Clinical and Patient Services
GM, Skilled Nursing Facilities - Dialysis
Address: Headquarters, 920 Winter St, Waltham, Massachusetts, 02451, United States of America
Job ID: R0232686
Location Type: Remote
- Overview
- Job Description
- Success Profile
- Rewards
- Connect
As a Clinic Manager at Fresenius Medical Care, you’ll manage the daily operations of our outpatient centers. More importantly, you’ll be the key driver in carrying out our mission: To deliver superior care that improves the quality of life of every patient, every day, setting the standard by which others in the health care industry are judged. This is accomplished by hiring, developing and inspiring a multi-disciplinary team, collaborating with physicians, tracking and delivering superior patient outcomes and monitoring regulatory and safety requirements. Strong management skills are required and prior direct patient care experience is needed for occasions when the team needs a helping hand.
Patient Care Technicians (PCTs) at Fresenius Medical Care support and collaborate with RNs to provide dialysis treatment to several patients at a time while maintaining the functionality of the clinic. This involves prepping and testing equipment, reviewing treatment sheets, and opening the clinic at 4am for first shift. PCTs have a combination of technical skills and genuine passion needed to develop deep relationships with patients and improve their quality of life. Qualified candidates have prior customer service, healthcare and direct patient care experience, and will have the opportunity to learn the discipline of dialysis.
Fresenius Medical Care nurses are on the front line of patient care, improving the quality of life of every patient, every day. That means providing dialysis care to 10-12 patients at any given time, and collaborating with our multi-disciplinary team to deliver a unique care plan to each one of them. This role is all about relationships and the bond you’ll create with patients and their families. Prior dialysis nursing experience is helpful, but many successful candidates come from a background in ICU, PCU and/or surgery.
Inpatient RNs at Fresenius Medical Care perform dialysis treatments on an acute patient population in a hospital setting, including ICU, ER, Rehab, and Med/Surg units. What makes this role truly unique is the level of autonomy you’ll enjoy. Inpatient nurses are specifically accountable for administering and assessing each patient’s treatment plan. And because dialysis is a critical treatment for many hospital procedures and health conditions, you’ll have the opportunity to work with a wide variety of patients. Ideal candidates possess leadership skills and independence needed to make quick decisions in a fast-paced environment. Must be capable of educating patients and providing exceptional customer service to our partners. Six months to one year of dialysis experience or some form of critical care nursing experience are also required.
Job Description
The Role
We are seeking a General Manager of Skilled Nursing Facilities to lead our Skilled Nursing business line, creating and executing strategies to expand dialysis services within Skilled Nursing Facilities. This executive will have full ownership of strategy, growth, and operations for a rapidly scaling platform currently operating 33 programs with a targeted 10x expansion.
This is not a traditional corporate role. This is a build-from-the-ground-up leadership opportunity requiring a proven operator with a deep network in the sub-acute/post-acute space, strong commercial instincts, and the ability to scale high-performing clinical operations with financial discipline. This role will focus on developing partnerships with SNFs, health systems, and payors to deliver integrated care models that improve patient outcomes, reduce hospital re-admissions, and enhance facility census. The GM will leverage deep knowledge of operations, post-acute care, and value-based payment models to structure agreements and drive sustainable growth.
The General Manager will lead both growth and execution, fully accountable for P&L, market expansion, operational infrastructure, quality, and scalability.
Key Responsibilities
General Manager & P&L Ownership
• Serve as the full business owner of the Skilled Nursing platform with end-to-end P&L responsibility
• Set and execute the multi-year strategic growth plan to achieve 10x program expansion
• Own forecasting, capital planning, margin expansion, and financial performance
• Translate board-level strategy into operational execution at speed
Growth Strategy & Market Expansion
• Lead expansion strategy across new geographies, facilities, and strategic partnerships
• Leverage existing industry relationships to accelerate site development and commercial growth
• Partner with Business Development to: identify and secure new facility partnerships, expand existing relationships, & drive payer, health system, and referral source alignment
• Evaluate and execute organic growth, joint ventures, and strategic partnerships
Operations & Clinical Performance
• Oversee all SNF operational performance through Area Operators and site leaders
• Drive excellence across census growth, length of stay optimization, readmission reduction, staffing efficiency, quality and regulatory performance
• Build scalable operational infrastructure to support rapid expansion
• Standardize workflows, reporting, and performance management across all sites
Team Building & Leadership
• Build and lead a high-performing leadership bench across operations, clinical, and growth
• Attract, develop, and retain top operational and clinical talent
• Create a culture of accountability, speed, innovation, and operational excellence
• Act as a visible, hands-on leader in the field—not just at headquarters
Strategic Partner to Executive Leadership
• Serve as the primary executive voice of the Skilled Nursing business line at the enterprise level
• Present growth plans, financial results, operational performance, and market insights to executive leadership & investors / Board (as applicable)
• Influence enterprise strategy through real-time market execution and performance data
What Success Looks Like (12–36 Months)
• A clearly defined and executable 10x growth roadmap
• Accelerated program expansion with strong unit-level economics
• Consistent improvement in census, margins, and clinical outcomes
• A scalable leadership structure supporting rapid geographic growth
• Strong strategic partnerships with national and regional operators
• Skilled Nursing positioned as a core enterprise growth engine
Required Experience & Background
• Bachelor’s degree required, Masters in Healthcare Administration, Business, or related field preferred.
• 12–15+ years of progressive leadership experience in skilled nursing, sub-acute, &/or post-acute healthcare
• Expertise SNF market dynamics, and value-based care models, & dialysis operations (preferred).
• Prior experience as one or more of the following: Regional VP, Division President, COO, Market President, Multi-site General Manager
• Proven success in scaling healthcare operations across multiple locations
• Direct experience driving de novo facility launches, program expansions, turnarounds and performance acceleration
• Existing industry network across operators, owners, health systems, payers, referral networks
• Demonstrated P&L ownership with accountability for revenue, margin, and growth
• Demonstrated ability to structure agreements, write proposals, and manage geographically diverse partnerships.
• Deep understanding of skilled nursing regulations, reimbursement models, staffing and labor economics, clinical quality benchmarks, & operational dynamics of skilled nursing facilities
Executive Competencies & Leadership Profile
• Builder’s mindset – thrives in ambiguity, creates structure, scales fast.
• Ability to translate vision into actionable growth initiatives.
• Commercial operator – balances growth, margin, and clinical excellence
• Enterprise-level strategic thinker with hands-on execution discipline
• Highly relationship-driven with the credibility to open doors at scale
• Data-driven decision maker who uses analytics to drive results
• Exceptional communicator with the presence to influence at board and executive levels, negotiate, & build relationships
• Financial acumen with the ability to develop and analyze business cases
• Entrepreneurial mindset with a collaborative leadership style
• Inspires followership through clarity, confidence, and accountability, leading cohesive & productive teams
• Ability to travel extensively to meet with SNF partners, hospital systems, and payors.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
Success Profile
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
Leadership
Communicator
Compassionate
Problem-solver
Motivational
Good Listener
Success Profile
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
Commpassionate Patient Care
Empathetic
Team Player
Detail Oriented
Efficient
Responsible
Success Profile
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
Communicator
Compassionate
Detail Oriented
Relationship Expertise
Facilitator
Leadership
Success Profile
What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.
Compassionate
Flexible
Independent
Quick-thinking
Patient
Responsible
“I successfully completed the RN program and went on to hold the position of Staff RN, Charge Nurse, and finally Clinical Manager.”
Rosalyn,
Clinical Manager
Clinical Manager
“Every day I walk in I am changing lives for the better and working to inspire my patients.”
Andrew,
Patient Care Technician
Patient Care Technician
“I am a member of an outstanding team that helps patients gain more control, achieve tangible goals, and live better lives.”
Tony,
Outpatient Services RN
Outpatient Services RN
“My goal is to make sure that our patients keep their mobility and quality of life. This goal is really personal for me. My own father always had really bad vasculature in his leg and never had access to the kind of care we offer — eventually he lost blood flow and mobility. Knowing what he went through makes me even more committed to our mission.”
Warren J.
Azura Regional Vice President
Azura Regional Vice President
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We fully believe that dedication and passion should be recognized and rewarded. That’s why we offer a competitive compensation and benefits package to all of our employees. Our benefits provide the flexibility, choice and support you need to be at your best as you play a vital part in helping patients live longer, better and healthier lives.
Healthcare
Continuing Education
Paid Time Off
Collaborative Environment
Additional Perks
401(k) Retirement Saving
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