This position provides overall clinical and operational management in collaboration with the patient care area or service line Director. Provides leadership with specific operational and management oversight of the patient care area(s) or service line. Accountable for the performance and results of a the patient care area(s) or service line. Oversees the execution of short and long term strategies in support of organizational goals pertinent to department. Establishes and ensures compliance with standards of clinical care, as well as maintains accountability for staffing, quality, safety, service and clinical excellence throughout the department. Maintains integral relationships with medical staff leadership. Accountable for the implementation and proper application of policies, programs and services as established by federal and state regulatory bodies. Researches, identifies and implements initiatives and opportunities to improve effectiveness of management, clinical and non-clinical research and patient/family centered care within the department. Provides guidance, coaching, and feedback to team members and coaches team leaders on effective management techniques. Makes employment decisions for the team, utilizing input from team leaders. Monitors quality metrics and changes in practice that impact clinical, financial or operational outcomes and develops plans to address areas for improvement. Monitors and manages a budget for defined area (s) of responsibility. Provides technical guidance to others as needed for non-routine and/or complex problems/situations.
Job Specific Responsibilities
Interviews and hires new team leaders and staff members. Administers annual PEACs / merit increases for direct reports. Provides performance feedback to direct reports, including the documenting and counseling of performance issues. Maintains positive staff relations through Evidence Based Leadership and Just Culture. Completes scouting reports and weekly rounding on direct reports. Ensures that direct reports are kept abreast of changes within the unit, department, division and organization. Provides mentoring to direct reports and provides them with developmental opportunities that will help them achieve their career goals. Administers disciplinary action to direct reports when necessary, up to and including termination of employment. Provides appropriate recognition to direct reports. Develops and implements Action Plans as a result of the feedback received from the annual Employee Opinion Survey. Coordinating and developing of PEAC goals. Ensures that all staff members in assigned area are responsible and accountable for prescribing, delegating and coordinating patient care. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence based guidelines to globally assess situations and through critical thinking and clinical decision making, develop an appropriate plan of action to resolve situations that have been escalated. Ensures that all staff members are accountable and that patient care meets the standards of safety, effectiveness, patient rights and guest relations. Ensures that all staff members deliver competent and skilled care to patients and families according to their identified needs and does so with a team-orientation, an emphasis on good customer relations, sound clinical judgment and appropriate decision making abilities that take into consideration evidence based practice.
Operational Leadership: Approves mileage and education reimbursements for all staff on assigned units. Responsible for ensuring all units have adequate supplies. Approves Lawson orders. Submits all Lawson personnel actions for direct reports. Submits Position Control requests. Monitors trends with attendance for direct reports and addresses any attendance issues in a timely manner. Approves PTO requests for direct reports. Monitors FMLA / SRD / LOA for direct reports. Develops and maintains positive physician relations. Review and sign off on bi-weekly payroll. Review NSI Dashboards on a monthly basis, communicate trends to leadership team and address any area of concern within assigned areas of responsibility. Review NRC Picker reports, communicate trends to leadership team, and address any areas of concern within assigned areas of responsibility.
Financial Leadership: Ensures that budgets are adhered to for area of responsibility. Collaborates with Operations Business Partner and Director to research and explain variances to the budget for assigned area of responsibility. Submit capital equipment requests.
Regulatory & Quality Compliance: Responsible for ensuring clean sweeps are conducted. Responsible for ensuring that appropriate audits are conducted. Ensures readiness for disease specific certifications audits (where applicable). Ensures regulatory readiness for assigned areas. Ensures unit environmental rounds are conducted. Ensures staff licenses and certifications are not expired. Ensures HR file and shadow files are up to date. Ensure that area of responsibility is ready for tracers and participate in the tracer process as necessary. Review eSets. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e. hand hygiene, proper disposal of waste, etc.).
Staffing: Oversees staffing to ensure adequate coverage on every shift. Serve on-call in the event additional coverage is needed. May work at the bedside during high census or Code Yellow.
Miscellaneous: Conduct family rounding (as it is rolled out to specific units). Address patient / family concerns / complaints in a timely fashion. Update Stoplight Reports on a monthly basis to keep staff informed about progress of addressing concerns brought up through employee rounding. Attend required leadership meetings. Manage unit-based and department based projects. Oversee unit / department based process improvement projects. Review and modify Annual staffing plan. Advocates for the patient, represents the concerns of the patient / family and identifies and assists in resolving ethical and clinical concerns. Maintains a body of knowledge and tools that allows the incumbent to manage whatever environmental and system resources exist for the patient / family and / or staff, within or across healthcare and non-healthcare systems. Collaborates with physicians, families and staff to assist in developing and implementing an appropriate plan of care in a way that promotes / encourages each person's contributions towards achieving the best patient outcomes. Provides education and facilitates learning for patients, families and patient care team in a way that demonstrates a sensitivity to recognize, appreciate and incorporate differences related to diversity.
Required: Minimum 5 - 7 years of relevant experience
Required: Four-year Bachelor's degree or equivalent experience
Preferred: Graduate or professional work or advanced degree; or equivalent experience
Specific Knowledge, Skills and Abilities
Ensure that the customer perspective is a driving force behind business decisions and activities; craft and implement service practices that meet customers' and own organization's needs.
Develop and use collaborative relationships to facilitate the accomplishment of work goals.
Provide feedback, instruction, and development guidance to help others excel in their current or future job responsibilities; plan and support the development of individual skills and abilities.
Take prompt action to accomplish objectives; take action to achieve goals beyond what is required; be proactive.
Set high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self impose standards of excellence rather than having standards imposed.
Maintain effectiveness when experiencing major changes in work responsibilities or environment; adjust effectively to work within new work structures, processes, requirements, or cultures.
Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions.
Meet patient and patient family needs; take responsibility for a patient's safety, satisfaction, and clinical outcomes; use appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.
Identify and understand issues, problems, and opportunities; compare data from different sources to draw conclusions; use effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.
Deal effectively with others in an antagonistic situation; use appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
Effectively manage one's time and resources to ensure that work is completed efficiently.
Assimilate and apply new job-related information in a timely manner.
Accomplish tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
Clearly convey information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
Licenses and Certifications
Required: Current RN license in the State of Texas.
Required: BLS Certification
Required: PALS Certification
Required: In some service areas, Initial Pediatric Prevention and Management of Aggressive Behaviors (PPMAB) training must be completed within 60 days of hire and renewed annually
Sedentary - Exerting up to 10lbs. occasionally or negligible weights frequently; sitting most of the time.
and doctors who treat who give the nurses lots of autonomy and respect. I also love the patients and families we have. They are very involved in their child’s care and appreciative of what we do for them.
Kelsei, RN, BSN, CPN