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Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

40/D

The Clinical Decision Unit is designed to hold patients whose medical conditions require specific clinically defined hospital-based services that include short term treatments, assessments and reassessments through periodic monitoring by staff who evaluate whether the patient can be discharged from the hospital or require inpatient status/admission. Patient expected Length of stay is 8-48 hours, therefore the admission/transfer/discharge activity, (ADT), of this unit is expected to be high and therefore fast paced. This clinical area features a pace similar to the Emergency Room with diagnostic work ups and care needs in a telemetry setting.

Duties/Responsibilities:

Clinical Operations

  • Represents nursing and patient care issues for assigned areas during strategic planning sessions.

  • Has 24/7 accountability for the management of the day to day operations of the unit, patient flow, staffing, staff recruitment, retention, hiring, termination.

  • Prepares and posts staff schedules using the Kronos time and attendance system.

  • Utilizes permanent and flex staff as appropriate; adjusts staffing according to patient flow, patient acuity, and staff competence.

  • Partners with key members of the interdisciplinary team, i. e. , hospitalists, pharmacy, nutrition, physical therapy, & case management to achieve common clinical and patient care goals.

  • Partners with risk management and occupational health to monitor, identify, mitigate, and take action to correct areas of patient care/staff risk and liability.

  • Holds staff accountable for adhering to established standards of practice and hospital policies and procedures.

  • Counsels non-compliant staff and develops corrective action plans as needed to address clinical practice issues in accordance with established disciplinary processes.

  • Collaborates with unit educator to complete staff performance reviews and set annual goals that support clinical programs.

  • Develops, implements, and manages annual unit operation and capital equipment budgets; makes recommendations for unit space and resource needs.

Teaching/ Learning

  • Partners with clinical educator to support, develop and implement unit orientation, competency, continuing education, and in-service programs that support safe practice based on assessed learning needs.

  • Contributes to the formulation of the curricula aimed at supporting the development of bedside team leaders, charge nurses, preceptors, super-users, and clinical champions.

  • Assists staff to utilize quality improvement data to drive practice changes and achieve optimal patient outcomes.

  • Recommends changes in educational goals, priorities, and/or strategies based on evaluation of effectiveness of educational programming using process and outcome data.

  • Facilitates the implementation of new health care technology through support of effective training programs and evaluation monitoring.

  • Demonstrates engagement in lifelong learning and independently identifies own learning needs; participates in educational activities to enable competent performance of assigned duties.

  • Shares new knowledge or practice outcomes at professional conferences and/or publishes in peer-review journals.

Authentic Leadership

  • Creates a practice and learning environment that is capable of adapting to and sustaining change; is flexible and open to new ideas.

  • Known as a 'relationship builder' in the practice area- champions working together and creating synergy.

  • Participates in the development, implementation, and monitoring of practice standards to assure continuous improvement in the quality of service and care.

  • Leads committees, work groups and/or projects relates to the implementation of educational activities and quality improvement work focused on enhancing nursing practice, systems, and patient care outcomes.

  • Participates in change process and development of innovative solutions to clinical issues that improve patient care, the work environment, and patient and staff satisfaction.

  • Supports the integration of quality, audit, evaluation data, and research into practice and educational programs.

  • Facilitates team building and leadership development and seeks out opportunities to serve as a change leader for assigned practice areas.

It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Education/Experience Required:

  • Bachelor's degree required

  • Three to five years acute care nursing experience with 2 of the 5 preferably in practice area directly related towards role assignment.

  • Two years of progressively responsible clinical operations and/or leadership experience.

  • Demonstrated ability to lead by example while effectively managing multiple competing priorities.

  • Experience in clinical program development and evaluation.

  • Analytical ability to solve systems issues, synthesize and interpret available data and design/conduct quality improvement projects.

  • Demonstrated critical thinking and problem solving ability.

  • Organizational skill to appropriately set priorities and efficiently complete work.

  • Advanced verbal, interpersonal, conflict management, and writing skills in order to perform required leadership duties.

  • Demonstrated ability as an effective public speaker and presenter.

  • Computer proficiency inclusive of ability to access and enter data from computerized information systems, e. g. , MEDITECH and Microsoft Office programs.

  • Willingness to work flexible hours to meet operational needs of the department.

  • Physical ability to perform core job responsibilities in accordance with practice setting demands for patient and staff populations regularly served.

  • Occasional travel may be required to facilitate collaboration with entities across BILH system or attend external meetings.

Registration/Certification:

  • Current RN licensure in the Commonwealth of Massachusetts

  • BLS & ACLS certification

  • PALS and/or NRP certification is required based on practice area within 3 months of employment.

  • Specialty or administrator certification (e. g. , CNML- certified nurse manager and leader, NEABC or CENP) required within one year of hire or as soon as eligible per national stand.

Read the full job description and apply online on the recuiter's web-site

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