Clinical Workflow Lead, In-Center HD

Leads the design, standardization, implementation, and optimization of in-center hemodialysis workflows within the enterprise EHR transformation program. Responsible for translating dialysis operations, treatment delivery processes, regulatory requirements, clinical best practices, and enterprise value objectives into scalable EHR workflows that support safe, efficient, and compliant care delivery across approximately 2,600 dialysis clinics. Partners with operational, clinical, and program leadership to ensure workflow and technology designs align with targeted business case value drivers, including improved clinical outcomes, enhanced staff and provider experience, reduced documentation burden, operational efficiency, regulatory performance, and long-term organizational sustainability through planning, implementation, go-live, and post-deployment optimization phases.

• Serve as the enterprise owner and lead designer for in-center hemodialysis workflows across all dialysis clinics, ensuring standardized processes and documentation practices.
• Lead current-state assessment and future-state workflow design for all aspects of dialysis treatment delivery, including patient scheduling, treatment documentation, clinical assessments, prescription execution, monitoring, and post-treatment workflows.
• Design and standardize EHR treatment records, flowsheets, standing orders, worklists, and clinical documentation tools to support efficient, compliant, and consistent care delivery.
• Establish enterprise standards for dialysis prescription management, dry weight tracking, recurring treatment schedules, laboratory workflows, and adequacy calculations.
• Define requirements for dialysis machine integration, device-generated data capture, documentation validation, and treatment performance reporting.
• Ensure clinical workflows support regulatory compliance, including CMS Conditions for Coverage, ESRD QIP measures, EQRS reporting, NHSN reporting, and interdisciplinary care planning requirements.
• Facilitate workflow design sessions with clinic managers, nurses, technicians, physicians, and operational leaders to drive standardized enterprise processes and governance decisions.
• Incorporate enterprise business case value drivers into workflow design decisions, ensuring EHR capabilities, process standardization, automation opportunities, and AI-enabled solutions are aligned to targeted outcomes related to clinical quality, workforce efficiency, patient experience, compliance, operational performance, and value realization objectives.
• Partner with clinical, operational, and digital innovation teams to define and operationalize AI-enabled workflows, ensuring emerging technologies are thoughtfully incorporated into care delivery processes while maintaining safety, compliance, and clinician adoption.
• Lead workflow validation and testing activities, including integrated patient scenarios, data conversion validation, device integration testing, and defect resolution.
• Review and approve system build components, including treatment navigators, flowsheets, scheduling workflows, standing order sets, and adequacy reporting tools.
• Evaluate and approve training materials, job aids, and readiness activities to ensure alignment with approved clinical workflows and operational standards.
• Support deployment readiness through clinic assessments, super-user readiness, proficiency validation, device preparation, and command center support.
• Provide clinical leadership during go-live activities, monitoring workflow adoption, treatment record completion, documentation quality, and issue resolution across deployment waves.
• Balance enterprise standardization with operational needs by evaluating requests for local workflow variations and directing appropriate change control processes.
• Lead continuous optimization efforts by identifying workflow inefficiencies, reducing documentation burden, improving usability, and supporting ongoing clinical content governance.
• Partner with clinical, operational, informatics, technical, and executive stakeholders to drive successful implementation, adoption, and sustainment of the enterprise EHR platform.

PURPOSE AND SCOPE: Provides direction, leadership, strategic vision, objectives and guidance regarding EHR design and operational process improvement opportunities related to clinical workflows, clinical Informatics, government initiatives, process reengineering and clinical safety. Ensures the appropriate alignment of department goals with those of the company, and takes the necessary actions to ensure the successful execution of initiatives to support these goals and the needs of the company. Integrates clinical science, computer science, and information science to manage and communicate data, information, and knowledge in clinical practices. Facilitates the integration of data, information, and knowledge to support patient and clinicians in their decision-making in all roles and settings. Uses a structured problem-solving method to identify and clarify issues and select, develop, implement, and evaluate informatics solutions.

PRINCIPAL RESPONSIBILITIES AND DUTIES:

• Uses a structured problem-solving method to optimize clinical systems and select, develop, implement, and evaluate informatics solutions.
• Analyzes and maps clinical workflows to evaluate efficiency, usability, and data integrity. Identifies and implements any opportunities for improvement and creates optimal workflow designs in harmony with policies, procedures and best-practices.
• Creates, designs and maintains clinical process & workflow documentation and serves as a content expert.
• Initiates, develops, seeks intra and interdepartmental approvals, deploys and evaluates company-wide clinical practice standards, policies, procedures, forms and guidance documents. Participates in the development of or develops clinical training and educational materials
• Works as a change agent for organizational leadership and clinicians, implements and direct processes to ensure maximum performance and benefit from the clinical information systems.
• Conducts site visits to review and evaluate clinical practice as necessary.
• Participates and leads committees and task forces as appropriate.
• Manages the activities & operations of the Clinical Informatics Department. Establishes and assures adherence to budgets, schedules, work plans, and performance requirements. Delegates assignments to subordinates when appropriate.
• Leverages knowledge from clinical and Informatics experience to develop, troubleshoot, and improve clinical systems that are beneficial in helping the organization to provide enhanced quality of patient care and handles unforeseen issues with tactical execution.
• Serves as liaison between the organization and physicians regarding requests, questions or concerns and collaborates with the medical office to develop new clinical procedures based on new technologies or new innovations.
• Provides senior level project management and team facilitation support to process improvement and utilizes the project life-cycle to plan, implement, monitor and sustain associated improvements.
• Regularly interacts with senior management or executive levels. Develops and makes formal presentations to diverse audiences at various levels within and outside the organization.
• Role will be reporting into transformation organization and will partner with Information Technology management, and closely work closely with business operational improvement team.
• Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Day to day work includes desk and personal computer work, interaction with patients, field and corporate staff and physicians. The position requires travel for clinical assessment and problem solving as well as presentations at Company-wide, Corporate, Division, Regional or Area Meetings as appropriate.
• The work environment is characteristic of both a health care facility and office environment with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

SUPERVISION:

• Responsible for the direct supervision of various levels of clinical quality and/or administrative support staff.

EDUCATION:

• Required: Bachelor's or higher degree in nursing or related clinical field.
• Preferred: Master's degree in Informatics, public health or related Healthcare discipline. This requirement can be waived in favor of extensive experience in clinical systems implementation/optimization.

EXPERIENCE AND REQUIRED SKILLS:

• 6+ years' experience in design, development and implementation of electronic health records with experience in dialysis will be highly valued
• 2-4 years of patient care experience
• 3+ years of management experience preferred
• Possesses strong influencing, collaboration and relationship-building skills
• Demonstrates knowledge and experience in patient care environments and in-depth knowledge of clinical processes and clinical workflows associated with patient care
• Excellent written and verbal communication skills
• Exemplary customer service
• Skilled level knowledge of Microsoft office suite
• Knowledge of project management and systems life cycle
• Critical thinking and decision making

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors