Under the supervision of the Sr Associate Dir of Nursing, the Associate Director of Nursing - Inpatient/SNF is responsible for care coordination, clinical team formation and management, and supporting the delivery of direct patient care for low-income and uninsured patients in post-acute environments as appropriate. This position will have direct oversite over all nursing functions of the Transitions of Care Program.
The Associate Director of Nursing - Inpatient/SNF will work in conjunction with Nurse Case Managers, Social Workers, Community Health Workers, Physicians and other care team members to provide transitions of care/navigation services, working in collaboration with inpatient care teams and other Central Health medical and case management teams.
This position models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and positive clinical outcomes.

This position is a hybrid role located in Austin, Texas. You must live in the greater Austin Metropolitan area to be considered for this position.

Essential Functions:

• Facilitate collaboration with partner organizations to ensure the provision of compassionate, and effective care coordination to hospitalized patients and medical care to other patients in post-acute settings who require medical service.
• In partnership with the Director of Transitions of Care, develop and deliver effective public presentations to Central Health Board of Managers committees, board meetings, stakeholders and partners, and the public as assigned.
• Comply with all facility and medical staff bylaws necessary to provide safe, effective and efficient patient care to eligible patients in post-acute settings.
• Organize and lead operational, clinical and quality care conferences across the transitions of care spectrum.
• Organize and lead leadership and workforce development endeavors.
• Work in close consultation with the patient’s primary care provider and other licensed health care facility provider teams to coordinate the medical care of MAP patients while admitted in hospital and post-acute environments in the best interest of the patient and consistent with Central Health’s policies, mission and goals.
• Communicate effective information to patients, families, colleagues, nursing and other health care professionals, as appropriate.
• Prepare and provide necessary timely and accurate reports and forms, as may be required by Central Health or facility in the performance of medical services.
• Coordinate care with other Physicians and Advanced Practice Providers, to collaborate with Central Health’s advanced-practice providers to provide services to eligible patients in hospital and skilled nursing facilities.
• Plan and coordinate care daily with all members of Central Health’s care team to assure maximum quality and efficiency of care between Eligible Patients, Physicians, Advanced Practice Providers, case management and nursing.
• Perform medical and administrative services under general guidance and minimal supervision with accountability for specific organizational-level goals.
• Under the oversite of the Director of Transitions of Care, align clinical resources to organizational goals and objectives to optimize the health of the covered population and improve clinical outcomes, patient experience and costs of care throughout the delivery system.
• Participate in the development, deployment and management of safe, effective and efficient clinical services to Central Health’s covered population through a variety of methods including contracted services, post-acute services oversight, clinical support infrastructure development and oversight of direct service delivery as applicable and appropriate pursuant to the Medical Executive Board’s policies and procedures.
• Develop and maintain collaborative working relationships that promote a positive image for Central Health with enterprise affiliates, contracted providers, the local provider community, elected officials, regulatory agencies, governing bodies, patients, and the community, as appropriate.
• Work closely with families of diverse patient populations.
• Facilitate effective communication with Case Management/Care Coordination teams regarding readmission prevention.
• Proactive collaboration to facilitate discharge teaching for readmitted/high risk patients prior to or at discharge.
• Develop and execute the planning, implementation and evaluation of service delivery, patient experience, and care management activities.
• Prioritizes duties and responsibilities, demonstrating strong organization and time management skills.
• Demonstrates excellent verbal and written communication skills, assuring appropriate confidentiality is always maintained.
• Interacts with others in a positive, professional manner, contributing to a positive team environment.
• Oversee administrative and medical records in a current and accurate manner, assuring all documentation requirements are met.
• Performs other duties as assigned.

Knowledge, Skills and Abilities:

• Ability to collaborate with and lead a team of professionals to achieve specific goals.
• Ability to thrive in a complex and dynamic work environment with multidisciplinary, cross-functional teams and matrixed team structures.
• Demonstrated ability to manage and prioritize multiple complex projects with varying deadlines and limited resources.
• Ability to teach, coach and mentor subordinates, peers and supervisors to effectively understand clinical services delivery and interact with clinical functions and assigned staff.
• Ability to apply critical thinking to generate and assess potential solutions and to anticipate needs in advance.
• Ability to manage competing objectives in an ambiguous, fast-moving environment to achieve results.
• Knowledge of nursing best practice and industry standards for practice of nursing.
• Knowledge of data, measurement concepts, measurement tools and systems used to monitor and report clinical quality metrics and other healthcare outcomes.
• Compliance with data confidentiality and security procedures.
• Ability to manage employees and interact with colleagues in a respectful, supportive fashion which encourages employee’s personal and professional growth.
• High level skill at building relationships within the organization and with external partners.
• Able to balance a customer-oriented and results-driven approach.
• Able to persuade others to approach topics and ideas differently.
• Strong attention to detail and accuracy.
• Ability to communicate complex ideas clearly and effectively through both writing and speaking.
• Experience with electronic medical records and healthcare-derived data and a working knowledge of the laws and regulations that govern the same.
• Demonstrated ability to perform complex operations in Microsoft Office Suite.
• Ability to collaborate with patients, families and care teams through multiple complex systems.
• Strong assessment skills.
• Follows standard precautions.
• Maintains confidentiality.
• Assists with data collection for Quality Improvement initiatives.
• Exhibit compassion, vulnerability, and empathy when working with employees (patients) and advancing Central Health’s health equity and DEI goals.
• Provide patient centered care that is inclusive and focuses on cultural humility.
• Share a commitment to diversity and inclusion awareness and practices across Central Health.

QUALIFICATIONS:

Education:

Graduation from an accredited school of nursing.

Work Experience:

Three (3) years of experience in a primary care setting or ambulatory clinic with focus in patient navigation and transitions of care.

Three (3) years of experience and knowledge working with and leading teams with clinical quality improvement, workflow development, patient care coordination/care management, staff, and patient education.

Three (3) years of experience and demonstrated knowledge of Joint Commission standards, HIPAA regulations, Quadruple Aim, and Value Based Care.

Licenses and Certifications:

Unrestricted Registered Nurse License in the State of Texas

Basic Life Support (BLS) ‐ Obtained through approved American Heart Association