The Nurse Manager is responsible for the development, implementation, and evaluation of the care provided on the patient care unit(s) that is consistent with the Mission and Vision of DCH Health System.  The Nurse Manager assures their unit/area of responsibility is aligned in achieving the organizational expectations/goals related to the organizational priorities and strategic objectives with focus areas of exceptional clinical outcomes and patient experience, safety, outcomes, community, people, growth and finance. The Nurse Manager is responsible for 24-hour management of the patient care area.  The Nurse Manager supports optimal care that requires specialized knowledge, critical thinking and skills based on evidenced based practice.  The Nurse Manager demonstrates the attributes of Servant Leadership, communicates clearly and motivates others to achieve outcomes. 

1. Approves payroll and is responsible for accurate payment of employees, including other management positions
2. Demonstrates the provision of the Mission and Vision of DCH Health System by providing leadership and innovation within areas of responsibility.

3. Performs all duties according to policy and procedure.
4. Identifies customer needs, develops and implements services and processes to meet these needs.
5. Achieves continuous systematic, measurable improvement in areas of responsibility, including chart audits and direct observations to ensure compliance with established standards, policies, and regulatory requirements.       
6. Leads and participates in organizational change.
7. Sets performance standards for staff. Develops working environment and avenues for education and training to meet those standards.

8. Achieves federal, state, local and third-party regulatory requirements.
9. Inspires pride in the organization and takes corrective action when organizational values are compromised.
10. Implements communication mechanism within areas of responsibility whereby, employees, physicians, patients and families feel they are listened to, understood and understand messages sent.

11. Treats people fairly and with respect. Treats unsatisfactory performance (both clinical and behavioral) firmly and fairly with appropriate confidentiality according to JUST CULTURE and DCH progressive discipline process.

12. Provides performance feedback on a regular basis.
13. Able to resolve conflict timely and effectively.
14. Provides resources and systems for employees to perform.
15. Develops, administers and evaluates strategies and goals for Patient Care Services that are aligned with theMission, Vision and System-wide Goals of DCH Health System, organizational priorities and strategic objectives with focus areas of exceptional clinical outcomes and patient experience, safety, outcomes, community, people, growth and finance and DCH Behavioral Standards.

16. Assist with the establishment of patient care mechanisms for review and evaluation of care rendered.
17. Identifies deficiencies in care and creates, implements and evaluates action plans to eliminate deficiencies identified.

18. Collaborates with physicians in establishing and maintaining effective, professional nurse/physician  relationships.

19. Facilitates efficient care delivery processes and effective patient throughput
20. Assists with developing, administering and monitoring salary and equipment budgets.
21. Participates in community programs as appropriate
22. Promotes and supports independent, autonomous nursing judgement, priority setting and critical thinking skills
23. Influences behaviors by: inspiring a shared vision for the department, role modeling passion about the mission, vision and values and incorporates as own, celebrating successes and accomplishments, providing timely      feedback when goals are not met, and conducting purposeful counseling/coaching sessions with direct reports.  Hardwires Back to Basics, Relationship Based Care Principles and Safe Patient Handling and Mobility practices including but not limited to:  hourly   rounding, beside report, documenting at the bedside, caring moment, AIDET, safe alarms monitoring, use of mobility devices and infection prevention principles
24. Follows up on patient concerns in a timely manner, closes the loop, documents such, analyzes reports for trends and plans improvement actions.
25. Escalates concerns, issues etc. appropriately and in a timely manner.
26. Embraces performance improvement. Creates a roadmap for department, based on patient population served, recent outcomes and the organizations performance improvement strategy.

27. Accountable for steady improvement in publicly reported quality metrics.
28. Leads efforts to reduce risks.
29. Promotes a “Speak Up” culture.
30. Promotes multidisciplinary approach for caring for those we serve throughout the entire continuum of care.
31. Is visible and accessible to staff.
32. Honors diversity.
33. Models behavior that invites colleague interaction and demonstrates mutuality.
34. Builds trusting, collaborative relationships with staff, peers, physicians and administration.
35. Supports shared accountability structure.
36. Assures availability of supplies, resources and equipment.
37. Serves as cheer leader for initiatives and fosters team members that help maintain and boost morale.

• Manages departmental budget
• Interviews, selects, hires, and retains employees
• Ensures orientation and training for employees
• Manages performance
• Promotes, demotes, or transfers employees to meet organizational needs
• Executes progressive discipline up to and including termination
• Manages departmental productivity standards
• Performs compliance requirements as outlined in the Employee Handbook
• Manages front line operations of area of accountability related to meeting/exceeding departmental goals, 5        keys of excellence, DCH Mission and Vision.

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.

• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.

• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Registered Nurse with current Alabama License. Three (3) to five (5) years clinical nursing experience in the field of Hemodialysis preferred.  Anyone hired after October 1, 2015 must have a Bachelor’s degree in Nursing or Health Related Field or must be actively working on bachelor’s degree with completion date within 4 years of hire, 2 years’ experience as a registered nurse. Current American Heart Association (AHA) Basic Life Support (BLS) Provider training required. Excellent interpersonal and communication skills - both written and verbal.  Excellent team building and relationship building skills.  Displays diversity and cultural competence with particular ability to adapt to the needs of a diverse work-force.  Demonstrates critical thinking, analytical, problem solving, leadership and decision-making skills.  Requires exceptional customer service skills and ability to work as a member of a cohesive team. Must be able to read, write legibly, speak and comprehend English.

WORKING CONDITIONS

WORK CONTEXT

• Demonstrate leadership skills
• Requires decision making that will affect others
• Responsible to achieve outcomes
• Must be able to communicate clearly and accurately
• Ability to delegate to team members and students
• Address conflict and stressful situation
• Communicate with different personalities and engage in face to face discussion
• Dealing with unpleasant or verbally/physically aggressive personalities
• Must be able to use computers, electronic mail, telephone and texting
• Must be able to work in groups
• Must be able to perform structured and unstructured work
• Must be meet time pressure and time lines
• Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions
• Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc.

PHYSICAL FACTORS

• Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects

• Must be able to tolerate prolonged periods of standing and walking
• Must be able to reach reasonable distances in any direction
• Must be able to stand, walk, kneel, bend, sit and stoop
• Must be able to run in an emergency
• Must have the ability to exert maximum muscle force to lift, push, pull and carry objects
• Must be able to move fingers in a coordinated manner and must be able to feel and perceive temperature, texture, shape and size with fingertips
• Must be able to perform the duties with or without reasonable accommodation
• Must possess stamina to provide 24-hour management for assigned area(s) of responsibility
• Hearing and vision must be normal or corrected to within normal range.
• Physical presence onsite is essential.