Dialysis Program Manager Registered Nurse - RN
Company: Fresenius Medical Care
Location: Pearland
Posted on: April 17, 2024
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Job Description:
POSITION FEATURES: Must be an RN with both PD and HHD
experience/training to qualify for the position. Sign-On Bonus of
$7k available for this position PURPOSE AND SCOPE: Manages the
provision of quality patient care in an independent home therapy
program while maintaining cost-effective clinical operations in
accordance with all legal, compliance, and regulatory requirements
and programs. Takes the appropriate actions and makes the necessary
decisions to ensure the continuity of care and patient and staff
safety. Provides direction and guidance to the interdisciplinary
team providing care to the Home Therapy patients to ensure that the
highest standards of care is provided. Collaborates with the
Business Unit management team to grow the assigned Home Therapies
program(s). PRINCIPAL DUTIES AND RESPONSIBILITIES: Manage the
tactical execution of short- and long-term objectives through the
coordination of activities with a direct responsibility for
results, including costs, operational methods, growth, and quality
and staffing. Provide leadership, coaching and development plans
for all direct reports to maintain an engaged and productive
workforce; partnering with Human Resources on employee matters.
Technically proficient in the specific department and knowledge of
industry practice and business principles. Works on issues of
diverse scope where analysis of situation or data requires
evaluation of a variety of factors, including an understanding of
current industry trends. Experienced leadership required for
multi-faceted environment; role primarily focuses on tactical
execution. Receives assignments in the form of objectives and
determines how to use resources to meet schedules and goals.
Program or project responsibility generally within the Home Therapy
Department. Manages the operations of one or more HT Programs,
direct impact within assigned area. Manages the coordination of
activities of a section or department with direct responsibility
for results, including costs, operational methods, and staffing.
Follows processes and operational policies in selecting methods and
techniques for obtaining solutions. Recommends changes to policies
and procedures following company protocol as needed. Ensures that
subordinates follow policy and procedures. Frequently interacts
with supervisors, customers, and/or functional peer group managers,
normally involving matters between functional areas, other company
divisions or units, or customers. Participates and presents at
meetings with internal and external representatives. Often leading
a cooperative effort among members of a project team. Interacts
with internal departments and external customers; particularly in
problem resolution. Acts as an advisor to subordinate(s) to meet
schedules and/or resolve problems. Responsible for hiring, coaching
and counseling employees, including performance reviews,
disciplinary action and terminations. Participates in the
development and implements the area strategic plans, goals and
objectives ensuring alignment with those of the region, division
and company. Implements HT program-specific and area quality goals
and action plans in order to achieve quality standards. Responsible
and accountable for facility maintenance and environmental
integrity. Promotes a culture of safety in assigned market. Provide
technical guidance. Assist with various projects as assigned. Other
duties as assigned. PATIENT CARE: Directs and manages all aspects
of patient care for Home Therapies patients in assigned program
from admission through discharge of the patient. Provides
direction, guidance and support to staff members to ensure the safe
and effective delivery of home therapy support care to patients
with End Stage Renal Disease (ESRD). Ensures that the standard of
dialysis provided is at least equivalent to that provided to
facility patients. Oversees the identification and evaluation of
candidates for the Home Therapies Program including assessment of
patients' home environment if needed. Accountable for timely
completion of patient care plans by organizing meetings of the
health care team to discuss patient care plans and resolve patient
problems. Maintains and communicates efficient and timely patient
schedules to ensure maximization of the facility station
efficiency. Ensures completion of Initial and Annual Nursing
assessment, and ongoing evaluation and documentation of patient
care needs according to FMC Policies and Procedures is completed.
Ensures patients' response to home dialysis treatment therapy is
documented according to company policies and procedures and in
compliance with pertinent regulatory requirements. Ensure
appropriate intervention for changes in patient adequacy status and
troubleshooting peritoneal and access flow issues are completed per
physician orders. Identifies and communicates patient related
issues to the physician. Develops action plans for missed
treatments in collaboration with the Medical Director. Administers
medications as prescribed including algorithm (as appropriate), and
document appropriate medical justification if indicated.
Responsible for the appropriate recording of controlled substances
as required by law. Ensures reports of alert/panic and abnormal lab
results are communicated to appropriate physician. Implements
staffing and medical supply models to ensure provision of quality
patient care. Ensures all educational needs of patient and family
are met regarding End Stage Renal Disease (ESRD). Ensures education
of the patient regarding quality measures, transplant options,
modality awareness, and access care, including vascular catheter
reduction and adherence to treatment regime. Oversees coordination
transplant education and assists in transplant workup process.
Ensures all patients are educated regarding laboratory values and
the relationship to adequate dialysis therapy, compliance with
treatment schedules medications, and fluid as appropriate. Oversees
the safe, effective and timely training of all home patients and
their families/significant others on the safe and effective
operation and maintenance (as appropriate), of all home therapies
equipment Acts as a resource for the patient to address concerns
and questions. Develops a mechanism or process for acquiring and
maintaining knowledge of the specific situation of each patient,
including hospitalizations, and any significant change in patient
care status. In the absence of a Kidney Care Advocate, the HT PM
will manage the delivery of the Treatment Options Program. Manages
and ensures all physician orders are accurately entered into the
Medical Information System and that company policies and government
regulations related to the collection, packaging, and delivery of
lab specimens and reporting of results are followed. Maintains
appropriate skill levels with all emergency operational procedures,
and initiates CPR and emergency measures in the event of cardiac
and/or respiratory arrests when the patient is in the medical
office. STAFF: Manages assigned program Home Therapies licensed
personnel, direct patient care staff, indirect patient care
personnel, and when necessary, technical staff. Provides employee
education and guidance, and performance related feedback through
ongoing informal advice and formally through the annual performance
evaluation. Manages the Home Therapies staffing through the
appropriate hiring, firing and disciplinary actions. Ensures
completion of new hire orientation and training including mandatory
in-services and ICD-9 code training when applicable. Collaborates
with staff to establish personal goals and provides opportunities
for professional growth and training to achieve these goals to
ensure clinical competence. Conducts regular staff meetings to
ensure appropriate communication of area, regional and corporate
initiatives and policies and procedures, to educate and monitor
staff regarding appropriate patient care techniques and other
company and regulatory policies and procedures. Responsible for all
patient care employees receiving appropriate training according to
policy, including training to ensure ongoing compliance with all
risk management initiatives. Ensure documentation completed for all
annual in- service training. Collaborates with all appropriate
departments to promote home therapy growth Provides written
documentation of all disciplinary conferences in accordance with
the established personnel policies, and confer with the Director of
Operations regarding the nature of the disciplinary decisions.
Participates in Corporate and Business Unit specific employee
recognition and satisfaction programs. Creates, maintains and
communicates efficient and timely employee schedules according to
the needs of the facility. Ensure all staff is trained in the
principles and concepts and practice Customer Service Model.
Creates and implements a (CQI) Process Improvement Team that
involves staff in problem solving. Ensures competency of HT
personnel in the operation of all home dialysis therapy-related
equipment, including the ability to troubleshoot equipment problems
with the patient via telephone. Directs staff and patients in the
preventive maintenance of home therapy equipment, including water
systems and analyses as appropriate. 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. Employees are required to take the Ishihara's Color
Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The
Company will consider whether reasonable accommodations can be
made. Day to day work includes desk and personal computer work and
interaction with patients, facility staff and physicians. Travel
required between assigned facilities and various locations within
the region. Travel to regional, Business Unit and Corporate
meetings may be required. 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. SUPERVISION: Responsible for the direct
supervision of various levels of Home Therapies RN, Home Therapies
LPN, HT Coordinator and HT PCT. May also have supervisory role over
technical as necessary and assigned. EDUCATION: Graduate of an
accredited School of Nursing (R.N.) Advanced education preferred.
Current appropriate state licensure. EXPERIENCE AND REQUIRED
SKILLS: Minimum of one year nursing experience plus a minimum of
six months dialysis nursing experience. 3+ years' supervisory or
project/program management experience preferred. 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. Competent at operating all
Home Therapies related equipment. Must be available as a fulltime
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. Successfully complete CPR Certification with maintenance as
required. EO/AA Employer:
Minorities/Females/Veterans/Disability/Sexual Orientation/Gender
Identity - Fresenius Medical Care North America maintains a
drug-free workplace in accordance with applicable federal and state
laws.
Keywords: Fresenius Medical Care, Pearland , Dialysis Program Manager Registered Nurse - RN, Executive , Pearland, Texas
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