Director of Clinical Operations

Director of Clinical OperationsPosition: Director of Clinical OperationsReport to: Vice President of OperationsSalary Range $120,000.00
- $140,000.00 Salary/year Position Type Full Time Category Health CareDescriptionAs Concerto continues to grow, we're building a clinical operations leadership team that will play a critical role in shaping how care is delivered across our facilities. For an experienced dialysis leader, this is an opportunity to influence clinical performance across an entire market, develop clinical talent, and work directly with frontline teams to drive meaningful improvements in patient care.
Benefits include:Medical, dental, and vision insuranceShort
- and long-term disability benefits401(k) match of 50% up to 6% of salaryEarned paid time off (PTO)Discounts through the Nectar recognition platformEmployer-paid Employee Assistance Program (EAP)Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. 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.
What Will You Do?Drive Clinical Performance ImprovementOwn clinical performance across the market, maintaining a clear view through clinical data, site observations, and frontline insight to identify trends, outliers, risks, and opportunities for improvement.
Partner with Regional Managers to prioritize sites requiring increased attention, understand root causes, and develop coordinated improvement plans.
Own the relationship with Medical Directors across the market, aligning clinical priorities, performance trends, and improvement plans.
Direct Clinical Operations Nurses to sites where additional expertise, coaching, or intervention is needed.
Drive improvement in key areas, including anemia management, adequacy, vascular access, infection prevention, and other performance measures.
Monitor the effectiveness of interventions, adjust support when performance is not improving, and escalate significant or systemic risks as appropriate.
Provide the Vice President of Operations with clear, actionable insight into performance, risks, priorities, and progress across the market.
Lead Clinical OperationsLead, coach, and develop Clinical Operations Nurses, establishing clear expectations and accountability for effective support across assigned sites.
Ensure Clinical Operations Nurses provide consistent, hands-on coaching, intervention, and follow-through in partnership with Regional Managers and site teams.
Build team capability to identify issues early, provide effective guidance, and drive sustained improvement.
Work alongside site teams for at least one clinical shift per month to stay current in clinical practice and connected to the daily realities of frontline teammates.
Strengthen Clinical Execution & ReadinessPartner with Quality & Regulatory Compliance to translate clinical and regulatory standards into consistent frontline practice across assigned sites.
Lead the clinical response to QAPI findings, Survey deficiencies, and audit results, ensuring corrective actions are implemented and sustained across assigned sites.
Identify recurring knowledge or competency gaps and coordinate appropriate coaching, remediation, or formal training with Learning & Development.
Support clinical readiness and stabilization for new sites, transitions, and significant changes affecting the market.
QualificationsYou Might Be a Fit If You are…CNN or CDN certified.
Experienced in providing clinical leadership within skilled nursing, post-acute, or nursing home dialysis settings.
Experienced in supporting new site openings, clinical transitions, or performance turnarounds.
What's Required?Active, unrestricted Registered Nurse license in assigned state(s); multistate or compact licensure as required based on assigned market.
Bachelor's degree in nursing or a related field, or an equivalent combination of education and relevant experience.5+ years of dialysis nursing experience, including progressive leadership experience.
Demonstrated experience leading and developing clinical teams across multiple sites or a geographically dispersed market.
Demonstrated experience using clinical performance data to identify trends, address performance gaps, and drive improvement.
Strong knowledge of CMS Conditions for Coverage, QAPI requirements, ESRD Network requirements, and applicable state and federal regulatory standards.
Experience leading Survey readiness, including participation in state Surveys and implementation of plans of correction, along with clinical audits and quality improvement.
Valid, unencumbered driver's license.
Current CPR/BLS certification.
Physical Requirements & Work EnvironmentMust be able to perform light lifting of at least 25 lbs.
Requires mental, visual, and auditory attention to patie