Overview

Responsible for the development, implementation and evaluation of systems and programs directed toward the provision of quality services for continued program accreditation. Will work in collaboration with interdisciplinary system partners.

Responsibilities

Essential Duties and Responsibilities

• Serves as an expert practitioner, role model and clinical resource in providing quality nursing care to program specific patients and their families.
• Support the care team in clinical management of the program specific patients.
• Follows program specific patients from admission through discharge and transitions of care as specified by program requirements.
• Assist in ensuring all care throughout continuum is coordinated, cost -efficient, and results in optimal outcomes.
• Assist in monitoring compliance with program specific standards of care.
• Coordinate multidisciplinary team services for patient and family needs.
• Provide and document program specific care in accordance with standards relating to the care of these patients.
• Identify the need for and coordinate the development and implementation of care paths for program- specific patients incorporating members from the multidisciplinary team.
• Represent the Programs on various hospital and community committees to enhance and foster optimal patient care management.
• Manages, coordinates and leads Program Steering and/or Operational meetings.
• Manage, as appropriate, the operational, personnel and financial aspects of the Program.
• Supervise adherence to hospital policies, procedures and standards through observation, medical record review, staff feedback and other appropriate sources.
• Supervision of Program database.
• Promote customer service.
• Facilitates resolution of patient concerns and implements processes to prevent future incidents.
• Ensures the Program meets all current evidence based guidelines and program specific standards as outlined by accrediting agency.
• Develop, coordinate and implement orientation, nursing education, and in-service programs related to care and management of Program specific patients in conjunction with nursing services.
• Direct community program specific education and prevention programs by developing, implementing, and evaluating programs for targeted populations in the city and surrounding communities
• Participate in mandatory educational activities as appropriate to professional development goals.
• Participate in case review.
• Participate in education programs as needed.
• Review all present Program specific patient education materials and standardize across the system.
• Work in collaboration with Program specific coordinators across the system.

Culture of Excellence Behavior Expectations

To perform the job successfully, an individual should demonstrate the following behavior expectations: Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions. Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.

Education and Experience

Graduate of an accredited nursing program. BSN or upon hire BSN completion agreement for enrollment in an accredited BSN Completion Program May require specific years of applicable experience to qualify (per department guidelines). If hired prior to 1-1-14 in Winnebago County and prior to 9-1-14 in Rock, Walworth and McHenry Counties an ADN only is required.

Certification and Licensure

Licensed as a Registered Nurse in state(s) of practiceDual licensure preferredMembership in a professional nursing organizationApproved CPR or BLS certification required Certification in a related specialty within 3 years per program guidelines (example: stroke, chest pain, heart failure)

Skills and AbilitiesParticipate in the development of Program specific care systems at the community, state, and/or national levels.Take an active part in community outreach programsMonitor state & regulatory requirementsMonitor & respond to changes in the Program specific accreditation standards and serve as liaison regarding these changesMay include color blind test (per department guidelines)Special Physical Demands

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.Manual dexterity needed to operate equipment. Prolonged walking/standing/sitting

Level of Supervision

Assist in the development, implementation and evaluation of a quality plan, which is multi-disciplinary and focused on patient outcomes.Serve as the coordinator of the identification, investigation, reporting and follow up of incidents and quality issues throughout the program while maintaining confidentiality.Supervise the collecting, coding, scoring, and developing of processes for validation of data entered into the registry.Sufficiently understands the Program specific structures and processes to be capable of facilitating performance improvement activities, compiling trend reports, and conducting research while protecting confidentiality.Development of a 1-3 year PI planRoutine QA of registry activities (data collection & entry QA) as applicableMonitor protocol adherence and variances

Supervises

N/A