NURSING DIRECTOR, AMBULATORY SPECIALITY CARE/CLINICAL PRACTICE

Job Description

Applicants may apply for this position by submitting a resume/ CV to the following email address: View email address on careers.biausa.org

When submitting a resume/CV by email, you must include the Job Title and Posting Number in the subject line of your email . An application or resume/CV must be filed for each position which interests you.

This position is exempt from Career Service under the CCH Personnel Rules.

Job Summary

The Nursing Director is responsible for the strategic direction, planning and oversite of Nursing and clinical practice within the Cook County Health (CCH) Specialty Care Centers. The Nursing Director seeks innovative approaches to develop goals and plans for the Health Centers/ Clinics in relation to system-wide vision and goals, establishment of high reliable practices and professional practice which reflects evidence-based care and an excellent patient experience. The Nursing Director, Specialty Care/ Clinical Practice is responsible for ensuring clinical and management staff competence to deliver the highest standards of high quality integrated, coordinated clinical care, maintain and develop institutional policies, procedures and workflows, practice continuous quality improvement, continuous readiness and proactive financial management for the department. Works collaboratively with medical, service lines, operational, managed care and other leaders/disciplines within the Integrated Care System to design, implement and enculturate a highly reliable team-based model of care which improves patient experience, patient engagement, coordination of care, quality and patient outcomes in a cost-effective manner. Develops, implements and monitors initiatives that promote zero harm for employees and patients, promotes staff engagement and supports CCH growth and strategies. Implements and puts into practice applicable Magnet standards and system wide nursing leadership initiatives for Specialty Care Health Centers and Clinics. The Nursing Director functions in a leadership and supervisory capacity providing clinical direction to the Clinic managers and clinical staff within the division of Cook County Health (CCH) Specialty Care Centers.

General Administrative Responsibilities

Collective Bargaining

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
• Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline

• Document, recommend and effectuate discipline at all levels
• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
• Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision

• Direct and effectuate CCH management policies and practices
• Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management

• Contribute to the management of CCH staff and CCH' systemic development and success
• Discuss and develop CCH system policy and procedure
• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
• Work with Labor Relations to discern past practice when necessary

Typical Duties

• Establishes roles and responsibility, performance goals and objectives for the nurses and clinical staff in accordance with Department of Nursing and Ambulatory policies, practices, and objectives.

• Monitors and evaluates the overall nursing/clinical staff care delivery system within the ambulatory CCH Centers to ensure integrity of patient care within established efficiency, safety, and quality standards.

• Makes rounds to assess and evaluate the patient experience and patient care needs and to ensure care delivered meets Standards of Care and Practice criteria for the designated specialty as required by regulatory, state, federal or professional organization's guidelines.

• Responsible for ensuring that nursing personnel/clinical staff provide optimal customer service and an exceptional patient experience.

• Collects, reviews and analyzes patient acuity/risk status, patient volumes and staffing data to determine staffing patterns and project staffing needs, to ensure adequate staffing within each primary and specialty center.

• Develops education staff into Subject Matter experts for clinical practice in Specialty Care, based on professional standards principles of care delivery and team-based care.

• Develops clinical staff roles/responsibilities and performance metrics, with an emphasis on preventive care, chronic disease management, patient education, patient self-management, smooth transitions of care across the continuum and clinical documentation.

• Works with and provides assistance to develop division specific quality and safety initiatives. Participates in development, implementation and evaluation of the ambulatory and specialty clinic division's Performance Improvement Program. Works with clinic managers, on duty administrators and other supervisory staff to ensure integration of high reliability practice and performance improvement activities into daily practice and workflows.

• Provides guidance and practice changes to prevent safety events.

• Establishes and reviews individual performance goals for clinic managers. Ensures they are educated and informed of all policies, procedures, performance improvement, and quality initiatives.

• Provides direction to clinic managers in the recruitment, training and retention of qualified clinical staff. Provides guidelines to managers and works closely with professional development staff to ensure continuous education and current, updated competencies, certification and licensure of clinical staff.

• Ensures staff are educated and competent and have proper tools/support to implement clinical practice standards that ensure evidence based, high reliability practices.

• Participates in fiscal planning for the division.

• Reviews expenditures and budget to ensure labor costs and expenses are within established annual guidelines. Identifies capital and expenses critical to the delivery of high-quality safe care.

• Demonstrate and promotes an awareness of patient rights; provides training to staff to ensure their knowledge and awareness of patient rights; functions as a patient advocate.

• Prepares and submits divisional performance reports on a monthly, quarterly and annual basis.

• Participates in nursing committees, medical and ancillary committees to ensure nursing division is actively linked to and in collaboration with all patient care systems.

• Ensures that Magnet and safety initiatives are planned and implemented.

• Establishes Shared Governance/Clinical Practice Committees for CCH Specialty Care Centers.

• Develops relationships with collective bargaining representatives and labor leaders to ensure that CCH strategies and priorities are known and drivers of clinical decisions and performance

• Provides guidance and reviews disciplines of clinical staff related to clinical performance, competency, skill level and patient safety- participates in the disciplinary process as needed.

• Executes on strategic initiatives and ensures accountability for implementation/monitoring by clinic management staff.

• Leads clinical policy development specific to CCH Specialty Care Centers.

• Ensures that CCH Specialty Care Centers are in a state of continual readiness for Joint Commission and other regulatory bodies.

• Partners with Operations, physician leadership and other system leaders for CCH Primary Care Centers for policy development, implementation of initiatives that ensure performance improvement in safety/ quality, patient experience and efficiency.

• Collaborates with other system clinical leaders (Social Work/ Behavioral Health, WIC, pharmacy, IT, etc.) to develop policies/ practice which are applicable to care delivery in CCH Primary Care Centers.

• Collaborates with CCH Nursing Education department to develop/ implement education relevant to Health centers.

• Collaborates with CountyCare and Managed Care Network to ensure HEDIS measures are met and high/moderate risk patients are appropriately identified and receive care/support.

• Performs other related duties as required.

Reporting Relationship

Reports to the Associate Chief Nursing Executive, Ambulatory Services

Qualifications

Minimum Qualifications

• Licensed as a Registered Professional Nurse in the State of Illinois

• Graduation from an accredited institution of Nursing

• Master's degree in Nursing, Business Administration, Healthcare Administration or a related field

• Seven (7) years of professional nursing experience with at least (2) years of experience in an ambulatory care setting

• Five (5) years of nursing management experience with a large scope of responsibility; and supervision of a large number of staff with at least Two (2) years of management experience in specialty care

• Three (3) years Director (executive) level administration experience

• Must be able to travel to work sites throughout Cook County

Preferred Qualifications

• Previous experience working with organized labor
• Ambulatory Care Nurse Certification, Nursing Leadership, and/ or Specialty Nursing Certification

Knowledge, Skills, Abilities and Other Characteristics

• Expert knowledge of Nursing Practice standards, state law, ambulatory regulatory and accreditation standards

• Thorough knowledge of ambulatory Clinic operations, Managed care and Medical - Surgical Nursing principles, practices and procedures

• Thorough knowledge and understanding of the Health Insurance Portability and Accountability Act (HIPAA) to ensure the protection of the confidentiality and security of healthcare information for all patients

• Diverse knowledge and skill of treatment systems and clinical practices, including but not limited to Pediatric and Adult Care, Management of patients within a variety of medical and surgery specialty areas, including Ophthalmology and Patient Centered Medical Home, Management of Chronic Disease, Preventive Care, Patient engagement strategies, Change Management skills, Stroke care management

• Demonstrated leadership skills in a fast-paced environment within established time constraints and complex situations

• Demonstrated skills in the following applications of the elements of management: Planning, Organizing, Staffing, Delegating, Coordinating, Budgeting, Evaluating, Director / Supervisor

• Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups

• Excellent interpersonal and patient relation skills

• Good personal computer skills

• Ability to function as a role model for clinical excellence

• Ability to supervise, direct, and review activities of nursing personnel

• Ability to create and maintain complete and accurate records and reports

• 24/7 oversight responsibility

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.

BENEFITS PACKAGE

• Medical, Dental, and Vision Coverage

• Basic Term Life Insurance

• Pension Plan and Deferred Compensation Program

• Employee Assistance Program

• Paid Holidays, Vacation, and Sick Time

• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

F

or further information on our excellent benefits package, please click on the following link:

To receive Veteran Preference, appropriate discharge papers must be attached to the online application or must be included with your emailed resume/CV. Please refer to Veteran Preference document requirements listed on the bottom of this posting.

VETERAN PREFERENCE

PLEASE READ

When applying for employment with Cook County Health, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

To take advantage of this preference a Veteran must :

• Meet the minimum qualifications for the position.
• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR

A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.

MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.

"Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada muse be credentialed by an approved U.S. credential evaluation service belongings to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview".

*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER.