Fresenius Medical Care North America Azura Vascular Access Facility Administrator in Mishawaka, Indiana


Position is responsible for the daily operations of the vascular access facility. As the leader, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. The Facility Administrator, in conjunction with the Medical Director and charge nurse/director of nursing, shall ensure that the Center complies with the requirements of any governmental or regulatory body having jurisdiction in the premises or use of the Center, to meet such quality standards as set forth by the selected accrediting agency, and assist the Medical Staff to ensure that medical practices and procedures meet such standards. Manages all aspects of patient care in the vascular access facility from admission through discharge. Ensures provision of quality patient care and the role is responsible to the ASC Governing Body for clinical reporting and for operational and cost-containment decisions. Markets available vascular access services through presentations to physicians and dialysis facilities.


  • Ensures the Development of proper clinical procedures that ensure patient safety, comfort, and quality.

  • Ensures appropriate admission and discharge procedures and assures that pre-admission criteria are appropriately met in accordance with policy.

  • Researches and prepares cost reduction proposals and implements them as applicable.

  • Evaluates ongoing patient care and reports significant patient problems to appropriate team members.

  • Collaborates with Human Resources to ensure personnel development and communication to staff to achieve consistency in labor and employee relations.

  • Serves as resource and role model for staff.

  • Plans, evaluates, recommends and implements new initiatives when appropriate.

  • Provide leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.

  • Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends.

  • Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals.

  • Program or project responsibility generally within the function. Manages the operations of the center and has a direct impact on specific functional areas. Manages the coordination of activities for the center with direct responsibility for results, including costs, methods, and staffing. An individual contributor will have significant project/process responsibilities.

  • Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect the Center’s operation.

  • Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization.

  • Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.

  • Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team.

  • Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.

  • Provides technical guidance.

  • Assists with various projects as assigned.

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


  • Coordinates all aspects of patient care within the vascular access facility in conjunction with the appropriate staff members, from admission through discharge of the patient.

  • Ensures education of the patient and the patient’s family regarding access care.

  • Acts as a resource for the patient to address patient concerns and questions. Reviews patient satisfaction surveys and addresses any concerns or issues expressed by the patient.

  • Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility efficiency. Assists with patient workflow, monitoring pre, intra and post procedures for adherence to policy/procedure on an as needed basis and in compliance with scope of licensure.

  • Ensures patient eligibility is validated by working with payor case managers to facilitate timely workup of patients for access management


  • Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing on a daily basis.

  • Participates in the recruitment, interview process and decision to hire new personnel.

  • Ensures completion of new hire orientation and training, including mandatory in-service and relevant training. Ensures appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates.

  • Responsible for ensuring all employees receive appropriate training according to USV/FMS policy as well as on all USV/FMCNA risk management initiatives.

  • Provides staff with training to ensure clinical competences and provides opportunities for professional growth.

  • Responsible for overseeing performance of all licensed, direct patient care, and indirect patient care personnel as assigned, as well as outside vendors performing work in the facility. Provides education, guidance and feedback related to performance as needed.

  • Educates and informs staff regarding Azura Vascular/FMCNA benefits, Human Resources policies and procedures and acts as a resource to facility staff.

  • Provides counseling for all facility staff members, offering support and encouraging personal growth.

  • Completes timely employee evaluations and sets appropriate annual goals for staff.

  • Provides written documentation of all disciplinary meetings in accordance with the established personnel policies, and confers with Human Resources and VP of Quality regarding the nature of the disciplinary decisions.

  • Participates in Corporate and Division specific employee recognition and satisfaction programs.

  • Ensures a strong communication and educational process with facility staff, Division and Corporate office personnel, including communication of Azura Vascular/FMCNA Division and Corporate initiatives, policies and procedures to staff.

  • Creates and implements a continuous, data driven QAPI Program that involves staff in problem solving.


  • Responsible for supporting and driving ASC quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of FMS CQI tools.

  • Implements ASC quality goals and develops facility specific action plans in order to achieve ASC quality standards.

  • Accountable for outstanding quality of patient care, as defined by the Azura Vascular quality goals, by working with management to ensure that policy and procedure is followed by internal and external (contracted) staff

  • Responsible for implementing appropriate training according to policy to ensure ongoing compliance with all risk management initiatives.

  • Responsible for aggressively addressing and acting on adverse events and action thresholds.

  • Ensures all Quality policies and procedures are communicated to and implemented by the facility and contracted staff.

  • Maintains integrity of medical records and other administrative and operational records.

  • Complies and assists with all data collection and auditing activities.

  • Maintains facility environmental integrity and safety.


  • Identifies and visits local dialysis clinics to provide information and education on available vascular access services for ESRD patients.

  • Provides educational support to hospital personnel and physician practices on dialysis access and helps resolve renal patient specific problems.

  • Ensures regular and effective communication with dialysis clinics, hospitals and physician(s), through regular meetings to address any concerns and issues.

  • Acts as a liaison between the local dialysis clinics, the Access Center, and physician practices.

  • Serves as a resource person for dialysis units in regards to any access care problems with their patients.


  • Facilitates the application process for physician privileges and compliance with Medical Staff By-Laws, including assisting with the credentialing process.

  • Responsible for strong Medical Director and physician relationships and facilitating staff relationships with physicians.

  • Ensures regular and effective communication with all physicians, through regular meetings with Medical Staff.

  • Participates in Governing Body, assisting with meeting agenda and gathering necessary data/material for meetings.

  • Schedules and coordinates medical staff meetings as necessary.


  • Must be knowledgeable in the operation of all facility equipment and technology, including but not limited to C-arm, patient monitors, defibrillators, medical recording devices and computers, and all emergency equipment

  • Schedules the maintenance and repair of equipment, operating systems and physical structure of the facility, as needed.

  • Monitors security of the facility.


  • Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution and competitive pricing.

  • Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals as set forth in the annual budget.

  • Assists in the development and revision of any applicable policies and procedures for the facility as recommended by the Governing Body.

  • Directs any necessary information gathering, as required, to support billing, billing issues and collection activities.

  • Coordinates and approves facility payroll.

  • Responsible for participating in all on-site internal and external (state, federal and accreditation) surveys.

  • Reviews new and existing provider contracts on a continuous basis for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning.

  • Responds appropriately to in-coming correspondence whether electronic, paper or voice mail.

  • Other duties as assigned.


  • 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.

  • 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 and interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to regional, Division and Corporate meetings may be required as well. The position may provide direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Coworkers may provide assistance. The position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, patients and equipment of up to 200 lbs. There is a two-person assist program and “material assist” devices for the heavier items.

  • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

  • Minimal travel to regional and annual manager’s meetings.


  • May be responsible for the direct supervision of various levels of direct and indirect patient staff.


  • Bachelor’s degree with concentration in nursing, healthcare or business related field preferred.

  • Must meet any and all state specific requirements for background and education level.

  • Successfully complete and maintain BLS Certification


  • Minimum (3) years direct experience or related healthcare supervisory or administrative role.

  • Experience in outpatient healthcare operations or an ambulatory surgery center setting preferred.

  • Experience obtaining and maintaining Medicare certification through an accrediting organization is desirable.

  • Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.

  • Demonstrated management skills necessary to provide leadership in the supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity