Job Title:

Chief Nursing Officer

Department:

Clinical / Administration

Reports To:

Chief Executive Officer

FLSA Status:

Exempt

Date:

01/24/2025

 

Position Summary

 

The Chief Nursing Officer is responsible for the direction of nursing and other services as assigned. As a member of the Everiz Management LLC senior team, this position carries ultimate authority and responsibility for planning, organizing, implementing and evaluating nursing/patient care programs, performance improvement activities, infection control initiatives and hospital-wide planning and regulatory compliance activities.

 

Essential Duties & Responsibilities

 

• Directs nursing services in all areas/departments where nursing care is provided.

• Participates with members of governing board, medical staff, administrative team and hospital management in Strategic Planning.

• Established philosophy and develops/implements the organization’s plans for providing nursing care to those patients requiring nursing care.

• Assures collaboration among the clinical and support departments to meet patient care needs; establishes formal mechanisms for interdepartmental communication.

• Participates in community-based groups/activities as a representative of hospital administration; participates with community and nursing leaders in decision-making and support of innovative nursing practice.

• Keeps abreast of relevant issues that impact patient care and communicates to members of the administrative team.

• Provides a liaison between the medical staff and clinical departments; promotes environment of collaboration with medical staff and hospital clinical departments to provide for the needs of patients.

• Serves as a member on medical staff committees.

• Participates with other administrative team members in promoting physician and employee satisfaction; initiates corrective actions as needed.

• Takes administrative call. Participates in assuming administrative responsibilities of facility in absence of CEO.

• Provides leadership to nursing and clinical departments to ensure compliance with licensing, regulatory and accrediting agencies.

• Assures that the practice of nursing is consistent with the State of Texas, Nurse Practice Act and in accordance with governmental regulatory agencies.

• Develops/approves organization-wide patient care programs, policies and procedures that describe how patient’s nursing care needs or patient populations receiving nursing care are assessed, evaluated and met; involves pertinent individuals/departments; obtains medical staff input/approvals as needed; assures that policies reflect the institution’s policies; medical staff bylaws and governing board decisions.

• Assures that assigned departments are in compliance with hospital policies including, but not limited to:

  • Infection Control Standards for Standard and Special Precautions, Employee Health Standards and others as they apply to assigned departments

  • Safety and Disaster Preparedness Standards

  • Improvement Performance

• Collaborates with the governing body, management, medical staff and clinical staff in planning, promoting and conducting hospital-wide performance assessment and improvement; reports findings to appropriate hospital, medical and governing board committees; establishes the nursing plan for performance improvement.

• Seeks opportunities to incorporate the ethical dimensions of nursing practice, health policy and organizational behavior in the strategic planning and decision-making processes; acts as an advocate for the patients, nursing/clinical staff, of medical staff as appropriate with faced with ethical questions and assists with mechanism to assure resolution.

• Assures that patient care needs in assigned departments are assessed, evaluated and met; utilizes quality reporting, patient satisfaction data and feedback from medical staff to assess areas for improvement.

• Promotes interdisciplinary collaboration in assessing and planning for patient care needs. Communicating progress toward goals and providing for patient’s continuing care needs.

• Collaborates with medical staff, Risk/Quality Dept. and other clinical departments to establish appropriate utilization of hospital resources to meet patient care needs.

• Problem-solves with medical staff and appropriate departments when quality of care issues arise.

• Establishes standards and expectations for patient satisfaction; communicates results of PSMS reports; initiates action plan for improvements as needed.

• Collaborates with leadership to ensure hospital compliance with corporate and regulatory standards.

• Responsible for the development and implementation of budgets for assigned units/departments.

• Participates with Administrative Team in determination of allocation of funds for patient care needs.

• Evaluates compliance, identifies variance trends and initiates corrective action as needed.

• Participates in evaluation of cost-effectiveness of assigned patient care services/departments and economic value-added proposed new services.

• Collaborates with Materials Manager to assure quality patient care supplies and equipment are utilized within Hospital contract guidelines; communicates unsatisfactory vendor performance and seeks corrective actions.

• Establishes the functions and qualifications for nursing positions.

• Develops staffing plans which assure cost-effective utilization of resources to meet patient care needs based on clinical assessment, utilizing date from performance improvement activities, patient satisfaction information, financial data, staff input and physician input.

• Monitors and recommends changes in salary ranges to remain competitive in the community; defines which positions are needed in assigned patient care departments/areas.

• Supports innovation in nursing practice both from clinical and managerial perspectives.

• Assures staff competency as reported to the governing board; reviews and approves all competency-based job descriptions on an annual basis.

• Participates in developing, implementing and evaluating programs to promote the recruitment, retention, development and continuing education of nursing staff members and other disciplines that impacts patient care.

• Serves as coach and mentor for nursing leadership staff, facilitates professional developments; fosters atmosphere of learning and innovations; develops nursing management skills.

• Demonstrate knowledge of and adhere to regulations and policies and procedures pertaining to safety, emergency preparedness, infection control, OSHA, fire safety and hazardous materials

• Participate in performance improvement activities as necessary

• Maintain confidentiality of patient related issues and adhering to all HIPAA rules and regulations.

• Demonstrate effective interpersonal skills

• Treat all patients, visitors, and staff members fairly and with respect

• Utilize effective communication methods and skills

• Explain all procedures, treatments, and care while remaining aware of language barriers

• Able to perform care in non-judgmental manner and recognize discrepancies between patient and personal beliefs

• Ensure personal appearance is business casual and professional at all times

• Responsible for wearing identification badge at all times which must be visible and above the waistline

• Attend all required meetings and in-service education

• Remain flexible in staffing patterns and resolution of staffing conflicts; participates in temporary assignments

• Compliance with attendance standards

• Demonstrate flexibility when changes in assignments are necessary

Qualifications

EDUCATION & EXPERIENCE

• Master’s degree in business, nursing or related field required; education and experience comparable to leadership peers; certification in nursing administration desirable.

• Current RN licensure in the State of Texas, required

• At least 5 years of progressively responsible experience in nursing/ health care management; preferable 2 years at the executive leadership level.

CERTIFICATE/LICENSES

• BLS, ACLS