Associate Chief Nursing Executive, Ambulatory Services

The Associate Chief Nursing Executive, Ambulatory Services is the executive nursing leader responsible for providing strategic and operational excellence for ambulatory care across Cook County Health (CCH) for primary care, specialty care, ambulatory procedures, and transitional case management.The Associate Chief Nursing Executive, Ambulatory Services oversees all matters affecting the clinical operations of the Ambulatory and Community Health Network (ACHN) clinics and programs, as well as planning for the future, and in establishing community payer linkages for health improvement, which will achieve excellence in Quality, Patient Service, operational efficiency and revenue optimization. Works with the Chief Administrative Officer, Ambulatory Care Services (COA, ACS) to effectively and efficiently manage the operations of the service line. Develops and implements the organization's plan for providing nursing and other clinical care to patients for all ambulatory based programs. Oversees the development of organization-wide patient care programs, policies, and procedures that describe how nursing and patient care is assessed, interventions planned and provided, and outcomes evaluated. Plans, directs, and coordinates activities of multiple nursing departments in the outpatient arena to maintain standards of patient care, and advises the Chief Nursing Executive (CNE) in matters related to clinical operations for ambulatory based services. Participates with leaders of the Ambulatory Executive Team, management team, and medical staff in planning, promoting, and conducting ambulatory quality assessment and performance improvement activities.This position is exempt from Career Service under the CCH Personnel Rules.General Administrative Responsibilities

Collective Bargaining

Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposalsParticipate in collective bargaining negotiations, caucus discussions and working meetingsDiscipline

Document, recommend and effectuate discipline at all levelsWork closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining AgreementsInitiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreementsSupervision

Direct and effectuate CCH management policies and practicesAccess and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreementsManagement

Contribute to the management of CCH staff and CCH' systemic development and successDiscuss and develop CCH system policy and procedureConsistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining AgreementsWork with Labor Relations to discern past practice when necessaryTypical Duties

Responsible for clinical scope of practice for all non-provider clinical roles throughout CCH ambulatory care and establishes clear roles and responsibilities for top of license practice.Oversees care coordination and transition of care for high risk populations across the continuumOversees day to day clinical operations and clinical outcomes for the Specialty Clinics, Ambulatory Procedures areas, Care Coordination including Transition of Care and Primary CareDirects the nursing/clinical educational programs of ambulatory staff to ensure clinical objectives are met and competency of skills is maintained to safely deliver quality care to patients and communities CCH serves. Identifies learning opportunities to improve clinical care.Collaborates with COA, ACS and Medical Directors to optimize revenue and operational efficiency, quality and patient service.Collaborates with physicians and other clinical leaders and operations to develop Centers of excellence for acute and chronic conditions, including orthopedic care, diabetes, oncology, ophthalmology, stroke COPD and heart failure.Analyzes data and collaborates with Leadership to improve patient outcomes achieved through the development and implementation of evidence-based nursing standards and processes of clinical practice and clinical care compliance with regulatory and legal standards.Ensures that patient safety events and patient concerns are reviewed, analyzed and improvement/prevention strategies are implemented.Leads the planning, development, and execution of an organization and culture promotes patient safety and clinical quality, as benchmarked by CCH and externally by America's Essential Hospitals (AEH), Leapfrog, Centers for Medicare & Medicaid Services (CMS), Healthcare Effectiveness Data and Information Set (HEDIS) and other quality programs. The Associate Chief Nursing Executive, Ambulatory Services needs to be an articulate spokesperson and role model for clinical quality excellence in outpatient care and patient-centered medical home.Conducts all aspects of the job in an ethical manner in support of the system's commitment to ethical behavior in all areas of personal and professional activity.Ensures organizational accountability within the limits authorized by policies, procedures, and budgets for the service.Reporting Relationships

Reports to the Chief Nursing ExecutiveMinimum Qualifications

Licensed as a Registered Professional Nurse in the State of Illinois no later than two (2) weeks prior to commencement of employment with CCHBachelor of Science in Nursing from an accredited college or universityMaster's degree or higher in Health Administration, Public Health, Business Administration, or Nursing from an accredited college or universitySeven (7) years of progressive leadership experience with at least three (3) years in a Director or other Executive level role for a large hospital or health care system with responsibility for all patient care servicesThree (3) years of leadership experience in an ambulatory/outpatient procedural areaPreferred Qualifications

Doctor of Nursing Practice (DNP) from an accredited college or universityExperience in Magnet DesignationAdvanced Certification in Nursing AdministrationCertification in Ambulatory Care NursingExperience with process improvement and Lean Six SigmaKnowledge, Skills, Abilities and Other Characteristics

Knowledge of quality metrics and implementation of policies, procedures, workflows and cultures to achieve such metricsKnowledge of The Joint Commission (TJC) and federal and state regulatory standards for ambulatory health servicesExcellent communication skills and evidence of collaborative practiceAbility to lead consensus-based decision makingDemonstrated expertise and experience of leading ambulatory services using the Patient Centered Medical Home (PCMH) model of care with successful clinical, quality and fiscal outcomesDemonstrated expertise in healthcare delivery systems and performance improvement for ambulatory servicesDemonstrates a passion about bringing quality healthcare to underserved populations in and around the community of Cook CountyDemonstrated knowledge of hospital and department compliance requirements for federal and state funded healthcare programs (e.g., Medicare and Medicaid, Medicaid Managed Care, etc.) regarding fraud, waste, and abuse.Demonstrated personal commitment to quality job performance, a sense of responsibility for high achievement, professional appearance, awareness of current events throughout the hospital, and positive promotion.Demonstrated commitment to the success of the organization through enthusiastic, positive, and inspirational interactions with others and continuous role-modeling of the behaviors consistent with the mission, vision, and values.Ability to proactively create the healthcare environment of the future for ambulatory services at the system within the first year of work.Must role model positive communication and team relationship skills.Dynamic individual with an inspirational and motivational leadership style.Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.Applicants may apply for this position by submitting a resume/ CV to the following email address: mgmtrecruit@cookcountyhhs.org. When submitting a resume/CV by email, you must include the job title and posting number in the subject line of your email.

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