Mount Sinai Careers
ASSOCIATE DIRECTOR NURSING -Women's Services
Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
- The Associate Director of Nursing is responsible for the management and oversight of nursing practice for assigned clinical areas. S/he has responsibility for the overall strategic plan for program operations, personnel management, annual goals and objectives and fiscal targets. S/he serves as liaison to other clinical services provided, and ensures that personnel issues are managed in compliance with contractual agreements, and supports positive employee-management relationships.
The Associate Director of Nursing is responsible for the management of nursing schedules, O.R. case flow (if applicable) service efficiency and physician satisfaction. S/he is responsible for the attainment of patient safety goals, regulatory survey preparation and specialized training initiatives and continuing education.
The Associate Director of Nursing works in collaboration with nursing and physician leadership to ensure that the service maintains the highest standards of patient care and is responsive to the needs of the patient and family and the organization. S/he initiates, develops and implements mechanisms for collaboration between nurses, clinical staff members, physicians and other practitioners.
Duties and Responsibilities:
1. PATIENT EXPERIENCE
1. Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of the patient experience.
2. Demonstrates proficiency in all aspects of Purposeful Hourly Rounding (PHR) and role models expected behaviors.
3. Ensures the integration of PHR into clinical activities to enhance Relationship Centered Care.
4. Confirms that staff members round hourly on all patients by review of rounding validation data and observation of unit rounding.
5. Validates Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager competency in PHR and provides consistent meaningful feedback with more focused feedback as needed.
6. Synthesizes quantitative and qualitative feedback regarding the patient experience and staff engagement to the Clinical Nurse Manager, Assistant Nurse Manager or Nursing Shift Manager, staff and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan.
7. Follows up on all patient concerns in a timely manner, provides service recovery as needed and escalates patient concerns as appropriate.
8. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions.
2. QUALITY AND SAFETY
1. Designs, supports and leads a safe, therapeutic and efficient patient-centered care environment for professional practice.
2. Identifies and investigates issues or variances in practice/operations by participating in the RCA process and develops and implements corrective action plans.
3. Fosters a fair and open culture that encourages error and near-miss occurrence reporting.
4. Leads interdisciplinary quality improvement teams using the principles of high reliability.
5. Communicates with staff and leadership about unit progress, changes, and compliance with quality and safety metrics.
6. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol.
7. Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation.
8. Leads staff participation in quality and safety initiatives and mandated compliance measures.
9. Demonstrates accountability for all unit quality and safety practices and compliance, and ensures maintenance of mandatory staff competency evaluations.
10. Reviews unit progress, changes and compliance with quality and safety metrics with Clinical Nurse Managers, Assistant Nurse Managers and Nursing Shift Managers.
11. Coaches/mentors Clinical Nurse Managers/Assistant Nurse Managers/Nursing Shift Managers in the escalation of potential safety hazards and validation of compliance with hospital and departmental policies and procedures and regulatory agency standards.
12. Fosters a professional practice environment through the facilitation of collegial interdisciplinary relationships, peer review, nursing research, innovation and joint practice arrangement through affiliating universities.
3. OPERATIONS AND ADMINISTRATION
1. Supports implementation of the mission, vision, goals and objectives of the department, throughout the clinical service and individual patient care units.
2. Provides administrative oversight to a service line, department or group of units to ensure that all activity (staffing, support services, interdisciplinary collaboration, resources and financial viability) supports the goals of the organization.
3. Works collaboratively with Clinical Nurse Managers, Assistant Nurse Managers, Nursing Shift Managers, physician dyads and all members of the healthcare team to develop a cohesive unit leadership group.
4. Maintains service line compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission.
5. Oversees Clinical Nurse Managers, Assistant Nurse Managers and Nursing Shift Managers to ensure 24 hour patient care delivery, throughput, staffing and processes to ensure efficient and effective operations.
6. Oversees the development and implementation of several unit or service line budgets, including capital equipment allocation, budget variances, management of OT and vacancies according to MSHS financial goals.
7. Oversees control of positions and the recruitment and retention of qualified staff.
8. Maintains patient/employee confidentiality in the management of information.
9. Monitors availability and maintenance of nursing equipment and supplies.
10. Evaluates Clinical Nurse Manager, Assistant Nurse Manager and Nursing Shift Manager performance and mentors, coaches, counsels and disciplines staff as needed.
11. Conducts leadership staff meetings with Clinical Nurse Managers, Assistant Nurse Managers and Nursing Shift Managers to ensure communication about progress, changes and compliance with all hospital policies and procedures and regulatory agency standards.
12. Encourages, recognizes and rewards manager and staff participation in quality and safety initiatives, compliance and successes.
13. Facilitates organizational change initiatives by using effective strategies.
14. Leads a shared decision making model by establishing a structure of shared governance, just culture and staff engagement in practice councils, departmental meetings and initiatives.
15. Interprets and implements collective bargaining agreements affecting staff while enforcing compliance of union contracts.
16. Serves as chairperson/member in hospital wide committees to represent nursing.
17. Serves in the position of Administrator on Call (AOC) as assigned.
4. PROFESSIONAL DEVELOPMENT
1. Evaluates and directs the environment of care to support clinical colleagues, patients and their families and members of the health care team.
2. Advances clinical competence in nursing practice and leadership to progress from competent to expert.
3. Develops and leads an environment that cultivates a professional image of nursing to colleagues, communication standards include styles and methods that demonstrate caring, respect, empathy and trust.
4. Recommends and supports standards that ensure that ethical principles are incorporated into decision making for patient and family in collaboration with the clinical nursing staff and the health care team.
5. Encourages and facilitates a spirit of scholarship, inquiry, life-long learning and innovation for self and others.
6. Oversees and supports staff in shared decision making through facilitating specialty practice councils, and as a chairperson/ member of nursing department committees, and unit initiatives.
7. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs
8. Serves as a professional role model and preceptor for new leadership, staff and students.
9. Establishes and implements a system that supports best practice patient care decisions, safe and efficient patient throughput and access to resources for the unit/clinical service area.
10. Incorporates the values of research and evidenced based practice and its application to the environment of care.
11. Contributes to the profession of nursing through leadership and participation in professional organizations.
5. General Skills and Competencies
1. Must have relevant clinical experience in area of nursing practice assigned
2. Evidence of ability to maintain and promote interpersonal relationships, communicate appropriately to others, and work effectively and efficiently to solve problems
3. Demonstrates the ability to work in a team displaying effective communication and critical thinking
4. Ability to read, write, understand and speak English in a clear and concise manner
5. Visual, physical, auditory and cognitive ability to assess patient status
6. Physical and mental health necessary to care for acutely ill patients with a broad variety of diagnoses and behaviors on a daily basis
7. Ability to walk, stand, lift, stoop, push and respond quickly in a variety of situations and for an extended period of time
8. Manual dexterity to perform a variety of clinical procedures relevant to practice area (i.e. venipuncture, urinary catheterization, cardiopulmonary resuscitation)
9. Ability to use data entry, retrieval systems and the electronic medical record documentation system in a proficient manner
Bachelors of Science with a major in nursing and Master’s degree in nursing or health related specialty required.
Licensed as a registered nurse with current registration in New York State.
Professional Board Certification in leadership and/or clinical specialty is preferred.
3-5 years minimum demonstrated clinical and administrative expertise in area of nursing practice assigned.