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Chief Nursing Officer, Seatac, WA

Organization: Northwest Kidney Centers
Category: Chief Nursing Officer
Location: Seatac, WA
Date Job Posted: May 20, 2023
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Chief Nursing Officer

Leadership Seatac, Washington


Northwest Kidney Centers is hiring a Chief Nursing Officer to join our team. This is an exempt, full-time role based in our Burien Pavilion. Local hybrid only, no remote.


The Chief Nursing Officer (CNO) is responsible to the Chief Executive Officer (CEO) for providing oversight of patient care in all care settings- outpatient dialysis, home dialysis, and hospital services within contracted hospitals. The CNO ensures a strong clinical partnership with the Chief Medical Officer to continue to provide the highest quality of care to NKC patients. The CNO coordinates with other care partners such as NKC nephrology medical staff, clinics, hospitals, and skilled nursing facilities. The CNO serves as a member of NKC executive leadership and, together with other executives, guides the organization toward meeting goals of the strategic plan.

The CNO is responsible for establishing and monitoring processes to ensure that NKC meets federal, state, and other regulatory standards for dialysis care in outpatient and hospital settings. The CNO fosters a culture of safety and oversees the NKC program for safety alerts, infection prevention, and employee health. The CNO fosters continuous quality and performance improvement and is actively engaged in quality initiatives to advance clinical outcomes. The CNO is a strong partner with the finance team to set department budgets and oversee financial performance in each area. The CNO is a strategic partner with business development to help to continue to expand NKC.

Key Responsibilities include:

Liaison with Clinical and Medical Staff and other Key Stakeholders

  • Leads vetting and selection processes of clinical directors and other key stakeholders, including all related day-to-day supervisory and management activities.
  • Oversees and facilitates compliance with federal, state, and other regulatory bodies.
  • Strengthens the culture of accountability and teamwork, providing visible leadership, including routine visits to all reporting clinics and departments.
  • Leads clinical director staff, including all related meetings, to drive engagement, increase awareness of organizational priorities, and continuously work on performance improvement.
  • In conjunction with the CMO, CEO, designs and implements plans to build relationships with key stakeholders in the local market, including local integrated delivery systems, referring nephrologists, clinical leaders, and other providers of clinical care.
  • Develops and strengthens relationships with national entities to enhance the organization’s visibility and reputation in the marketplace, including participating in key advocacy and healthcare policy issues related to the NKC patient population.
  • Serves as a clinical spokesperson for NKC to patients, hospitals, health partners, the ESRD Network and the public, as requested by the Marketing and Communications Department.

Quality and Safety Management

  • Oversees clinical care provided by Northwest Kidney Centers in all locations which includes establishing clinical standards, protocols, policies, and monitoring of overall performance.
  • Strives to ensure that state-of-the art dialysis care is provided to NKC patients and best possible quality, and safety outcomes are achieved in a cost-effective manner.
  • In coordination with the CMO, helps design and implement strategies to reach patient satisfaction and clinical quality goals. Provides input into the strategic plan, annual goals and tactics, and quality and safety initiatives and work plans for the organization. Aligns clinical goals with the strategic
  • In coordination with the CMO, oversees all aspects of quality assessment and performance improvement (QA/PI) endeavors as required and modified by CMS.
  • Collaborates with and supports the board of trustees, foundation board, and subcommittees, as requested.
  • Inspires a culture of safety and quality of care by collaborating with medical and clinical leadership in the development of clinical procedures for daily care and to advance quality initiatives.
  • Provides leadership and oversight of the Clinical Informatics and Education teams to develop, maintain, and optimize orientation and ongoing clinical education programs that meet or exceed CMS/ACHC guidelines and expectations as well as the needs of a diverse patient population.

Utilization and Operations

  • Provides vision, leadership, and day-to-day oversight in assigned areas of the organization’s operational and programmatic functions and departments, providing guidance to the Executive Leadership Team and their direct reports.
  • Drives strategic input for all services provided, policies, utilization, contracting, analytics, staffing, patient flow, and general operations that move the organization toward strategic goals while maximizing profitability by optimizing resource utilization and ensuring quality of care.
  • Actively works to identify and implement initiatives related to cost containment and financial improvement including engaging clinical and leadership staff, where appropriate.
  • Plans and allocates work force and financial resources in collaboration with the CFO, VP of Human Resources, and others to ensure adequate number and properly prepared patient care staff are available and supported to care for outpatient, home and hospital patients requiring NKC service. Collaborates with Director of Supply Chain and Pharmacy Manager to foster effective allocation of
  • Budgets and monitors operating expenses for dialysis services so they are within budget on an ongoing basis or variances are explained. Focuses on workforce planning for future
  • Ensures all patient care sites maintain compliance with prevailing rules and regulations including CMS, DOH, TJC and other hospital regulatory Ensures the development of safety and disaster plans for the maintenance of dialysis services.
  • Oversees the infection prevention program, and employee health program and ensure collaboration with the Director of Quality and safety and the CMO.
  • Supervises the Director of Technical Services who oversees biomedical, water and facility specialists who provide daily facility patient care support including housekeeping and waste

Strategic Planning and Development

  • Provides strategic direction, including helping the organization anticipate and adapt to changes in healthcare delivery for patients with CKD and kidney failure.
  • Assists in the evaluation and establishment of additional related clinical programs, services, and technologies that help support the overall objectives of NKC, including financial performance and clinical excellence.
  • Collaborates on the planning, design, and construction of new clinic sites, including overseeing implementation of water and dialysis technology.


  • Responsible for effective planning and coordination of clinical services to ensure optimal patient outcomes and to meet all compliance and regulatory requirements. In addition, collaborates with other senior leaders to plan for growth and innovation of NKC services.

Supervision and Coordination

  • Supervises the clinical directors who serve as facility administrators under the CMS Conditions of Coverage for ESRD facilities. Supervises the Clinical Director of Hospital Services who provides mobile qualified staff to contract hospitals each day. Oversees clinical staff training to ensure dialysis technicians, nurses, care managers, and unit coordinators are prepared and qualified to perform their clinical duties per policies and procedures and remain up to date in their skills.
  • The CNO serves as an active member of the Operations, Quality and Safety Committee (ESRD facility governing body), and Board of Trustees Quality and Safety Committee.

External Contacts

  • Participates in local, regional, and national collaborative activities with health systems, hospital associations, dialysis coalitions and leaders in dialysis throughout the nation, including the Non-Profit Kidney Care Alliance. Serves as lead staff and compliance officer for the Northwest Kidney Care Alliance, a renal Accountable Care Organization demonstration program.

Required Qualifications:

  • The CNO should have qualifications to secure a WA State Nursing license in good standing.
  • Master’s degree
  • Will have the equivalent of ten (10) years’ nursing management experience within a hospital and/or healthcare system with exposure at the senior management/executive
  • Prior direct patient care experience in inpatient or outpatient healthcare
  • Be able to show evidence to demonstrate the ability to direct the operations of a large clinical staff dispersed in clinics throughout a geographical area that crosses multiple counties. Must have evidence of quality and safety knowledge and accountability and have in-depth experience with continuous process improvement methodology.
  • Must have strong change management and collaboration skills. The CNO is expected to have outstanding communication skills and the ability to relate well to staff and patients as well as management, the Board of Trustees, and the public.

Preferred Qualifications:

  • Knowledge of the dialysis care process in an outpatient and hospital environment

Learn more about us, NKC on YouTube

Benefit offerings for eligible employees (.6-1.0 FTE):

  • Choice of 3 medical insurance plans through Kaiser Permanente (PPO, HMO & HDHP)
  • Delta Dental
  • Vision Services Plan
  • 401 Retirement match and discretionary match
  • Disability benefits such as Short-term & Long-term Plans
  • Life & AD&D Plans
  • Educational Assistance/Tuition Reimbursement of up to $4,000 annually
  • Employee Assistance Program
  • Flexible Spending Account
  • Health Savings Account
  • Transit Subsidy
  • Paid Time Off which includes personal time and 8 Holidays. PTO will accrue bi-weekly and will be pro-rated based on the FTE. The accrual rate will be 10.47 hours per bi-weekly pay period.

About us

Northwest Kidney Centers is the leading not-for-profit kidney provider in Washington, and the 8th largest kidney care provider in the nation. NKC became the first dialysis organization in 1962, when what was then known as Seattle Artificial Kidney Center opened its first center. In 1970, the name was changed to Northwest Kidney Center and NKC has experienced dramatic growth since that point. Today, NKC consists of 20 outpatient centers, 750 employees and 105 credentialed medical staff. NKC is considered a provider of choice in our area and sees over 1,800 patients receiving 285,000 treatments annually.

Northwest Kidney Centers is an equal opportunity employer. We don’t discriminate on the basis of race, gender, sex, sexual orientation, age, religion, national or ethnic origin, disability, genetics or veteran status.

Please note: Northwest Kidney Centers is obligated to adhere to Proclamation 24- 14.1 requiring healthcare workers in the State of Washington to be fully vaccinated against Covid-19 in order to work in a healthcare facility. Northwest Kidney Centers fully supports this requirement in order to prevent and reduce the spread of Covid-19 to patients and employees. All new staff will need to provide proof of Covid-19 vaccination to NKC Employee Health prior to their first day. Medical or Religious exemptions may be accommodated depending on the role. For exemption information, please contact Human Resources prior to your start date.

Salary Range: CNO $171,995.20 - $216,008.00 - $260,000.00

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