Lyon-Martin Health Services Inc
Director of Nursing
Lyon-Martin Health Services Inc, San Francisco, California, United States, 94199
Job Title: Director of Nursing (Part Time or Full Time)Salary:
$130,000 (at 1.0 FTE)
FTE:
0.8-1.0 FTE
In Person Expectation:
At least 75% in person
FSLA Status:
Exempt
Primary Location:
Lyon-Martin Community Health Services
Address:
1735 Mission Street
Reports To:
Medical Director
Organization Mission
The mission of Lyon-Martin Community Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay.
We aim to address and eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that's why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.
Job Summary
The Director of Nursing acts as a clinical leader by overseeing of all aspects of clinical care within the nursing scope of practice throughout the clinic. The Director of Nursing is a key member of the Leadership Team, providing strategic vision, directly supervising the nursing team, including the Outreach RN, the electrologist, and the Medical Assistant Manager, providing coverage for nursing support to LMCHS patients using a trauma-informed, harm reduction focused Patient Centered Medical/Health Home delivery model. The Director of Nursing takes a leadership role in training programs including Lyon-Martin's student rotation, phlebotomy externship, and in supporting the on-boarding new clinical staff. They co-lead all Quality Improvement activities and Research programs in collaboration with the Medical Directors, Director of Programs, Director of Operations, and QI Manager, and assist with the development and maintenance of policies and procedures. The Director of Nursing provides complex care management for patients with multiple chronic medical illnesses and behavioral health concerns to facilitate a collaborative, holistic and integrated model of care. The Director of Nursing is expected to uphold and imbue in others a commitment to addressing racism, ableism, fatphobia, gender and sexual discrimination within the organization and our clinical practice.
Key Responsibilities
Supervisor Responsibilities:
Develops and implements Policies & Procedures and forms pertaining to the Nursing and Medical Departments in collaboration with Leadership Team.Provides clinical leadership and oversight to nurses, electrologist, and students.Provides supervision of all nurses, electrologist, and MA manager.Promotes and enhances integrated team-based care in the provision of medical care, including patient centered care using trauma-informed care and harm reduction frameworks.In collaboration with Leadership Team, creates plans when an RNs and Providers are absent so that a coverage is available to review lab and diagnostic reports, prescriptions, and follow up on medical care for that panel.Thorough understanding of, oversight of, and promotion of continuous quality improvement efforts.Provides oversight for nursing peer review process.In collaboration with Leadership Team, hires, orients, trains, schedules, and terminates nurses and electrologist(s).Monitors performance through chart audits, annual performance appraisal of all direct reports. Provides feedback and makes recommendations for individual performance improvement and professional development.Increases staff competencies and satisfaction through training and mentorship and improves the overall quality and efficiency of clinical workflows.Clinical Care Responsibilities:
Provide coverage of nursing care as part of an integrated care team, within the scope of license and agency credentials, to patients within a Patient Centered Medical/Health Home delivery model, as needed.Demonstrates clinical expertise in primary healthcare for queer, transgender and intersex populations and gynecological care.Provides care, within the scope of credentialed privileges and standardized procedures, to patients within an integrated delivery model according to pre-arranged schedules, documenting care promptly and following charting protocols and applicable CA state licensing requirements; completes patient sessions in a timely manner; closes visit notes in a timely manner (within 24 hours)Informs clients of normal and abnormal lab results and follow up plans, as appropriate for scope or under guidance of a provider;Triages and responds to patient and colleague requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner;Works collaboratively with mental health staff to facilitate integration between primary care and mental health in order to improve patient outcomes;Obtains and maintains licensure and BCLS/CPR certification;Attends continuing professional education programs, at the request or with the approval of supervisor, demonstrating participation in required hours of continuing medical education according to California lawUtilizes motivational interviewing skills and encourage patient activation and self-management;Appropriately utilizes standing orders;Facilitates team functioning and efficiencyAssesses and provides nursing advice to patients who walk-in with medical complaints or who call-in with medical concerns seeking advice;As a part of the Integrated HealthCare Team, prioritizes and takes responsibility for patients with complex medical issues and follow up with all patients regarding recent emergency room visits and inpatient stays;Works in collaboration with Leadership Team to review and makes recommendations for changes to all forms and handouts stocked to ensure evidence-based, trans inclusive and patient-centered language is used.In collaboration with Leadership Team, creates and provides trainings and orientation to RNs and re: LMCHS specific policies, procedures and protocols to newly on-boarded clinical staff.Manages hair removal program operations.Quality Improvement:
Participates in Quality Improvement activities; act as change champion and lead of QI activities in collaboration with Quality Committee;Work closely with staff collecting and reporting data as necessary;Supports team in meeting benchmarks for applicable quality indicators as noted in the annual quality management plan including the maintenance of productivity standards, cycle times, no-show rates, and landing times;Along with colleagues, assists in continuous quality improvement through on-going problem/needs identification and problem solving and, as requested, acts as change champion or lead in clinical improvement activities, including PIP measures.Reviews and makes recommendations for changes to QI in-reach protocols to ensure trans inclusivity and sensitivity is maintained throughout all QI efforts.Research Program:
Attends Research Program meetings.Develop survey(s) to be disseminated to staff and community to drive the development of research questions.Based on survey results, develop research questions, methods.Executes research initiatives with team members.Report findings to clinic and spearheads any solution-based intervention efforts as needed.Collaborates with team for publishing as needed.Clinical Rotation & Externship Programs:
Review applications and make recommendations regarding acceptance decisions in collaboration with team.Create training and precepting schedules for those accepted as needed.On-board, train, and support students/residents engaged in the clinical rotation.Review training materials and make recommendations for changes to ensure they are up-to-date with best practices.Through pre-and post-rotation testing and student satisfaction survey, collect and monitor data around student/resident learning and satisfaction to ensure efficacy of the program.Organizational Responsibilities:
Keep up to date with operational and procedural requirements;Complete mandatory trainings within deadlines;Maintain availability for various administrative/clinical duties as requested by supervisor (e.g., case presentations;Provide in-service training to staff as needed.And, other duties as assigned.
Competencies:
Communication, Written: Delivers written communications that have clarity and impact including emails.
Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.
Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.
Time Management: Organizes and establishes priorities; gets the job done in a timely manner.
Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.
Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance.
Teamwork: Accountable to team; participates effectively in group- and teamwork; collaborates positively with other team members; giving and accepting constructive criticism.
Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.
Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.
Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.
Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact.
Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.
Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.
Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.
Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.
Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.
Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.
Education, Knowledge, Skills:
Graduation from an accredited school of nursing with minimum BS degreePossession of a valid, active California license as a Registered NursePossession of BCLS/CPR certificationAt minimum, 2 years experience in clinic setting, prefer 5+ yearsAt minimum, 1 year experience in supervisory role, prefer 3+ yearsCommitment to the mission of Lyon-Martin and to community-based primary careKnowledge of third party payer requirements, California practice guidelines and malpractice lawsExcellent communication and interpersonal skills; creativity and enthusiasm in problem-solvingStrong leadership skills, strong vision and values, innovative, critical thinking skillsAbility to work cooperatively, foster team spirit, show good judgment in emergent situationsAbility to work independently and manage multiple tasks simultaneouslyFlexibility and comfort in anticipating and managing change in a small, fast-paced non-profit clinicAt least two years' experience working with the trans community in a healthcare settingDemonstrated leadership and expertise in the field of transgender, queer, and intersex healthExperience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex clients, populations with varying lifestyles, disabilities, racial, ethnic and cultural backgrounds and economic statuses, clients who do sex work, those experiencing homelessness, people who have challenges with mental illness, people who use drugs, those of with a history of incarceration, people of varying ages.Commitment to working in an environment offering abortion services and the full-scope of pregnancy options counseling.Experience with electronic medical records, specifically EpicComfort working on teams and with safety net populationsAble to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizationsStrong phlebotomy skills
Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
$130,000 (at 1.0 FTE)
FTE:
0.8-1.0 FTE
In Person Expectation:
At least 75% in person
FSLA Status:
Exempt
Primary Location:
Lyon-Martin Community Health Services
Address:
1735 Mission Street
Reports To:
Medical Director
Organization Mission
The mission of Lyon-Martin Community Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay.
We aim to address and eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that's why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.
Job Summary
The Director of Nursing acts as a clinical leader by overseeing of all aspects of clinical care within the nursing scope of practice throughout the clinic. The Director of Nursing is a key member of the Leadership Team, providing strategic vision, directly supervising the nursing team, including the Outreach RN, the electrologist, and the Medical Assistant Manager, providing coverage for nursing support to LMCHS patients using a trauma-informed, harm reduction focused Patient Centered Medical/Health Home delivery model. The Director of Nursing takes a leadership role in training programs including Lyon-Martin's student rotation, phlebotomy externship, and in supporting the on-boarding new clinical staff. They co-lead all Quality Improvement activities and Research programs in collaboration with the Medical Directors, Director of Programs, Director of Operations, and QI Manager, and assist with the development and maintenance of policies and procedures. The Director of Nursing provides complex care management for patients with multiple chronic medical illnesses and behavioral health concerns to facilitate a collaborative, holistic and integrated model of care. The Director of Nursing is expected to uphold and imbue in others a commitment to addressing racism, ableism, fatphobia, gender and sexual discrimination within the organization and our clinical practice.
Key Responsibilities
Supervisor Responsibilities:
Develops and implements Policies & Procedures and forms pertaining to the Nursing and Medical Departments in collaboration with Leadership Team.Provides clinical leadership and oversight to nurses, electrologist, and students.Provides supervision of all nurses, electrologist, and MA manager.Promotes and enhances integrated team-based care in the provision of medical care, including patient centered care using trauma-informed care and harm reduction frameworks.In collaboration with Leadership Team, creates plans when an RNs and Providers are absent so that a coverage is available to review lab and diagnostic reports, prescriptions, and follow up on medical care for that panel.Thorough understanding of, oversight of, and promotion of continuous quality improvement efforts.Provides oversight for nursing peer review process.In collaboration with Leadership Team, hires, orients, trains, schedules, and terminates nurses and electrologist(s).Monitors performance through chart audits, annual performance appraisal of all direct reports. Provides feedback and makes recommendations for individual performance improvement and professional development.Increases staff competencies and satisfaction through training and mentorship and improves the overall quality and efficiency of clinical workflows.Clinical Care Responsibilities:
Provide coverage of nursing care as part of an integrated care team, within the scope of license and agency credentials, to patients within a Patient Centered Medical/Health Home delivery model, as needed.Demonstrates clinical expertise in primary healthcare for queer, transgender and intersex populations and gynecological care.Provides care, within the scope of credentialed privileges and standardized procedures, to patients within an integrated delivery model according to pre-arranged schedules, documenting care promptly and following charting protocols and applicable CA state licensing requirements; completes patient sessions in a timely manner; closes visit notes in a timely manner (within 24 hours)Informs clients of normal and abnormal lab results and follow up plans, as appropriate for scope or under guidance of a provider;Triages and responds to patient and colleague requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner;Works collaboratively with mental health staff to facilitate integration between primary care and mental health in order to improve patient outcomes;Obtains and maintains licensure and BCLS/CPR certification;Attends continuing professional education programs, at the request or with the approval of supervisor, demonstrating participation in required hours of continuing medical education according to California lawUtilizes motivational interviewing skills and encourage patient activation and self-management;Appropriately utilizes standing orders;Facilitates team functioning and efficiencyAssesses and provides nursing advice to patients who walk-in with medical complaints or who call-in with medical concerns seeking advice;As a part of the Integrated HealthCare Team, prioritizes and takes responsibility for patients with complex medical issues and follow up with all patients regarding recent emergency room visits and inpatient stays;Works in collaboration with Leadership Team to review and makes recommendations for changes to all forms and handouts stocked to ensure evidence-based, trans inclusive and patient-centered language is used.In collaboration with Leadership Team, creates and provides trainings and orientation to RNs and re: LMCHS specific policies, procedures and protocols to newly on-boarded clinical staff.Manages hair removal program operations.Quality Improvement:
Participates in Quality Improvement activities; act as change champion and lead of QI activities in collaboration with Quality Committee;Work closely with staff collecting and reporting data as necessary;Supports team in meeting benchmarks for applicable quality indicators as noted in the annual quality management plan including the maintenance of productivity standards, cycle times, no-show rates, and landing times;Along with colleagues, assists in continuous quality improvement through on-going problem/needs identification and problem solving and, as requested, acts as change champion or lead in clinical improvement activities, including PIP measures.Reviews and makes recommendations for changes to QI in-reach protocols to ensure trans inclusivity and sensitivity is maintained throughout all QI efforts.Research Program:
Attends Research Program meetings.Develop survey(s) to be disseminated to staff and community to drive the development of research questions.Based on survey results, develop research questions, methods.Executes research initiatives with team members.Report findings to clinic and spearheads any solution-based intervention efforts as needed.Collaborates with team for publishing as needed.Clinical Rotation & Externship Programs:
Review applications and make recommendations regarding acceptance decisions in collaboration with team.Create training and precepting schedules for those accepted as needed.On-board, train, and support students/residents engaged in the clinical rotation.Review training materials and make recommendations for changes to ensure they are up-to-date with best practices.Through pre-and post-rotation testing and student satisfaction survey, collect and monitor data around student/resident learning and satisfaction to ensure efficacy of the program.Organizational Responsibilities:
Keep up to date with operational and procedural requirements;Complete mandatory trainings within deadlines;Maintain availability for various administrative/clinical duties as requested by supervisor (e.g., case presentations;Provide in-service training to staff as needed.And, other duties as assigned.
Competencies:
Communication, Written: Delivers written communications that have clarity and impact including emails.
Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.
Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.
Time Management: Organizes and establishes priorities; gets the job done in a timely manner.
Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.
Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance.
Teamwork: Accountable to team; participates effectively in group- and teamwork; collaborates positively with other team members; giving and accepting constructive criticism.
Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.
Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.
Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.
Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact.
Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.
Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.
Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.
Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.
Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.
Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.
Education, Knowledge, Skills:
Graduation from an accredited school of nursing with minimum BS degreePossession of a valid, active California license as a Registered NursePossession of BCLS/CPR certificationAt minimum, 2 years experience in clinic setting, prefer 5+ yearsAt minimum, 1 year experience in supervisory role, prefer 3+ yearsCommitment to the mission of Lyon-Martin and to community-based primary careKnowledge of third party payer requirements, California practice guidelines and malpractice lawsExcellent communication and interpersonal skills; creativity and enthusiasm in problem-solvingStrong leadership skills, strong vision and values, innovative, critical thinking skillsAbility to work cooperatively, foster team spirit, show good judgment in emergent situationsAbility to work independently and manage multiple tasks simultaneouslyFlexibility and comfort in anticipating and managing change in a small, fast-paced non-profit clinicAt least two years' experience working with the trans community in a healthcare settingDemonstrated leadership and expertise in the field of transgender, queer, and intersex healthExperience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex clients, populations with varying lifestyles, disabilities, racial, ethnic and cultural backgrounds and economic statuses, clients who do sex work, those experiencing homelessness, people who have challenges with mental illness, people who use drugs, those of with a history of incarceration, people of varying ages.Commitment to working in an environment offering abortion services and the full-scope of pregnancy options counseling.Experience with electronic medical records, specifically EpicComfort working on teams and with safety net populationsAble to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizationsStrong phlebotomy skills
Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.