Group Chief Nursing Officer, Arizona - Abrazo Scottsdale Campus, Phoenix, Arizona

Retaining great people at the facility

• Work cohesively with related team members to develop and implement recruitment and retention strategies that ensure a qualified and stable workforce.
• Collaborate with human resources and other team members to select, on-board, orient, and provide coaching for direct reports.
• Evaluate and monitor facility level people pillar statistics, participate on related calls as necessary.
• Collaborate with related team members to promote an effective facility level competency program.
• Collaborate to promote a robust employee development and education program that responds to the unique needs of employees across the career continuum (novice to expert).
• Consider and/or implement nurse residency programs to ensure pipeline for facility.
• Collaborate with team members to formulate programs to enhance work life balance.
• Partner with related team members to promote a safe work environment that is based on a zero tolerance for sexual harassment, workplace violence and verbal and physical abuse.

• Support the design of effective and competitive compensation and benefits programs.
• Participate in workforce planning to ensure an adequate and competent workforce.

Communication and Relationship Building

• Give timely feedback and reinforce positive behaviors.
• Communicate and administer human resource programs and procedures in accordance with established policies.
• Manage organizational relationships in a manner which builds mutual trust and respect. Establish trusting and collaborative relationships.
• Effectively communicate with all internal and external constituents, including staff, colleagues, and physicians.
• Address and manage conflict in a constructive and productive manner.

Leadership Influence

• Develop effective strategies for addressing organizational priorities.
• Develop succession plan for nursing leadership.
• Coach and mentor aspiring nurse leaders.
• Manage organizational and individual performance with appropriate rewards.
• Develop, communicate and monitor performance expectations.
• Represent nursing and patient care issues within the organization’s governance and medical staff structures.
• Demonstrate effective change management; able to serve as an organizational change agent.
• Promote a results-oriented environment.
• Articulate the application of ethical principles to operations.
• Formulate objectives, goals, and specific strategies related to the organization’s mission and vision.
• Educate the organization’s board members and physicians regarding healthcare/value of nursing care.
• Measure and analyze performance from the learning and growth, business process, customer, and financial perspectives.
• Create and communicate a compelling shared vision.
• Create an environment in which professional and personal growth is an expectation.
• Understand effective organizational outcome measures in order to balance cost, quality and service.
• Represent nursing and patient care in strategic planning and quality initiatives with the governing body.

Diversity

• Develop processes to incorporate cultural beliefs into care.
• Design strategies that address the unique needs of a diverse workforce, patient population, and community.
• Create an environment that recognizes and values diversity.
• Assess the current environment and establish indicators of progress toward cultural competency.

Shared decision-making/Shared Leadership

• Promote decisions that are patient centered.
• Promote systems thinking as a value in the nursing organization.
• Consider the impact of nursing decisions on the health care organization as a whole.
• Provide leadership in building loyalty and commitment throughout the organization.
• Synthesize and integrate divergent viewpoints for the good of the organization.
• Attend and participate in regional CNO calls and meetings.
• Engage staff and others in decision-making.
• Involves employees in decision-making.
• Provide an environment conducive to opinion-sharing.

Clinical Practice Leadership

• Assure that the clinical perspective is included in organizational decisions.
• Teach and mentor others to routinely utilize evidenced based data and research.
• Understand and articulate patient care standards reflected in federal and state regulation, TJC, the state Nurse Practice Act, and organizational policies and procedures.
• Advocate use of documented best practices.
• Ensure that nursing practice is consistent with current standards and current evidenced based practice.
• Serve as change agent when patient care work/workflow is redesigned.
• Supports regional senior director and Tenet CNO.
• Maintain knowledge of current nursing practice and roles and functions within nursing and other healthcare disciplines.
• Maintain current knowledge of patient care delivery systems and innovations.
• Ensure that the care delivery model, clinical environment of care and related technology is appropriate to needs of caregivers and patients.

Academic Relationships

• Provide a supportive and stimulating learning environment for nursing students.
• Ensure that the educational system is aligned with organizational needs.
• Collaborate with academia in nursing research and incorporate nursing research into practice.
• Participate in the academic community through advisory and collaborative efforts.
• Collaborate with nursing programs to provide required resources; evaluate graduates.

Resource Management

• Manage patient care processes such as care management/length of stay to ensure optimal revenue.
• Manage fiscal, human and material resources in a cost-effective manner.
• Design and maintain effective systems for resource management in nursing.
• Demonstrate a comprehensive understanding of organizational revenue, expense performance and capital planning.
• Utilize effective performance management in managing key areas of responsibility.

Quality, Patient Safety and Risk Management

• Identify, mitigate and take action to correct areas of risk/liability in patient care.
• Ensure staff is clinically competent and trained on their role in patient safety, performance improvement, and risk management.
• Incorporate safety as a design element as appropriate.
• Define quality metrics by identifying the problem/process, measuring success at improving specific areas of patient care, analyzing the root causes or variation from quality standards, improving the process with the evidence, controlling solutions and sustaining success.
• Collaborate with related team members to monitor and evaluate a Culture of Safety through active coaching of direct reports to ensure that the culture of safety is cultivated at the facility.
• Disseminate research findings to patient care team members.
• Allocate nursing resources based on measurement of patient acuity/care needed.
• Utilize research findings for the establishment of standards, practices, and patient care models in the organization.
• Support the development of a facility-wide patient safety program.
• Contribute to the development and implementation of the organization’s performance improvement program. Support the development and implementation of an organization-wide patient safety program.
• Support a safe culture that assures accountability and respects values and individual contributions.
• Support a non-punitive environment and a reward system for reporting unsafe practices.
• Design safe clinical systems, processes, policies and procedures.
• Actively participate in facility clinical close calls.
• Participate in studies that provide outcome measurements.
• Collaborate with RM to monitor and follow up on clinical risk trends.
• Support the annual AHRQ Patient Safety Survey and follows up with corrective actions.
• Facilitate facility level annual pressure ulcer prevalence and incidence study results with corrective action.
• Monitor and evaluate quality through public reported measure (i.e. core measures, nurse sensitive patient outcomes, infection control, etc) in collaboration with the facility DCQI and ICP, as well as national resources.
• Interpret information from research.

Information management and technology

• Utilizes facility database management, decision support, and expert system programs to access information and analyze data from disparate sources for use in planning for patient care processes and systems.
• Evaluates and revises patient care processes and systems.
• Recognizes the utility of nursing involvement in the planning, design, choice and implementation of information systems in the practice environment.
• Recognizes the relevance of nursing data for improving practice.
• Participates in the evaluation of information systems in practice settings.
• Uses computerized management systems to record administrative data (billing data, quality assurance data, workload data, etc.).
• Supports and embraces role in the adoption of EMR within facility.
• Participates in system change processes and utility analysis.
• Reads and interprets benchmarking, financial and occupancy data.
• Uses applications for structured data entry (classification systems, acuity level, etc.).
• Demonstrates basic competency in technology applications related to business and clinical functions.
• Demonstrates proficient awareness of legal and ethical issues related to client data, information, and confidentiality.
• Demonstrates awareness of societal and technological trends, issues and new developments as they apply to nursing.

Service

• Facilitate education of employees related to service.
• Monitor and evaluate results of annual Employee Satisfaction Survey and collaborate with related team members to develop and implement action plans.
• Actively facilitate Physician satisfaction survey, monitors result and collaborates with facility team members to develop and implement action plans.
• Monitor and evaluate service indicators in collaboration with related team members at the facility level.

Professional Role Model

• Assume personal and professional accountability.
• Maintain a professional network of colleagues.
• Contribute to the profession of nursing through professional organizations, publication, and other professional endeavors.
• Follow through on commitments.
• Integrate high ethical standards and core values into everyday work activities.
• Advocate for nursing.
• Participate in the legislative process and health policy issues that impact nursing and health care delivery.

As a leader in healthcare, Tenet is committed to providing the best possible care to every patient, with a clear focus on quality and service. Strong leadership is essential to delivering on this commitment, and we believe that the quality of our leaders can give us a significant long-term competitive advantage. We want to ensure every current and future leader in Tenet is successful, and we support that through our selection and hiring process and by providing coaching and training to our leaders.

In this regard, we have identified core competencies that will enable a leader to succeed at Tenet, and have defined them within the following five areas critical to performance:

Use Astute Judgment

• Provides leadership in building loyalty and commitment throughout the organization (e.g., builds career development path for high performing staff).
• Promotes “systems thinking” as a value in the nursing organization. Synthesizes and integrates divergent viewpoints for the good of the organization (e.g., implements shared governance councils).
• Considers impact of nursing decisions on the healthcare organization as a whole (e.g., reduces falls, pressure ulcers, and other nurse sensitive patient outcomes).
• Assures that the clinical perspective is included in organizational decisions (e.g., leads work that results in successful JC accreditation).
• Promotes decisions that are patient-centered (e.g., plans to reduce noise in patient areas at night).

Shape Strategy

• Formulates objectives, goals, and specific strategies related to the organization’s mission and vision (e.g. participates in preparing the budget with cost improvements in nursing departments).
• Represents nursing/patient care in strategic planning and quality initiatives with the governing body (e.g., presents new ideas and external and internal benchmarks at board meetings).
• Designs safe clinical systems, processes, policies and procedures.
• Represents nursing/patient care issues within the organization’s governance and medical staff structures (e.g. actively participates in governing board by presenting a monthly nursing report).
• Monitors and evaluates quality through public reported measure (e.g. core measures, nurse sensitive patient outcomes, infection control, VBP risk protection, etc.) in collaboration with the facility DCQI and ICP, as well as national resources.
• Promotes a results-oriented environment (e.g., cascades and measures BSC, CQ BSC, and CNO BSC targets).
• Supports the development of a facility wide patient safety program (e.g. zero never events; reduced falls with injury, reduced facility acquired pressure ulcers, etc.; meets targets on CNO BSC).

Apply Financial Insights

• Demonstrates sense of urgency in management of labor expense (e.g., meets targets for SWB).
• Allocates nursing resources based on measurement of patient acuity/care needed (e.g. meets JC conditions of participation for nursing services).

Ensure Collaboration

• Builds “privileged relationships” with key internal stakeholders (e.g. CEO, RSVP, etc.) and manages organizational relationships in a manner which builds mutual trust and respect. Addresses and manages conflict in a constructive and productive manner (e.g., immediately addresses a conflict situation between a nurse and physician to a positive outcome).
• Effectively communicates with all internal and external constituents, including staff, colleagues, and physicians (e.g., holds weekly staff meetings with Department Directors, routinely rounds with physicians).
• Actively networks and creates peer relationships with other internal and external nursing leaders (e.g. leadership role in industry organizations, actively mentors, etc.).

Drive Organizational Success

• Recognizes the utility of nursing involvement in the planning, design, choice and implementation of information systems in the practice environment.
• Monitors and evaluates results of annual Employee Satisfaction Survey and collaborates with related team members to develop and implement action plans (e.g., action to increase recognition).
• Understands and articulates patient care standards reflected in federal and state regulation, TJC, the state Nurse Practice Act, and organizational policies and procedures.
• Actively facilitates Physician satisfaction survey, monitors result and collaborates with facility team members to develop and implement action plans (e.g., action to improve communication with physicians).
• Supports and embraces role in the adoption of EMR within facility and successfully implements within SWB budget.
• Monitors and evaluates service indicators (Press Ganey Patient Satisfaction Reports) and implements action plans in collaboration with related team members at the facility level (e.g., action to implement formal discharge calls).
• Ensures that the care delivery model, clinical environment of care and related technology is appropriate to needs of caregivers and patients.

Develop Organizational Talent

• Participates in workforce planning to ensure an adequate and competent workforce.

• Recruitment and retention strategies, employee development/education program (e.g., meets targets for People pillar for nursing including turnover, <1-year turnover, and retention).
• Consider and/or implement nurse residency programs (e.g., successfully implement Versant program).
• Effective facility level competency program (e.g., meets JC requirements for unit-based competency across the continuum of care).

• Assumes personal and professional accountability (e.g. meets or exceeds requirements for licensure as a Registered Professional Nurse in the state where employed; maintains required CEUs, actively seeks out career development opportunities, etc.).
• Supports a non-punitive environment and a reward system for reporting unsafe practices (e.g. improved scores on Annual ARHQ Patient Safety Survey regarding non-punitive environments for reporting unsafe practices).
• Develops succession plan for nursing leadership (e.g., promotion of RN Directors to ACNO and CNO roles).

• Proven leadership ability and facility operational expertise.
• An individual able to effectively and efficiently organize patient care promoting optimal outcomes, patient safety, and patient, physician and employee satisfaction.
• An individual with proven success recruiting, retaining and developing staff. Someone effective in mentoring and developing staff, encouraging professional growth and achievement.
• Ability to serve as role model and advocate for the professional discipline of nursing.
• Highly effective interpersonal and communication skills.
• Strong labor relations background.
• At least five years of progressive management experience in a facility environment as an Associate Chief Nursing Officer or Nursing Director of multiple, complex nursing departments.
• Takes the lead in complying with regulatory standards, rules and laws.

Professional Attributes

• One who is positive, creative and innovative with a strong understanding of the business aspects of healthcare and the acumen to play a substantive role in developing strategies, budgets and business plans. Financially astute, with a solid understanding of cost issues and initiatives.
• Proven ability to identify the need for change, anticipating, recognizing and creatively solving resistance to change; working with others to view change as a challenge and opportunity for growth. Displays an ability to be a risk taker and assume the role of change agent. However, someone who understands the importance of collegiality, collaboration and team spirit.
• Clearly a leader by example, able to articulate a clear vision and expectations for patient care services and other areas of responsibility.
• A credible nurse leader who utilizes communication, coaching, sponsorship and training to successfully manage the people-side of change in order to realize successful outcomes of a business change.

Personal Attributes

• A collaborative and operational manager who will give employees a voice and encourage full participation of all team members.
• Excellent interpersonal skills; a dedicated listener, comfortable in a variety of settings dealing with diverse constituencies; a broad thinker. The ability to communicate clearly and effectively both verbally and in writing.
• An individual of highest personal and professional integrity, principle and knowledge, earning respect and support when making difficult decisions and choices. Able to establish immediate credibility with peers, senior leadership, medical staff, and the Board.
• A leader who will inspire confidence and establish a sense of common direction and vision for the medical staff.

• Active and current registered nurse license in the state of residence/practice is required.
• An academic degree in nursing is required, and a master’s degree in Nursing or related field (Health Administration, Business, Public Health, or Management) is required.
• Current CENP or NEA certification preferred.

A competitive compensation program will be tailored to the selected candidate. Base salary will be supplemented by a performance bonus and comprehensive, well-rounded benefits program, which includes relocation assistance.

Approximately 25 percent.

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.