Chief Nursing Officer - San Ramon Medical Center, San Ramon, Ca

MARKET SUMMARY: San Ramon Medical Center San Ramon Regional Medical Center has proudly served the San Ramon Valley and its surrounding communities for more than 30 years. In that time, we have expanded our services, upgraded our technology and grown our medical staff – all in an effort to provide an excellent patient experience.
Located on a hillside overlooking the San Ramon Valley, we are a 123-bed acute care hospital known for providing comprehensive inpatient, outpatient and emergency care. Our facilities include the Family Birthing Center, Outpatient Surgery Center, Breast Center, Infusion Center, Pleasanton Diagnostic Imaging Center, and Advanced Wound Center, which houses our hyperbaric oxygen therapy program.
San Ramon Regional Medical Center provides award-winning heart care programs, joint and spine treatment programs including advanced and minimally invasive surgical treatments, a Level II Special Care Nursery, minimally-invasive and robotic surgery, as well as pediatric services.
POSITION SUMMARY The Chief Nursing Officer provides strategic leadership as the senior executive position responsible for all nursing and other designated patient care functions and services within the hospital organization. The role assumes responsibility for assessing, planning, coordinating, implementing and evaluating nursing practice on a facility level. The role assumes 24/7 responsibility and has accountability to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care. The Chief Nursing Officer represents nursing concerns on the governing board and at medical staff leadership meetings.
FUNCTIONAL EXPECTATIONS & REQUIREMENTS: Retaining great people at the facility Collaborate with human resources and other team members to select, on-board, orient, and provide coaching for direct reports.Evaluate and monitor facility level people pillar statistics, participate on related calls as necessary.Consider and/or implement nurse residency programs to ensure pipeline for facility.Collaborate with team members to formulate programs to enhance work life balance.Partner with related team members to promote a safe work environment that is based on a zero tolerance for sexual harassment, workplace violence and verbal and physical abuse.Collaborate with related team members to promote an effective facility level competency program.Collaborate to promote a robust employee development and education program that responds to the unique needs of employees across the career continuum (novice to expert).Work cohesively with related team members to develop and implement recruitment and retention strategies that ensure a qualified and stable workforce.Communication and Relationship Building Effectively communicate with all internal and external constituents, including staff, colleagues, and physicians.Communicate and administer human resource programs and procedures in accordance with established policies.Manage organizational relationships in a manner which builds mutual trust and respect. Establish trusting and collaborative relationships.Address and manage conflict in a constructive and productive manner.Give timely feedback and reinforce positive behaviors.Leadership Influence Create and communicate a compelling shared vision.Develop effective strategies for addressing organizational priorities.Develop, communicate and monitor performance expectations.Formulate objectives, goals, and specific strategies related to the organization's mission and vision.Understand effective organizational outcome measures in order to balance cost, quality and service.Measure and analyze performance from the learning and growth, business process, customer, and financial perspectives.Promote a results-oriented environment.Develop succession plan for nursing leadership.Demonstrate effective change management; able to serve as an organizational change agent.Coach and mentor aspiring nurse leaders.Create an environment in which professional and personal growth is an expectation.Articulate the application of ethical principles to operations.Manage organizational and individual performance with appropriate rewards.Diversity Create an environment that recognizes and values diversity.Develop processes to incorporate cultural beliefs into care.Design strategies that address the unique needs of a diverse workforce, patient population, and community.Assess the current environment and establish indicators of progress toward cultural competency.Shared decision-making/Shared Leadership Engage staff and others in decision-making.Promote decisions that are patient centered.Provide an environment conducive to opinion-sharing.Promote systems thinking as a value in the nursing organization.Consider the impact of nursing decisions on the health care organization as a whole.Provide leadership in building loyalty and commitment throughout the organization.Synthesize and integrate divergent viewpoints for the good of the organization.Involves employees in decision-making.Clinical Practice Leadership Understand and articulate patient care standards reflected in federal and state regulation, Title 22, TJC, the state Nurse Practice Act, and organizational policies and procedures.Maintain knowledge of current nursing practice and roles and functions within nursing and other healthcare disciplines.Maintain current knowledge of patient care delivery systems and innovations.Ensure that nursing practice is consistent with current standards and current evidenced based practice.Ensure that the care delivery model, clinical environment of care and related technology is appropriate to needs of caregivers and patients.Serve as change agent when patient care work/workflow is redesigned.Advocate use of documented best practices.Teach and mentor others to routinely utilize evidenced based data and research.Assure that the clinical perspective is included in organizational decisions.Works collaboratively with regional CNO and Tenet CNO.Academic Relationships Provide a supportive and stimulating learning environment for nursing students.Participate in the academic community through advisory and collaborative efforts.Ensure that the educational system is aligned with organizational needs.Collaborate with nursing programs to provide required resources; evaluate graduates.Collaborate with academia in nursing research and incorporate nursing research into practice.Resource Management Demonstrate a comprehensive understanding of organizational revenue, expense performance and capital planning.Manage fiscal, human and material resources in a cost-effective manner.Design and maintain effective systems for resource management in nursing.Manage patient care processes such as care management/length of stay to ensure optimal revenue.Utilize effective performance management in managing key areas of responsibility.Quality, Patient Safety and Risk Management Contribute to the development and implementation of the organization's performance improvement program. Support the development and implementation of an organization-wide patient safety program.Monitor and evaluate quality through public reported measure (i.e. core measures, nurse sensitive patient outcomes, infection control, etc) in collaboration with the facility DCQI and ICP, as well as national resources.Actively participate in facility clinical close calls.Define quality metrics by identifying the problem/process, measuring success at improving specific areas of patient care, analyzing the root causes or variation from quality standards, improving the process with the evidence, controlling solutions and sustaining success.Interpret information from research.Utilize research findings for the establishment of standards, practices, and patient care models in the organization.Disseminate research findings to patient care team members.Support the development of a facility-wide patient safety program.Support a non-punitive environment and a reward system for reporting unsafe practices.Design safe clinical systems, processes, policies and procedures.Allocate nursing resources based on measurement of patient acuity/care needed.Ensure staff is clinically competent and trained on their role in patient safety, performance improvement, and risk management.Support a safe culture that assures accountability and respects values and individual contributions.Incorporate safety as a design element as appropriate.Collaborate with RM to monitor and follow up on clinical risk trends.Identify, mitigate and take action to correct areas of risk/liability in patient care.Facilitate facility level annual pressure ulcer prevalence and incidence study results with corrective action.Collaborate with related team members to monitor and evaluate a Culture of Safety through active coaching of direct reports to ensure that the culture of safety is cultivated at the facility.Support the annual AHRQ Patient Safety Survey and follows up with corrective actions.Information Management and Technology Supports and embraces role in the adoption of EMR within facility.Demonstrates basic competency in technology applications related to business and clinical functions.Recognizes the relevance of nursing data for improving practice.Utilizes facility database management, decision support, and expert system programs to access information and analyze data from disparate sources for use in planning for patient care processes and systems.Participates in system change processes and utility analysis.Evaluates and revises patient care processes and systems.Participates in the evaluation of information systems in practice settings.Uses computerized management systems to record administrative data (billing data, quality assurance data, workload data, etc.).Uses applications for structured data entry (classification systems, acuity level, etc.).Recognizes the utility of nursing involvement in the planning, design, choice and implementation of information systems in the practice environment.Demonstrates awareness of societal and technological trends, issues and new developments as they apply to nursing.Demonstrates proficient awareness of legal and ethical issues related to client data, information, and confidentiality.Reads and interprets benchmarking, financial and occupancy data.Service Monitor and evaluate service indicators in collaboration with related team members at the facility level.Facilitate education of employees related to service.Actively facilitate Physician satisfaction survey, monitors result and collaborates with facility team members to develop and implement action plans.Monitor and evaluate results of annual Employee Satisfaction Survey and collaborate with related team members to develop and implement action plans.Professional Role Model Advocate for nursing.Assume personal and professional accountability.Follow through on commitments.Integrate high ethical standards and core values into everyday work activities.Maintain a professional network of colleagues.Contribute to the profession of nursing through professional organizations, publication, and other professional endeavors.Participate in the legislative process and health policy issues that impact nursing and health care delivery.ORGANIZATIONAL LEADERSHIP - EXPECTATIONS & REQUIREMENTS: As a leader in healthcare, Tenet is committed to providing the best possible care to every patient, with a clear focus on quality and service. Strong leadership is essential to delivering on this commitment, and we believe that the quality of our leaders can give us a significant long-term competitive advantage. We want to ensure every current and future leader in Tenet is successful, and we support that through our selection and hiring process and by providing coaching and training to our leaders.
In this regard, we have identified core competencies that will enable a leader to succeed at Tenet, and have defined them within the following five areas critical to performance:
Use Astute Judgment Promotes decisions that are patient-centered.Promotes "systems thinking" as a value in the nursing organization.Considers impact of nursing decisions on the healthcare organization as a whole.Provides leadership in building loyalty and commitment throughout the organization.Assures that the clinical perspective is included in organizational decisions.Shape Strategy Formulates objectives, goals, and specific strategies related to the organization's mission and vision.Promotes a results-oriented environment.Represents nursing/patient care issues within the organization's governance and medical staff structures.Represents nursing/patient care in strategic planning and quality initiatives with the governing body.Monitors and evaluates quality through public reported measure in collaboration with the facility DCQI and ICP, as well as national resources.Supports the development of a facility wide patient safety program.Designs safe clinical systems, processes, policies and procedures.Apply Financial Insights Allocates nursing resources based on measurement of patient acuity/care needed.Demonstrates sense of urgency in management of labor expense.Ensure Collaboration Effectively communicates with all internal and external constituents, including staff, colleagues, and physicians.Builds "privileged relationships" with key internal stakeholders and manages organizational relationships in a manner which builds mutual trust and respect.Actively networks and creates peer relationships with other internal and external nursing leaders.Drive Organizational Success Understands and articulates patient care standards reflected in federal and state regulation, Title 22, TJC, the state Nurse Practice Act, and organizational policies and procedures.Ensures that the care delivery model, clinical environment of care and related technology is appropriate to needs of caregivers and patients.Supports and embraces role in the adoption of EMR within facility.Recognizes the utility of nursing involvement in the planning, design, choice and implementation of information systems in the practice environment.Monitors and evaluates service indicators and implements action plans in collaboration with related team members at the facility level.Actively facilitates Physician satisfaction survey, monitors result and collaborates with facility team members to develop and implement action plans.Monitors and evaluates results of annual Employee Satisfaction Survey and collaborates with related team members to develop and implement action plans.Develop Organizational Talent Participates in workforce planning to ensure an adequate and competent workforce.Develops succession plan for nursing leadership.Assumes personal and professional accountability.Supports a non-punitive environment and a reward system for reporting unsafe practices.CANDIDATE EXPERIENCE, ATTRIBUTES AND EDUCATION REQUIREMENTS: At least five years of progressive management experience in a facility environment as an Associate Chief Nursing Officer or Nursing Director of multiple, complex nursing departments.Highly effective interpersonal and communication skills.Proven leadership ability and facility operational expertise.Ability to serve as role model and advocate for the professional discipline of nursing.Strong labor relations background.An individual able to effectively and efficiently organize patient care promoting optimal outcomes, patient safety, and patient, physician and employee satisfaction.An individual with proven success recruiting, retaining and developing staff.Professional Attributes Proven ability to identify the need for change, anticipating, recognizing and creatively solving resistance to change.A credible nurse leader who utilizes communication, coaching, sponsorship and training to successfully manage the people-side of change.One who is positive, creative and innovative with a strong understanding of the business aspects of healthcare.Clearly a leader by example, able to articulate a clear vision and expectations for patient care services and other areas of responsibility.Personal Attributes An individual of highest personal and professional integrity, principle and knowledge.A collaborative and operational manager who will give employees a voice and encourage full participation of all team members.Excellent interpersonal skills; a dedicated listener, comfortable in a variety of settings dealing with diverse constituencies.A leader who will inspire confidence and establish a sense of common direction and vision for the medical staff.Education/Certifications An academic degree in nursing is required, and a master's degree in Nursing or related field is required.Active and current registered nurse license in the state of residence/practice is required.Current CENP or NEA certification preferred.Compensation Pay: $155,000 - $233,600 annually. Compensation depends on location, qualifications, and experience.Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.Management level positions may be eligible for sign-on and relocation bonuses.Travel Little to no travel required.
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.

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