Clinical Manager – Dialysis

New Directions Staffing

We are working with a leading dialysis company who has a need for a permanent clinical manager. This is a full time direct hire position.

This position entails: 

Patient Management:

• Patient Care Supervision

Understands basic renal function and the consequences of renal failure. Observes and records patient’s responses to renal failure and its treatment. Directs and supervises the care of the patients on dialysis. Performs thorough patient assessments as evidenced by documentation.

• Critical Results/Situations

Uses professional discretion in critical or emergency situations and directs the necessary intervention. Recognizes changes in patient’s condition on dialysis and makes necessary adjustments in their therapy. Notifies the physician, providing the appropriate information, and implements physician’s orders.

• Patient Schedule

Provides oversight of the patient schedule and makes staff assignments based on priorities for patient care and skill level of the staff, maintains on-call schedule for home programs with 24/7 call support. Consistently reviews and evaluates patient priorities as changes occur in the condition of the patient or center. Directs staff in work assignments to address these changes.

• Patient Admissions and Discharges

Verifies the accuracy and safety of all orders, implements them and/or delegates to appropriate staff. Ensures discharge management is accurate and complete.

• Access Management

Leads the VAL team and ensures consistent, timely monitoring and verifies appropriate action of identified problems. Collects Infiltration Reports, ensures infiltration instructions are delivered, and notifies MD as appropriate.

• Anemia Management

Provides routine oversight and assures appropriate action of critical lab values. Assumes responsibility in the absence of the Anemia Manager.

• Adequacy Management

Sets the admission dialysis prescription per MD approved Adequacy Protocol for new admissions. Assembles the monthly adequacy team including, but not limited to, the Dietician and Center Manager to discuss what aspects of the treatment can be modified to correct deficiencies in the delivery of dialysis.

• Patient Rounding

Implements routine rounding of patients to proactively identify needs and concerns of in-center patients. For home programs, patient needs and concerns will be evaluated at point of service. Ensures the confidentiality of patient and employee information.

• Incident Reports

Responsible for the review and analysis of internal incident reports and reports significant incidents promptly to the Territory Director. Aggregates data to identify trends in accordance with the QAPI program.

• Medical Record Management

Assumes responsibility for the overall supervision and management of the medical records as outlined in the Operational Policy and Procedures manual. Responsible for accuracy, completeness and timeliness of all data entry including Crown Web data.

Center Management:

• Quality Assessment Performance Improvement

A required member of the QAPI team who monitors aggregate clinical outcome data to identify trends, analyze root causes and implement interventions to correct real and/or potential problems in the center. Responsible for oversight of QAPI projects related to identified problems.

• Infection Control and Vaccinations

Ensures employee compliance with all infection control policies and procedures to prevent and control infections. Maintains neat and clean environment. Ensures all infections are correctly documented (including NHSN reporting as required) and appropriate care is rendered per protocol or MD order. Provides oversight of patient vaccinations including Hepatitis B, Seasonal Flu, and Pneumonia.


Education: Graduation from an accredited school of nursing or equivalent, BSN preferred

Experience: Two (2) years of Clinical Manager experience or two (2) years of Satellite Clinical Coordinator experience; Three (3) years hemodialysis nursing experience

License/Certification: Current Registered Nurse (RN) license within state of practice; CNN or CDN certification or within 1 year of eligibility; Current CPR certification.

• Maintains professional competence via continuing education

• Ability to read, write, speak, understand and satisfactorily communicate in English

• Proficient computer skills – e.g. Outlook, Word

• Effectively demonstrates leadership competencies

• Critical thinker

• Effective delegator

• Effective quality manager/accountable for outcomes

• Integrates clinical knowledge and leadership skills into practical action

• Facilitates collaborative relationships, customer–focused

• Effective in staff and patient education

• Effective coach and mentor

• Able to effectively use quality process to meet clinical goals

• Strong regulatory knowledge

• Ability to partner with MD’s

• Demonstrates fiscal accountability, quality management and strategic planning skills

• Demonstrates ability to take a broad view of issues considering both short and long term perspective