Country Nursing and Quality Manager

Fresenius Medical Care · Singapore

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At Fresenius Medical Care, we are the global leader in kidney care, committed to improving the lives of patients with chronic kidney disease. Our mission is to deliver high-quality, innovative products, services, and care across the entire healthcare journey. Guided by our vision—“Creating a future worth living. For patients. Worldwide. Every day.”—we work with purpose and compassion, supported by a global team of over 112,000 employees.

Our values guide how we work:

• We Care for our patients, each other, and our communities
• We Connect across teams and borders to deliver excellence together
• We Commit to doing things the right way— growing with purpose and leading kidney care with integrity and innovation

Job description in detail:

1. Nursing leadership and clinical governance

• Provide strategic and professional leadership for nursing services across the Singapore clinic network.
• Provide functional leadership to clinic Head Nurses and relevant nursing and quality leaders; set clear objectives, standards and performance expectations.
• Establish and maintain a nursing governance framework covering accountability, delegation, escalation, clinical decision-making and professional practice.
• Ensure nursing practice is consistent with Singapore Nursing Board requirements, applicable legislation, organisational policies and professional standards.
• Partner with the Country Medical Director and operational leadership on clinical governance, service quality and patient safety priorities.
• Act as the senior nursing escalation point for significant clinical, professional-practice and nursing governance matters.
• Lead the clinical governance arrangements required under the licence of HCSA Outpatient Renal Dialysis Service Regulations 2023
• Provide direction on nursing manpower and skill mix with clinic management, including rostering standards, recruitment, onboarding and retention

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2. Patient safety, quality and risk management

• Lead the country nursing quality agenda and maintain an effective Quality Management System (QMS) for nursing and clinic operations.
• Develop, monitor and improve nursing quality indicators, patient safety indicators, clinical outcomes and quality dashboards.
• Lead clinical audits, nursing audits and quality reviews; ensure findings are translated into corrective and preventive actions with clear owners and deadlines.
• Lead or facilitate root cause analysis / structured investigation of significant clinical incidents, near misses and adverse events, and monitor effectiveness of corrective actions.
• Strengthen systems for incident reporting, escalation, learning and prevention of recurrence.
• Drive infection prevention and control practices, including surveillance, staff compliance, education and corrective actions.
• Oversee medication safety, patient identification, vascular access / dialysis safety, emergency preparedness and other relevant high-risk nursing processes.
• Promote a just and learning-oriented safety culture in which staff are encouraged to report risks and near misses.
• Promote a culture of regulatory compliance with the HCSA, its regulations, licence conditions and codes of practice, and with MOH and environmental/occupational safety standards.

3. Regulatory, licensing and accreditation

• Ensure nursing and clinic practices remain compliant with applicable Singapore healthcare legislations, MOH requirements, HCSA licensing conditions where applicable, Singapore Nursing Board requirements and organisational standards.
• Maintain readiness for regulatory inspections, licensing reviews, corporate audits and accreditation activities.
• Coordinate responses to regulatory findings, audit non-conformities, complaints and improvement notices, ensuring timely and sustainable remediation.
• Maintain governance over required nursing documentation, policies, clinical guidelines, competency records, audit evidence and quality reports.
• Monitor changes in Singapore healthcare regulation and professional standards and translate relevant changes into operational requirements and training.

4. Nursing standards, policies an improvement

• Develop, review and harmonize nursing and clinical policies, procedures, guidelines and standards across clinics in accordance to corporate standards and Singapore regulations.
• Drive continuous improvement of nursing standards, supports product development and testing, and promotes nursing research
• Ensure nursing standards are evidence-based, practical, measurable and aligned with corporate requirements and Singapore practice expectations.
• Lead implementation of new nursing practices, care models, technologies and service improvements, including assessment of resources, training, risks and outcomes, as initiated by Group Medical Office (GMO) or through external market benchmarking.
• Promote nursing research, evidence-based practice and structured evaluation of clinical improvements where appropriate.
• Benchmark nursing practice and quality performance against relevant healthcare standards and recognised good practice.

5. Clinical education, competency and professional development

• Oversee the regular nursing education and competency plan based on patient risk, regulatory requirements, service needs and identified capability gaps.
• Partner with Clinical Education and clinical experts to deliver structured clinical education, orientation, refresher training and leadership development.
• Ensure competency assessment is completed for high-risk and critical nursing activities and that nursing staff are appropriately authorised before independent practice.
• Evaluate the effectiveness of training through competency outcomes, audit results, incident trends and clinical performance.
• Promote continuing professional development and support nurses in developing advanced clinical and leadership capabilities.
• Defines country priorities for clinical training and education in collaboration with corporate training and relevant local stakeholders, ensuring alignment with corporate objectives, operational needs, and high-quality patient care. 

6. Service development, productivity and innovation

• Contribute nursing expertise to service development, clinic expansion, new site readiness and implementation of new models of care.
• Assess nursing implications of new services, equipment, technologies and workflows, including staffing, training, safety and quality requirements.
• Drive nursing productivity and workflow improvement while maintaining patient safety and quality of care.
• Use data and digital tools to improve nursing documentation, monitoring, reporting, communication and quality management.
• Lead or sponsor cross-functional improvement projects that improve patient experience, clinical outcomes, workforce effectiveness or operational efficiency.
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7. Management representation, reporting and stakeholder experience

• Represent nursing and quality at country management level, reporting clinical performance (e.g. operational KPIs), addressing risks and leading clinical improvement projects with the Country Medical Director.
• Provide regular country-level reporting on nursing performance, quality, patient safety, regulatory compliance, workforce and improvement initiatives.
• Maintain a country nursing and quality dashboard covering agreed KPIs, trends, risks, actions and outcomes.
• Escalate material clinical, regulatory, workforce and patient-safety risks to Country Management and relevant regional / corporate functions.
• Represent nursing function with external regulators and healthcare partners

• Participate in relevant management committees, quality and safety forums and regional / corporate nursing communities.

• Connect nursing, quality, people and operational priorities to support reliable care delivery, regulatory readiness, and sustainable clinic performance. 

• Make country-level strategic decisions and recommendations on Nursing and Quality priorities, governance measures, risk mitigation and capability-building initiatives in alignment with country and corporate objectives. 

8. Occupational health, safety & business continuity

• Provide nursing input into occupational health, workplace safety, exposure incidents, needlestick injuries and staff health risks.

• Ensure appropriate investigation, reporting, follow-up and preventive actions for relevant staff safety incidents.

• Contribute to emergency preparedness, business continuity and crisis response for the clinic network.

• Ensure nursing teams understand escalation pathways and their roles during emergencies and service disruptions.

Qualifications, experience, know-how and skills critical for success*

1) Required training and education:

• Registered Nurse with valid Singapore Nursing Board (SNB) registration and practising certificate in which General Licence is a must.

• Recognised nursing degree; postgraduate qualification in nursing, healthcare management, quality, patient safety or a related discipline is advantageous for this country-level leadership role.

• Training on applicable Quality Management System Auditor Qualification Program by corporate CDI function (Nursing Expert Auditor Qualification Program is optional)

• Meets the HCSA qualification, skills and competency requirements for a Clinical Governance Officer, or is able to support the person appointed to that role

2) Required professional experience (in years):

• Substantial 8-10 years of clinical nursing experience, with significant experience in nursing leadership / management (such as ADON) in Singapore; dialysis nursing experience is strongly preferred given the business context.

• Demonstrated experience in clinical governance, quality improvement, risk management, patient safety, clinical audit and regulatory / accreditation readiness.

• Quality management, auditing and accreditation

• Good data analytical skills

• Strong stakeholder management and communication skills

• Experience of MOH licensing, inspections and audits in Singapore is an advantage

• Experience leading cross-functional change and improvement projects across multiple sites or services.

• Working knowledge of Singapore healthcare regulatory requirements, professional nursing standards and quality / safety frameworks.

• Strong digital literacy and ability to use data, dashboards and clinical / quality information systems to support decision-making.

• Excellent written and verbal English communication skills; ability to engage confidently with senior management, doctors, nurses, regulators and external stakeholders.

3) Other leadership competencies:

• Strategic and systems thinking

• Clinical leadership and professional accountability

• Patient safety and quality improvement mindset

• People leadership, coaching and talent development

• Evidence-based decision making and data interpretation

• Change management and service transformation

• Stakeholder management and influencing

• Inter-professional collaboration

• Risk identification, escalation and mitigation

• Communication, presentation and executive reporting

• Resilience, adaptability and sound judgement

• Commitment to patient-centred and customer-oriented, ethical and inclusive care

• Strong influencing skills

• Multi-cultural mindset, adaptive to diverse cultures

4) Other specialized knowledge:

a) Functional knowledge

• Nursing & Dialysis Expertise: Strong knowledge in nursing practices, especially in haemodialysis and peritoneal dialysis procedures.

• Quality & Risk Management: Proficient in systematic quality management approaches (ISO 9001, ISO 14001, OHS), with experience in quality control, risk management, and infection control.

• Hygiene & Infection Control: Expertise in maintaining and enforcing hygiene standards.

• Leadership & Education: Skilled in leadership and educational management, with experience in training, staff development and competency assessment.

• Nursing Workforce Management: Manpower planning, rostering, recruitment and performance management.

• Project & Change Management: Strong skills in managing projects and driving organizational change.

• Communication: strong communication and public-speaking skills.

• Administration & Compliance: Knowledge of clinic administration, HCSA, Outpatient Renal Dialysis Service Regulations, licence conditions, MOH codes of practice and other local requirements.

• Dialysis & Medical Devices: In-depth understanding of dialysis services, medical devices, FME products, and water treatment systems.

• QMS & Auditing: Expertise in quality management systems (QMS), including auditing processes and tools.

• Economic Decision-Making: Ability to evaluate the financial impact of decisions.

• Regulatory Knowledge: Understanding of the relationship between healthcare providers and regulatory agencies.

b) IT skills

• Understands and uses modern communication tools, software and systems

• Good IT knowledge (MS Office, SAP, Intranet etc.)

• Trained and skilled to work with audit databases

• Understands basics of e-health, data security and personal data protection

• Basic knowledge of EuClid system would be appreciated

c) Languages

• Fluent English knowledge as a must (presenting, writing, reading)

• Other languages used in Singapore clinics (e.g. Mandarin, Malay, Tamil) would be an asset

5) Special personal requirements:

Please list requirements such as willingness to travel or work weekends or shifts etc.

• Working for an international company with international standards

• Travelling between clinics in Singapore and, where assigned, within the region across different time zones

• Availability outside normal hours for regulatory inspections, serious incidents and clinic emergencies

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