Manager Advanced Practice Provider

At Houston Methodist, the Manager Advance Practice Provider (APP) position is responsible for quality, functional excellence and contribution of the department's output to the accomplishment of strategic and operational objectives of Houston Methodist (HM). This position provides strategic direction for nursing and business operations consistent with the company's mission and values. The Manager APP position serves as liaison to the Medical Staff, Hospital Leadership Team, Administration and Nursing Leadership as well as functions as a clinical NP maintaining a patient assignment, as appropriate, credentialed as an NP through the HM Medical Staff services.

The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that assure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.

FLSA STATUS
Exempt

QUALIFICATIONS

EDUCATION

• Master’s degree or higher from an accredited school of Nursing
• Graduate from an accredited Nurse Practitioners program

EXPERIENCE

• Five years clinical experience of which includes three years as a Nurse Practitioner
• Supervisory experience strongly preferred

LICENSES AND CERTIFICATIONS
Required

• RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV and
• APRN Non-Acute Care state license and
• Magnet ANCC-recognized Non-Acute Care practitioner certification and
• BLS - Basic Life Support or Instructor (AHA) - American Heart Association and
• ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association and
• AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV and
• DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months

Preferred

• PALS - Pediatric Advanced Life Support or Instructor (AHA) within 6 months and
• FCCS - Fundamental Critical Care Support (SCCM) within 6 months

KNOWLEDGE AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
• Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization
• Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved
• Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
• Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
• Ability to work effectively in a fast paced environment
• Demonstrates flexibility and adaptability in the workplace

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

• Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in NP/PA department. Provides continuous employee assessment, development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.
• Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees at designated intervals and as required, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
• Facilitates the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed. Establishes and maintains open communication channels with other departments, units, and physician groups. Responds to employee, patient and physician concerns, taking appropriate action and channeling concerns according to appropriate procedures. Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, and units to achieve business goals.
• Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators: action readiness score, tier level.

SERVICE ESSENTIAL FUNCTIONS

• Plans and organizes day-to-day NP/PA department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
• Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the NP/PA department, disseminating necessary information to staff.
• Assesses the need for NP/PA staff development programs, and assists with development, implementation and evaluation of programs.
• Provides collaboration and cooperation with other Houston Methodist (HM) hospitals regarding HM initiatives and implementation of NP/PA services.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Ensures a safe and effective working environment; monitors and/or revises the NP/PA department safety plan and/or any specific accreditation/regulatory required safety guidelines, including infection control principles. Monitors and confirms staff maintain their required credentials that demonstrate competency per accrediting agency or department guidelines as applicable.
• Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.
• Provides safe and effective care, including benchmarking for NP/PA practice, by leading and initiating areas for improvement in patient care or unit operations, outcome, quality and patient safety improvement activities in alignment with organizational goals, i.e. LOS, CLABSI/CAUTI rates/goals, etc. Integrates, modifies, and contributes to professional practice standards, policies, procedures, protocols by overseeing unit projects, shared governance activities or interprofessional team activities.
• Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, reporting near misses and/or adverse events immediately and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.
• Monitors self and employee compliance to policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, inservices, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
• Responsible for outcome metrics and patient satisfaction scores for all service lines on department scorecard.

FINANCE ESSENTIAL FUNCTIONS

• Assists in the development of department budget and ensures that the department operates in a cost effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the NP/PA department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department/patient care needs that reflect understanding of the importance of cost-effectiveness.
• Creates, monitors and implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, timely documentation of care, decreasing length of stay, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
• Allocates resources based on patient needs and staff experience, knowledge, and skills; creates and manages unit plans for resource utilization and capital needs. Identifies and implements cost savings or revenue opportunities.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed shared governance activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.
• Provides visionary leadership for NP/PA Programs with development of new programs. Proactively evaluates processes; recommends and implements action plan(s) for change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.
• Ensures staff conduct quality health care by initiating, applying and presenting research in collaboration with the Education Department, Research and Evidenced Based Practice Council, nursing, physician assistant or medical schools as appropriate. Conducts conversations with staff on their development and IDP. Contributes to professional practice standards at hospital/regional/national level.
• Provides leadership as clinical resource, interdisciplinary consultant, and patient advocate by serving as an instructor in continuing education, formal program, or expert consultation. Identifies leadership opportunities for professional growth of staff; coaches/mentors individuals to accomplishment of goals. Identifies, plans, and implements education for the unit and service line in collaboration with team members and NP/PA service leadership.
• Seeks opportunities to identify developmental needs of self and staff and takes appropriate action, ensuring staff are meeting evidence-based guidelines. Conducts own career discussions occur with appropriate management. Actively seeks out and participates in publishing opportunities. Contributes to professional practice standards at hospital/regional/national level. Maintains personal professional development through organization membership, attendance at workshops and other educational programs, to ensure awareness of current developments and trends in NP/PA practice. Completes and updates the individual development plan (IDP) on an on-going basis.

SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE

• Uniform: No
• Scrubs: Yes
• Business professional: Yes
• Other (department approved): Yes

ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.

• On Call* Yes

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

QUALIFICATIONS

EDUCATION

• Master’s degree or higher from an accredited school of Nursing
• Graduate from an accredited Nurse Practitioners program

EXPERIENCE

• Five years clinical experience of which includes three years as a Nurse Practitioner
• Supervisory experience strongly preferred

LICENSES AND CERTIFICATIONS
Required

• RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV and
• APRN Non-Acute Care state license and
• Magnet ANCC-recognized Non-Acute Care practitioner certification and
• BLS - Basic Life Support or Instructor (AHA) - American Heart Association and
• ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association and
• AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV and
• DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months

Preferred

• PALS - Pediatric Advanced Life Support or Instructor (AHA) within 6 months and
• FCCS - Fundamental Critical Care Support (SCCM) within 6 months