Clinical Quality Manager

JOB TITLE: Manager Clinical Quality EXEMPTION STATUS: Exempt
POSITION LEVEL: JOB CODE: 2EA207 JOB GRADE:
JOB FAMILY: EA-Quality VERSION: 06/25/20 Final
PURPOSE AND SCOPE:
Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance improvement
program(s) with participation by other members of the interdisciplinary team. Serves as a quality improvement champion and role
model by promoting and supporting the use of Continuous Quality Improvement (CQI) principles, methods, and tools to improve
processes and patient outcomes at the facility and area levels. Must have effective communications among the interdisciplinary
team (IDT) and must produce effective quality assessment and performance improvement activities which positively influence the
assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality oversight of the position covers all treatment
modalities (e.g. in-center, home hemodialysis and home peritoneal dialysis), and in collaboration with the IDT, is responsible for
the monitoring data/information; prioritizing areas for improvement; determining potential root causes; developing, implementing,
evaluating, and revising plans that result in improvements in clinical quality outcomes in dialysis facilities within a geography.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
 Facilitates the implementation and integration of the FKC Quality programs and initiatives into the facilities’ standard operating
procedures through teamwork and collaboration with area and facility clinical, interdisciplinary and operations teams.
 Serves as a subject matter expert for clinical quality matters when collaborating with other RNs and members of the Area
Quality Team. Identifies clinical quality improvement opportunities in the assigned area to achieve CMS Conditions for
Coverage and FMS quality program requirements.
 Manages the tactical execution of Quality and other clinical initiatives, interventions and standardized education materials with
facility RNs within the assigned area.
 Provides general direction, nursing and clinical guidance related to appropriate theoretical perspectives and feedback based
upon professional standards and FMCNA guidelines to support facility RNs within the assigned area in achieving the desired
outcomes in the following: quality, patient satisfaction, teamwork, unit culture, and employee satisfaction.
 Collaborates with appropriate stakeholders including but not limited to the Clinical Quality leadership, Education, Clinical
Services, Regulatory and Compliance to take the appropriate steps to facilitate achievement of quality goals and ongoing
patient safety improvement.
 Mentors and trains staff to collect, trend, and analyze data on a day to day basis to monitor the effectiveness of their clinical
and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and
decreased morbidity and mortality.
 Utilizes evidenced based and best demonstrated practices to address barriers to quality improvement. This includes promoting
the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical
pathways and clinical policies and procedures to improve care coordination and care delivery.
 Leverages available tools, resources and informatics technology to focus on targeted patient populations.
 Applies current knowledge of FMS clinical and administrative policies and procedures, available internal resources, working
knowledge of CMS Conditions of Coverage for ESRD facilities, Value Based Payer Programs, knowledge of quality
improvement concepts, principles and practices to perform tasks and duties.
 Utilizes quality improvement techniques to promote collaboration between facilities and areas to share processes and
strategies for success. Mentors and assists facilities in identifying effective practices applicable to their needs, in testing for
desired results, and the adoption and implementation of these practices.
 Under the direction of Clinical Quality leadership, provides guidance, interpretation and subject matter expertise to clinical and
operations teams regarding quality related clinical policies and procedures, clinical standards, quality improvement tools and
electronic applications.
 Performs desk review of facility Quality Assessment and Performance Improvement (QAPI) documentation and attends QAPI
meetings at a frequency determined by Clinical Quality leadership. Collaborates with facility management staff to evaluate the
effectiveness of the facility QAPI Program and CQI activities utilizing the following processes.
 Reviews completion of facility QAI activities including but not limited to adherence to the QAI calendar, completion of QAI tools
and electronic applications
 Attends and participates in regional, area, facility and team meetings as appropriate which may include quality team building
and staff development and other meetings as appropriate. Collaborates with appropriate management staff as needed to
achieve effective inter-disciplinary, intra-disciplinary and clinic relationships.
 Identifies risk areas and opportunities for improvement.
 Assists with root cause analysis and action plan development and evaluation as needed.
 Provides written or verbal recommendations to facility and area management.
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 Utilizes adult education principles in the execution of education programs and processes that facilitate the implementation and
incorporation of the company’s quality standards and the practice of Continuous Quality Improvement in facility standard
procedures.
 Accountable for outstanding customer service to all external and internal customers, including patients, staff, physicians, field
management and staff, and payers, including disease management entities.
 Develops and maintains exceptional working relationships through effective and timely communication with all customers
 Under the direction of Clinical Quality leadership, assists with various projects as assigned.
 Performs other related duties as assigned.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
 The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
 Day to day work includes desk and personal computer work and interaction with facility staff and physicians.
 The work environment is characteristic of a health care facility with air temperature control and moderate noise
levels. May be exposed to infectious and contagious diseases/materials.
 The position requires travel between assigned facilities and various locations within the community, approx.. 40-60%.
Travel to Regional, Division and Corporate meetings may be required
SUPERVISION:
 None
EDUCATION AND REQUIRED CREDENTIALS:
 BSN or Bachelor’s Degree in healthcare related field preferred or an equivalent combination of education and experience
 Registered Nurse required
 Certification in Nephrology Nursing or quality preferred.
EXPERIENCE AND SKILLS:
 3+ years dialysis experience required
 3+ years management experience in a clinical leadership role
 Strong organizational, critical thinking and customer service skills
 Demonstrated leadership competencies and adaptability to changes in priorities
 Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement
activities
 Strong verbal and written communications skills,
 Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues


The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Rate: $88,600-$147,000