CLINIC MANAGER FLSA Status: Non-Exempt Exempt Approved Date: January 1 2019 PURPOSE The Clinic Manager is responsible for the safe and timely delivery of all patient care and technical procedures at the assigned OPKC facility. The related responsibilities include continuously staffing the facility with qualified, properly trained personnel; ensuring safety; maintaining proof of all necessary licenses and certifications for the employees and the facility; coordinating and scheduling patient care both within the facility and by referrals to other providers; maintaining employee and patient records; effectively communicating with patients and staff; and developing and implementing systems and procedures to ensure the safe, continuous quality improvement of all OPKC patients receiving dialysis services at assigned facility, effective and efficient operation of the facility. The Clinic Manager assumes these responsibilities twenty-four hours per day and responds immediately when needed, either directly and in person, or by delegation to other adequately trained and authorized supervisory staff. The Clinic Manager will supervise all OPKC staff at the assigned facility and works in collaboration with the OPKC Administrator, Director, Clinical Services, Medical Directors and other members of the OPKC management team. Supervisor: Director, Clinical Services QUALIFICATIONS Education: ? Degree from an accredited school of nursing. ? Bachelor’s degree in nursing preferred. Experience: ? Minimum two year’s work experience as a Registered Nurse. ? Minimum two year’s dialysis experience at an approved ESRD facility. ? Must have previous charge nurse experience. ? Previous nurse management experience preferred. License/Certification: ? Current RN license in the state of Washington. ? Current certification of Cardio Pulmonary Resuscitation (CPR) with a Basic Life Support (BLS) for Healthcare Providers card. ? National certification as CHN, CNN, CDN, or CPDN preferred. Obtain within 1 year of employment. Skills, Knowledge, Abilities: ? Must be neat and well groomed, able to write legibly, and follow oral and written instructions. ? Must demonstrate strategic leadership and critical thinking skills. Must adhere to and model the OPKC Culture: integrity, compassion, accountability, respect, and excellence in the execution of all leadership responsibilities and interactions with patients, caregivers, visitors, medical providers, and staff. ? Meets all other qualifications and requirements in OPKC Dialysis Nurse and Charge Nurse job descriptions. ? Demonstrates the highest personal and professional standards and expects similar standards for staff. ? Meets all other qualifications and requirements in OPKC Dialysis Nurse and Charge Nurse job descriptions. ? Possesses the willingness, ability and strength to inspire and instill similar standards in coworkers and is able to intervene effectively when needed to enforce these standards. ? Language Skills: Able to read, analyze and accurately interpret professional journals, technical procedures and government regulations. OLYMPIC PENISULAR KIDNEY CENTERS JOB DESCRIPTION ? Able to write reports, business correspondence, policies and procedures. ? Possesses the verbal skills to effectively communicate with employees, patients, physicians, other healthcare providers, and the general public, whether individually or in group discussions. ? Math Skills: Able to accurately calculate figures and amounts using basic algebra and geometry formulae to derive medication doses, proportions, percentages and volumes. ? Reasoning Ability: Able to identify and define problems, collect data, establish facts and draw valid conclusions. Able to accurately interpret an extensive variety of technical instructions in written, mathematical or diagrammatic form. Effectively analyze multiple abstract and concrete variables. ? Computer Skills: Able to communicate effectively and professionally using word processing programs and email. Able to complete required data collection using spreadsheets. Identify, assess, and resolve problems in a timely fashion. ? Develop and maintain effective working relationships with all individuals encountered in the work environment. ? Maintain up-to-date records in a neat and orderly manner. ? Consistent ability to approach work requirements in a constructive manner. ? Understand, adapt to, apply, and effectively communicate policy and procedural changes. ? Read, write, speak, and understand English for the purpose of following written policies and procedures, documentation, and communicating with others in a work setting. ? Approach work requirements in a consistent, well-organized, timely, and team-oriented manner. ? React calmly and effectively in emergency situations. ? Maintain high professional standards. ? Work with people in a caring, tactful, and diplomatic manner. ? Consistently arrive at work on time and maintain excellent attendance. Physical Demands: ? Viewing a computer screen for four or more hours at a time. ? Required to stand and walk for long periods of time. ? Lifting, positioning, or physically moving patients. ? Pushing patients and other medical equipment. ? Hearing acuity, within correctable to normal range, to communicate effectively with others, to discern changes in patient conditions and to hear equipment alarms. ? Frequently reaching, bending, kneeling, or stooping, and other range of motion activities. ? Lifting 30-50 lb. containers or boxes with or without assistance. ? Manual dexterity sufficient to manipulate medical records, equipment, and perform other essential job functions. ? Identify colors of medication and/or solutions, interpret typed or handwritten documentation, and identify labels appropriately. ? Near visual acuity is needed to perform various clinical tasks. ? Talking and hearing are necessary for communication with patients, staff, and others. Mental Demands: ? Occasional stress from dealing with ill people. ? Determining and communicating departmental needs. ? Following complex clinical procedures, protocols, and algorithms. ? Occasional stress due to work demands. ? Analyzing data for accuracy. OLYMPIC PENISULAR KIDNEY CENTERS JOB DESCRIPTION ? Reading diagnostic results. ? Evaluating appropriateness of documentation. ? Computing numerical data. ? Interpret laboratory reports of test results. ? Apply educational and practical experience to perform accurate and complete assignments. Other Requirements: ? Knowledgeable in the operation of equipment and supplies used in caring for the dialysis patient. ? Successfully complete mandatory in-service trainings. ? Comply with all OPKC and departmental policies and procedures. ? Knowledgeable in the operation of equipment and supplies used in caring for the dialysis patient. ? Maintain confidentiality of patient, employee, and OPKC information at all times. ? Ensure that all information and conversations regarding patients are kept confidential. ? Support the patient’s right to safety, privacy, and confidentiality. ? Maintain current knowledge of patients and the care provided by the OPKC. ? Adhere to OPKC general administrative, human resources, and departmental policies and procedures and uphold the standard of professional nursing practice. ? Continue to improve professional competence through reading and understanding related literature, attendance at OPKC in-services and external conferences. ? Maintain professional relationships and boundaries with patients. ? Dedication to professionalism, maturity, caring, and diplomacy. Work Habits: Attentive to detail Accurate Positive team player Dependable Punctual Meet assigned deadlines Self-motivated Thorough Maintain neat and orderly work area Equipment & Software Used: ? Dialysis machines. ? Various equipment and supplies related to the dialysis process. ? Computer utilizing Microsoft Office. ? Multi-line telephone. ? Standard Office equipment (copy machine, scanner, calculator, typewriter, etc.). ? Standard office supplies (stapler, file folders, etc.). ? Other equipment and tools necessary to perform the functions of the position. Work Environment: ? Regularly exposed to the risk of bloodborne, respiratory, and airborne diseases. ? Exposure to industrial and pharmacological hazards as defined in various Safety Data Sheets. ? Contact with patients under a wide variety of circumstances, including unpredictable situations. ? The work environment is a combination of a relatively quiet office and busy treatment areas. ESSENTIAL DUTIES AND RESPONSIBLITIES Patient Care: ? Performs, demonstrates and teaches all patient care and technical procedures as needed. Fills in as a Dialysis Nurse or Charge Nurse when necessary. OLYMPIC PENISULAR KIDNEY CENTERS JOB DESCRIPTION ? Takes any immediate action required to ensure the safety of anyone in the facilities. Identifies potential hazards and initiates corrections. ? Counsels and advises patients regarding their current care and care options. Mediates and effectively addresses patient concerns and complaints. Documents as needed. ? Supervises and participates in patient orientation and education. ? Participates in the timely evaluation of patients for transplantation and home dialysis referrals. Ensures necessary follow-up is completed. ? Monitors Interdisciplinary Patient Assessments and Plans of Care for timely completion and accuracy, delegating tasks as needed. ? Attends patient care conferences when available. ? Reviews and approves the patient dialysis schedules, adjusting as needed. ? Ensures every patient is informed of his/her rights and responsibilities at OPKC, and that they have been informed of the internal and external grievance procedures through the facility and the Northwest Renal Network. Sees that this is reviewed with each patient annually. ? Ensures that every patient is treated with respect, courtesy and professionalism at all times at OPKC. Ensures all patients' rights to privacy through adherence to HIPAA and other regulations. ? Responsible for developing and implementing policies, procedures, protocols and orders as approved by Administrator, COO and Medical Directors. ? Supervises, monitors and participates in all OPKC services and programs, including but not limited to: ? Outpatient dialysis ? Administration of medications ? New patient orientation ? Vascular access ? Anemia management ? Dialysis adequacy ? Iron stores ? Nutrition ? Medical records ? Laboratory testing, reporting and recording ? Emergency services and disaster planning ? Transportation ? Ensures the safety, effectiveness and availability of equipment and technical systems required by the facilities through periodic consultations with the Operations Coordinator and periodic review of equipment records and incident reports. ? Establishes and maintains a system that ensures and facilitates the transfer of patients into and out of the facility. ? Monitors and periodically reviews all patient charts to ensure accurate completion according to OPKC procedures and generally accepted practices. ? Makes rounds with physicians when requested. ? Establishes and maintains a good working relationship with all physicians on medical staff. Takes physician orders, instructions and calls, and intervenes when necessary to maintain effective working relationships between physicians and OPKC staff. ? Participates in on-call rotation to take and respond to after-hours patient calls if needed. OLYMPIC PENISULAR KIDNEY CENTERS JOB DESCRIPTION Staff Related: ? Maintain strict adherence to infection control practices including handwashing, aseptic technique, and use of personal protective equipment (PPE). ? Recruits, interviews and selects employees for approved positions, involving other staff when appropriate. ? Responsible for ensuring employees are trained using OPKC approved materials, plans, schedules and tests required for employee orientation and training. Coordinates all training, using other staff as needed and participating directly. Ensures all training is documented. ? Responds to all staff requests for assistance, information and advice needed to ensure good patient care. ? Circulates through the dialysis unit daily, observing and interacting with dialysis staff. Spends such time as is necessary to be considered helpful and accessible to staff. ? Always treats staff with respect and courtesy. ? Assists in the maintain system to record and track all necessary employee data, including but not limited to: ? Current licenses and renewal dates ? Vaccinations and periodic medical tests ? CPR certifications and renewal dates ? Counseling and disciplinary actions ? Attendance record ? Performance evaluations ? Protects the confidentiality of all sensitive employee information, verbal and written. ? Ensures employees maintain accurate and timely documentation into patients’ Electronic Medical Record ? Completes and ensures the timely processing of Personnel Action Forms for all indicated changes, including changes in salary, employment status and selected insurance coverage. ? Develops the monthly staff schedule in concert with other OPKC Clinic Managers and Director, Clinical Services and posts in a timely manner. ? Accepts, reviews and processes PTO requests in a timely manner. Acknowledges receipt of all requests and conveys the status of each request to the employee within a week of receipt. ? Assists in development, implementation and participates as requested in a program of continuing staff education. ? Organizes, schedules and presents periodic staff meetings to obtain staff input and inform staff about changes and any active issues. ? Through direct observation and frequent contacts with the Charge Nurses, Clinical Coordinator, patients and physicians, ensures staff compliance with approved policies and procedures, safety standards and generally accepted good medical practices. Follows OPKC policies to teach, advise, counsel, warn and discipline employees as needed to ensure compliance. Documents actions in personnel files when indicated. Follows up on actions with additional observation and discussion. ? Conducts and completes annual performance-based employee evaluations on subordinates. ? Monitors staffing levels and patient census and makes staffing recommendations to the Director, Clinical Services. Strives to identify the need for additional positions before they are critically needed. ? Participates in the development, scheduling and staffing of on-call nurse coverage for the facilities' patients and for after-hours staff scheduling changes. OLYMPIC PENISULAR KIDNEY CENTERS JOB DESCRIPTION Other Functions: ? Knows and understands current Federal Part 405, 410, 413 et al, Conditions for Coverage for EndStage Renal Disease Facilities. Regularly monitors compliance. ? Knows and understands current CMS Interpretive Guidelines - End Stage Renal Disease Facilities. Initiates actions as needed to ensure compliance. ? Attends licensing and certification surveys and inspections. Attends related entrance and exit interviews and subsequent follow-up meetings. In collaboration with Director Clinical Services, Administrator and Medical Director, reviews and responds to any Statement of Deficiencies, and initiates, documents and reports all corrective actions and required monitoring. ? Ensures the timely completion and submittal of all ESRD Network reports and forms. ? Accepts reviews, maintains and responds to incident reports. ? Maintains and verifies physician information required for admitting privileges. ? Supervises the Quality Assessment Performance Improvement program at facility. Compiles, either directly or by delegation, statistics needed to monitor OPKC performance relative to the current CMS comparative data. Schedules and coordinates periodic meetings to present and review performance comparisons. Identifies and initiates actions to improve performance relative to established guidelines. ? Establishes and directs standing and temporary employee committees, as needed. ? Approves the biweekly time and ensures timely completion and submission for assigned personnel, tabulates, completes and submits the biweekly time utilizing Paycom. ? Participates in financial planning and budgeting. ? Tries to improve efficiency, and containment and reduction of operating costs. ? Regularly meets with and reports to Administrative staff. Attends Board of Directors meetings when requested. Advises and accepts direction from Administrative staff, Medical Directors and corporation Coordinators. ? Maintains a professional, even-handed, informed, authoritative and respectful demeanor at all times. Establishes and demonstrates the standard of behavior and performance expected from all employees. ? Participates in developing performance-based employee evaluation criteria. ? Identifies and completes, either directly or by delegation to others, such additional tasks needed for the day-to-day operation of the facilities. ? Accepts and completes such other tasks that are reasonably related to the operations of the dialysis facilities which may, from time to time, be assigned. Training: The Clinic Manager must complete all training described in the Dialysis Nurse job description, or an approved equivalent, within 90 days of accepting the Clinic Manager position. Job Relationships: Supervision by: Director, Clinical Services Workers Supervised: All patient care staff at assigned OPKC facilities Interpersonal Relationships: Frequent interaction with co-workers, patients, caregivers, and outside agency representatives Notice Requirements: To resign this position in good standing, the employee must give a 30-day notice, in writing, to their supervisor and Human Resources. Employees who have successfully completed their orientation period and provided this advance notice of resignation, will receive the value of any accrued Personal Time-Off (PTO).