Director of Nursing

Job Summary

The Director of Nursing (DON) is responsible for oversight of the nursing department including its quality of care, infection control, risk management, policies and standard operating procedures, care coordination, and patient-centered special programs.

Position Goal

Provide leadership, direction, and management in the position’s duties with utmost customer care, compassion, and integrity in supporting the quality of care for the patients and the community.

Responsibilities

1. Ensures that the practice of nursing within NTACHC is of the safest, highest possible quality. Nursing is defined as the non-laboratory clinical duties performed by all RN’s, LVNs, CMAs, and MAs. This will be accomplished by collaboration with the Chief Medical Officer (CMO) to establish appropriate in-service training, educational lectures for the nursing staff, and the development/monitoring of audit tools and quality of care reports and logs.

2. Ensures that the practice of care coordination and nursing care delivery within special programs at NTACHC is of the highest possible quality. Care Coordination is defined as the non-laboratory, non-bedside clinical duties performed by all RNs, LVNs and CMAs. Special programs are defined as medical programs, typically made possible by grant funding, to improve targeted health outcomes.

3. In collaboration with CMO and Corporate Compliance Officer, contributes to and monitors the annual Patient Centered Medical Home (PCMH) reports for compliance of sustaining National Committee for Quality Assurance (NCQA) PCMH recognition, UDS measures/reports, and HEDIS measures/reports, care plan management, and HRSA requirements.

4. Keeps CMO informed of all significant nursing issues including but not limited to any proposed policy or procedural changes, staff realignment, disciplinary actions, etc.

5. Provide oversight of key nursing staff to ensure effective onboarding, orientation, development and training of new and existing clinical employees.

6. Reviews resumes, credentials, and participates in interviews of nursing applicants with CMO and HR. Responsible for maintaining current credentials for nursing and nursing support staff on file with Human Resources

7. Participates in three-month, six-month and annual evaluations of nursing staff, with input from Team Provider, Compliance and Quality Officer and/or CMO also.

8. In conjunction with CMO will perform periodic audits to determine deficiencies in nursing performance and care coordination at all sites for existing nursing department staff and new hires, which includes but is not limited to:

a. Skills: (vital signs, therapeutic injections, and immunizations, adult and pediatric catheterization, sterile field/tray setup, instrument sterilization, Oxygen tank use and maintenance, crash cart use and maintenance, EKG, etc.)

b. Policies and procedures (universal precautions, consent forms, needle disposal, identification, and proper disposal of expired medications, etc.)

c. Log keeping (abnormal Pap Smears, sub-specialty referrals, pregnancy/perinatal, STD, temperature, Clinical Measures data entry, DAP pharmacy recall, immunizations, etc.)

d. Conducts periodic nursing and care coordination meetings; in conjunction with CMO. Agenda and minutes are to be forwarded to the CMO and Senior Management. (Agenda and minutes are to be typewritten.)

9. In collaboration with CMO, develops and maintains Emergency Response (including Code Blue scenarios) plans, protocol, staffing and equipment to execute these responses, as necessary; also, to ensure the staff is trained with drills scheduled with agreed upon intervals with CMO to maintain proficiency in our plans.

10. In collaboration with CMO, develops and maintains Disaster Preparedness plans and ensures appropriate resources including staffing, equipment and supplies to carry out plans as necessary; also, to ensure the staff is trained with drills scheduled with agreed upon intervals with CMO to maintain proficiency in our plans.

11. In collaboration with designated person for inventory management, ensures inventory of medical supplies, in-house medications, immunizations, equipment and calibration and monthly inventory reports are completed as required.

12. Oversees the management and ensures compliance of NTACHC’s vaccine program (including TVFC/ASN and Private stock vaccines) and reporting requirements for the clinic.

13. Participates in Performance Improvement/Risk Management activities by identifying areas needing improvement and taking action to achieve goals.

14. Provides nursing coverage in emergency shortage situations.

15. Performs other duties as assigned.

Administrative Duties

· Knows and abides by OSHA Standards, Hazardous Materials, Universal Precautions, use of personal protective equipment, Evacuation, Fire, Disaster, and Safety Plans.

· Monitor healthcare service delivery.

· Oversees quality control over patient records and data collection and that patient confidentiality is maintained. Monitor release of record procedures and maintain HIPAA regulations throughout the Center.

· Ensure that patients and coworkers are treated in courteous professional manner. Provide ongoing customer service training.

· Oversees ordering and organizing of supplies that inventory mandates.

· Responding to emails in a timely fashion.

· Monitoring tasks that are delegated to Clinical Coordinators and CMAs/MAs.

Leadership Duties

· Coach, guide and develop direct reports to facilitate their professional growth. Participates in 30-60-90 day employee evaluations for new employees as well as semi-annual and annual performance evaluations.

· Participates in three-month, six-month and annual evaluations of staff with input from providers, CMO and other leadership team members as needed.

· Manage and coordinate aspects for the facilities to comply with requirements of regulatory site visits and NCQA Patient-Centered Medical Home recognition.

· Other duties as assigned.

Performance Requirements

1. Develops and implements nursing service objectives, policies and procedures to maintain quality nursing care.

2. Determines staffing levels and monitors for adequacy in provision of nursing care.

3. Oversees administrative functions in Nursing Department.

4. Recommends and collaborates in in-service education programs to promote staff development.

5. Monitors the quality and type of care provided at all nursing units.

6. Show empathy and interest in patients of all socio-economic conditions.

7. Must demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served.

8. The individual must demonstrate knowledge of the principles of growth and development over the life span.

9. Must be able to identify and categorize each patient’s age-specific grouping of needs, such as those for infant, adolescent, or geriatric patients.

10. Assist in NTACHC policy development and management of organizational policies and procedures.

Minimum Qualifications

· Must be a Registered Nurse with at least one (5) year experience, BSN preferred.

· Must have 5 supervisory years of experience.

· Possesses current License in State of Texas.

· Maintain current CPR and/or ACLS/BCLS certification.

· Strong leadership, customer service, and spoken/written communication skills.

• Must have the ability to demonstrate self-confidence and positive attitude toward self and other achievement.
• Excellent team player and communication skills required.
• Must be able to manage multiple deadlines and prioritize.
• Adept in decision making responsibilities.
• Bi-lingual in Spanish/English Preferred

Typical Physical Demands

The physical demands described herein are representative of those that must be met by a staff member to successfully perform the essential functions associated with this position. Because we are committed to inclusion of those with disabilities, reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions associated with their position.

· Carrying: Transporting an object, usually by hand, arm or shoulder.

· Lifting: Raising or lowering an object 25-50 pounds.

· Repetitive Motions: Making frequent movements with a part of the body.

· Requires working under stressful conditions or working under irregular hours.

· Exposure: To communicable diseases, body fluids, toxic substances, medicinal preparations and other conditions common to a clinical environment.

· Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Ability to work in a moderate noise level in the work environment is required.

Salary range – $55,000 – $80,000