Director of Nursing

Director Of Nursing Quality, Safety & Regulatory Compliance

We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Maimonides' clincal progams rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.

Overview

The Director of Nursing Quality, Safety & Regulatory Compliance reports to the Chief Nursing Officer and is responsible for enhancing and evaluating the clinical quality and safety outcomes of nursing practice through the use of clinical data management and review throughout Maimonides Health. In addition, the AVP of Nursing Quality, Safety and Regulatory Compliance is responsible for developing systems and processes, which ensure continual survey readiness and regulatory compliance. In this role, the incumbent partners effectively with Organizational Effectiveness, Human Resources, Nursing Education, Enterprise Quality & Safety and the Senior Nursing Leadership Council to ensure alignment with the changing healthcare landscape and the organization's strategic priorities and direction. Builds strong cross-functional relationships with key stakeholders to understand strategic objectives and to identify learning priorities and needs. Develops comprehensive regulatory readiness plans for nurse leaders based on critical priorities.

Responsibilities

1. Plans, coordinates, directs and evaluates effectiveness of regulatory survey readiness plans and activities across sites.

2. Partners with nursing education to implement quality, safety and regulatory action plans as appropriate.

3. Participates in nurse leader orientation program for all nurse leader personnel.

4. Collaborates with the Sr. VP of Nursing and VP of Nursing to ensure that standards set by regulatory agencies (e.g., JCAHO) are met and that mandatory educational programs fulfill regulatory agency requirements.

5. Develops annual budget for the department; manages budget throughout the year, analyzing and monitoring monthly reports and overtime runs for the department to ensure department operates within budget guidelines.

6. Identifies needs and recommends changes for more efficient delivery of high quality and safe care, serves as resource person for regulatory surveys.

7. Acts as liaison between Enterprise Quality & Safety and other departments regarding Quality, Safety & Regulatory readiness.

8. Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards.

9. Programs : Provides leadership and support for and / or leads initiatives to achieve and maintain Magnet or Pathway to Excellence (PTE) Programs.

10. Seeks and partners for submission in grant opportunities that will support the evolution of the Division of Nursing.

11. Advocates for a learning culture that encourages continuous learning that fosters career development.

12. Provides significant senior nurse leader support for professional governance council implementation and sustainment, supports Magnet program.

Other Job Duties :

Serves as role model for educators and staff.

Secures, evaluates and maintains institutional, departmental and reference materials for the department of Patient Services.

Conducts / directs special projects as assigned.

Performs other related duties as required.

Member of Senior Nursing Leader Council team

Qualifications

Education :

Bachelor of Science Degree in Nursing (required)

Masters degree in Nursing or closely related field (required)

Doctoral degree of Nursing Practice (Preferred) and Advanced Nursing Practice degree / certificate from an accredited program (Preferred)

Licenses and Certifications :

RN - Registered Nurse - State Licensure and / or Compact State Licensure (Required)

Nurse Leader certification within 1 year (Required)

National certification in a recognized clinical specialty within 1 Year (Preferred)

CPR - Cardiac Pulmonary Resuscitation (includes BLS) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days (Required)

ACLS - Advanced Cardiac Life Support Certification (Preferred)

Experience :

Minimum of 3 years of demonstrated leadership ability at the Director level or above (required)

Experience leading regulatory survey process (required) and lean six-sigma training (preferred)

Pay Range :

USD $160,000.00 - USD $170,000.00 / Yr.

Equal Employment Opportunity Employer :

Maimonides Medical Center (MMC) is an equal opportunity employer.