Registered Nurse, Operational Excellence

The Operational Excellence Nurse provides holistic care to patients with kidney disease. As a National Float Pool employee, the position encompasses the administrator, Clinical Coordinator, charge Nurse or Registered Nurse role dependent on need. The position performs patient care and other duties assigned including supervision of Patient Care Tecnicians. The position reports to the director of operations and/or the first line in the facility/regional management team which may be a charge Nurse, Clinical Coordinator, administrator, area director regional director, or Vice President of operations dependent upon region/demographics.

Essential Duties and Responsibilities includes the following, and other duties and tasks as assigned.

• Develop and implement processes for program growth in accordance with Company goals.
• Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels.
• Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.
• Demonstrate effective use of staff labor hours and facility supplies.
• Perform duties as assigned to meet the patient care or operational needs of the clinic.

• Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting.
• Promote/Assist in quality management program through education and involvement of staff and patients in outcomes to achieve corporate goals for quality initiatives. Leads/Assists with, QAPI meetings and quality improvement committees.
• Coordinate/Assist in the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare.
• Complete audits to ensure EMR maintains chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals.
• Achieve/Assist in program’s target goals for patient outcomes in accordance with quality patient care and Company goals.
• Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician
• Assist with the implementation of anemia management, medication protocols and all organizational quality initiatives as requested.
• Provide patient/staff education and provide referrals for further guidance as needed.
• Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements.
• Assist/Develop, in implement and follow up necessary Corrective Action Plans for internal and external surveys.
• May assume Charge Nurse, Clinic Coordinatore or Facility Administrator responsibilities as needed.
• May fulfill responsibility of facility CEO as delegated by Governing Body.
• Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly.
• Assure that Quality Assessment & Performance Improvement Program is current at all times.
• Perform duties at all times within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations.
• Complete patient admission process as outlined in policy and procedure, collaborating with team members regarding real or potential problems or needs relative to the treatment provided.
• Complete pre and post treatment physical assessments.
• Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites per protocol.
• Set up dialysis machines; report machine problems to biomedical technician and/or clinic’s Administrator as appropriate.
• Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures.
• Participate in infection control monitoring, implementation, and recording as requested.
• Use personal protective equipment as necessary.
• Be familiar with emergency equipment and all emergency operational procedures.
• Demonstrates effective staffing, as appropriate with staffing ratios per state regulations and effective patient care, under the direction of the Administrator.
• Regular and reliable attendance is required for the job.
• Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center.
• Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations.
• Oversee the maintenance of equipment and supplies to meet current laws and regulations.
• Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly.
• Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center.
• Know and understand the water treatment and mechanisms of the equipment of the facility.

• Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations.

• Recruit, train, develop, and supervise all personnel.

• Support employee organizational education annually and as assigned.

• Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.

• May delegate tasks to competent licensed and unlicensed staff per applicable state practice act.

• Effectively communicates expectations; accepts accountability and holds others accountable for performance, development, organizational initiatives and outcomes.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• Must possess an Associates degree in Nursing: Bachelors degree in Nursing preferred.
• Demonstrated ability to function in a leadership position and to perform in new and emergent situations with demonstrated analytical skills, sound judgement and critical thinking skills.
• Strong time management, organizational skills and ability to manage multiple workflows required.
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
• Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire.
• Current RN license in applicable/multiple states. All licenses must be maintained as current and in good standing. Must obtain applicable state license, based on assignment, within state specified time frames.
• 18 months of nursing experience and 6 months experience in dialysis preferred.
• CPR certification required within 90 days of hire or as required by the state.
• Confirmation of ability to distinguish all primary colors.
• Ability to travel nationally as needed; assignments may be 6 weeks or more, Flexible/rotating shifts required.
• Must meet any practice requirement(s) for the applicable state.
• Ability to meet minimum hospital/agency hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.
• Maintain organizational education training annually and as assigned.