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Dialysis Manager

Location: Austin, TX
Job # 11446946
Date Posted: 10-04-2018
The essential functions listed are not a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. 

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.
• Patient Care Conferences
   Responsible for monthly management of interdisciplinary team care conferences.
• 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. Provides data as required by the Renal Network Environmental/Vaccination Scans.
• Renal Network Compliance
Follows guidelines and goals in accordance with the legislative mandate for the ESRD  Network Program.
• Governing Body Meetings
The Center Manager is a member of the local governing body and is responsible for the direct supervision of all aspects of the center operations and serves as the designated Administrator for the center. Meetings shall be held according to the Governing Body and Center Governance Policy.
Personnel Management:
• Staffing
Promotes a teamwork approach by offering information, advice, and assistance to all unit  staff members in a positive, courteous, and cooperative manner. Assists in staff scheduling and interprets staffing policies. Arranges coverage for unscheduled absences.
• Staff Meetings
Responsible for conducting monthly staff meeting to address any areas of concern and to  ensure proper communication between all staff members.
• Focal Reviews
Participates in evaluations. Supervises, evaluates, and determines clinical competency in conjunction with the Territory Director.
• Policy and Procedure
Provides oversight of policies and procedures and acts on non-compliance including  notifying the Territory 
Director. Ensures staff documents thoroughly and correctly. Effectively communicates new policy and procedure updates.

Fiscal Management:
• Supplies
Ensures proper use of supplies to minimize waste. Oversees adequate supply stock, and  communicates needs to the in-center Technical Supervisor or home program Technical Program Coordinator.
• Budget
Monitors operating and capital budget to ensure containment of controllable costs. 

Facility Management for Home Centers:
• Facility maintained in good repair
• Equipment maintained and safe
• Responsible for communicating request/needs to Technical Program Coordinator

• Understands legal consequences of nursing actions, both immediate and long term. Adheres to all policies found in the Employee Conduct Expectations (i.e. dress code,  professionalism, etc.) found in the Employee Handbook (provided upon offer).
• Contributes to harmonious and constructive working relationships with all staff members.

Job Requirements 
  • Graduate from an accredited nursing school
  • Current Texas or compact State RN License in good standing
  • Dialysis Manager experience required
  • Acute dialysis experience strongly desired
  • CNN Preferred
  • BLS and/or ACLS certification required
  • Able to work independently while striving for the best in patient care
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