from admission through discharge, including patient education, care assessments, care plans, and resolution of patient concerns.
  • Organize Interdisciplinary Team meetings and ensure timely completion of patient care assessments and care plans.
  • Direct efficient patient scheduling and monitor patient-specific circumstances, including hospitalizations, missed treatments, catheter use, and changes in care status.
  • Develop action plans for unexcused and missed treatments with the Director; coordinate patient eligibility, access management, dialysis services, education, hospitalizations, and transplant workups as appropriate.
  • Communicate changes in patient clinical status, insurance, travel, and transportation issues to the disease management company; maintain knowledge of relevant disease management systems.
  • Implement staffing and medical supply models, participate in recruitment and hiring, and ensure staff orientation, training, in-service education, and ongoing risk-management compliance.
  • Oversee licensed personnel and assigned direct and indirect patient care staff, providing education, guidance, feedback, counseling, evaluations, and annual goals.
  • Create and communicate employee schedules according to facility needs and implement a Continuous Quality Improvement Process Improvement Team involving staff.
  • Facilitate physician privilege applications and compliance with FMS Medical Staff By-Laws; maintain relationships and communication among the Director, physicians, and staff; participate in Governing Body and coordinate CQI meetings with physicians.
  • Maintain the integrity and safety of the facility water system and remain knowledgeable about facility equipment and technology.
  • Maintain and update FMS manuals; complete the Annual Standing Order Review and ICD coding; respond to correspondence; and support billing and collection information gathering.
  • Promote efficient use of medication, laboratory services, inventory, supplies, and equipment; participate in supply-use analysis; review and approve payroll; and review profit and loss statements with the Director.
  • Participate in required Network reporting, on-site state or federal surveys, and the FMS Administrative Clinical Review.
  • Complete Clinical Manager training modules and ongoing developmental programs within the specified timeline.
  • Provide on-call coverage when necessary and travel between assigned facilities or attend meetings as required.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) with company match
  • Paid time off
  • Parental leave

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