Assistant Director of Nursing

Bridge Dialysis of Arizona is seeking an experienced, motivated, and clinically driven Assistant Director of Nursing (ADON) to support our Mesa, AZ operations. This is an exciting opportunity for a dialysis nurse leader who is passionate about clinical excellence, regulatory compliance, quality outcomes, and staff development.

Working alongside the Director of Nursing, the ADON plays a key role in ensuring exceptional patient care while supporting nursing teams across multiple facilities. Why Join Bridge Dialysis? At Bridge Dialysis, we believe outstanding patient outcomes start with a strong, supported clinical team. Our unique culture prioritizes employee success, professional growth, and collaborative leadership.

As we continue to expand throughout Arizona, we're looking for leaders who are committed to innovation, accountability, and compassionate care.

Position Summary

The Assistant Director of Nursing supports the Director of Nursing in the oversight of Bridge Dialysis of Arizona's SNF-based dialysis programs. This role provides clinical leadership, staff support, regulatory oversight, quality assurance, and operational coordination to ensure patients receive safe, effective, and compliant dialysis care.

The ADON will primarily oversee dialysis operations at the following Mesa-area facilities: Assigned Facilities Montecito Post Acute Care & Rehabilitation 51 S 48th St Mesa, AZ 85206 Citrus Heights Respiratory & Rehabilitation 3130 E Broadway Rd Mesa, AZ 85204 The ideal candidate is highly organized, experienced in dialysis operations, and comfortable managing clinical workflows, admissions, staff support, quality initiatives, and regulatory requirements across multiple facilities.

Schedule Full-Time Position Monday-Friday On-call availability as needed for urgent clinical matters, staffing support, and operational needs Occasional emergency weekend coverage as needed Primarily facility-based with limited remote work opportunities Advanced notice required for planned time off and scheduling accommodations Key Responsibilities Clinical Leadership Provide clinical guidance, mentorship, and support to Dialysis RNs and Patient Care Technicians (PCTs).

Serve as a clinical resource and escalation point for dialysis staff. Promote best practices in patient care, infection prevention, and safety. Support staff performance, education, engagement, and professional development. Ensure adherence to Bridge Dialysis policies, procedures, and infection control standards. Admissions & Patient Care Coordination Oversee and facilitate the admission process for new dialysis patients.

Review referrals for clinical appropriateness and completeness. Verify required admission documentation, diagnosis information, vascular access, and laboratory requirements. Coordinate with skilled nursing facility staff regarding pending admissions and patient readiness. Ensure timely implementation of dialysis orders, treatment plans, and schedules.

Monitor new admissions to verify accurate documentation, assessments, and care planning. Coordinate communication with nephrology providers regarding admissions and clinical updates. Quality & Regulatory Compliance Ensure compliance with CMS Conditions for Coverage, Arizona ESRD regulations, and company policies. Support Quality Assurance and Performance Improvement (QAPI) initiatives.

Conduct routine audits and facility compliance reviews. Monitor infection prevention and control practices. Ensure patient assessments, care plans, education, and required documentation are completed timely and accurately. Support survey readiness and regulatory compliance activities. Operational Oversight Maintain and coordinate dialysis schedules for assigned facilities.

Monitor patient census, admissions, discharges, transfers, and hospitalizations. Facilitate communication between dialysis teams, providers, facility leadership, and interdisciplinary team members. Assist in developing efficient workflows and operational processes. Ensure smooth day-to-day operations across assigned programs.

Clinical Monitoring & Care Management Review laboratory results, anemia management reports, and patient outcomes. Ensure abnormal laboratory findings receive appropriate follow-up and provider notification. Monitor access management, dry weight accuracy, and treatment parameters. Support medication reconciliation and interdisciplinary care planning.

Assist with monitoring patients experiencing acute changes in condition or hospitalization. Interdisciplinary Collaboration Participate in leadership meetings, patient care conferences, and interdisciplinary team rounds. Partner with nephrologists, nurse practitioners, facility leadership, and care teams to promote optimal patient outcomes.

Foster strong relationships with Skilled Nursing Facility partners and healthcare providers. Support patient-centered care through collaboration, communication, and accountability.

Qualifications

Required Current Arizona Registered Nurse (RN) license in good standing. Minimum of 2-3 years of dialysis nursing experience. Previous leadership, charge nurse, supervisory, or management experience preferred. Strong knowledge of dialysis operations, clinical documentation, infection control practices, and regulatory standards.

Excellent organizational, critical-thinking, and communication skills. Ability to effectively lead and support multidisciplinary teams. Experience with electronic medical records and dialysis documentation systems. Preferred Leadership experience in dialysis, nephrology, or skilled nursing environments. Experience with quality improvement programs, audits, and regulatory surveys.

Familiarity with Home Hemodialysis (HHD) programs and ESRD regulations. Additional Requirements Ability to travel between assigned facilities as needed. Possess or obtain a Level 1 Arizona Fingerprint Clearance Card if required. Ability to participate in an on-call rotation and respond to urgent operational needs.

What We're Looking For

We're seeking a leader who combines clinical expertise with strong operational skills and a genuine commitment to mentoring and supporting frontline staff. The ideal candidate is organized, proactive, accountable, and passionate about delivering exceptional dialysis care in the skilled nursing setting. If you are looking for an opportunity to lead a growing dialysis program, collaborate with an outstanding clinical team, and make a meaningful impact on patient outcomes, we'd love to hear from you.

Join Bridge Dialysis of Arizona and help lead the future of dialysis care at Montecito Post Acute & Rehab and Citrus Heights Respiratory & Rehabilitation.