Director, Clinical Services

SUMMARY The Director of Clinical Services plans, coordinates, implements high quality care through analysis and evaluation of multiple methods and tools that measure quality, such as the Network Performance Measures, USRC Clinical Quality Reports, policies, procedures, and directives. This position assumes a proactive role in adhering to guidelines, policies, procedures, and directives and collaborates with Clinical Specialists, Facility Administrators, and clinic staff to ensure compliance with company policy, Federal and State agencies. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH Oversight of guidance provided to the facility teams by the Clinical Specialists within assigned regions. Work with regional operations management to assist with the opening of denovo facilities and transitioning acquired facilities. Evaluate trends in clinical data and provide guidance to Clinical Specialists to prepare for educating the facility staff on the effective and efficient use of company resources, (i.e. supplies), safety and risk reduction, and the best methodologies to achieve. Evaluate readmissions, hospitalizations, and catheter rates to identify opportunities to improve treatment rates and decrease infections and missed treatments. Work with Clinical Specialists toward the achievement of monthly, quarterly and annual projections based on clinical outcomes and management objectives. OUTCOMES Develop, implement, and monitor quality of care processes for program regulatory compliance in accordance with Company goals. Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations. Review audits performed by Clinical Specialists in assigned facilities. Ensure findings are reported to the Facility Administrator and regional management teams and POC is developed and implemented appropriately. Report delays in the execution of the POC to the VP of Clinical Services and RVP as indicated. Assist with the development of quality goals and measures by reporting field requests and trends in data to the VP of Clinical Services. Responsible for positively impacting clinical outcomes by working collaboratively with the clinical and local management. Oversee Clinical Specialists in achieving program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned clinics. OPERATIONAL READINESS Knowledge of and remain current with technology, federal, state, local laws and regulations. Knowledge of state specific education requirements. Collaborate with policy development committee with the purpose of developing state specific policies, where indicated. Assist Clinical Specialists as needed to support clinics with remaining in compliance with all applicable federal, state, and local laws and regulations by conducting internal clinical audits. Ensure audits are scheduled in an efficient manner taking travel, the clinic's regulatory health and required resources into consideration. Provide guidance to local/regional teams and Clinical Specialists in the implementation of the ESRD Emergency Preparedness regulations. Provide written follow up on any deficiencies for all internal audits and state and federal surveys to Facility Administrator, RVP and VP of Clinical Services. Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards. Report issues to Facility Administrators and regional management. May participate in Policy and Procedure committee to create and maintain clinical, education and QAPI policies. Review regional trends in Incident Reports and identify educational opportunities in response to identified patterns. Ensure the process for reporting events to the state(s) are effective, where indicated. Evaluate types, frequency and facilities required to complete Network projects. Ensure Clinical Specialists offer education to address if patterns exist. Participate in actual disaster planning and response team efforts as needed. Support Clinical Specialists and collaborate with Home department leadership to assess how the Clinical Services team can assist. Discuss need for policy/procedure revisions with VP of Clinical Services. Serve as the regional resource person for involuntary discharges (IVD) and managing grievances. Ensure VP of Clinical Services aware of all IVDs and grievances that cannot be resolved at the local level. Be familiar with emergency operational procedures. Use appropriate safety measures including personal protective equipment, as necessary. Be familiar with OSHA regulations. PARTNERSHIPS Understand, lead, and promote the Company's mission and philosophy relating to ethics, integrity, safety,