Clinical Director

Job Title: Clinical Director

Department: Clinical

Reports to: President & CEO

Job Type: Full-Time

Pay: $130,000-$180,000 depending on qualifications and experience.

Benefits:

• Paid Time Off (PTO)
• Medical, Dental & Vision Insurance
• Paid Holidays
• 401(k) Retirement Fund with employer contribution
• Profit sharing
• Mobile phone reimbursement
• Relocation Assistance or signing bonus available
• Flexible schedule and hybrid work model

Position Summary:

Facility provides 24-hour per day residential care to extremely medically fragile pediatric (birth to five year-old) patients. We are licensed as a Pediatric Medical Group Home, providing a transitional care unit with planned lengths of stay between 6 and 24 months.

The Clinical Director has overall leadership and management responsibility for, including, but not limited to:

• Ensure the safe and consistent provision of literature-based medically intensive nursing care to at least eight to ten medically fragile pediatric patients aged birth to five years.
• Leadership and management, including direct supervision, evaluation, and mentorship of the pediatric critical care Registered Nurses (RNs) and Pediatric CNA's.
• Serve as the key point of contact in the ongoing coordination and communication with each patient’s care team, including the patient’s parents/legal guardians, primary care providers, specialty care providers, and the team
• Interface with cross-functional facilities team to ensure the facility is clean, professional. organized, adequately stocked with all necessary supplies
• Interface with cross-functional administrative teams to maintain governmental licensing and meet payor requirements
• Interface with hospital discharge coordinators to arrange new admissions; overall responsibility for optimizing patient census for each facility
• Normally on call 24/7; on-call responsibility may be delegated up to 50% of the time, covering at least four weekend days per month
• Identifying, coordinating and articulating measurable clinical outcome goals for each of medically fragile pediatric patients who typically present with the following:

• mechanical ventilation dependence (and progression towards weaning)
• tracheostomy management (and progression towards decannulation)
• literature-based progressive mobilization and optimization of each individual Patient’s strength, mobility and coordination
• advancing nutrition and hydration administration from current state at admission (i.e., TPN or continuous G- or J-TF) to G-TF bolus and/or safe po feeding

Duties/Responsibilities:

• Operation and management of pediatric critical field care facilities specifically designed for the intensive field care of medically fragile pediatric patients, birth to five years old.
• Work closely with the CEO supporting the marketing by:
  1. Developing and maintaining relationships with discharge coordinators, nurse case managers and other patient referral sources
  2. Review patient referrals and make recommendations on suitability for patient admission
  3. Managing patient admissions and discharges
• Support the mission to optimize patient outcomes and lead the evolution of the nursing profession
• Patient care goals established, measured and evaluated on a quarterly basis with the goal of safely discharging to the patient’s family’s home or when appropriate and indicated, to a more traditional pediatric medical group home
• Ensure all necessary patient care documentation is expeditiously made available for billing purposes
• Support continuous improvement efforts, both within the facility and companywide
• Direct supervision of RNs and PCTs:
  • Conduct and document ongoing performance evaluation and feedback.
  • Conduct and document performance evaluation and feedback including salary and pay recommendations; report to the President.
  • Oversee scheduling of RN's and Pediatric CNA's.
  • Review and approve team time entries for accuracy and completeness
  • Ensure ongoing education, training and clinical mentorship is conducted and completed (as per Policy & Procedure) for all direct care RNs and PCTs
• Clinical Processes & Facility Oversight:
  • Ensure the facilities are meticulously maintained and carefully cleaned for continuous safe operation
  • Interface with and mentor RNs assigned to lead the individual patient’s care, update their provider plan of treatment and nursing plan of care
  • Lead and coordinate training and continuing education of RNs in literature-based best nursing practice and clinical excellence. Mentor RNs who are applying to pursue advanced nursing education
  • Oversee and mentor the Lead Pediatric CNA's and Lead RN's in training.
• Patient Access to Education:
  • Oversee coordination of patients’ requisite medically intensive nursing care while the patients are accessing education
  • Interface with school administration and educational personnel as necessary
  • Review the patients’ Individual Education Plan with the patient’s RN Team Leader, patients’ parents, and educational providers
• Patient Discharge:
  • Oversee, coordinate, evaluate and verify the patient’s parent mentorship process is conducted and documented prior to discharge
  • Regular communication with each patient's team of primary and specialty care providers to coordinate continuous advancement to successful discharge
• Nursing care:
  • Prescribed by the individual patient’s range of medical care teams and medical care providers
  • Consistent with literature-based best nursing practic
  • Optimize the health outcomes, functional outcomes and quality of life outcome goals established for the individual patient
  • Respect the patient family’s goals and expectations, observing each patient’s cultural and religious traditions to the best of team capabilities
  • Meticulously monitored and routinely updated based on the patient’s current physiologic state and progress towards health, function and quality of life goals

Required Skills/Abilities:

• Excellent leadership and management skills in a Pediatric Critical Care setting, leading, managing, mentoring, and inspiring Pediatric RNs and CNAs to bring the best of their knowledge, skills, and capabilities to apply literature-based best practice to:
  • Identify and articulate realistic, measurable and time-linked patient goals, optimize each patient’s health outcomes, functional outcomes, and quality of life outcomes
• Excellent communication skills
• Outstanding ability and motivation to lead and work in a pediatric critical care team with other pediatric RNs
• Ability to accurately, reliably, and consistently meet the medically intensive nursing care needs of medically fragile pediatric patients in high stress situations
• Outstanding ability in meticulously evaluating and analyzing RN and PCT documentation for the purpose of tracking patient progress towards articulated goals and optimizing patient outcomes
• Able to work independently
• Comfortable interfacing with parents and a wide range of specialty care providers
• Excellent interpersonal, negotiation, and conflict resolution skills
• Excellent organizational skills and attention to detail
• Excellent time management skills with a proven ability to meet deadlines
• Strong analytical and problem-solving skills
• Cultural awareness and respect

Education and Experience:

Required Qualifications:

• Current RN license in Washington State
• MSN or MN required; doctoral preparation preferred
• Five to ten years of RN experience as an RN, with at least two years of clinical experience in one or more of the following:
  • Critical Care Nursing
  • Pediatric Nursing / Pediatric Critical Care
  • Neonatal Nursing
  • Nursing Management
  • Neonatal and/or pediatric critical care and critical care
• Demonstrated ability to lead and manage teams of Pediatric RNs and PCTs
• Demonstrated ability to drive positive change in an innovative organization, whose goals include linking RN compensation with patient care outcomes
• Demonstrated ability to adapt to and safely adopt new technical systems and skills as needed.
• Demonstrated experience and clinical excellence in the provision of medically-intensive care, specifically with “infants” (birth to 12-months), “babies” (12 – 24 months), “toddlers” (2 to 5 years old), and/or special needs children.

Physical Requirements:

The role requires:

• the capability to work on-site at the facility for the duration of the 12-hour shifts as needed, or until relieved by the next scheduled RN
• ability / capability to make some repetitive motions, and
• the ability to lift infants, babies, and toddlers
• the ability to remain calm in emergency situations
• the ability to consistently and reliably ensure swift and accurate responses in critical care and in high stress situations

Note: Covering shifts is expected to be an exceedingly rare occurrence.

Compensation details: 130000-200000 Yearly Salary

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