Director Of Care Support
The System-wide Director of Care Support is responsible for coordinating patient placement for all Independence Health System campuses. This includes coordination and communication with key personnel and departments, including physicians, nursing personnel, environmental services, internal and external transport, and the Care Support Transfer Center. This position provides clinical guidance on patient placement in accordance with established admission criteria and is responsible for optimizing patient throughput within the system.
This position directs the prehospital care transport in support of emergency and non-emergency patient care and transport for Independence Health System. Directs operations, strategic alignment and programmatic expansion of the transfer center, bed management services, and other patient logistics projects that fall within the transfer center scope at Independence Health System Care Support Center, Westmoreland Nursing Supervisors, Westmoreland Patient Transport, System inpatient Staffing Support Team, contingent staffing vendors, and EMS relations.
Essential Job Responsibilities :
- The position is responsible for leading the department and accountable for care support.
- This position has direct supervisory responsibilities such as hiring, coaching / mentoring, skills development, recognition and rewards, staff productivity, performance management and succession planning.
- Contract management for all contingent staffing agencies within Independence Health System (nursing).
- Contract management for EMS providers as required.
- Equitably and consistently apply and practice policies and procedures for all staff.
- Develop and manage department budget at or below budget expectations and consistent with adjusted volume variations.
- Identify and implement revenue enhancement opportunities.
- Establish and maintain a safe working environment; assure staff comply with safety, environmental, and infection control guidelines.
- Assure completion of staff competencies including mandatory education and programs relative to job specific criteria.
- Promptly investigate and resolve Significant Occurrence Reports and incident reports as necessary.
- Align strategic compass with department goals; write compelling SMART goals in support of the organization's mission, vision, and values.
- Practice and encourage staff readiness in compliance with agency regulations and guidelines.
- Improve HCAP scores according to fiscal year targets; demonstrate year over year improvement in service to internal and external customers.
- Respond to client service recovery issues within required time frame and to the satisfaction of the customer.
- Hold regular department meetings, assuring off shifts and satellite offices receive accurate information.
- Build and strengthen relations through the fostering of two-way communication; diffuse sources of conflict.
- Provide opportunities for staff to actively provide input into decision making process; seek input before decision is made.
- Encourage commitment of quality work throughout areas of responsibility.
- Act on most urgent tasks; prioritize and delegate workable systems.
- Use critical thinking skills to proactively resolve issues that are de-railers to productivity and engagement.
- Lead at least one process improvement initiative for department per year
- Establish performance measures to equitably evaluate staff using objective and job-based criteria; coach toward compliance and addresses variances.
- Hold staff accountable for consistently modeling the behavioral standards.
- Identify, evaluate, and select internal and external talent, assuring an acceptable fit with Independence Health desired culture; effectively match right person to right job.
- Provide opportunities for the education, training, and development of staff to help reach highest potential.
- Offer stretch assignments; create actionable development plans; encourage learning from setbacks and for future development.
- Actively support and participate in succession planning initiatives; identify high potentials and prepare them for possible future leadership opportunities within Independence Health.
- Identify and implement revenue enhancement opportunities.
- Seek opportunities to reduce operating costs while balancing quality resources.
- Submit timely variance reports that display knowledge of expenses and demonstrates continual plans to reduce variances; operate each year more effectively than one before.
- Coordinate the selection of vendors through established internal procurement procedures in an effort to drive down supplier costs while maintaining quality standards.
- Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job.
- Will practice in the position by demonstrating the competencies as defined by the American Organization of Nurse Leaders (AONL) Nurse Manager Competencies.
- Ensure the clinical practice is in accordance with the PA Nurse Practice Act, hospital policies, procedures and protocols and other professional standards of care; ensure the care is delivered in a continuous flow that produces desired patient outcomes.
- Hold staff accountable for complying with all aspects of the nursing process including, but not limited to, age specific needs and pain management.
- Ensure the care delivered is through an interdisciplinary effort that fosters a continuum of patient care that results in desired patient outcomes.
- Maintain an open communication with the medical staff and serve as a liaison to answer questions and resolve problems / issues.
- Provide support for the staff to enter into collaborative discussions to optimize patient outcomes, including direct care responsibilities, round with physicians, and respond to call bells / alarms as needed.
- Triaging patient admission, transfers and discharges to expedite bed availability.
- Review and finalize the department's staff scheduling process.
- Conduct patient care rounds on a regular basis.
- Execute bi-weekly payroll.
- Establish staffing patterns according to the department / unit scope of service and budgetary guidelines.
- Establish clear work objectives and standards to prioritize and focus staff efforts.
- Establish safety policies and procedures for the operation of equipment and service delivery practice in compliance with regulatory and organization guidelines.
- Collaborate with other disciplines and physicians in the delivery of services and the use of resources for quality patient care.
- Monitor competency of staff in clinical practice and expected organizational outcomes.
- Implement strategies to see a statistically significant increase in patient satisfaction.
- Meet or exceed standards of care to national benchmark status. Adhere to productivity benchmarks for own department.
- Coordinate the educational process to ensure that patients / families and staff receive education specific to their clinical areas and the patients / families served.
- Ensure that patients / families are assigned as to their age specific needs, abilities, learning preference and readiness to learn.
- Ensure that appropriate educational activities are planned and implemented for patients / families and intervenes as necessary to improve educational performance.
- Collaborate with the education department to plan, implement and assess staff educational needs and competency-based requirements.
- Facilitate the preceptor-orientee relationship and arranges for the orientation process.
- Promote compliance with practices that support infection control policies and a safe environment of care as identified by the organization, State, Joint Commission, OSHA and other regulatory agencies.
- Demonstrate a knowledge of the policies and regulations and assures staff compliance.
- Respond to written variances in the safety inspection rounds and incident reports. Support identified safety initiatives. Promote medication safety through a non-punitive reporting system and performance improvement activities.
- Oversee the proper consistent utilization of patient and employee safety devices.
- Analyze and respond to trends in infection control report.
- Identify areas of knowledge and computer literacy gaps and request education programs that target learning needs.
- Demonstrate ability to integrate query and auditing reports into staff nurse evaluations and clinical problem solving. Ensure follow through for auditing processes are completed
- System coordination and communication with key personnel and departments, including physicians, nursing personnel, environmental services, internal and external transport, and the Care Support Transfer Center to optimize patient flow.
- Provide system clinical guidance on patient placement in accordance with established admission criteria and is responsible for optimizing patient throughput within the system.
- Directs bed placement for all admitted and transferred patients within the health system and from external facilities into the health system. Ensures that all system internal and external admissions are expedited.
- Identifies system transportation barriers to timely discharge and works to resolve.
- Attends daily system bed meetings.
- Collaborates with perioperative service lines system wide to monitor procedure schedules and optimizes patient flow from PACU / outpatient areas.
- Communicates with physicians' group / case management across the system during high census periods to facilitate discharges.
- Oversees capacity management bed placement for Independence Health System. Collaborates with environmental services, patient transportation, and nursing supervisor groups across health system to improve patient throughput.
- Rounds on clinical units to assess patient flow issues.
- Has regular staff meetings and communicates frequently.