Clinical Operations Nurse (Dialysis)

Why Work at Concerto? What is in it for you?

• Competitive Salary
• Medical, dental, and vision insurance
• Time and half pay for worked holidays (if working on the floor)
• Short- and long-term disability benefits
• 401k match of 50% up to 6% of salary
• Earned Paid Time Off (PTO)
• Discounts through Nectar recognition platform
• Employer-paid Employee Assistance Program (EAP)

Who Are We?

Concerto Renal Services is an industry leader in nursing home dialysis. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model. 

Why is this Role Essential?

The Clinical Operations Nurse (CON) provides clinical leadership, coaching, and operational support across assigned markets to ensure consistent delivery of safe, high-quality dialysis care. The CON serves as the bridge between frontline nurses, regional management, and corporate quality teams - providing real-time clinical guidance, hands-on training, and ensuring compliance with Concerto’s quality, regulatory, and operational standards. This role is a key driver of clinical excellence, survey readiness, and nursing staff development across all assigned facilities. 

What Will You Do?

Accountability 

• Reviews outlier labs and ensures timely interventions are executed, providing feedback, remediation, and follow-through. 
• Provides ongoing education and in-services to nurses and PCTs on Concerto policies, clinical protocols, and regulatory standards. 
• Provides direct support during surveys, including being onsite when possible. 
• Steps in to provide leadership coverage in the absence of a Regional Manager (RM) or when requested by leadership. 
• Performs other related duties and responsibilities as assigned; responsibilities are not solely limited to those listed above. 

Ownership 

• Identifies and addresses market-level clinical outlier trends, develops action plans, and tracks follow-up to closure. 
• Provides minimum biweekly updates on unit performance and monthly written summaries of strengths and opportunities, copying the VPO/RDO as required. 
• Collaborates with physicians on outlier patients and clinical interventions. 
• Participates in corporate and regional initiatives, pilots, and special projects. 
• Works closely with dietitians and social workers to address barriers to care, including nutrition and psychosocial challenges. 

Process / Structure 

• Acts as a hands-on clinical leader and primary resource for facility RNs. 
• Reviews and interprets lab values (Hgb, TSAT, ferritin, Kt/V) and ensures timely interventions with nursing staff and physicians. 
• Ensures critical lab results are addressed, documented, and escalated appropriately to physicians, facility leaders, and Regional Quality and Regulatory Managers (RQRMs). 
• Monitors long-term catheter use and collaborates on AVF/AVG placement and catheter removal plans. 
• Reviews data accuracy and completeness, ensuring patient records and clinical metrics reflect true performance. 
• Conducts monthly clinical audits, including “red clinic” audits and facility observation reviews. 
• Collaborates with Clinical Operations leadership to ensure all assigned facilities maintain continuous survey readiness. 
• Develops and/or conducts corrective action plans following internal audits, surveys, or adverse findings. 
• Educates staff on survey processes and reinforces Concerto’s regulatory expectations. 
• Participates in QAPI, Clin Ops, and outlier meetings, collaborating closely with compliance/quality and operations teams. 
• Serves as a Renvio and Ascend super user, supporting staff in EMR documentation and troubleshooting. 
• Assists with signing off on initial and annual RN and PCT skills checklists and verifies competency documentation. 

Clinical Development 

• Coaches RNs and PCTs in anemia management, adequacy troubleshooting, vascular access monitoring, and infection control practices. 
• Conducts monthly check-ins with facility RNs and escalates barriers or opportunities for improvement. 
• Provides hands-on support in addressing clinical and workflow inefficiencies. 
• Promotes a culture of accountability, teamwork, and patient-centered care at every site. 

Staffing Model 

• Provides backup staffing support as necessary to maintain safe and effective operations during call-outs, vacancies, or survey activity. 

You Might Be a Good Fit If…

• Leadership experience
• Reliability
• Excellent Communication skills (written and verbal)

What’s Required?

Education and Required Credentials

• Registered Nurse (RN) - active, unrestricted license in assigned state(s); additional multistate or compact licensure preferred. 
• Bachelor’s degree preferred. 
• Current CPR certification required. 
• CNN/CDN certification preferred. 

Experience and Skills

• Minimum of 3 years dialysis nursing experience, including 1–2 years in a leadership, educator, or preceptor role. 
• Demonstrated success in clinical audits, survey readiness, and quality improvement initiatives. 
• Strong understanding of CMS Conditions for Coverage and ESRD Network requirements. 
• Excellent communication, teaching, and coaching skills. 
• Proficiency in Microsoft Office, EMR systems (Renvio, Ascend), and data analysis tools. 
• Ability to independently problem-solve and make sound clinical decisions in fast-paced environments. 

Physical Requirements & Work Environment

Work includes both computer-based activities and field engagement with dialysis and skilled nursing facilities. Travel up to 60–80% is expected within assigned markets. Exposure to healthcare environments and infectious materials is possible. Must be able to sit, stand, and travel for extended periods. 

SUPERVISION 

Reports to: Director of Operations 

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.