Director of Clinical Excellence & Operations- Dialysis

American Renal Care LLC is a rapidly expanding dialysis management organization serving patients throughout the San Fernando Valley and greater Los Angeles region. We are committed to delivering high-quality, patient-centered renal care through clinical excellence, operational efficiency, and personalized service. Our organization values collaborative relationships, accessible leadership, and a shared commitment to patient safety, employee development, and continuous improvement.

Position Overview

American Renal Care is seeking an experienced, results-oriented Director of Clinical Excellence Operations (DCO) to provide strategic and operational leadership across multiple dialysis facilities. Reporting directly to the Vice President of Operations, the DCO will oversee clinical quality, regulatory compliance, workforce development, operational performance, and resource management.

The DCO will work closely with Facility Administrators, Clinical Managers, Registered Nurses, Certified Hemodialysis Technicians, Medical Directors, physicians, and executive leadership to establish consistent clinical standards, improve patient outcomes, and support organizational growth. The ideal candidate combines extensive dialysis experience with strong leadership, financial acumen, and the ability to translate organizational objectives into measurable clinical and operational results.

Summary of Responsibilities

The Director of Clinical Excellence & Operations is responsible for ensuring the delivery of safe, effective, and compliant dialysis services across the organization's facilities. This role oversees clinical performance, quality improvement, regulatory readiness, staffing, and operational processes while partnering with executive leadership to manage budgets, optimize resources, and support sustainable growth.

Essential Duties and Responsibilities

Clinical Quality and Regulatory Compliance

• Oversee clinical operations and quality performance across multiple dialysis facilities, ensuring consistent standards of care and patient safety.

• Direct Quality Assurance and Performance Improvement (QAPI) programs, monitor clinical outcomes, and implement corrective actions and improvement initiatives.

• Ensure compliance with CMS Conditions for Coverage, California Department of Public Health requirements, and applicable State and Federal regulations.

• Oversee clinical audits, mock surveys, regulatory inspections, infection control, emergency preparedness, and risk management initiatives.

• Ensure appropriate patient assessments, care planning, treatment delivery, physician orders, medication documentation, and electronic medical record (EMR) practices.

• Review clinical incidents and patient grievances with facility leadership and implement appropriate follow-up measures.

• Maintain current clinical policies, procedures, and regulatory documentation.

Operations and Leadership

• Partner with Facility Administrators and Clinical Managers to improve facility performance, standardize workflows, and address clinical and operational challenges.

• Monitor patient census, treatment capacity, staffing levels, scheduling, productivity, and resource utilization.

• Develop, mentor, and support clinical leaders and staff through performance management, training, competency assessments, and professional development.

• Establish performance expectations and promote accountability, collaboration, and continuous improvement.

• Oversee clinical meetings, staff education, required reporting, equipment and supply management, and coordination with biomedical personnel.

• Collaborate with Human Resources and facility leadership on employee performance, staffing matters, and personnel administration.

Financial Management and Strategic Growth

• Participate in clinical budgeting, financial forecasting, and resource allocation in collaboration with the Vice President of Operations.

• Monitor staffing expenses, overtime, clinical supply costs, productivity, and other operational performance indicators.

• Identify opportunities to improve efficiency, control costs, and strengthen resource utilization without compromising patient care or regulatory compliance.

• Support facility expansion, new facility development, licensing preparation, staffing plans, and operational readiness.

• Build and maintain relationships with Medical Directors, physicians, hospitals, referral sources, health plans, case managers, and other strategic partners.

• Support patient access, census development, and appropriate utilization of Medicare, Medi-Cal, HMO, PPO, and other applicable payer arrangements.

• Recommend and implement initiatives that improve clinical performance, operational effectiveness, and long-term organizational sustainability.

• Communicate clinical results, operational challenges, and strategic recommendations to executive leadership.

Qualifications and Experience

• Master's degree in Nursing, Healthcare Administration, or a related field required.

• Active, unrestricted California Registered Nurse (RN) license in good standing required.

• Extensive clinical experience in dialysis, nephrology, or renal care, preferably 10–20 years.

• Significant progressive leadership and management experience in dialysis or renal care, preferably 10–20 years.

• Demonstrated experience overseeing multiple facilities, clinical teams, or complex healthcare operations.

• Comprehensive knowledge of CMS Conditions for Coverage and applicable California, State, and Federal healthcare regulations.

• Experience with QAPI, clinical audits, regulatory surveys, corrective action plans, and quality improvement initiatives.

• Strong understanding of budgeting, staffing productivity, cost management, and resource allocation.

• Exceptional leadership, communication, organizational, and problem-solving skills.

• Demonstrated ability to develop teams, manage competing priorities, and achieve measurable clinical and operational results.

Core Leadership Expectations

The successful candidate will demonstrate a commitment to patient-centered care, clinical excellence, regulatory compliance, and responsible financial management. This individual will lead through collaboration and accountability, develop effective clinical leaders, proactively address operational challenges, and implement sustainable improvements that support both patient outcomes and organizational growth.

Job Type: Full-time Pay: $150,000.00 - $190,000.00 per year

Benefits

• 401(k)

• Dental insurance

• Health insurance

• Life insurance

• Paid time off

• Vision insurance

Education

• Master's (Required)

Experience

• Dialysis: 10 years (Required)

Language

• Spanish (Preferred)

License/

Certification

• CA RN (Required)

Work Location: In person