SUMMARY

Reporting to the CEO and as a member of the executive leadership team, the Chief Nursing Officer is responsible for daily operations of the hospital and oversight of nursing and all clinical departments with a focus on Patient Care Services. This position is responsible for providing the leadership. management, and vision necessary to ensure that the hospital has: the proper operational controls, administrative and reporting procedures; and appropriate systems in place to effectively grow the organization while ensuring financial strength and operating efficiency. The CNO participates in the executive governing body meetings and directing departmental activities. This role plans, organizes, directs, and evaluates activities of the various Departments. The CNO coordinates all departmental activities to ensure quality care and represents the Administration on local and national levels, as necessary. The position accomplishes this through a respectful, constructive, and energetic style, guided by the objectives of the hospital. The CNO must possess thorough knowledge of the theory and practice of organizational management, preferably in a health care or another not-for profit environment and must be able to communicate effectively orally and in writing.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• In conjunction with the CEO and the executive and management leadership teams participates in the development and implementation of the mission, vision, and values of the organization. including high quality, patient-focused health care.
• Assist CEO and the executive and management leadership teams in new clinical program development, ensuring participatory decision making and appropriate design and implementation.
• Determines clinical direction for patient care and establishes open lines of communication with all departments.
• Develops, prepares, and maintains a system of clinical and administrative records and reports as required.
• Responsible for ensuring program and regulatory survey compliance with primary health care policies and procedures, as well as with those external regulatory bodies such as JCAHO. HFAP. HCFA, FQHC. HIPPA. OSHA. CLIA and other professional review and standards boards.
• Participates in the development of long-range strategic plans. governance structure and objectives for practice management.
• Assures that policies, procedures and practices of the patient care services departments and the hospital are consistent with those of the hospital and medical staff
• Evaluates operations and goals attainment and directs staff in planning change to attain current or new goals.
• With a focus on patient care services, evaluates competency of staff as appropriate, and makes recommendations for recruitment, retention, and promotion.
• Develops reviews and approves policies and procedures that relate to patient care, the hospital, the qualifications and employment of employees.
• Ensure staff compliance with the organization's clinical goals and the method of achieving the benchmarks identified.
• In conjunction with the CEO, responsible for the development of the plan of operations and coordinating corresponding budgets reflecting the volume, revenues, expenses, staffing and capital needs of the organization.
• Presents, facilitates, and leads assigned process improvement events using methods of culture-appropriate team building, team energizing, data gathering and analysis, problem solving, and project management.
• Assists the CEO with facility expansion and property acquisitions/transactions, as well as service mergers.
• Ensures responsible medical supply spending practices helps develop budgets and assures that tracking and inventory of supplies and equipment purchases are in compliance with operating budget.
• Analyzes, recommends, and supports practices seeking to improve performance on quality measures to engage in work redesign. changes in organization systems, policies and procedures, and quality improvement process within the organization.
• Presents, facilitates, and leads assigned process improvement events using methods of culture-appropriate team building, team energizing. data gathering and analysis, problem solving, and project management.
• Seeks and evaluates process improvement information, materials, and methods to match specific organizational needs as outlined by management and adapts them to use in the execution of process improvement events,
• Provides event follow-up to monitor the progress of planned improvement implementation to assure timely action, appropriate management support, and achievement of expected benefits. Uses appropriate measurement, analysis and evaluation methods to accurately identify and document process improvements.
• Coordinates with related departments and functions to assure appropriate information flow and understanding of overall process improvement direction.
• Work side by side with executives in developing transformational strategies in the adoption of process improvement and guide staff in the implementation and execution of process improvement tools and methods.
• Assists CEO in oversight of community outreach programs and may represent organization as a member on community outreach committees/groups within the community.
• Actively seeks grant opportunities, assisting in preparation. application submission and ensuring program compliance and administration occurs once the grant is received.
• Resolves problems related to utilization of facilities, equipment, and supplies for the organization.
• Participates and ensures the development of organizational guidelines, policies and procedures in accordance with funding source requirements, as well as State and Federal law.
• Attend seminars, training sessions and in-services, to keep current with trends and practices in health care administration, as needed.
• Participate in staff, management, and provider meetings, as necessary.
• Perform otherjob-related duties, as may be assigned.

COMPLIANCE RESPONSIBILITIES:
• Understands and adheres to Loretto Hospital's compliance standards as they appear in the Compliance Policy, Code of Conduct and Conflict of interest Policy.
• Keeps abreast of all pertinent federal, state and Hospital regulations, laws, and policies as they presently exist and as they' change or are modified.
• Ensures that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to theirjobs.

COMPETENCIES:

• Leadership
• Strategic Thinking
• Results Driven
• Business Acumen
• Decision Making
• Financial Management

.IOB REQUIREMENTS

To perform this job successfully. an individual must be able to perform each essential duty satisfactorily. The requirements listed must be representative of the knowledge, skills, minimum education, training. licensure. experience. and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required:

• Master's degree or equivalent in Nursing leadership experience
• Currently Registered Nurse in the State of Illinois
• Eight to ten years related nursing and hospital operations experience
• Minimum of eight lo ten years as a Chief Nursing Officer or Director of Nursing in a medium to large urban or rural hospital.

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 classified. For purposes of the American with Disabilities Act, "Job Duties" are essential job functions.

PHYSICAL DEMANDS

While performing the duties of this job, the employee is frequently required to sit, stand, and walk as well as occasionally stoop, kneel, or crouch. Using proper body mechanics, the employee may be expected to lift, pull, push, or move patients and/or equipment. Fine motor skills are required when using hands and fingers to handle, feel or reach. Normal or corrected vision, hearing, and ability to speak are necessary. Specific vision abilities required include close vision, sharp eye focus and ability to distinguish colors. There will be periods of stressful, intense concentration with more than average pressure used in a variety of problem-solving situations.