Job Summary and Responsibilities
As our Nursing Professional Practice and Excellence Program Manager, you will serve as the strategic lead for our nursing excellence journey. Acting as the official Magnet or Pathway Program Director, you will be the primary liaison between the facility and the ANCC, collaborating with executive leadership to establish the vision, roadmap, and operational goals for the department.
Every day, you will act as the organizational authority on professional practice, overseeing the integration of the Professional Practice Model, shared governance, and nursing-sensitive quality outcomes. You will drive a culture of excellence by championing evidence-based practice, nursing research, and quality improvement initiatives to ensure that clinical standards are aligned with national accreditation requirements.
To be successful in this role, you will demonstrate high-level expertise in nursing leadership and accreditation standards. You will possess the ability to bridge the gap between strategic planning and bedside practice, fostering a collaborative environment that optimizes patient care outcomes and sustains our commitment to organizational excellence.
- Drives organizational alignment by partnering with the CNO and Regional VP to architect and implement a long-term strategy for clinical excellence, ensuring facility-level objectives are integrated with regional and system frameworks to cultivate a unified professional practice landscape.
- Functions as the official Magnet Program Director (MPD) or Pathway Program Director; manages all ANCC communications, gap assessments, and formal document submissions while facilitating comprehensive site visit preparations.
- Directs the facility's shared leadership structure as lead facilitator; verifies that all councils remain highly engaged, utilize evidence-based data, and support strategic institutional priorities.
- Spearheads quality improvement efforts led by nursing staff; offers advanced mentorship in Evidence-Based Practice and partners with the Nurse Scientist on nursing research to optimize Nursing-Sensitive Indicators (NSIs).
- Manages organizational engagement with the NDNQI; oversees the accurate collection and validation of data, translating findings into practice enhancements alongside regional quality partners.
- Acts as the primary steward of the Nursing Professional Practice Model, ensuring the PPM is thoroughly operationalized through orientation, daily clinical activities, and leadership engagement while promoting a healthy workplace that supports nursing wellbeing and professional empowerment.
Job Requirements
Required
- Bachelor of Science in Nursing (BSN)
- Minimum three (3) years of progressive nursing leadership, clinical education, or program management experience
- Active Registered Nurse license in the state of practice
- Experience leading hospital-wide Shared Governance councils and high-level change management projects; exceptional communication and consensus-building skills
Preferred
- Master of Science in Nursing (MSN) or related field
- Previous experience in facilitating a successful ANCC Magnet or Pathway to Excellence designation
- Expert knowledge of ANCC Magnet/PTE standards; proficiency in QI/EBP methodologies and nursing research; advanced data analysis skills (NDNQI, clinical metrics)
