Trauma Program Manager

Natividad is seeking one (1) full-time Trauma Program Manager within the Trauma Services Department.

Under the general direction of the Chief Executive Officer, the Trauma Program Manager provides leadership and oversight of Natividad Medical Center’s (NMC) Trauma Program, including operations, quality improvement, education, outreach, and regulatory and accreditation requirements. The position coordinates interdisciplinary trauma care and supports the development and implementation of clinical protocols and practice management guidelines for adult and pediatric patients.

The Trauma Program Manager ensures compliance with NMC policies, California trauma system requirements, and American College of Surgeons (ACS) Committee on Trauma (COT) standards . Responsibilities include maintaining ACS verification readiness, overseeing trauma performance improvement and patient safety activities, supporting trauma registry and data management, and coordinating multidisciplinary trauma committee and outreach activities.

The position manages short- and long-term program goals, budgets, program evaluation, and operational improvements while promoting high-quality, evidence-based trauma care. The Trauma Program Manager collaborates with physicians, nursing and hospital leadership, EMS, ancillary services, referring facilities, and community partners to ensure an integrated trauma system.

The Trauma Program Manager serves as a clinical and program resource, liaison, and advocate, exercising independent judgment and discretion within established guidelines and scope of practice. The position maintains 24-hour responsibility for trauma program operations, clinical oversight, performance improvement, and regulatory compliance , including ongoing readiness for ACS verification and re-verification.

The County of Monterey is committed to honoring the service and sacrifice of veterans and eligible military spouses and awards veterans’ preference points for this recruitment. To learn more ... Hiring Preference for Veterans and Eligible Military Spouses section located towards the end of this job flier.

Specific Skills

Working Knowledge of:

• Operations and services of a comprehensive full-service hospital with a trauma unit
• Current principles, practices, techniques, policies and procedures of nursing theory, practice, and management
• Organization and management practices as applied to the development, analysis, and evaluation of policies, and operational needs of the trauma program
• Principles and practices of leadership
• Principles and practices of employee supervision, including work planning, assignment review and evaluation, discipline, and the training of staff in work procedures
• Administrative principles, practices, and methods including goal setting, program development, implementation and evaluation, policy and procedure development, quality control, and work standards
• Principles and practices of budget development, management, and control
• Health care practices, procedures, terminology, and technology as they relate to trauma program management
• Principles and techniques for working with groups and fostering effective team interaction to ensure teamwork is conducted smoothly
• The five medication rights; medications and their correct administration based on age of patient and clinical condition; utilization and effects of medications, including narcotics; appropriate pain management techniques
• TJC, Title 22, Federal and State regulations, guidelines, and laws affecting the trauma program,patients’ rights and program management
• Principles and practices of quality assurance guidelines as they relate to the health care field control and evaluation
• Techniques for providing a high level of customer service, interacting, and effectively dealing with the public, community-based organizations and service providers, stakeholders, and NMC staff
• The structure and content of the English language, including the meaning and spelling of words, rules of composition, and grammar
• Safety policies, procedures, and practices as they relate to trauma program management
• Modern equipment and communication tools used for business functions and program, project, and task coordination, including computers and software programs relevant to work performed.

Skill and Ability to:

• Work in close collaboration with the Trauma Medical Director, administration, trauma surgeons and liaisons to trauma services
• Plan, organize, and direct the work of staff within the trauma program
• Assist in developing and implementing goals, objectives, practices, policies, procedures, and work standards for the trauma program. Select and supervise staff, provide training and development opportunities, ensure work is performed effectively, and evaluate performance in an objective and positive manner
• Plan and organize orientation and in-service training for staff; provide constructive feedback in a timely manner, conduct evaluations on staff and provide staff with a performance improvement plan when applicable
• Maintain quality control to assure compliance with safety and accreditation standards and regulations
• Analyze situations accurately and adopt an effective course of action
• Effectively utilize staff, supplies and equipment
• Analyze data and present ideas and information clearly, both orally and in writing
• Gain and maintain confidence and cooperation of those contacted in the course of work
• Keep abreast of current trends in nursing, medications, and technology
• Identify and address psychosocial, cultural, ethnic, and religious /spiritual needs of patients and their families
• Communicate effectively with wide variety of people, including patients, physicians, nurses and other hospital staff, vendors, and other healthcare industry personnel
• Consults with other departments, as appropriate, to collaborate on patient care and performance improvement activities
• Understand, interpret, and apply laws, rules, regulations, and policies related to nursing and hospital administration
• Effectively and consistently communicate administrative directives to personnel and encourage interactive departmental meeting discussion
• Handle sensitive and confidential information
• Perform mathematical computations accurately
• Direct the establishment and maintenance of a variety of filing, record-keeping, and tracking systems
• Independently organize work, set priorities, meet critical deadlines, and follow-up on assignments
• Use tact, initiative, prudence, and independent judgment within general policy, procedural, and legal guidelines
• Effectively use computer systems, software applications, and modern business equipment to perform a variety of work tasks
• Communicate clearly and concisely, both orally and in writing, using appropriate English grammar and syntax
• Establish, maintain, and foster positive and effective working relationships with those contacted in the course of work

Examples of Duties

• Plans, organizes, and directs the services of the NMC’s trauma program; reviews and evaluates administrative and nursing procedures; establishes nursing and unit specific standards and initiates changes as needed; confers with management and supervisory staff to discuss on-going program management and patient care issues, including but not limited to the assessment of patients, implementation of doctor’s orders, treatment plans and medical procedures, and record keeping of the same
• Prepares a variety of reports, correspondence, and memoranda; directs the preparation and maintenance of trauma program records, reports, and statistics in accordance with administrative and nursing policies and The Joint Commission (TJC) and Title 22 regulations
• Develops, maintains and monitors operating budgets, budget preparation, and short/long range planning for the trauma program
• Manages as appropriate the operational, personnel and financial aspects of the trauma program; including supervising, training, and evaluating trauma nurse practitioners, nurses, and clinical support staff responsible for trauma program functions
• Coordinates management of trauma patients across the continuum of trauma care including writing, planning and implementation of clinical protocols and practices as well as management guidelines and monitoring care of in-hospital patients
• Develops and manages the process for approval of standards of care, policies, procedures, and protocols for the management of trauma patients and for other patients and services affected by the trauma program
• Provides for inter-facility and regional professional staff development, including developing and implementing practice management guidelines with education for staff and direction of community trauma education and prevention programs
• Monitors clinical processes and outcomes and system issues related to the quality-of-care provided including coordination of day-to-day clinical process and performance improvement of trauma services, nursing and ancillary personnel
• Promotes teamwork and positive relationships within the Trauma Department and throughout the hospital. Serves as an internal resource for staff in all departments. Acts as a liaison for the Emergency Medical Services and the community
• Oversees the Trauma Prevention and Outreach Programs. Provides trauma center expertise, information, and leadership to institutions, agencies and individuals within Monterey County and surrounding catchment area
• Participates in public education to enhance prevention efforts, disseminate awareness of trauma systems and how to access them, and build support for public policy change
• Assures compliance with interdisciplinary and unit specific policies, medical staff by laws, policies and procedures, TJC, DHHS and other licensing authorities’ guidelines, standards, laws and regulations applicable to a level II trauma program
• Develops and implements policies, procedures and protocols in accordance with TJC, DHHS, State, Federal and other administrative and regulatory agency directives
• Develops, monitors, and implements quality control standards related to the trauma program, to include measures to monitor patient safety, compliance, and customer service satisfaction. Collects and analyzes data to monitor improvement in selected areas to ensure continuous quality improvement. Conducts focus review studies on selected areas where opportunities for improvement have been identified. Reviews, updates, and revises quality assurance plans on an ongoing basis
• Reviews reports and recommendations from authorized licensing, planning, regulatory and inspecting agencies and prepares appropriate plan of action when needed
• Identifies and recommends new products, services and equipment which will reduce operating costs and improve quality and efficiency of the nursing unit
• Interviews, hires, evaluates, promotes, transfers and disciplines all clinical and non-clinical personnel
• Manages change in an interdisciplinary health care delivery system such as restructuring/streamlining workflow/processes, and technological advances and trends in the focus of health care delivery appropriate to the trauma program
• Responds appropriately to all patient concerns in a timely manner. Investigates patient complaints and takes appropriate corrective action. Ensures that quality review reports are filed in a timely manner and that NMC medical and management staff are advised of unusual occurrences
• Conducts and participates in staff meetings, in-service training sessions and administrative meetings and committees. Assists the Nursing Education Department with providing appropriate updates, annual and continuing educational training to department staff, clinicians and staff
• Works with key stakeholders to develop or expand and implement medical programs or health services that promote quality patient care in line with the Mission, Vision and Values of the Hospital
• Promotes the services of the trauma program. Provides ongoing assessment of services and programs; broadens community awareness with the goal of increasing utilization of the trauma program; works collaboratively with other leaders to plan and implement services to meet the needs of the patients and the community
• Maintains effective business relationships both internal and external which support and promote the trauma program. Consults with medical, business and community groups to discuss service related to the trauma program. Coordinates all public relation activities with the Public Relations department
• Reviews and analyzes trauma program activities and data to aid in planning, cash, and risk management and to improve service utilization
• Maintains open communication between program staff, other managers, medical staff, and administration by attending appropriate meetings and coordinating interdepartmental activities when needed
• Works collaboratively with the Utilization Review, Case Management, and Social Services departments to ensure appropriate utilization of services and patient support when needed. Monitors use of diagnostic services, facilities, and staff to ensure effective use of resources and to assess the need for additional staff, equipment and/or services
• Develops and maintains effective relationships with physicians, department managers, along with other internal and external customers

Additional Requirements

CONDITIONS OF EMPLOYMENT

• Natividad requires that all incumbents pass a pre-employment physical/medical assessment.
• Natividad will conduct a thorough background and reference check process which includes a Department of Justice fingerprint check.
• Employees who drive on County business to carry out job related duties must possess a valid Driver License for the class vehicle driven or have the ability to provide suitable transportation that is approved by the appointing authority.
• Employees must have and show their original Social Security Card and a valid Driver License or State ID prior to the first day of work (Social Security Card is required for payroll purposes only).
• Incumbents may be required to work all shifts, including irregular hours, nights, weekends, holidays, and emergency, on-call work as needed on a flexible schedule
• Incumbents may be required to work with potentially hazardous and infectious substances.

Job Nature

Full Time, Regular

Educational Requirements

EXAMPLES OF EXPERIENCE/EDUCATION/TRAINING

Any combination of training, education and/or experience which provides the knowledge, skills and abilities and required conditions of employment listed above is qualifying. An example of a way these requirements might be acquired is:

EXAMPLES OF EXPERIENCE/EDUCATION/TRAINING

Any combination of training, education and/or experience which provides the knowledge, skills and abilities and required conditions of employment listed above is qualifying. An example of a way these requirements might be acquired is:

REQUIRED: Per California Code of Regulations Title 22, Chapte7, Article 3, Section 100259 (2), must possess and maintain a valid license to practice as a Registered Nurse by the California Board of Registered Nursing

Education:Completion of coursework leading to a Bachelor of Science in Nursing. Certification as a Nurse Practitioner is desirable. ANDExperience:Eight (8) of progressively responsible nursing experience of which four (4) years should be in a critical care, emergency department, or trauma center environment and at least two (2) years of progressively responsible supervisory experience.TNCC is required within 3 months of start. TNCC Instructor highly desired.

Experience Requirements

8

Job Location

$94.46-$129.01