RN CNO Full-time
Sonoma Valley Hospital

Chief Nursing Officer

Sonoma Valley Hospital Sonoma, CA 95476, US
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Overview

The Chief Nursing Officer (CNO) provides oversight of all nursing services at Sonoma Valley Hospital (SVH). Provides strategic direction for the nursing division including but not limited to leadership recruitment and development, quality oversight and the promotion of a strong nursing culture as a component of successful patient care. Oversees the day-to-day operations of all nursing functions and fosters a team environment within all nursing services as well as non-nursing services, facilitating interdisciplinary collaboration and accountability. Nurtures strong relationships with SVH physicians, community partners and the SVH Board of Directors (BOD), and engages with our patient's to ensure the provision of excellent patient care. The CNO is a member of the hospital's Executive team and participates as an active member of the SVH Administrative team, Board Quality Committee, and Medical Executive Committee. Addionally, the CNO is responsible for oversight of the Emergency Preparedness program, and provides strong leadership, management, consultation and oversight for the organization.

Responsibilities

Leadership: Participates as a member of the executive team in hospital operations.  This can include direct oversight of clinical areas (ED, OR, inpt) in the absense of a subordiante.  Particpation in strategic planning and innovative process development/improvment.  Membership in cross-functional organizational and medical staff committees.  Contributes to problem-solving organizational issues and  the development of innovative action planning  to ensure organizational success. Provides direction, coaching and mentorship to direct reports regarding professional standards, work quality, performance and accountability. Develops annual staff engagement improvement plans; and engages in regular communications (department meetings, one-on-ones, performance feedback, etc.).

 

Quality and Safety: Leads efforts to ensure the highest quality care and patient safety based on the most current standards of practice and evidence-based medicine.  Maintains current knowledge of nursing practice. Develops and manages organization initiatives to drive organization to nursing excellence.  Reports on Quality and Patient Safety to the Board Quality Committee and BOD as requested.  Works directly with Chief Medical Officer in the coordination and maintenance of high quality patient care delivery that is data-driven and evidence-based.

 

Financial Management: Provides oversight on the development of all subordinate departmental budgets. Assists subordinate leaders in meeting their budgets.  Is accountable for CNO division's 'roll up' budget.  Explains variances and develops action plans to correct variances over fiscal year.   Works to build subordinates agility with budgets and financial drivers.  

 

Emergency Preparedness: Responsible for preparing the organization in a ready state to respond to multiple potential disasters in structured responses. Reviews, updates and develops, as appropriate, all emergency preparedness policies and procedures to ensure compliance with regulatory requirements and for a continuous survey readiness state. Works with leaders in the organization in an ad-hoc manner to collect information, review and revise these policies, as appropriate.  Provides education and training to Leadership on federal Hospital Incident Command System (HICS) roles and responsibilities, and provides education and training to staff as to the roles and various disaster type responses. Co-directs the Emergency Management Committee and attends quarterly Healthcare Coalitions (HCC) meetings and serves on HCC Steering Committee.

 

Relations: Promotes and maintains strong relationships with executive leadership, medical staff, Board of Directors (BOD), hospital management, the community and employees. Partners with local community leaders (Fire and Emergency Medical System, Sonoma Emergency Operations Center, Community Clinic) maintaining strong collaborative relationships.  Participates in community outreach projects, viewed as face of patient care for SVH.   Member of the Patient Grievance Committee.

 

Regulatory: Builds, maintains and promotes a continuous survey readiness program assuring compliance with multiple regulatory and licensing compliance initiatives and agencies. Oversees nursing departmental Quality Assurance/Performance Improvement (QAPI) plans and any improvement projects.  Monitors core measure compliance and develops/supervises action plans for measures out of compliance. Oversight of quality care for resuscitative services and is committee lead for Code Blue and Stroke.  Maintains quality metrics and outcomes to meet the Center for Improvement in Healthcare Quality (CIHQ) Stroke Ready certification compliance.   

 

Patient Experience: Develops an environment of a high level, positive patient care experience.  Promotes the highest level of care in line with the Human Experience model.  Is a role model for patient engagement.  Monitors Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys and Q-reviews texting surveys and insures development of action plans to achieve high percentile compliance.   Member Patient Care Experience Committee.

Qualifications

Education: Graduate of accredited RN program, MS degree or equivalent in healthcare with emphasis in leadership & management.Experience: At least 5 years of experience at a director level or higher, over a nursing department in an acute care setting; demonstrated experience in leading change and demonstrated positive quality, patient experience and financial outcomes.Licenses & Certifications: Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider.Required Skills & Knowledge: This position requires excellent written and verbal communication skills, proficiency in computer skills, strong organizational problem-solving, analytical skills, strong management and interpersonal skills.  Ability to manage multiple priorities, demonstrate flexibility and work with constantly changing priorities.  Ability to abstract, analyze and report clinical data. Ability to interact effectively with a diversity of individuals at all organizational levels, and good judgement with the ability to make timely and sound decisions.

Compensation

Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package.

Minimum:

USD $193,416.02

Maximum:

USD $265,947.02

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Works with physicians and CDI to ensure that clinical information available in the medical record is accurate and reflects the care rendered to the patient. Collaborates with physicians to determine appropriate levels of care for post hospital care, use of hospital resources, and available community resources. In a timely manner, communicates pertinent information to third-party payers and managed care organization to obtain authorization for care and prevent denials. Reviews, processes, and issues denials to client/responsible party following regulatory guidelines and facility protocols. Informs client/responsible party of right of appeal and the appeal process. Collects data for the appeals process. Identifies avoidable days, intervenes to correct delays, and enters outcomes in MIDAS in a timely manner according to policy and procedure. Uses personal judgment within broad guidelines to initiate review of inappropriate utilization by physicians and follows-through to resolution (e.g., attending, department chair, utilization management medical director). Discharge Planning/Initial Assessment/Development/Evaluation Completes an initial assessment within 24 hours of admission and documents findings in the electronic health record. Reviews initial hospital admission and gathers additional medical, psychosocial and financial data from needs assessment, client/family, physicians, and other health care providers. Determines risk level and identifies client’s service needs. Formulates a discharge plan after completing a face-to-face interview and discusses available/appropriate care options and obtaining input from the patient/family and physician, healthcare team, insurance companies, and community-based support services. Collaborates with physicians to facilitate timely resolution of situations such as client concerns or need for referrals to expedite the discharge plan. Identities potential problems, prevents and/or resolves variances to the case management plan. Effectively deals with resistance and conflict in working with member of the patient care team, physicians, clients, and families. Implements all aspects of the discharge plan of care, intervening in an appropriate and timely basis when difficulties arise. This may require documentation and follow-up with other management staff to ensure effective resolution. Mobilizes resources to effect rapid and timely movement of the patient through the system and promote timely discharge in keeping with quality indicators. Identifies and mobilizes patient’s and family’s strengths to optimize use of healthcare and community resources. In coordination with patient/family wishes, guides/assists in securing needed post discharge services, which may require negotiating for services covered but not readily available. Implements the discharge plan to include all the necessary referrals and authorizations as identified by federal, state, and local insurance regulatory agencies and offers patient choice per regulatory guidelines. Interfaces with Social Work on discharge planning issues for resolution and assures barriers are addressed in a timely manner. Department Operations and Development Actively participates in department meetings and operations, including process development or improvement (e.g., department orientation, internal mentor/training programs and initiates, disease and population management strategies, appropriate measures for evaluation of outcomes) and establishment of department goals, objectives, and budget. Ensures all applicable department and regulatory targets for productivity and department performance process improvement are attained (e.g., hospital length of stay, average cost per discharge, and re-admission rates, etc.). Complies with all reporting requirements for mandated, risk management, and other medical/legal situations consistent with confidentiality policies and department standards. Actively contributes to the development and maintenance of a care delivery system which is sensitive to individual patient needs, promotes effective resource utilization, and supports physician practice, while emphasizing coordination across the continuum. Positively contributes to team’s decision-making process, effectively collaborates with other team members on interdependent tasks, and actively supports implementation of plans to accomplish team objectives. Prepares and conducts presentations to multidisciplinary teams related to special projects, case management, etc. Adheres to department and facility policies and procedures and supports philosophies and initiatives. Maintains accurate, current, and legible patient records using approved forms and format, according to department and entity standards, including patient assessments, plans, interventions, patient/family involvement, outside agency communications, and interdisciplinary contacts. Secondary (Modifiable) Actively participates in ongoing department interviews for Case Managers and Department Assistants, effectively recommending selected applicants for hire. Recommends or provides necessary training to staff. Attends and participates in community-based committees and task forces, when applicable and staff is available. Other duties as assigned. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.
RN Full-time
MarinHealth

Clinical RN II, Surgery and Procedures Pre-Op, Full Time, Days

MarinHealth Kentfield, CA
ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Company: Marin General Hospital dba MarinHealth Medical Center Compensation Range: $86.13 - $110.25 Work Shift: 10 Hour (days) (United States of America) Scheduled Weekly Hours: 40 Job Description Summary: The purpose of the Clinical RN role is to assess, plan, implement, evaluate, direct, and appropriately delegate to ensure the delivery of safe, quality patient care. This registered professional nurse will function within the full scope of RN licensure, according to the California Nursing Practice Act. The Clinical RN will provide assessment, development, and implementation of the care plan, evaluating the effectiveness of that care, directing emergency interventions, and collaborating with physicians, team members, and others to optimally manage patient care in the interest of the patient, acting as a patient advocate when necessary. Job Requirements, Prerequisites and Essential Functions: Job Specifications: Education: Sufficient education to obtain a valid California RN license Experience: Clinical RN II, either: 6 months to 1-year experience as a Clinical RN I at MarinHealth Medical Center; or Possession of the clinical experience as identified in the appropriate unit -specific job description addendum. License and Certifications: California RN license Required at hire Basic Life Support Required at hire Integrative Agitation Management (IAM) Required within 30 days of hire Prerequisite Skills: Ability to demonstrate proficiency in all items of the Staff Nurse Skills Criteria at the conclusion of the probationary period Demonstrated leadership and delegation skills Demonstrated oral and written communication skills Demonstrated ability to organize and prioritize work; time management skills Ability to work collaboratively with team members, other teams, physicians, and departments Ability to read, speak, write, understand and follow English verbal and written instructions. Primary Customer Served (Age Specific Criteria): Varies by department assigned. Refer to Unit Specific Addendum Employees in this position must be able to demonstrate the knowledge and skills necessary to provide care and/or service based on the physical, psycho/social, educational, safety, and related criteria appropriate to the age of the patients served in his/her assigned service area. Patient Privacy (HIPAA Compliance): Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description. Duties And Responsibilities: Essential (Not Modifiable) Consistently demonstrates the ability to transfer scientific knowledge from social, biological and physical sciences in applying the nursing process as follows: Formulates a nursing diagnosis through observation of the patient's physical condition and behavior, and through interpretation of information obtained from the client and others, including the health team Formulates age specific care planning, in collaboration with the patient, which ensures that direct and indirect nursing care services provide for the patient's safety, comfort, hygiene, and protection, and for disease prevention an restorative measures Perform skills essential to the kind of nursing action to be taken, explains the health treatment to the patient and family, and teaches the client and family how to care for the health needs Evaluates the effectiveness of care planning through observation of the patient's physical condition and behavior, signs and symptoms of illness, reactions to treatment, and through communication with the patient and team members, and modifies the plan as needed Acts as the patient's advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the patient and by giving the patient the opportunity to make informed decisions about health care before it is provided. Demonstrates leadership by supervising, directing and delegating appropriately to care team members. Delegates tasks to subordinates based on the legal scopes of practice of the subordinates and on the preparation and capability needed in the tasks to be delegated, and effectively supervises nursing care being given by subordinates Demonstrates clinical expertise by serving as a clinical expert, role model, and clinical and educational resource to the team, patients, and families. May act as a mentor and assist in the training and development of less experienced staff members Demonstrates professional accountability for nursing practice. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.