Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care; Minnesota; On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Tuition reimbursement

Scholarships for family members

Disaster relief support

Financial hardship assistance

Job summary

Fresenius Medical Care is seeking a Clinical Manager to lead daily dialysis facility operations, ensuring high quality patient care and regulatory compliance. You will collaborate with the Medical Director and Charge RN to coordinate patient care from admission to discharge, while guiding staff, managing budgets, and maintaining records.

The role emphasizes strong leadership, staff development, and adherence to healthcare standards, with opportunities for professional growth within our clinical

Qualifications

• RN license required.
• Strong leadership and people management skills.
• Experience with CQI/QAPI processes and regulatory compliance.

Responsibilities

• Manage daily facility operations ensuring cost-effective, compliant care.
• Collaborate with Medical Director, Clinical Manager/Charge Nurse on patient care from admission to discharge.
• Oversee staff development, schedules, training, and performance evaluations.
• Maintain medical records integrity and support data collection and audits.
• Oversee physician relationships and regulatory surveys.
• Coordinate facility payroll and budget to meet KPIs.

Skills

Leadership

Quality improvement

Regulatory compliance

Interpersonal skills

Education

RN license

Tools

Microsoft Office

Job description

As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.

Training and advancement: As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role.

We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.

Our focus on diversity: We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

Responsibilities

Manage and oversee the daily operations of the facility, ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Manager/Charge Nurse regarding the provision of quality patient care in the dialysis facility incorporating all activities from admission through to discharge. As the clinic leader, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. Markets available services through presentations to physicians and dialysis facilities. You will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease.

Clinic Operations

• Provides leadership, coaching, and development plans for all direct reports.
• Partners with internal Human Resources, Quality, Education, and Technical Services departments.
• Collaborates with the Home Therapies Program Manager to oversee the facility’s Home Therapies Program.
• Maintains integrity of medical and operations records and complies with all data collections and auditing activities.
• Accountable for completion of the Internal Classification of Disease (ICD) coding.
• Responsible for all required network reporting and on-site state or federal surveys.
• Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
• Responsible for the administration of the daily business operations of the dialysis clinics including managing the functions and actions related to the center staff, quality of overall provision of patient care, maintenance of the physical plant and center equipment, and inventory control.
• Manages the profit and loss and other related financial aspects for the center, ensuring optimal facility operations to achieve or exceed the budget and key performance indicators.

Patient Care

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
• Oversee the timely completion of patient care assessments and care plans.
• Manages timely patient schedules to ensure facility efficiency and develop action plans for missed treatments.
• Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues.
• Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current.
• Maintains current knowledge regarding company benefits, policies, procedures, and processes.
• Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.

Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training.

Physicians

• Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
• Responsible for strong physician relationships and ensures regular and effective communication.
• that governs policies.

Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Coordinating all aspects of patient care from admission through discharge of the patient.

• Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys.
• Developing and communicating efficient and timely patient schedules to ensure maximization of facility efficiency.
• Implementing and maintaining a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI) Improvement Team that involves staff and pertinent physicians in problem solving activities meeting on a regular basis to address identified issues.
• Continually review Center operations to ensure compliance with Federal and State laws.
• Develops and maintains strong Medical Director and physician relationships, facilitating staff relationships with physicians, and ensuring regular and effective communication with all physicians including participating in regular meetings with Medical Directors.
• Supports and drives FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools.
• Works with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility specific action plans to achieve FMS quality standards.
• Oversees and monitors the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives.
• Collaborates with the Charge RN to ensure the aggressive treatment of, and actions taken, regarding adverse safety events and action thresholds.
• Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.
• Maintains integrity of medical records and other FMS administrative and operational records.
• Complies and assists with all data collection and auditing activities.
• Manages the day-to-day activities and workload of the facility staff providing guidance and leadership as appropriate to ensure the effective, efficient and timely execution of duties and tasks.
• Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily. Consults with Charge RN and Medical Director to optimize clinical staffing.
• Provides informal feedback to staff on an ongoing basis and formal feedback in the form of the annual performance evaluation during the focal merit review process. Obtains feedback and input regarding the staff performance from the Medical Director and Charge RN and acts on the feedback as appropriate. Collaborates with staff and Charge RN and Medical Director to set annual goals for staff.
• Manages the department staffing through the appropriate hiring, firing and disciplinary actions.
• Maintains written documentation of all disciplinary meetings in accordance with the established personnel policies and confers with Human Resources and Director of Operations regarding the nature of the disciplinary decisions.
• Ensures successful execution of new hire orientation and training, and ICD-9 code training when ICD-10 applicable for new hires and works with Medical Director to ensure mandatory in-services are completed.
• Ensures appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates.
• Responsible for ensuring all facility employees receive appropriate training according to company policy including company risk management initiatives.
• Provides training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth.
• Collaborates with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures.
• Maintains a close working relationship with Division and Corporate office personnel and ensures appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff.
• Maintains facility environmental integrity and safety.
• Schedules the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed.
• Monitors the security of the facility.
• Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FMS/FMS formularies.
• Contributes to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals.
• Directs any necessary information gathering, as required, to support billing, billing issues and collection activities.
• Coordinates and approves facility payroll.
• Responsible for participating in all on-site internal and external (state and federal) surveys.
• Reviews new and existing provider contracts for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning.

SUPERVISION

• Supervises Charge RN and DPC Staff

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials

The employee may occasionally be required with assistance to move patients and equipment of up to 200 lbs. There is a two-person assist program and “material assist” devices for the heavier items.

Travel to regional, Business Unit and Corporate meetings may be required.

Qualifications

• Graduate of an accredited School of Nursing (RN)
• Current RN state licensure
• Experience in clinical nursing.
• Additional 6 months chronic or acute dialysis nursing experience.
• Demonstrated leadership competencies and management 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.
• Demonstrated management skills necessary to provide leadership in the supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.
• Experience in a supervisory/management role, in a medical facility preferred.
• Med/surg or ICU/CCU experience preferred.
• Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred.

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

• Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
• Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance EOE, disability/veterans