Assistant Director of Nursing

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Grant Funded:

Department:

Work Shift:

Work Days:

Scheduled Hours:

Scheduled Daily Hours:

Pay Range:

• Standards of Excellence
  Integrates the standards of excellence into daily clinical practice.
  *Respect: Honors and values each person.
  *Effective Communication: Effectively listens, conveys, and receives ideas, information, and direction.
  *Sensitivity: Demonstrates willingness and ability to listen and understand others' feelings, needs and circumstances.
  *Professionalism: Demonstrates confidence, competence and pride in work and appearance.
  *Exceeding Expectations: Assists others without being asked.
  *Courtesy: Treats everyone with kindness and care.
• Management/Leadership Skills
  Integrates management/leadership skills into daily clinical/ administrative practice
  *Decisive Risk Taking: Takes informed risks after careful and deliberate consideration of available information and weighs the cost/benefit of action versus inaction.
  *Emotional Maturity: Exhibits a controlled, even temperament when dealing with people and issues in both positive and negative situations.
  *Empowerment: Shows confidence in the ability of others by delegating work and authority to others as appropriate and by actively soliciting feedback and opinions on issues that affect the work of the unit or group.
  *Implementation: Executes plans, policies, programs and projects in an organized and timely manner.
  *Strategic Innovation: Proactively identifies opportunities for improvement and change in work and business practices, procedures, and policies in the context and in anticipation of changing business requirements, trends, and technology.
  *Service Orientation & Process Improvement: Proactively identifies evolving customer service needs and gaps and seeks to make improvements on a continuous basis.
  *Team Leadership: Forms and leads effective teams to accomplish departmental, divisional and organizational objectives.
  *Human Resource Management: Communicates clear expectations, provides regular feedback and coaching and conducts effective performance reviews.
  *Work Environment & Safety: Maintains up-to-date equipment and takes accountability for a work environment which is safe, clean, orderly, and free of potential hazards.
  *Financial and Resource Management: Efficiently manages the financial and capital resources of the organization.
  *Meeting Management: Conducts focused, purposeful, and efficient meetings that are considerate of participants' time.
  *Technical and Professional Knowledge: Maintains and demonstrates the appropriate technical and/or professional knowledge base required by the position.
• Innovation & Learning
  Demonstrates professional growth and accountability for own practice.
  * Supports the mission, vision, strategic plan, balanced scorecard measures, and Standards of Professional Practice of Nursing of Montefiore Medical Center.
  * Performs within the scope of practice as defined by the New York State Department of Education.
  * Complies with Montefiore Medical Center's Human Resource Policies and Procedures including attendance and dress code.
  * Successfully completes mandatory education programs.
  * Attends Montefiore Medical Center's educational programs as appropriate.
  * Participates in and contributes to a Department of Nursing/Hospital Committee.
  * Effectively communicates with all levels of the organization.
  * Contributes to the growth and development of staff through mentor relationships and formal and informal education.
  * Remains current of advances in professional nursing practice through review of pertinent literature, attendance at outside educational programs and professional networking.
  * Maintains active membership in a professional organization.
  * Achieves or maintains ANCC certification.
  * Completes and prioritizes work appropriately.
  * Seeks resources and assistance as needed.
  * Completes other duties as assigned.
  Demonstrates the ability to perform Assistant Director of Nursing duties.
  * Maintains licensure.
  * Successful completion of annual mandatory education.
• Internal Process
  Directs, coordinates, and evaluates the delivery of patient care in collaboration with
  * Organizes directs and evaluates the activities of nursing and MMC associates.
  * Utilizes critical thinking and analytical skills in problem solving and clinical decision-making.
  * Assesses opportunities to enhance positive outcomes for patients and their families.
  * Intervenes appropriately in the management of patient care.
  * Facilitates access and discharge planning. Promotes service excellence and family centered care.
  * Participates in the balanced scorecard criteria (performance improvement, customer service, innovation and growth and financial indicators.)
  Demonstrates responsibility for all administrative issues within the medical center on evening, night, and weekend shifts.
  A. Identifies actual and potential high-risk situations and
  quality issues with appropriate intervention as needed including resolution and referral.
  *. Facilitates patient access.
  * Utilizes care center criteria protocols and medical prioritization guidelines for admission, discharge and transfers.
  * Troubleshoots complex admissions, transfer process. Coordinates intra hospital transfers.
  * Facilitates access particularly in event of an ER alert and census surge.
  * Identifies patient internal transfers within the unit and cross the care center.
  * Expedites bed preparations, deploys SA as needed.
  * Coordinates timely conversion of a level 2 to a level 1 bed upon demand.
  * Co Chairs bed meeting.
  * Fosters collaboration between the admitting department manager, intensivist, attending MDs, unit/service MARs, ANMs and Triage RNs.
  * Escalates complex bed issues to the intensivist and attending with complete information required to Present issue.
  *Serves as a resource and interprets the policies and procedures in:
  * Administrative Policy and Procedure Manual.
  * Nursing Administrative Manual.
  * Human Resources Manual.
  * Patient Care Manual.
  * Fire and Disaster Manual.
  * Infection Control Manual.
  * Standards of Performance Manual.
  * NYSNA and 1199 Collective Bargaining Unit Agreements.
  Ensures compliance with regulatory agency standards. Participates in ANM meetings, administrative meetings. Budget, project and care center meetings.
  E. Establishes and maintains communication systems with ANMs and hospital managers
  F. Escalates problems to the designated Director of Nursing and/or Hospital Associate Director when appropriate.
  G. Identifies and intervenes appropriately in various administrative issues including:
  * Patient and family complaints.
  * Facilitate patient access. Coordinate admissions, transfers and discharges.
  * Consents; patient elopements, leaving against medical advice.
  * Involuntary psychiatric admissions.
  * Police intervention.
  * Ancillary department issues - specimen, transportation and reporting delays.
  * Patient emergencies, cardiac arrest, security code, fire and disaster, street calls within the Moses division area
  * Morgue issues including viewing, transport and space management, when morgue is closed.
  H. Documents administrative logs and forwards to appropriate resources/responsible managers.
  I. Participates in the employee performance appraisal process; identifies and intervenes in employee performance issues; and implements the progressive disciplinary process when indicated.
• Customer View
  Facilitates and promotes the delivery of Patient/Family Centered Care to a divergent customer population.
  * Ensures that all associates provide customer service that is compliant with the following:
  ** Recognizes the family as defined by the patient.
  ** Honors the diversity of patients/family.
  ** Respects patient and family as people with rights, responsibilities, and choices regarding their health and lifestyle.
  ** Believes environmental designs and conditions are key to healing, nurturing and independence of patient/family.
  * Promotes the continuum of Patient/Family Centered Care and access to healthcare when needed.
  * Accepts Family as being the constant in the patient's life.
  * Solicits and incorporates the Patient/Family's input and active participation in the plan of care.
  *Demonstrates knowledge and skills necessary to direct, coordinate and evaluate patient care appropriate to the age of the patients served.
  Directs, coordinates and evaluates patient care based on assessment of data that includes: age of the patient; sensory deficits; psychomotor deficits; maturational age; biopsychosocial, spiritual, and physiological needs; patient and family response.
• Finance & Growth
  Demonstrates responsibility for the coordination of fiscal, human, and other resources needed to provide patient care services within the medical center
  * Actively participates in the management of fiscal resources of the organization on the evening, night, and weekend shifts to promote the financial viability of the medical center.
  * Manages the utilization of staffing resources in the medical center division in accordance with unit budget and flexible staffing criteria.
  * Coordinates patient access to services to ensure appropriate patient care in a timely, cost-effective manner.
  * Supports and implements an interdisciplinary plan of care that is congruent with accepted LOS parameters.
  * Assists in reducing length of stay by facilitating discharge planning, authorizing appropriate transportation, and promoting customer and family satisfaction.
  * Facilitates the procurement of quality equipment through authorized rental or borrowing in a cost-effective manner.
  * Proactively creates capacity in conjunction with the Admitting department.

• Baccalaureate degree in Nursing or related field Required
• of Science degree in Nursing or related field Preferred
• 1-3 years management experience Required
• Excellent interpersonal and communication skills (written and oral).
• Effective management skills necessary to organize direct and evaluate the activities of patient care off shift operations.
• Ability to apply and utilize the balanced scorecard measures (customer service, financial, innovation and growth, and performance improvement).
• Critical thinking and analytic skills necessary for problem solving and clinical decision-making.
• Computer literacy.
• OHS Annual Assessment Required
• OHS Fit Test Required
• New York State Registered Professional Nurse License and current registration. Required
• American Nurses Credentialing Center Certification in Nursing Administration or Advanced
  Administration Preferred