Location: Cherry County Hospital, Valentine, NE 69201

Compensation: Competitive salary

Comprehensive Benefit Package:

•Health Insurance: Co-pay or HSA plan options: 100% paid for Employee

•Dental: 100% paid for Employee

•Vision: 100% paid for Employee

•$50,000 Group Life Insurance with AD&D

•Long-Term Disability: 100% paid for Employee

•Medical and Dependent Care Flexible Spending Accounts

•Health Savings Account with employer contribution

•Supplemental Insurances: Short-Term Disability, Supplemental Life and AD&D, Critical Illness, Hospital Indemnity and Accident •Retirement Plan: 457 plan Pre-Tax and Roth options

Position Summary

The Dialysis Nurse Manager provides oversight and direction to all direct care staff that provide dialysis and nursing care in the Dialysis Unit at the Cherry County Hospital and Clinic. The Nurse Manager assumes the responsibility of day-to-day operations of the dialysis unit, coordinating the required resources for optimal patient care delivery. While on site, the Nurse Manager problem solves and expedites communications with other health care providers to ensure optimal patient outcomes.

Duties and Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Coordination of Patient Care

• Provides for patient care requirements by coordinating and directing the operations of the patient care in the dialysis unit
• Provides guidelines for measuring the quality of patient care, based on accepted standards of nursing practice
• Assures delivery of patient care consistent with private, state, and federal regulations
• Ensures appropriate numbers of component staff are available to meet patient care needs
• Ensures patient care assignments are based on patient needs and staff competency
• Assures nursing staff participates in the development of the individual patient care plan and teaching program for dialysis patients
• Assures care/services provided meet cultural and age-related needs of the patient population served
• Provides direction in the application of the nursing process, maintaining clinical expertise in the assessment and care of the patient with renal failure
• Serves as a patient advocate
• Communicates with other health care team members and departments to meet patient care needs
• Demonstrates ability to perform all of the staff nurse essential functions when providing direct patient care per unit requirements
• Monitors adherence to policies, procedures, rules, and regulations to ensure safety of patients and staff
• Assures current written policies and procedures are available to assist the nursing staff and encourages participation of the staff in the formulation of policies and procedures when indicated
• Implements standards of nursing care, review and revises standards as necessary to ensure optimal patient outcomes
• Facilitates timely admissions, transfers and discharges
• Keeps management informed of patient care and staff issues
• Demonstrates continued involvement in professional growth by developing personal education objectives and participating in professional growth opportunities to assure continued adherence to professional standards and provision of quality patient care
• Follows established hospital and unit policies and procedures
• Ensures the confidentiality of patients’ medical, personal, and financial records is maintained
• Knowledgeable of and committed to practicing Corporate Compliance policies and procedures

Administrative/Regulatory Requirements

• Maintains working knowledge of pertinent rules, regulations and policies affecting the unit and assures staff compliance with these
• Assists in preparation for and participates in surveys and certifications
• Recognizes, takes action and reports deficiencies in a timely manner
• Assists in writing, reviewing and updating patient care policies and procedures specific to the unit
• Reviews selected documentation for compliance with required private, state and federal rules and regulations
• Maintains and submits required documentation/reports for the ESRD Network, administration and governing body as required
• Maintains ongoing liaison among the governing body, administration, medical and nursing personnel, and other professional staff through meetings and periodic reports
• Participates in the development, negotiation and implementation of agreements or contracts into which the Dialysis Unit may enter into, as directed by management
• Ensures the development and implementation of an accounting and reporting system, including the annual development of a budgetary program, maintenance of fiscal records and submission of fiscal records and quarterly reports to the governing body
• Coordinates multidisciplinary facets of renal care

Staff Performance and Development

• Monitors performance of unit staff through data collection, identifying learning needs, educating, role modeling, and evaluation to ensure maintenance and enhancement of clinical expertise
• Problem solves and makes decisions within areas of accountability by using a well defines approach to ensure effective and efficient patient care
• Assures clear, concise and current written policies and procedures are available to assist the nursing staff and support positive patient outcomes
• Assures all new personnel successfully complete the required orientation program
• Identifies learning needs of staff and assures that technical/clinical professional programs for staff development are available to encourage personnel development
• Provides immediate feedback to staff and management regarding performance issues
• Reviews documentation and evaluates staff for competency and p0erformance evaluations
• Role models positive professional characteristics
• Contributes to professional growth of colleagues
• Participates in educational programs and staff meetings
• As needed, attends trainings and hospital/clinic meetings.
• Maintains authority and approval for hiring, termination, and disciplinary actions

Leadership

• Demonstrates leadership on the job by continuously implementing standards, reviewing and revising as necessary, to reflect changes in nursing practice
• Demonstrates respect for patient rights and confidentiality
• Values potential and contributions of each individual
• Demonstrates accountability and responsibility to seek opportunities for own learning and professional advancement
• Develops and maintains professional contacts and positive relations with the medical team, unit staff, other health care professions, patients and family members
• Promotes nursing profession by effective role modeling
• Provides community educational programs to educate the public regarding hemodialysis service

Quality Assurance/Improvement

• Contributes to and promotes the unit’s Quality Assurance/Improvement Plan to ensure the highest quality patient care is provided
• Incorporates the Quality Assurance/Improvement process into the work environment
• Assists in the development of a Quality Assurance/Improvement program including identification and selection of improvement opportunities
• Demonstrates support for the Quality Assurance/Improvement program by education of staff and allowing time and resource requirement for the staff

Other Duties:

• Complies with safety policies and procedures, regulatory requirements, and participates in corporate-wide and department safety activities
• Knowledgeable of, and committed to practicing Corporate Compliance policies and procedures
• Patient/client information that is handled day to day in this position will remain confidential and a breach of this confidentiality may be cause for immediate termination
• Complies with Cherry County Hospital personnel policies
• Performs other duties as assigned by CEO

Skills and Abilities Required

• Ability to read and interpret documents such as procedure manuals, safety rules, operating and maintenance instructions
• Ability to listen effectively, transmit information accurately and understandably
• Ability to write routine reports and correspondence
• Ability to calculate figures and amounts
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
• Ability to be proactive and keep busy at all times
• Ability to work closely with others
• Has an interest in being around people of all types
• Good communication skills
• Positive attitude
• Must be knowledgeable of state and federal confidentiality laws, including but not limited to HIPAA, and be familiar with and follow all policies, procedures and instructions regarding the privacy and security of protected health information applicable to the position.

Physical Demands and Working Conditions

• While performing the duties of this job, the employee is frequently required to walk and/or stand up to ten hours a day and sit up to three hours per day. The employee must regularly work with body bend over waist, reach above shoulder height, and work with arms extended at shoulder level. Occasionally the employee must work in kneeling position and with arms above shoulder height. The employee uses hands/fingers to perform repetitive, fine manipulations, simple grasping, pushing, pulling, and manual dexterity.

• The employee must regularly lift and/or move up to 35 pounds and occasionally lift and/or move up to 100 pounds. Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, depth perception, eye-hand coordination, and the ability to adjust focus.

• The work environment is an outpatient setting for patients with chronic renal disease. While performing the duties of this job, the employee occasionally works near moving mechanical parts.

• Employees are regularly exposed to infectious materials such as blood and body fluids, contagious diseases, hazardous chemicals, fumes or airborne particles, medical gases, and radiation.

• The noise level in the work environment is usually moderate.

Reports to- Chief Executive Officer

Direct reports- None

Minimum Job Requirements

• Must be a full-time, direct (not contract) employee of the facility. Full-time means the nurse manager is available to work in the dialysis facility the number of hours that the facility is open or as facility policy requires for full-time employment (Federal Regulation)
• Graduate from an accredited school/college of nursing, Bachelor’s degree preferred
• Currently licensed as a Registered Nurse (Federal Regulation) in Nebraska
• Minimum of one year current experience in clinical nursing (Federal Regulation), Medical-Surgical nursing preferred
• Minimum of six months of experience in Chronic Dialysis.
• Basic Life Support certification required
• Advanced Cardiac Life Support preferred
• Leadership experience and ability