Title Head Nurse (Hemodialysis)
Number of Positions 1
Salary Salary Commensurate with Experience
Location Hemodialysis


The employee in this position works under the general supervision of the Chief Nursing Officer and the Hemodialysis Administrator. The Head Nurse for Hemodialysis is accountable for planning, supervising, and coordinating, for in-patients and out-patients dialysis departments, all patient care activities and daily clinic operations in order to maintain a safe, efficient, financially responsible environment to provide the highest level of quality patient care. This individual manages hiring, staffing, disciplinary action, development and employment decisions related to department staff. The individual executes and monitors the daily labor and supply utilization, and regulatory functions of the programs consistent with the Territorial, Federal, and Hospital guidelines. This individual provides oversight and leadership to the department staff and ensures compliance to Hospital policies and procedures. The Head Nurse performs other duties as assigned to support the overall effectiveness of the department.



  1. Ensure patient care activities in accordance with the Hospital’s policies and procedures.
  2. Execute protocols and quality initiatives to improve departmental and patient outcomes.
  3. Prepare monthly reports including but not limited to: labor analysis, revenue cycle, cost.
  4. Acts as a liaison with all Hospital departments.
  5. Provide departmental management, effective communication, and leadership in the execution and direction of quality services to patients, staff and medical staff.
  6. Develop and maintain effective communication and working relationships with staff, co-workers, physicians, and patients.
  7. Manage labor and supply utilization.
  8. Lead, coordinate, supervise, monitor, delegate and document all aspects of patient care activities.
  9. Collaborate with all disciplines, utilizing internal and external resources to provide optimum patient care.
  10. Manage and monitor the delivery of services to patients ensuring compliance in the performance of all aspects of patient care in accordance with Hospital policy and procedures, Territorial and Federal guidelines.
  11. Oversee and direct all departmental staff to ensure adequate visual monitoring of patients by nursing and patient care staff during treatment.
  12. Ensure delivery of safe and efficient quality care.
  13. Manage patient and staff schedule to maintain optimum staff to patient ratios in accordance with departmental census, operational goals and regulations set forth by Territorial and Federal agencies.
  14. Support, understand, and implement the philosophy, mission and policies of the center and Hospital; implement and promote Hospital quality outcome initiatives and Hospital culture.
  15. Demonstrate competent knowledge of Territorial and Federal ESRD regulations, and center departmental, administrative, and financial and quality policy and procedures.
  16. Manage and ensure appropriate documentation of nursing process, Assessments and Plan of Care, admission and monthly progress notes, problem lists and medication updates. Ensure patient’s medical records are maintained in accordance with Hospital policy and regulatory agencies.
  17. Manage implementation of quality assessment and improvement activities making recommendations based upon departmental and patient outcomes
  1. Supervise and participate in center audits including QAPI, medical records, fire & safety and emergency preparedness.
  2. Oversee/serve as member of QAPI Committee and the ESRD Oversight Subcommittee.
  3. Implement patient and staff satisfaction surveys and report results to QAPI committee.
  4. Manage reporting of Network activities and complete reporting in a timely manner, which includes but is not limited to, payroll, census, Epogen log, and quality reporting.
  5. Review treatment log, medication and treatment audit, and medication discrepancy reports to ensure accuracy.


  1. Must have a Baccalaureate degree in business or nursing
  2. Minimum of two years experience in dialysis or transplant unit in leadership. Minimum of 2 years of ESRD experience
  3. Must have demonstrated record of and commitment to safety; and dedication to excellence
  4. Must have possess outstanding communication and interpersonal skills
  5. Must be able to communicate professionally and effectively with other Hospital departments, staff members, patients, and physicians.
  6. Must be able to read and interpret documents such as governing regulations, safety rules, operating, and maintenance instructions, and procedure manuals.
  7. Basic knowledge of computers, word processing software, and spreadsheets.


  1. Graduate of an accredited four (4) year program in Nursing. Master’s degree is (preferred). Minimum of 2 years of ESRD experience
  1. Minimum of 2 years of management or supervisory experience
  2. Highly Effective written, verbal and presentation communication skills