Nurse Manager - Acute Dialysis and Vascular Access Team

POSITION OVERVIEW: The Nurse Manager of Acute Dialysis and Vascular Access Team (VAT ) assumes 24-hour responsibility, authority, and accountability for the operations, quality, patient care delivery, and personnel within these services. The Nurse Manager is responsible for the day-to-day management of acute dialysis and vascular access operations, ensuring safe, efficient, and regulatory-compliant care delivery.

This position provides leadership for staffing, scheduling, productivity, budgeting, quality improvement, policy development and review, regulatory readiness, caregiver engagement, and clinical practice standards. The Nurse Manager partners closely with physicians, advanced practice providers, nursing leaders, and interdisciplinary teams to promote collaboration, operational excellence, patient safety, and optimal clinical outcomes.

The position directly supervises caregivers within the Acute Dialysis Unit and Vascular Access Team and is accountable for departmental performance, strategic planning, and achievement of organizational goals .

ESSENTIAL FUNCTIONS AND DUTIES

Oversee the operations of assigned department to ensure smooth and efficient department operations, efficient workflow resource utilization, and timely access to care 24/7.

Collaborates with other staff members to facilitate provision of patient care.

Ensures compliance with all applicable federal, state, accrediting body, and organizational regulations, standards, and dialysis-specific requirements.

Develops, reviews, revises, and implements departmental policies, procedures, and clinical practice guidelines to support safe, evidence-based patient care.

Collaborates with nephrologists, hospitalists, intensivists, surgeons, advanced practice providers, nursing leadership, and interdisciplinary teams to support effective patient care delivery and operational excellence.

Monitors key performance indicators, quality outcomes, patient safety metrics, operational efficiencies, and regulatory requirements, implementing action plans as needed.

Supports clinical excellence in acute hemodialysis, peritoneal dialysis, apheresis, and vascular access services through caregiver development, competency validation, and adherence to best practices.

Maintains operational readiness for regulatory surveys and participates in quality assurance, performance improvement, and accreditation activities.

Ensures adequate departmental staffing to provide safe patient care through review of appropriate data, development and maintenance of master schedules.

Manages staffing and scheduling (control of master schedule; ETO & LOA approval; light duty scheduling) - delegates related clerical functions to admin assistant and/or other applicable staff.

Acts as the department liaison to other hospital departments and outside entities.

Responsible for resource management ensuring appropriate and sufficient equipment and supplies are available.

Serves as a real-time resource and assists with clinical expertise for staff with problem-solving on patient care, processes, and family issues. Serves as representative for all customers.

Maintains ongoing communication with staff, department leadership, and others to ensure needs are being met for staff and patients. Engages medical staff to obtain input on the operation of the department and key decisions.

Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, guests, and other hospital departments.

Role models two-way communication of the St. Charles Health System mission, vision, values, and strategic plan for the department (staff meetings, rounds, etc.).

Coordinates quality initiatives and process improvements. Aligns and manages to St. Charles Health System metrics and quality initiatives.

Oversee trending of quality and financial indicators including LOS with case manager support.

Facilitates department meetings and shared governance/leadership efforts.

Responsible for budget development, regular monitoring, accountability and meeting all operational targets for all areas within span of control. Manage operations within the budget. Provides productivity oversight and review. Works with leadership to achieve productivity standards. Develops and implements annual plan including goals for unit with director and supervisor. Controls and maintains position control including the addition and deletion of positions related to budget and human resource needs.

Hires, directs, coaches and monitors the performance of all direct reports, to develop and maintain a high-performance team that meets organizational and department goals. Responsible for performance and annual review of direct reports. Complies with Human Resource processes and controls.

Monitors and ensure all direct reports are current with compliance and safety requirements. Implements and manages all organizational safety directives and goals.

Provides and oversees team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate.

Assists with quality, safety, customer service and regulatory compliance oversight: EMS – Receipt, assignment, tracking and trending, delegation.

Creates a healing environment that supports all aspects of care, respects the wholeness of the individual, and demonstrates therapeutic presence through attitudes and behaviors that enhance the care experience for patients and caregivers.

Oversees staff documentation for patient care to ensure proficiency in compliance with hospital policies and regulatory agencies.

Directs, oversees, and provides for leadership development of staff.

Supports the vision, mission, and values of the organization in all respects.

Collaborates with teams to review processes and identify/implement opportunities for improvements, applying Value Improvement Practice concepts and tools.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients, and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION

• Required : Graduate of an accredited school of nursing. BSN.
• Preferred : Master’s degree in Nursing

LICENSURE/CERTIFICATION/REGISTRATION

• Required: Current licensure with the Oregon State Board of Nursing.
• Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.
• AHA Basic Life Support for Healthcare Provider certification.
• Preferred: Certified Dialysis Nurse (CDN), Certified Nephrology Nurse (CNN), Related specialty certification in nephrology nursing or vascular access.

EXPERIENCE

Required: 5 years related experience with demonstrated clinical expertise in dialysis services.

1 year nursing leadership experience. Acute hemodialysis experience.

Preferred: Experience in a specialty area of nursing, p eritoneal dialysis experience, therapeutic apheresis experience, progressive leadership experience in dialysis, renal services, vascular access, or related specialty programs. Experience with policy development, regulatory readiness, quality improvement, and performance management.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

PHYSICAL REQUIREMENTS

Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, keyboard operation.

Occasionally (25%): Standing, walking, bending, stooping/kneeling/crouching, climbing stairs, reaching overhead, lifting/carrying/ pushing or pulling 1-10 pounds, grasping/squeezing, operation of a motor vehicle, ability to hear whispered speech level.

Never (0%): Climbing ladder/ step-stool , lifting/carrying/pushing or pulling 11-50 pounds.

Exposure to Elemental Factors

• Occasionally (25%): Chemical solution for Laboratory Caregivers.
• Rarely (10%): Wet/slippery area.
• Never (0%): Heat, cold, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

Schedule Weekly Hours

40

Caregiver Type

Regular

Shift

Variable (United States of America)

Is Exempt Position?

Yes

Job Family

MANAGER

Scheduled Days of the Week

Variable with Call

Shift Start & End Time

Variable