Clinical Director (RN)

Company: Greater Seattle
Location: Everett
Posted on: November 11, 2024

Job Description:

Job Title: Clinical DirectorDepartment: ClinicalReports to: President & CEOJob Type: Full-TimePay: $130,000-$180,000 depending on qualifications and experience. Benefits:

• Paid Time Off (PTO)
• Medical, Dental & Vision Insurance
• Paid Holidays
• 401(k) Retirement Fund with employer contribution
• Profit sharing
• Mobile phone reimbursement
• Relocation Assistance or signing bonus available
• Flexible schedule and hybrid work model Position Summary:Facility provides 24-hour per day residential care to extremely medically fragile pediatric (birth to five year-old) patients. We are licensed as a Pediatric Medical Group Home, providing a transitional care unit with planned lengths of stay between 6 and 24 months. The Clinical Director has overall leadership and management responsibility for, including, but not limited to:
  • Ensure the safe and consistent provision of literature-based medically intensive nursing care to at least eight to ten medically fragile pediatric patients aged birth to five years.
  • Leadership and management, including direct supervision, evaluation, and mentorship of the pediatric critical care Registered Nurses (RNs) and Pediatric CNA's.
  • Serve as the key point of contact in the ongoing coordination and communication with each patient's care team, including the patient's parents/legal guardians, primary care providers, specialty care providers, and the team
  • Interface with cross-functional facilities team to ensure the facility is clean, professional. organized, adequately stocked with all necessary supplies
  • Interface with cross-functional administrative teams to maintain governmental licensing and meet payor requirements
  • Interface with hospital discharge coordinators to arrange new admissions; overall responsibility for optimizing patient census for each facility
  • Normally on call 24/7; on-call responsibility may be delegated up to 50% of the time, covering at least four weekend days per month
  • Identifying, coordinating and articulating measurable clinical outcome goals for each of medically fragile pediatric patients who typically present with the following:
    • mechanical ventilation dependence (and progression towards weaning)
    • tracheostomy management (and progression towards decannulation)
    • literature-based progressive mobilization and optimization of each individual Patient's strength, mobility and coordination
    • advancing nutrition and hydration administration from current state at admission (i.e., TPN or continuous G- or J-TF) to G-TF bolus and/or safe po feeding Duties/Responsibilities:
      • Operation and management of pediatric critical field care facilities specifically designed for the intensive field care of medically fragile pediatric patients, birth to five years old.
      • Work closely with the CEO supporting the marketing by:
      • Developing and maintaining relationships with discharge coordinators, nurse case managers and other patient referral sources
      • Review patient referrals and make recommendations on suitability for patient admission
      • Managing patient admissions and discharges
      • Support the mission to optimize patient outcomes and lead the evolution of the nursing profession
      • Patient care goals established, measured and evaluated on a quarterly basis with the goal of safely discharging to the patient's family's home or when appropriate and indicated, to a more traditional pediatric medical group home
      • Ensure all necessary patient care documentation is expeditiously made available for billing purposes
      • Support continuous improvement efforts, both within the facility and companywide
      • Direct supervision of RNs and PCTs:
        • Conduct and document ongoing performance evaluation and feedback.
        • Conduct and document performance evaluation and feedback including salary and pay recommendations; report to the President.
        • Oversee scheduling of RN's and Pediatric CNA's.
        • Review and approve team time entries for accuracy and completeness
        • Ensure ongoing education, training and clinical mentorship is conducted and completed (as per Policy & Procedure) for all direct care RNs and PCTs
        • Clinical Processes & Facility Oversight:
          • Ensure the facilities are meticulously maintained and carefully cleaned for continuous safe operation
          • Interface with and mentor RNs assigned to lead the individual patient's care, update their provider plan of treatment and nursing plan of care
          • Lead and coordinate training and continuing education of RNs in literature-based best nursing practice and clinical excellence. Mentor RNs who are applying to pursue advanced nursing education
          • Oversee and mentor the Lead Pediatric CNA's and Lead RN's in training.
          • Patient Access to Education:
            • Oversee coordination of patients' requisite medically intensive nursing care while the patients are accessing education
            • Interface with school administration and educational personnel as necessary
            • Review the patients' Individual Education Plan with the patient's RN Team Leader, patients' parents, and educational providers
            • Patient Discharge:
              • Oversee, coordinate, evaluate and verify the patient's parent mentorship process is conducted and documented prior to discharge
              • Regular communication with each patient's team of primary and specialty care providers to coordinate continuous advancement to successful discharge
              • Nursing care:
                • Prescribed by the individual patient's range of medical care teams and medical care providers
                • Consistent with literature-based best nursing practic
                • Optimize the health outcomes, functional outcomes and quality of life outcome goals established for the individual patient
                • Respect the patient family's goals and expectations, observing each patient's cultural and religious traditions to the best of team capabilities
                • Meticulously monitored and routinely updated based on the patient's current physiologic state and progress towards health, function and quality of life goalsRequired Skills/Abilities:
                  • Excellent leadership and management skills in a Pediatric Critical Care setting, leading, managing, mentoring, and inspiring Pediatric RNs and CNAs to bring the best of their knowledge, skills, and capabilities to apply literature-based best practice to:
                    • Identify and articulate realistic, measurable and time-linked patient goals, optimize each patient's health outcomes, functional outcomes, and quality of life outcomes
                    • Excellent communication skills
                    • Outstanding ability and motivation to lead and work in a pediatric critical care team with other pediatric RNs
                    • Ability to accurately, reliably, and consistently meet the medically intensive nursing care needs of medically fragile pediatric patients in high stress situations
                    • Outstanding ability in meticulously evaluating and analyzing RN and PCT documentation for the purpose of tracking patient progress towards articulated goals and optimizing patient outcomes
                    • Able to work independently
                    • Comfortable interfacing with parents and a wide range of specialty care providers
                    • Excellent interpersonal, negotiation, and conflict resolution skills
                    • Excellent organizational skills and attention to detail
                    • Excellent time management skills with a proven ability to meet deadlines
                    • Strong analytical and problem-solving skills
                    • Cultural awareness and respect Education and Experience:Required Qualifications:
                      • Current RN license in Washington State
                      • MSN or MN required; doctoral preparation preferred
                      • Five to ten years of RN experience as an RN, with at least two years of clinical experience in one or more of the following:
                        • Critical Care Nursing
                        • Pediatric Nursing / Pediatric Critical Care
                        • Neonatal Nursing
                        • Nursing Management
                        • Neonatal and/or pediatric critical care and critical care
                        • Demonstrated ability to lead and manage teams of Pediatric RNs and PCTs
                        • Demonstrated ability to drive positive change in an innovative organization, whose goals include linking RN compensation with patient care outcomes
                        • Demonstrated ability to adapt to and safely adopt new technical systems and skills as needed.
                        • Demonstrated experience and clinical excellence in the provision of medically-intensive care, specifically with "infants" (birth to 12-months), "babies" (12 - 24 months), "toddlers" (2 to 5 years old), and/or special needs children.Physical Requirements:The role requires:
                          • the capability to work on-site at the facility for the duration of the 12-hour shifts as needed, or until relieved by the next scheduled RN
                          • ability / capability to make some repetitive motions, and
                          • the ability to lift infants, babies, and toddlers
                          • the ability to remain calm in emergency situations
                          • the ability to consistently and reliably ensure swift and accurate responses in critical care and in high stress situationsNote: Covering shifts is expected to be an exceedingly rare occurrence.
                            
                            
                            Compensation details: 130000-200000 Yearly Salary
                            
                            
                            
                            PI961eb7d7e24e-37248-36011325

Keywords: Greater Seattle, Bellevue , Clinical Director (RN), Executive , Everett, Washington