LOCATION: KONA COMMUNITY HOSPITAL | Nursing Admin-Acute
POSITION STATUS: 1.00 | Permanent
SALARY RANGE: BU35 |
SALARY RATE: Negotiable
JOB DUTIES: This position is located in the Nursing Administration Department within Kona Community Hospital (KCH), a 94-bed acute care hospital located on the Island of Hawaii, serving in the West Hawaii Region, which also includes Kohala Hospital and Kona Health. It is one of 12 facilities within the Hawaii Health Systems Corporation (HHSC).
The Regional Healthcare Clinical Policy Specialist (ASO I) is responsible for designing, evaluating, and maintaining organizational policies that govern patient care. This role ensures that all clinical policies seamlessly integrate federal CMS Conditions of Participation (CoPs), The Joint Commission (TJC) accreditation standards, national nursing guidelines, and current evidence-based practices (EBPs). Additionally, this position is strictly accountable for translating these written policies into active, compliant workflows within the hospital's Electronic Medical Record (EMR) order sets.
Major Duties:
Regulatory Analysis: Monitor, interpret, and translate complex updates from the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC) into enforceable clinical policy directives. Accreditation Safeguards: Design clinical policy frameworks that guarantee seamless Joint Commission surveys, enforce National Patient Safety Goals (NPSGs), and safeguard critical CMS reimbursement streams. Audit Compliance: Review operational practices against regulatory standards to identify gaps, making authoritative recommendations to clinical management based on sound regulatory principles. EBP Integration: Systematically review peer-reviewed medical and nursing literature to embed the latest evidence-based clinical practices directly into hospital policies.
Quality & Safety Oversight: Serve as an internal subject matter expert to ensure that practices and operations across clinical units remain current with national trends, benchmarks, and infection control standards. Clinical Liaison: Partner with Chief Medical Officers, CNE, Assistant CNE, Nursing Directors, Nurse Managers, and clinical staff to build consensus around newly introduced policies or altered workflows. Educational Outreach: Assess the educational needs of staff regarding new policy rollouts and order set changes. Coordinate training to ensure safe and knowledgeable implementation. Performance Improvement: Serve on hospital committees as designated monitor policy compliance, tracking data trends to measure success.
Supervision: Provides input into recruitment, and hiring of staff for Clinical Units. Ensures orientation, and competency assessment of all clinical and support staff including temporary staff are completed per regulatory requirements. May provide input for staff evaluations as delegated by the Nurse Director, Manager, Supervises, and counsels' staff as necessary. Collaborates with Assistant Chief Nurse Executive to implement improvement plans and monitors the progress of staff. Conducts competency assessments for staff as delegated by Assistant Chief Nurse Executive, Nursing Director, or Nurse Manager. Ensures that staff is recognized for maintaining standards of care, and for exemplary performance. Identifies staff development needs and implements measures to address needs.
Management of Clinical Care: Serve as subject matter expert and role model in matters pertaining to clinical policies, procedures, and standard operating procedures. Monitors deviations from established standard and takes appropriate action, to ensure quality of care. Ensures that practices, policies, and operations of the units are current with latest trends, research findings, and benchmarks in nursing. This is done through keeping abreast of trends in clinical practice and nursing management. Assesses educational needs of staff of the clinical units. Coordinates educational programs and develops plans to address needs. Encourages clinical staff to evidence-based practices.
THE MINIMUM QUALIFICATION REQUIREMENTS ARE: Applicants must meet all of the following requirements. Please note that unless specifically indicated; the required education and experiences may not be gained concurrently. In addition, qualifying work experiences are based on a 40-hour work week.
EDUCATION REQUIREMENT: Graduation from an accredited four (4) year college or university with a bachelor's degree. Degree in Healthcare Administration preferred.
Excess work experience as described below in the experience section or any other responsible administrative or professional work experience which provided knowledge, skills, and abilities comparable to those acquired in four years of successful study while completing a university or college curriculum may be substituted for education on a year-for-year basis. To be acceptable, the experience must have been of such scope, level and quality as to assure the possession of comparable knowledge, skills and abilities.
EXPERIENCE REQUIREMENT: Except for substitutions provided in this specification, applicants must have had work experience of the kind and quality described below:
• SPECIALIZED EXPERIENCE: Four (4) years of experience. Professional work experience which demonstrated responsibility for planning and coordinating program activities and solving operational problems involving administrative processes and the relationship between programs. Such experience must have demonstrated administrative abilities by completion of assignments or projects which involved administrative problems (i.e., conducting studies and analyses of programs, projects and services to assess effectiveness, adherence to program directives and achievement of goals and objectives, resource needs, cost and benefit factors, and other essential management concerns and recommending alternative courses of action to resolve problems and increase the effectiveness of operations and other concerns). The experience must have demonstrated a high degree of analytical skill involving the ability to identify information needs, collect and analyze data, identify problems and alternative solutions and their advantages and disadvantages and develop logical recommendations for a course of action, and the ability to read, comprehend and interpret complex material and draft comprehensive reports of findings and conclusions.
• ADMINISTRATIVE EXPERIENCE: Responsible experience which involved active participation in and major responsibility for the development, management, execution and coordination of policies, programs, and/or activities. *For Administrative Services Officer I positions, administrative aptitude rather than actual administrative experience may be accepted. Administrative aptitude will be considered to have been met for this level when there is strong affirmative evidence of the necessary administrative aptitudes and abilities. Such evidence may be in the form of success in regular or special assignments or projects which involve administrative matters (e.g., in planning, organizing, promoting, and directing a program providing staff advice and assistance); managerial interest demonstrated by the performance of work assignments in a manner which clearly indicates awareness of managerial problems and the ability to solve them; completion of educational or training courses in management accompanied by the application of principles learned to work assignments; management's observation and evaluation of the applicant's leadership and managerial capabilities; success in trial assignments involving managerial and/or administrative tasks. Professional work experience which involved active participation in and major responsibility for the development, management, execution and coordination of policies, programs, and/or activities are also examples of administrative aptitude.
SUBSTITUTIONS ALLOWED:
1. A master's degree in business administration, public administration, or personnel administration from an accredited college or university may be substituted for one (1) year of specialized experience.
2. Excess experience of the type and quality described in administrative experience may be substituted for specialized experience on a year-for-year basis.
QUALITY OF EXPERIENCE: Possession of the required amount of experience will not in itself be accepted as proof of qualification for a position. The applicant's overall experience must have been of such scope and responsibility as to conclusively demonstrate that he/she has the ability to perform the duties of the position for which he/she is being considered.
KNOWLEDGES AND ABILITIES REQUIRED:
• KNOWLEDGE OF: Principles and practices of public administration including program planning and evaluation techniques; personnel management, budget administration, organization and management analysis and public relations; pertinent rules and regulations, policies and procedures relating to administrative functions; research methods and techniques; report writing; principles and practices of supervision.
• ABILITY TO: Plan, organize and coordinate various administrative staff services; obtain, analyze and evaluate facts; analyze facility needs and provide service to fulfill those needs; interpret pertinent laws, rules and regulations; prepare clear and concise correspondence and reports; draft policies and procedures; maintain cooperative and effective relationship with public officers, departmental personnel and members of the general public; and make sound administrative policy decisions.
ALL CIVIL SERVICE JOB VACANCIES WILL BE POSTED FOR A MINIMUM OF TEN (10) CALENDAR DAYS
QUALITY OF EXPERIENCE: Possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must have been of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of this position. Provide a detailed description of your duties and responsibilities. If you worked on a part-time basis, indicate the average number of hours worked per week. Please note that experience will be based on a 40-hour workweek. Note: We will not postpone the recruitment process because of your failure to provide accurate and complete information concerning your qualifications.
MERIT OR CIVIL SERVICE SYSTEM: You must meet the minimum qualification requirements, including education, experience, other public employment requirements for State Civil Service employment, and HHSC Standards of Fitness. Only those applicants that are scheduled for an interview with the hiring manager will be contacted.
CITIZENSHIP AND RESIDENCE REQUIREMENT: Applicants must be a citizen, national or permanent resident alien of the United States or a non-citizen eligible under the federal law for unrestricted employment and at the time of appointment intend to reside in the State of Hawaii during the course of employment with the Hawaii Health Systems Corporation.
VETERAN'S PREFERENCE: If you are claiming Veteran's Preference, you must submit a copy of your DD214 and/or other substantiating documents specifying the periods of your service.
HEALTH AND PHYSICAL REQUIREMENTS: Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation. Hawaii Health Systems Corporation is committed to making reasonable accommodations on a case-by-case basis. Applicants seeking reasonable accommodations should be ready to discuss the accommodation sought so that a determination can be made that such accommodation is reasonable and would not cause the employer undue hardship.
MEDICAL/PHYSICAL EXAMINATION REQUIREMENT: Offers of employment will be contingent on successfully passing a pre-employment physical examination, which includes drug screen and other regulatory medical requirements such as, but not limited to, two-step tuberculosis (TB) screen. The cost for physical examinations, except the cost for drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation.
CRIMINAL/BACKGROUND, CREDENTIALING CHECKS: Applicable checks will be conducted periodically, and any associated costs may be borne by the applicant. Applicable checks may include, but are not limited to, state and federal criminal history records, child abuse and neglect registry check, adult protective services registry and sex offender registry records, etc. If a job offer is made or employment is begun prior to completion of all applicable checks, any offer of employment or continued employment is contingent upon satisfactory return of all required checks.
IMPORTANT APPLICATION/EMPLOYMENT INFORMATION
Administrative Review, subsequent appeals: If you do not agree with a decision made by the Employment Office as to your non-qualification or non-selection for a position, you may complete a Request for Administrative Review form (available on the HHSC website) or you may submit a written request within twenty (20) days from the date of your sent notice to the Regional Chief Executive Officer/Designee. Your letter requesting the Administrative Review must include: 1) The job title(s) and recruitment number(s), 2) the specific reason(s) you are requesting the review noting if there is statute or rule violation, and 3) any additional information you want to submit to substantiate your request. If you do not submit your request within the twenty (20) days deadline, no Administrative Review will be conducted. Since the Administrative Review is a prerequisite to subsequent steps, failure to utilize this process will make you ineligible for subsequent appeals. The administrative review, formal complaint and/or appeals hearing will not necessarily postpone the recruitment process and/or rescind a selection. If you do not agree with the Administrative Review, you may file a Formal Compliant and then, if you are still not satisfied, you can appeal to the HHSC Merit Appeals Board.
CONTACT INFORMATION: KONA COMMUNITY HOSPITAL is located at 79-1019 Haukapila Street Kealakekua, HI 96750. For employment opportunities, please contact (808) 322-4458, email: konajobs@hhsc.org or visit our website at https://www.hhsc.org/.
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