Nurse Manager - Ambulatory

Job Description
General Summary
Under general administrative direction, the Ambulatory Nurse Manager is accountable for the delivery of patient care services which supports the strategic plan of the organization and achieves clinical, financial and service quality objectives in a hospital-based practice.  This role is accountable for the quality of clinical services delivered for the competency and performance of clinical staff and for designing and maintaining systems to support multidisciplinary team functioning and continuity of services.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification.  They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Develops, manages and evaluates the system of care delivery and clinical services which meets clinical, financial and service quality objectives.
A. In collaboration with medical staff leadership, assesses requirements for care delivery systems to meet patient population requirements.  Plans strategies and services to meet clinical objectives.  Communicates long and short-term plans and objectives to staff.
B. Assures excellence of clinical practice and patient care services, including meeting or exceeding customer requirements, improving clinical outcomes and achieving productivity and expense reduction goals.  Assures that programs, services and staff performance meet regulatory requirements and professional standards.
C. Assures that programs, services and staff performance meet regulatory requirements and professional standards.
D. Directs professional practice partnership(s) which are designed around the requirements of customers (patient, physicians and payors) and which involve staff in decision making and practice operations.
E. Uses a variety of data and information resources to assess evolving program requirements and evaluate program performance.  Collaborates with multidisciplinary team members to assess, redesign and continually improve effectiveness and productivity of clinical programs.
F. Develops effective administrative, coordination and communication systems.  Ensures effectiveness of unit operations.
2. Assumes a leadership role in managing the quality of services provided in the practice and within the organization at large.
A. Implements systems to manage and improve the performance of practice processes and to improve the performance, consistency and coordination of cross functional processes.
B. Implements systems to assess and respond to customer perceptions of service.  Is visibly involved in obtaining customer feedback, incorporating customer requirements into service design and requiring staff performance which meets customer requirements.
C. Teaches and coaches staff in effective process analysis and improvement techniques and in using data to assess and improve clinic performance.
D. Supports innovation in clinical practice and care delivery systems by staying current with innovations and literature in healthcare and care delivery.  Disseminates and incorporates research findings into practice.  Supports data-based ideas and innovations generated by staff and multidisciplinary research projects.
3. Manages the patient care and administrative operations of a hospital-based practice to assure the ambulatory service's mission, goals and core competencies are met.
A. Possess a thorough knowledge and understanding of all practice positions in order to provide back-up in case of employee absence.
B. Addresses and solves impediments to success in areas of information technology, registration and billing, housekeeping, medical records, pharmacy, space and resource utilization, etc.
C. Maintains records and provides reports to Directors and the Medical Director.
D. Ensures knowledge dissemination and full compliance with contractual and regulatory requirements (HIPAA, The Joint Commission, OSHA, third party payors, etc.).
E. Coordinates all information systems activities including IDX scheduling and practice-related billing and other management reporting requirements.
F. Monitors and assures monthly financial performance to budget and performs variance reporting.
G. Ensures current charge master is maintained for practice, charge capture audit trails are in place, and patient registration accuracy.
4. Responsible for ensuring adherence and administration of UMROI human resource’s policies and procedures.
A. Directs systems for recruitment, selection, orientation, competency validation, professional development and staff recognition.
B. Creates effective performance management systems which provide clear expectations to staff in all roles, support staff participation in peer feedback and effectively address individual and group performance outcomes.
C. Creates an atmosphere which fosters teamwork and open communication among staff.  Models effective behaviors as a facilitator, coach and leader.
D. Creates a climate which values and supports diversity and demonstrates career development of all staff.
5. Provides the care needed as described in the unit/area/department policies and procedures.
6. Effectively uses, interprets, applies and communicates data and information from multiple sources which effect unit based programs.  These data sources include financial reports, clinical and program quality data, human resource data and information from the external market.  Effectively interprets changes in key indicators for staff and directs staff in applying information to changes at the unit level.
7. Participates in marketing and public relations efforts.
8. Serves on appropriate Medical Center committees; act as a liaison between the practice and internal/external customers.
9. Demonstrates leadership in supporting the implementation of automated clinical and administrative information management systems.  Facilitates staff and physician efforts to incorporate information technology into practice.  Directs the implementation of unit level process changes to facilitate implementation and realize the value of automated systems.
10. Interprets organization goals and objectives to staff. Translates organizational mission, values, strategic plan, priorities and goals at the unit level.  Identifies implications of external environment for the organization and the unit.  Facilitates staff discussion and response to issues which effect nursing practice and care delivery.
11. Supports innovation in clinical practice and care delivery systems by staying current with innovations and literature in healthcare and care delivery.  Disseminates and incorporate research findings into practice.  Supports data-based ideas and innovations generated by staff and interdisciplinary research projects at the unit level.
12. Ensures patient safety in the performance of job functions and through participation in hospital, department or unit safety initiatives.
A. Takes action to correct observed risks to patient safety
B. Reports adverse events and near misses to appropriate management authority.
C. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.