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Dialysis Clinical Manager Registered Nurse - RN

FMS USA Fresenius Mgmt Services Inc Kapaa, Vereinigte Staaten
On-site work

Publication date: 31/10/2026

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. 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. Collaborate 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.

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; Collaborate 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; Ensure that quality patient care is delivered while maintaining clinical operations; Provide leadership, coaching, and development plans for all direct reports; Partner with internal Human Resources, Quality, Education, and Technical Services departments; Collaborate with the Home Therapies Program Manager to oversee the facility’s Home Therapies Program; Maintain integrity of medical and operations records and comply 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; Manage 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; Manage the profit and loss and other related financial aspects for the center; Coordinate all aspects of patient care with the appropriate staff members, from admission through discharge of the patient; Act as a resource for the patient and family to address concerns and questions; Oversee the timely completion of patient care assessments and care plans; Manage timely patient schedules to ensure facility efficiency and develop action plans for missed treatments; Report changes in patient status regarding any clinical, insurance, or travel and transportation issues; Participate in the selection and hiring of new team members and ensure completion of new hiring orientation and mandatory training; Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current; Provide support for all clinical staff members at regular intervals and encourage professional growth; Maintain current knowledge regarding company benefits, policies, procedures, and processes; Obtain clinical feedback for employee evaluations and establish annual goals and conduct employee evaluations; Document any disciplinary actions and confer with the clinic Director of Operations and Human Resources when needed; Manage staff scheduling and payroll; Facilitate 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; Participate in Governing Body; Collaborate closely with the Clinical Manager/Charge RN, the Medical Director, and the physicians regarding direct patient care responsibilities within the facility; Implement and maintain a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI) Improvement Team; Continually review Center operations to ensure compliance with Federal and State laws; Support and drive FMS quality standards through meeting regulatory requirements and the practice of CQI; Oversee and monitor the provision of the appropriate training according to FMS policy; Collaborate with the Charge RN to ensure aggressive treatment of, and actions taken regarding, adverse safety events and action thresholds; Ensure all Quality policies and procedures are communicated to and implemented by the facility staff; Maintain integrity of medical records and other FMS administrative and operational records; Manage the day-to-day activities and workload of the facility staff; Create, maintain, and communicate efficient and timely employee schedules according to the staffing needs of the facility; Provide informal feedback to staff on an ongoing basis and formal feedback in the form of the annual performance evaluation; Manage the department staffing through the appropriate hiring, firing and disciplinary actions; Maintain written documentation of all disciplinary meetings; Ensure successful execution of new hire orientation and training; Ensure appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates; Provide training and guidance to facility staff members to ensure development of clinical competences; Collaborate with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures; Participate in Corporate and Division specific employee recognition and satisfaction programs; Maintain a close working relationship with Division and Corporate office personnel; Utilize knowledge of FMCNA and FMS services and products to contribute to the growth of the business; Maintain facility environmental integrity and safety; Schedule the maintenance and repair of equipment, operating systems, and physical structure of the facility; Monitor the security of the facility; Coordinate inventory/supply management by reviewing monthly inventory count and approving purchase orders; Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment; Contribute to the development and revision of any applicable policies and procedures for the facility; Direct any necessary information gathering to support billing, billing issues and collection activities; Coordinate and approve facility payroll; Participate in all on-site internal and external surveys; Review new and existing provider contracts for various vendor services; Supervise Charge RN and DPC Staff; Perform other related duties as assigned

Requirements

Graduate of an accredited School of Nursing (RN); Current RN state licensure; Must complete Fresenius Internal Clinical Leadership Training (Milestone I and Milestone 2); Minimum 2 years Clinical Manager experience at FME; 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; Successfully passed the Ishihara Color Blind Test

Nice to have

Experience in a supervisory/management role, in a medical facility preferred; Med/surg or ICU/CCU experience preferred; Proficiency with Microsoft office suite (Word, Excel, PowerPoint); experience with medical database software preferred

Benefits

Medical, dental, and vision insurance; 401(k) with company match; paid time off; parental leave; potential for performance-based bonuses depending on company and individual performance; tuition reimbursement; scholarships to family members; relief when natural disasters strike; financial support when personal hardship hits
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