Clinical Manager (Dialysis Center)

Dialysis Center - ABHS/Fresinius Whiteriver, Arizona











STATEMENT OF JOB:  Supports NBDC’s mission, vision, core values and customer service philosophy. Adheres to NBDC’s Compliance Program, including following 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 the NBDC Compliance Program, and NBDC 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.




  • Responsible for driving the NBDC 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.




  • Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of QAI tools.
  • Implements NBDC’s quality goals and develops facility specific action plans in order to achieve NBDC quality standards.
  • Accountable for outstanding quality of patient care, as defined by the NBDC quality goals, by working with NBDC Clinical Services Department to ensure that NBDC policy and procedure is followed.
  • Responsible for implementing appropriate training according to NBDC policy, including training to ensure ongoing compliance with all NBDC risk management initiatives.
  • Responsible for aggressively addressing and acting on adverse events and action thresholds.
  • Oversees facility’s Home Therapies Program if applicable.
  • Accountable for compliance with all applicable federal, state, and local laws and regulations.
  • Ensures all NBDC Clinical Quality policies and procedures are communicated to and implemented by the facility staff.
  • Maintains integrity of medical records and other NBDC 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 education of the patient 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.
  • Accountable for timely completion of patient care assessments and care plans.
  • Directs initiation, maintenance, and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
  • 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.
  • Acts as the initial RN Case Manager for disease management patients. Plans, coordinates, and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility.
  • Works with payor case managers to facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team.
  • Communicates changes in patient status regarding clinical, insurance, travel, and transportation issues to disease management staff.
  • Maintains current knowledge of disease management software and systems as pertinent.




  • Responsible for implementation of NBDC 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 and training including mandatory in-services and ICD-9 code training when applicable.
  • 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 NBDC policy, including training to ensure ongoing compliance with all NBDC 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 NBDC benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
  • Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.
  • 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.
  • Participates in employee recognition and satisfaction programs.
  • Ensures a strong communication and educational process with facility staff, including communication of NBDC initiatives and policies and procedures to staff.
  • Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility.
  • Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving.




  • Facilitates the application process for physician privileges and compliance with NBDC Medical Staff By-Laws.
  • 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.
  • Schedules and coordinates CQI meetings with physicians.


Maintenance / Technical:


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




  • Other duties as assigned.


Physical Demands & 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 may require travel between the facility 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.




  • Graduate of an accredited School of Nursing (RN).
  • Current Arizona licensure.
  • Advanced education preferred.


Experience & Required Skills:


  • Minimum of 12 months experience in clinical nursing is required.
  • Experience in med/surg or ICU/CCU is preferred.
  • Minimum of 6 months chronic or acute dialysis nursing experience 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.
  • Must complete Clinical Manager training modules and ongoing developmental programs within the specified timeline.




  • Internal Contacts: Clinic management team (medical, corporate, administrative, and technical).
  • External Contacts: external agencies including hospitals, non-affiliated physicians, and government agencies, as appropriate.




  • Clinical direct and indirect patient care staff.
  • Review and comply with NBDC’s Code of Business Conduct and all relevant NBDC policies and procedures, and applicable local, tribal, state, and federal laws and regulations.
  • Ensure that employees understand and comply with the Code of Business Conduct and all-relevant NBDC policies and procedures, and applicable local, tribal state, and federal laws and regulations, and establish effective internal systems and controls to promote such compliance.
  • The duties listed in this job description are intended only as illustrations of the various types of work that may be performed.
  • The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.


  1. MS Office proficiency.
  2. Excellent written and oral communication skills; ability to speak the Apache language preferred.
  3. Knowledge of applicable federal, state, and tribal labor laws and regulations.
  4. Must follow all ABHS personnel policies and procedures as established by the ABHS Governing Board.
  5. Valid Arizona Driver’s License and reliable transportation.
  6. Ability to pass all pre-employment testing, including, but not limited to, fingerprint clearance and background check.


Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. 

**NOTE: Preference in filling vacancies is given to qualified Indian candidates in accordance with the Indian Preference Act (Title 25, U.S. Code, Section 472 and 473).




The physical characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.


Constant: standing. Frequent: repetitive use of hand, walking, standing, bending neck and waist, squatting, climbing, kneeling, twisting neck and waist, simple grasping of left and right hand, power grasping right and left hand, fine manipulation right and left hand, pushing and pulling right and left hand, reaching above shoulder level, reaching below shoulder level, lifting objects weighing up to 25 pounds from below the waist to a height of 3 feet. 


Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Employment is considered “at will” and agree that employment can be terminated with or without cause and with or without notice at any time at the option of either the employee or the company.