Director of Clinical Operations

Position: Director of Clinical Operations

Report to: Vice President of Operations

 

Why work at Concerto? What is in it for you?

As 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 insurance
• Short- and long-term disability benefits
• 401(k) match of 50% up to 6% of salary
• Earned paid time off (PTO)
• Discounts through the Nectar recognition platform
• Employer-paid Employee Assistance Program (EAP)

 

Who Are We?

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.

 

Why is this Role Essential?

The Director of Clinical Operations owns clinical performance across an assigned market ([INSERT ASSIGNED STATES]) and reports directly to the Vice President of Operations as a key clinical partner. This role leads Clinical Operations Nurses and directs coaching, intervention, and support across assigned sites.

This field-based clinical leader uses performance data, site observations, and frontline insight to identify risks and opportunities for improvement. The role partners closely with Regional Managers while reinforcing their accountability for overall site performance, and drives consistent frontline execution of clinical standards, QAPI action plans, and Survey corrective actions in partnership with Quality & Regulatory Compliance.

 

What Will You Do?

Drive Clinical Performance Improvement

• Own 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 Operations

• Lead, 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 & Readiness

• Partner 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.

Qualifications

You 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 Environment

• Must be able to perform light lifting of at least 25 lbs.
• Requires mental, visual, and auditory attention to patients, customers, and staff.
• Work environment is characteristic of a healthcare facility with temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases or materials.

 

On Call & Work Expectations (if applicable):

• Field-based role with regular travel between assigned sites and markets, with an expectation of spending 3–4 days per week in the field.
• Work at least one clinical shift per month alongside site teams.

 

Compensation: $120,000 - $140,000

 

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.