Dialysis Clinical Nurse Manager

Ponca Tribe of Nebraska; Macy (NE); On-site; USD 90,000 - 130,000; Full time

Job summary

Ponca Tribe of Nebraska seeks a Clinical Director of Nursing to lead quality patient care across dialysis and med-surg services. You will oversee staffing, training, and compliance with ERSD regulations, while partnering with Medical Directors and staff to maintain safety and high standards.

The role requires deep nursing experience (10+ years), dialysis expertise, and at least 2 years in a director role. You will drive performance, manage budgets, and ensure accurate medical records and

Qualifications

• Minimum of 10 years of experience in clinical nursing is required.
• Minimum of 10 years of chronic or acute dialysis nursing experience is required.
• Minimum of 2 years of Director of Nursing, or equivalent, is required.
• Must be available as a full-time employee and provide on-call coverage when necessary.
• Demonstrated leadership competencies and 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.

Responsibilities

• Support and drive culture through values and customer service standards.
• Coordinate patient care across admission to discharge with appropriate staff.
• Lead staffing and training to ensure clinical competence and policy compliance.
• Maintain medical records integrity and ensure regulatory requirements are met.
• Foster effective relationships and communication with physicians and staff.

Skills

Leadership

Customer service

Communication

Quality improvement

Regulatory compliance

Team management

Education

RN - Registered Nurse

BSN or higher degree preferred

Graduate of an accredited School of Nursing

Job description

SUMMARY: Supports mission, vision, core values, and customer service philosophy. Adheres to all regulatory and policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of patient care and administrative policies. As the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety.

Duties/Activites

CUSTOMER SERVICE

• Responsible for driving the culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal customers.
• Develops and maintains effective relationships through effective and timely communication.
• Takes initiative and action to respond, resolve, and follow up regarding customer service issues with all customers in a timely manner.

Quality

PRINCIPAL RESPONSIBILITIES AND DUTIES

• Responsible for supporting and driving quality standards through meeting all ERSD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of QAI tools.
• Implements quality goals and develops facility specific action plans in order to achieve quality standards.
• Accountable for outstanding quality of patient care, as defined by the quality goals to ensure that policy and procedure is followed.
• Responsible for implementing appropriate training according to policy, including training to ensure ongoing compliance with all risk management initiatives.
• Responsible for aggressively addressing and acting on adverse events and action thresholds. Accountable for compliance with all applicable federal, state, and local laws and regulations.
• Ensures all Clinical Quality policies and procedures are communicated to and implanted by the facility staff.
• Maintains integrity of medical records and other administrative and operational records.
• Complies with all data collections and auditing activities.
• Maintains facility environmental integrity, including safety.

Patient Care

• Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
• Ensure completion of patient education regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
• Acts as a resource for the patient to address patient concerns and questions.
• Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
• Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no-shows, catheter use, and any significant change in patient care status.
• Develops action plans for unexcused and missed treatments in collaboration with the Medical Director.

Staff

• Responsible for implementation of staffing, and medical supply models, to provide quality patient care.
• Participates in the recruitment and interview process, and decision to hire new personnel.
• Ensures completion of new hiring orientation. Ensures documentation completed for annual in service training, and policy and procedure in service updates.
• Responsible for all patient care employees receiving appropriate training according to policy, including training to ensure ongoing compliance with all risk management initiatives.
• Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities.
• Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance.
• Maintains current knowledge regarding benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
• Completes timely employee evaluations and establishes annual goals for staff.
• Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with Human Resources regarding the nature of the disciplinary decisions.

Physicians

• Responsible for strong Medical Director and physician relationships and facilitating staff relationships with physicians.
• Ensures regular and effective communication with all physicians, through regular meetings with Medical Directors.
• Participates in Governing Body.
• Schedules and coordinates CQI meetings with physicians.

Maintenance/Technical

• Responsible for the integrity and safety of the facility water system.
• Must be knowledgeable of all facility equipment and technology.

Administrative

• Responsible for ensuring maintenance of and updating all manuals.
• Directs information gathering as required supporting billing and collection activities.
• Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in formularies.
• Responsible for participating in all required Network reporting and on-site state or federal surveys.
• Other duties as assigned.

Physical Demands And Working Conditions

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. 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.

QUALIFICATION REQUIREMENTS

EDUCATION And/or EXPERIENCE

• Minimum of 10 years of experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred.
• Minimum of 10 years of chronic or acute dialysis nursing experience is required.
• Minimum of 2 years of Director of Nursing, or equivalent, is required.
• Must be available as a full-time employee and provide on-call coverage when necessary.
• Demonstrated leadership competencies and 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 dialysis personnel and to ensure the delivery of maximum quality care to all patients.
• Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment if indicated.

Certificates, Licenses, And Registration

• Valid Nebraska driver's license and insurability
• Must pass background check and pre-employment drug screen.
• CPR/BLS Certification
• Graduate of an accredited School of Nursing (RN).
• Current appropriate state licensure.
• Advanced education preferred.

PLEASE NOTE: P.L. 93-638, Indian Preference and Tribal Employment Rights Ordinance, (TERO), will be practiced, however all qualified applicants will be considered.