Clinical Nursing Director -Emergency Department Care Without Delay

The Emergency Care Without Delay Director partners with the Emergency Department (ED) care team to evaluate, guide, and recommend safe, community-based discharge alternatives for patients presenting to the ED. This role ensures that care coordination and patient dispositions are both clinically appropriate and member-centered, with the goal of minimizing avoidable hospital admissions and reducing the risk of future readmissions.

Key responsibilities include leading and contributing to strategic organizational initiatives focused on:

Developing and coordinating complex patient care plans

Enhancing hospital throughput efficiency

Preventing readmissions

Promoting cost-effective utilization of services

This position does not have direct reports and functions collaboratively with RN Case Managers and Social Workers.

Plans, organizes, directs, evaluates and coordinates inpatient-nursing services within a service line. Collaborates with KFHP/H and the Medical Group staff in the development and execution of strategic plans, providing quality care, and managing cost-effective services which are aligned with federal, state, and local regulations. Responsible for achieving the strategic vision for nursing in their assigned areas of accountability. Responsible for the quality of nursing care and services to patients in their assigned areas of responsibility. Accountable for the following areas dependent upon medical center beds and services offered:

Adult Services: Med Surg, Dialysis, Clinical Dietitian, Critical Care, TCU, RT, ED if applicable. Maternal Child Health: Labor & Delivery, Pediatrics, PICU, NICU, Maternity, and Normal Newborns (may be combined with Perioperative).

Perioperative: OR, PACU, Central Sterile, Ambulatory Surgery Centers (may be combined with MCH).

Maintains key Relationships with Clinical and Administrative Director peers, Chiefs of Service, other department directors reporting to Assistant Administrators for clinical and operations, regional PCS, AMGAs, community peers.

• Collaborates with CNO and other medical center management in identifying and implementing innovative models and best practices with an emphasis on quality of care, service improvements and cost reduction.
• With TPMG partner, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services. Builds trust with the nursing team through visibility.
• Coordinates with TPMG to provide for the seamless transition of patients across the continuum of care. Establishes partnerships with facility leadership groups. In collaboration with medical staff and facility leadership ensures a superior care experience and a safe environment with patients and staff. Ensures policies, practices, and procedures comply with administrative, legal and regulatory requirements of the Health Plan contract and governmental and accrediting agencies.
• Provides clinical and professional oversight for areas of accountability.
• Assures successful implementation of organizational strategies such as Hospital Efficiency, Work Place Safety, Supply Cost Initiative including OR Back-log, Patient satisfaction.
• Through the hiring, retention, and development of internal staff in areas of accountability, achieves staffing ratios and optimal patient outcomes with minimal dependence on premium pay (overtime and registry/traveler staff).
• Mentors nursing managers in development of leadership skills, fiscally accountable staffing/scheduling practices, professional development of staff, and outcomes based practice.
• Oversees the development of department standards as identified by regulatory agencies including policies and procedures.
• Develops services that achieve a high level of customer satisfaction with emphasis on customer service, highest standards of quality and innovation.
• Maintains a state of continuous regulatory readiness.
• Manages and resolves human resource, labor relations, employee and department safety and risk management issues.
• Enhances nursing practice and patient outcomes through the effective use of clinical practice and GRASP committees.
• Participates in developing the hospitals plan for the recruitment and retention of nursing resources to ensure that a sufficient number of qualified staff members are available to meet the needs of the patients.
• Utilizes research data to implement clinical changes and the delivery of patient care and member services.
• Accesses KP Health Connect to evaluate the quality of care provided. Uses KP Health Connect to manage clinical operations. Monitors quality, appropriateness, and accuracy of KP Health Connect documentation. Maintains role specific KP Health Connect competencies.
• Directs the budget and resource allocations for designated departments. Manages the financial performance and identifies and implements strategies to reduce costs and improve quality of care and services.
• Communicates effectively as hospitals advocate to members of the community, continually seeking ways to improve and promote the public relations objective of the hospital and marketing services.
• Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

• Minimum seven (7) years of nursing experience in patient care.


• Minimum five (5) years of management experience required.

• Graduate of accredited school of nursing. Masters in Nursing or Bachelors in Nursing with Masters degree in related field.

• Registered Nurse License (California) required at hire
  

• Demonstrate strong interpersonal communication skills.
• Demonstrate ability to lead and manage through influence and change.
• Proven ability to deliver results for meeting organizational objectives
• Demonstrate knowledge of federal and state laws and regulations such as: Knox-Keene Act, Federal HMO Act, Nurse Practice Act, The Joint Commission, and all applicable Medicare and Medi-Cal regulations.
• ACLS, PALS, NRP certification may be required for positions in specific department.
• National Certification preferred within 1 year of hire
• Must be able to work in a Labor/Management Partnership environment.

• Magnet/shared governance experience preferred
• Managing in a collective bargaining environment preferred
• Doctor of Nursing Practice (DNP) or PhD in Nursing preferred

PrimaryLocation : California,San Jose,San Jose Hospital
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 11:00 AM
WorkingHoursEnd : 08:00 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-NCAL-09|NUE|Non Union Employee
Job Level : Director/Senior Director
Job Category : Nursing Licensed & Nurse Practitioners
Department : San Jose Hospital - Hosp Admin-Chief Oper Officer - 0208
Travel : No
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.