U.S. Renal Care
Plano, Texas
SUMMARY The Director of Clinical Services plans, coordinates, implements high quality care through analysis and evaluation of multiple methods and tools that measure quality, such as the Network Performance Measures, USRC Clinical Quality Reports, policies, procedures, and directives. This position assumes a proactive role in adhering to guidelines, policies, procedures, and directives and collaborates with Clinical Specialists, Facility Administrators, and clinic staff to ensure compliance with company policy, Federal and State agencies. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH Oversight of guidance provided to the facility teams by the Clinical Specialists within assigned regions. Work with regional operations management to assist with the opening of denovo facilities and transitioning acquired facilities. Evaluate trends in clinical data and provide guidance to Clinical Specialists to prepare for educating the facility staff on the effective and efficient use of company resources, (i.e. supplies), safety and risk reduction, and the best methodologies to achieve. Evaluate readmissions, hospitalizations, and catheter rates to identify opportunities to improve treatment rates and decrease infections and missed treatments. Work with Clinical Specialists toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives. OUTCOMES Develop, implement, and monitor quality of care processes for program regulatory compliance in accordance with Company goals. Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations. Review audits performed by Clinical Specialists in assigned facilities. Ensure findings are reported to the Facility Administrator and regional management teams and POC is developed and implemented appropriately. Report delays in the execution of the POC to the VP of Clinical Services and RVP as indicated. Assist with the development of quality goals and measures by reporting field requests and trends in data to the VP of Clinical Services. Responsible for positively impacting clinical outcomes by working collaboratively with the clinical and local management. Oversee Clinical Specialists in achieving program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics. OPERATIONAL READINESS Knowledge of and remain current with technology, federal, state, local laws and regulations. Knowledge of state specific education requirements. Collaborate with policy development committee with the purpose of developing state specific policies, where indicated. Assist Clinical Specialists as needed to support clinics with remaining in compliance with all applicable federal, state, and local laws and regulations by conducting internal clinical audits. Ensure audits are scheduled in an efficient manner taking travel, the clinic's regulatory health and required resources into consideration. Provide guidance to local/regional teams and Clinical Specialists in the implementation of the ESRD Emergency Preparedness regulations. Provide written follow up on any deficiencies for all internal audits and state and federal surveys to Facility Administrator, RVP and VP of Clinical Services. Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards. Report issues to Facility Administrators and regional management. May participate in Policy and Procedure committee to create and maintain clinical, education and QAPI policies. Review regional trends in Incident Reports and identify educational opportunities in response to identified patterns. Ensure the process for reporting events to the state(s) are effective, where indicated. Evaluate types, frequency and facilities required to complete Network projects. Ensure Clinical Specialists offer education to address if patterns exist. Participate in actual disaster planning and response team efforts as needed. Support Clinical Specialists and collaborate with Home department leadership to assess how the Clinical Services team can assist. Discuss need for policy/procedure revisions with VP of Clinical Services. Serve as the regional resource person for involuntary discharges (IVD) and managing grievances. Ensure VP of Clinical Services aware of all IVDs and grievances that cannot be resolved at the local level. Be familiar with emergency operational procedures. Use appropriate safety measures including personal protective equipment, as necessary. Be familiar with OSHA regulations. PARTNERSHIPS Understand, lead, and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. Communicate with VP of Clinical Services and regional management on a consistent basis regarding the status of each clinic in the region. Maintain collaborative working relationship with Facility Administrators and regional management. Partner with Facility Administrator(s) and regional management to ensure clinic needs are met. Acts as liaison with Medical Directors and physicians to coordinate quality patient care. Maintain a positive/collaborative relationship with physicians, state agencies and the community. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION Identify specific training needs of assigned region and communicate findings to VP of Clinical Services. Developed corporately and included in CS JD. Develop and implement clinic based in-service programs as directed or requested. Developed corporately and included in CS JD. Responsible for professional development of each Clinical Specialist in assigned region including appropriate orientation to the role upon hire. Supervise the hiring of clinical services staff as needed in collaboration with VP of Clinical Services and Human Resources Department. Maintain effective personnel management and employee relations, including evaluating the performance of all Clinical Specialist personnel; approving and submitting time worked and counseling and disciplining employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Effectively communicates expectations; accepts accountability and holds others accountable for performance. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Current RN or LVN/LPN license in applicable state. License must be maintained as current and in good standing. Minimum of two (2) to five (5) years prior clinical/dialysis management experience of a multi-site health care provider. Three (3) years' experience with performing adult education preferred; knowledge of creative solutions to the challenges of adult learning, education and continuing education is required. Must have extensive knowledge of dialysis industry standards and regulations governing ESRD facilities. CNN or CHN certification required within two (2) years of accepting position. CPR certification required within 90 days of hire. Valid driver' license in applicable state. License must be maintained as current, without restrictions and good driving record. Excellent leadership, team building and coaching skills. Strong public relations skills for dealing with physicians, agencies, surveyors, etc. are valuable. Demonstrated analytical and problem-solving skills are required. Ability to read, analyze and write reports. Ability to manage multiple projects and direct reports in multiple locations. Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire . All Full Time employees are eligible for the following benefits: Medical / Pharmacy Dental Vision Voluntary benefits 401k with employer match Virtual Care Life Insurance Voluntary Benefits PTO All Part Time employees are eligible for the following benefits: 401k with employer match PTO
SUMMARY The Director of Clinical Services plans, coordinates, implements high quality care through analysis and evaluation of multiple methods and tools that measure quality, such as the Network Performance Measures, USRC Clinical Quality Reports, policies, procedures, and directives. This position assumes a proactive role in adhering to guidelines, policies, procedures, and directives and collaborates with Clinical Specialists, Facility Administrators, and clinic staff to ensure compliance with company policy, Federal and State agencies. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH Oversight of guidance provided to the facility teams by the Clinical Specialists within assigned regions. Work with regional operations management to assist with the opening of denovo facilities and transitioning acquired facilities. Evaluate trends in clinical data and provide guidance to Clinical Specialists to prepare for educating the facility staff on the effective and efficient use of company resources, (i.e. supplies), safety and risk reduction, and the best methodologies to achieve. Evaluate readmissions, hospitalizations, and catheter rates to identify opportunities to improve treatment rates and decrease infections and missed treatments. Work with Clinical Specialists toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives. OUTCOMES Develop, implement, and monitor quality of care processes for program regulatory compliance in accordance with Company goals. Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations. Review audits performed by Clinical Specialists in assigned facilities. Ensure findings are reported to the Facility Administrator and regional management teams and POC is developed and implemented appropriately. Report delays in the execution of the POC to the VP of Clinical Services and RVP as indicated. Assist with the development of quality goals and measures by reporting field requests and trends in data to the VP of Clinical Services. Responsible for positively impacting clinical outcomes by working collaboratively with the clinical and local management. Oversee Clinical Specialists in achieving program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics. OPERATIONAL READINESS Knowledge of and remain current with technology, federal, state, local laws and regulations. Knowledge of state specific education requirements. Collaborate with policy development committee with the purpose of developing state specific policies, where indicated. Assist Clinical Specialists as needed to support clinics with remaining in compliance with all applicable federal, state, and local laws and regulations by conducting internal clinical audits. Ensure audits are scheduled in an efficient manner taking travel, the clinic's regulatory health and required resources into consideration. Provide guidance to local/regional teams and Clinical Specialists in the implementation of the ESRD Emergency Preparedness regulations. Provide written follow up on any deficiencies for all internal audits and state and federal surveys to Facility Administrator, RVP and VP of Clinical Services. Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards. Report issues to Facility Administrators and regional management. May participate in Policy and Procedure committee to create and maintain clinical, education and QAPI policies. Review regional trends in Incident Reports and identify educational opportunities in response to identified patterns. Ensure the process for reporting events to the state(s) are effective, where indicated. Evaluate types, frequency and facilities required to complete Network projects. Ensure Clinical Specialists offer education to address if patterns exist. Participate in actual disaster planning and response team efforts as needed. Support Clinical Specialists and collaborate with Home department leadership to assess how the Clinical Services team can assist. Discuss need for policy/procedure revisions with VP of Clinical Services. Serve as the regional resource person for involuntary discharges (IVD) and managing grievances. Ensure VP of Clinical Services aware of all IVDs and grievances that cannot be resolved at the local level. Be familiar with emergency operational procedures. Use appropriate safety measures including personal protective equipment, as necessary. Be familiar with OSHA regulations. PARTNERSHIPS Understand, lead, and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives. Communicate with VP of Clinical Services and regional management on a consistent basis regarding the status of each clinic in the region. Maintain collaborative working relationship with Facility Administrators and regional management. Partner with Facility Administrator(s) and regional management to ensure clinic needs are met. Acts as liaison with Medical Directors and physicians to coordinate quality patient care. Maintain a positive/collaborative relationship with physicians, state agencies and the community. Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. Respond effectively to inquiries or concerns. STAFF DEVELOPMENT/ RETENTION Identify specific training needs of assigned region and communicate findings to VP of Clinical Services. Developed corporately and included in CS JD. Develop and implement clinic based in-service programs as directed or requested. Developed corporately and included in CS JD. Responsible for professional development of each Clinical Specialist in assigned region including appropriate orientation to the role upon hire. Supervise the hiring of clinical services staff as needed in collaboration with VP of Clinical Services and Human Resources Department. Maintain effective personnel management and employee relations, including evaluating the performance of all Clinical Specialist personnel; approving and submitting time worked and counseling and disciplining employees. Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. Effectively communicates expectations; accepts accountability and holds others accountable for performance. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include: Current RN or LVN/LPN license in applicable state. License must be maintained as current and in good standing. Minimum of two (2) to five (5) years prior clinical/dialysis management experience of a multi-site health care provider. Three (3) years' experience with performing adult education preferred; knowledge of creative solutions to the challenges of adult learning, education and continuing education is required. Must have extensive knowledge of dialysis industry standards and regulations governing ESRD facilities. CNN or CHN certification required within two (2) years of accepting position. CPR certification required within 90 days of hire. Valid driver' license in applicable state. License must be maintained as current, without restrictions and good driving record. Excellent leadership, team building and coaching skills. Strong public relations skills for dealing with physicians, agencies, surveyors, etc. are valuable. Demonstrated analytical and problem-solving skills are required. Ability to read, analyze and write reports. Ability to manage multiple projects and direct reports in multiple locations. Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire . All Full Time employees are eligible for the following benefits: Medical / Pharmacy Dental Vision Voluntary benefits 401k with employer match Virtual Care Life Insurance Voluntary Benefits PTO All Part Time employees are eligible for the following benefits: 401k with employer match PTO
Fresenius Medical Care
Inglewood, California
Weekly schedule will include MWF & Th (10+ hour days). PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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 position requires travel between assigned facilities and various locations within the community. 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. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work 17perience, skills, and competencies. Hourly Rate: $23 - $72 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." Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans
Weekly schedule will include MWF & Th (10+ hour days). PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. 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 position requires travel between assigned facilities and various locations within the community. 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. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. "The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work 17perience, skills, and competencies. Hourly Rate: $23 - $72 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." Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans
