The Director of Nursing is responsible for directing and leading the clinical care teams in order to ensure that the highest level of quality patient care is maintained. This includes identification of problems, initiating corrective action and monitoring follow-up. Additionally, the Director of Nursing recommends establishment or revision of policies and develops organizational structure and standards of performance and is responsible for assisting the RCMS process for implementation of Quality Improvement activities. The Director of Nursing also acts as a member of the patient care team, performing comprehensive professional nursing duties, as needed, while working with both the Primary and Urgent Care departments to provide patients with the care that they need. Additional job duties include the following:
Provide department leadership through excellent communication, both amongst the nurses and between the clinical department and administration.
Lead the clinical care teams, Primary and Urgent Care department managers and x-ray and lab staff at the Gualala clinic. This includes overseeing the monthly schedule to ensure adequate staffing coverage, conducting annual reviews, verifying and approving timesheets and holding regular staff meetings.
Participate in job interviews and select and discharge clinic support staff in accordance with the RCMS personnel policies.
Develop, maintain, and implement nursing policies and procedures that reflect current standards of nursing practice, while maintaining compliance with state and federal laws and regulations.
Communicate and interpret policies and procedures to nursing staff and monitor practices for effective implementation and achievement of results.
Monitor staff for compliance with OSHA mandates on workplace safety. Proactively develop procedures and incentive programs to promote workplace safety and safety practices.
Oversee and supervise development and delivery of in-service educational programs designed to equip nursing staff with sufficient knowledge and skills to provide nursing, nursing related services, and highest level of compassionate, quality of care to each patient.
Act as the point of contact during agency site visits with organizations such as Partnership Healthplan of California and the California State Board of Pharmacy.
Oversee administrative tasks in both x-ray and the lab, including completion of forms and filing requirements, trainings and competencies.
Provide oversight and supervision of Quality Improvement (QI) projects that involve the participation and input of all clinical support staff, including Front Desk and Medical Records.
Work in conjunction with managers and team leaders to develop, monitor and maintain competencies for all clinical support staff, ensuring that the highest quality standards of care are being met.
Collaborate with physicians, consultants, community agencies, and institutions to improve quality of services and to resolve identified problems.
Regular, reliable attendance is expected.
Other duties as assigned or requested.
Lead and direct process and overall quality improvement activities that produce better patient care and more efficient operations.
Develop programs to review and evaluate patient care and outcomes.
Work with administrative and department managers to develop a strategy and plan for a quality improvement function within the organization.
Collaborate and support department managers in the implementation of quality improvement activities.
Participate in the QI Network through HANC, aligning data reporting and benchmarking related to clinical quality measures with the federal Uniform Data System (UDS).
Work with Billing Manager in providing data needed to complete UDS reporting.
In partnership with the Chief Medical Officer, work to monitor and report provider clinical performance following Uniform Data Systems (UDS) clinical performance measures.
Complete Partnership Health Plan documentation regarding eligible patients and appointments scheduled to ensure proper patient care and clinic funding.
Prepare written reports of internal QI activities and present to the Quality Improvement Committee as well as the Performance Improvement Committee as specified in the RCMS QI/PI Plan.
Assist in the preparation of monthly reports for inclusion in the monthly RCMS Board package.
Nursing Responsibilities (as needed)
Screen patients and provide immediate/urgent treatment, according to the status of the patients and level care needed within scope of practice and learning.
Coordinate patient flow.
Room patient and prepare for examination by provider.
Set up and operate specialized equipment, such as cardiac monitors, EKG machines, etc.
Prepare patients for tests, exams and treatment.
Administer prescribed medications following the “five rights in giving medication”.
Anticipate and perform preliminary specimen collection and CLIA waived lab testing as indicated.
Document and report lab results to Provider and patient.
Maintain health records by proper and complete documentation of nursing observations, interventions, therapeutic measures and patient education.
Provide counseling and teach patients and families on preventative, curative and rehabilitative measurers involved in health care.
Exercise excellent interpersonal skills in handling interaction with hospital staff, patients and families.
OTHER ASSIGNED DUTIES
Keep abreast of all regulations and standards to ensure compliance with orders or directives issued by government/regulatory agencies.
Enhance professional growth and development through participation in educational programs, current literature, in-service meetings and workshops.
Attend provider and staff meetings as required and participate on committees as directed.
Collaborate with all health center staff to adhere to the medical home model of care.
Assist in ordering medications and supplies.
Degree in nursing; Master’s degree in nursing or healthcare administration is a plus
Hold and active California RN (preferred) or LVN license, in good standing
Practical knowledge of professional nursing principles
Excellent ability to lead and develop personnel
Skills to provide comprehensive emergent/non-emergent nursing care
Practical knowledge of pharmaceuticals, therapeutic effects, side effects and complications.
Practical knowledge and skill in operating specialized emergency medical equipment.
Practical knowledge of a variety of nursing specializations including but not limited to prenatal, post-partum, pediatrics, internal medicine, diabetes, etc.
Current CPR, BLS, PALS and ACLS is required, TNCC preferred
Must demonstrate leadership skills and creativity in problem solving
A valid California Driver’s License
Internal Number: 003
About Redwood Coast Medical Services
Redwood Coast Medical Services (RCMS), located on the Northern Sonoma and Southern Mendocino Coast of California, opened in 1977, became incorporated and licensed as a community health center in 1978 and was designated in 1999 as a Federally Qualified Health Center. The mission of RCMS is to provide high quality, family-oriented, community-based health care services to area residents and visitors. As a not-for profit health center receiving public funds, RCMS provides services to qualified individuals on a sliding fee scale, as well as to patients with MediCal and Medicare coverage, private insurance and self-pay status.
The geography of the area is the Pacific Ocean to the west and a coastal mountain range to the east. Communities are clustered primarily in a linear fashion along California Highway 1 with the highway itself being a two-lane winding and hilly route. The RCMS service area stretches from Timber Cove at the southern end to Irish Beach at the northern end.
Benefits for RCMS employees include:
* NHSC qualified loan repayment site
* 3-6 weeks of vacation (based on years of service)
* Group medical, dental and vision insurance (minimum of 32 hrs/week to be
* Jury Duty, Bereavement and other personal leave options
* Reimbursement for continuing medical education and professional licenses for
* Long term disability and life insurance for all staff
* Malpractice insurance for professional staff
RCMS serves approximately 5000 patients per year for a total of 23,000 visits annually between all three RCMS facilities for primary and urgent care, dental and behavioral healthcare. The largest of the RCMS health centers is located in Gualala and 14 miles north is the RCMS Point Arena Dental and Medical centers. RCMS also runs a busy Urgent Care Department and is designated by the state as an Interim Stabilization Facility, allowing the health center to receive ambulance transports. The comprehensive health services of RCMS are a vital resource for area residents and visitors.
We are located on a remote stretch of coastline (about 2.5 hours North of San Francisco), with the closest hospital about 90 minutes away. Some patients needing transfer from our Urgent Care will take a 20 minute helicopter ride to either Sutter or Memorial Hospital in Santa Rosa. Along with our unique challenges of living in a remote area also comes the reward of a great climate and a unique lifestyle with culturally diverse populations and a great mix of places and activities for recreation.