(661) 377-2300
4900 CALIFORNIA AVE., STE B210 BAKERSFIELD, CA 93309

Manager of Patient Care

Posted on: December 23rd, 2019 | | Bakersfield, CA

This professional staff person is responsible for maintaining the day-to-day operations of his/her assigned unit(s).  The Manager provides support to the staff by directing, monitoring and evaluating the patient load and ensures that patient care is optimized through the proper allocation of staffing resources.  As a member of the interdisciplinary care team, the Manager works collaboratively with the other members to assure safe and accurate delivery of care.  In addition, the Manager serves as a resource for technical services in a cross-functional mode to comprehensively serve patient needs.

The Manager is accountable to the Director and works closely with the Department Directors.  As a Manager he or she is responsible for the management of the department. The Manager is the lead facilitator for the hospital departments, physicians, external agencies, nursing staff, and allied healthcare professionals.  The Manager oversees the daily operations of the department, assisting nursing staff in providing quality outcomes for stroke and cardiac patients.  The Manager sustains performance while tracking and reporting impact of cardiac care delivery on patients’ quality of life, physicians’ and nurses ‘enrichment/satisfaction, error reduction, length of stay measures and patient care resource management.

Work Schedule

Flexible schedules to cover all shifts and weekends, as hospital needs demand.

Qualifications/Specifications

  • Education: Graduate of an accredited professional nursing program.
  • Licensure/Certification: Registered Nurse with current state license or licensure from a state within the Nursing Compact. Current BLS and ACLS certification.  CCRN preferred.  PALS or ENPC certification required for Emergency Department nurses and CEN preferred.
  • Experience: Minimum of three years acute care nursing with emphasis on cardiology/cardiovascular care.
  • Essential Technical/Motor Skills: Ability to manipulate various types of electronic and clinical equipment; adjust and troubleshoot monitoring equipment, IV infusions and computer equipment. Ability to serve as a resource on the Intranet.  Demonstrates competency for patient care in the department setting.   Serves as a resource for Clinical Policy and Procedure.
  • Interpersonal Skills: Must possess the ability to interact and communicate in English, both orally and written, with all levels of staff, physicians, patients, and families in an effective manner, exhibiting tact, enthusiasm and patience. Must be sensitive to cultural and bilingual issues.
  • Essential Physical Requirements: Requires full range of body motion including handling and lifting, manual and finger dexterity, and eye-hand coordination. Must possess the ability to stand and walk for long periods of time and/or pull patients to transport and/or reposition them.  Must also possess the ability to work under stressful conditions with frequent interruptions and irregular hours.
  • Essential Cognitive Abilities: Possesses the ability to comprehend and interpret complex clinical subject matter related to specialty and calculate in apothecary and metric systems for drug administration. Must possess the ability to document appropriate clinical information.  Has the ability to interpret rules/regulations/accrediting and licensing standards sufficiently for implementation.  Maintains concentration and organization while dealing with multiple issues.  Possesses the ability to analyze data and formulate plan of action.
  • Essential Sensory Requirements: Possesses the ability to respond to patient/family and staff needs by interpreting verbal and non-verbal expressions.
  • Exposure to Hazards: Requires exposure to communicable diseases and potentially contaminated body fluids and hazardous materials. OSHA risk factor: Category Possible risk of physical injury due to moving machinery and supplies.
  • Age-Specific Criteria: Possess the knowledge and skills necessary to provide care appropriate to any age-related needs of the patients served on his/her assigned unit. Possesses knowledge of growth and development appropriate to the patient population served.  Possesses the skill/knowledge to perform treatments and interpret data, including age-related care needed by the patient group.
  • Other: Knowledgeable of the mission, vision and values of the hospital. Operates within the concept of patient focused care.  Evolves into an effective team member. Must adhere to dress code, good grooming and personal hygiene habits.

Core Job Performance Elements:

I.      Patient Care Delivery & Quality Management

A.      Supervises the direct patient care functions of the department, to include; staff competency assessments, ongoing performance review and improvement, and staff education directed at clinical excellence.

B.      Ensures staff competency with standards of care and compliance with core measure and other quality improvement activities.

C.       Maintains necessary documentation standards and provides leadership with staff to ensure same.

D.      Coordinates the delivery of care and responds to needs within the hospital for rapid response, code blue and/or other internal emergencies.

E.       Collaborates with other disciplines to create a teamwork approach to patient care.

F.       Maintains clinical competency in nursing practice and provides direct patient care in assigned department as needed.

G.      Participates on hospital shared governance committee(s), writes clinical policy and procedures, and develops unit-based improvement processes.

H.      Ensures the adequacy of preceptor training competency.

II.  Leadership, Teamwork and Collaboration

A.      Promotes and maintains a positive image of nursing and clinical services.

B.      Recognizes staff contributions and consistently inspires growth and development of each team member for peak performance.

C.       Focuses staff on interdisciplinary teamwork through communication and role model behavior.

D.      Works closely with the hospital Resource Nurse to ensure that staffing and teamwork are ensured.

E.       Assists other nursing leaders in the ongoing development of professional practice model and helps each staff member to understand their role functions.

F.       Assists department Director to carry out team leadership and staff development plans.

G.      Creates an environment which: cultivates personal accountability, personal investment in the unit, clinical excellence and nurtures BHH commitment to patient-centered care.

III.          Communication & Interpersonal Relations

A.      Breaks down communication barriers within the team through open, candid and supportive interactions.

B.      Communicates plans for change and progress in the context of the mission and values of BHH.

C.       Helps others to package and effectively present their ideas.

D.      Gives clear, understandable instructions to employees/others.

E.       Coaches team members to effective communication skills.

F.       Demonstrates empathy and positive regard for others which supports relationships with people from diverse backgrounds or from different cultures.

G.      Responds to issues raised by others in a timely fashion, consults Director on a regular basis.

H.      Creates a comfortable environment for raising concerns, problem-solving, contributing ideas, and focusing the energy of the team on necessary change.

IV.           Financial Management

A.      Works closely with department Director to ensure that labor and supply expenses are managed effectively.

B.      Assures appropriate utilization of human resources, with attention to skill mix, RN ratio requirements, and department operating plans.

C.       Is accountable for daily productivity of assigned department.

D.      Ensure employee compliance and accountability for accurate time and pay practices/documentation in the electronic time keeper.

E.       Ensures completion of productivity, acuity, and staffing documentation as needed.

V.    Customer Service

A.      Participates with Director to develop a department-specific customer satisfaction improvement plan.

B.      Creates enthusiasm within the staff/department for patient satisfaction efforts.  Inspires the staff to innovate their own solutions.

C.       Mobilizes other resources as needed to meet the needs of patients/families by drawing other team members into the setting.

D.      Is proactive in addressing service weaknesses, service recovery needs, complaints, and formal grievances as needed.

 

Age-Specific Competencies

The staff member must be able to demonstrate the knowledge and skills necessary to provide care, based on physical, psycho/social, education, safety and related criteria, appropriate to the age of the patient served in his/her assigned area. The skills and knowledge needed to provide such care must be gained through education, training or experience.  Employees must maintain a satisfactory level of knowledge and skill to continue employment. The assessment of competence for each category is based on one or more of the following:

  1. A review of sample medical records.
  2. Observation of interaction with patients.
  3. Direct observation of participation in treatment planning.

Neonate (0–1 month)

  1. Provide for a safe environment; i.e. warmth, security
  2. Provide a clean, quiet area for nutritional intake and bonding
  3. Involve responsible adult in decision-making
  4. Incorporate normal physiological parameters into assessment
  5. Involve responsible adult in procedure and education
  6. Provide articles for grooming and personal hygiene appropriate to clinical status
  7. Recognizes physical indications of abuse/neglect and initiates and notifies Child Protective Agency

Pediatric (1 month–12 years)

  1. Provide for safe environment; i.e., security, side rails, orientation to surroundings
  2. Involve patient/responsible adult in decision-making
  3. Provide access for support systems; i.e., family, peers
  4. Facilitate coordination of academic education
  5. Provide articles for grooming and personal hygiene appropriate to developmental level and clinical status
  6. Provide recreational opportunities
  7. Provide diet appropriate to eating patterns, food choices, and ability to chew (i.e., finger foods)
  8. Provide privacy
  9. Involve patient/responsible adult in procedure and education
  10. Incorporate normal physiological parameters into assessment
  11. Recognizes physical/psychological indications of abuse/neglect and initiates and notifies Child Protective Agency

Adolescent (13-17 years)

  1. Provide for safe environment; i.e., security, side rails, orientation to surroundings
  2. Involve patient/responsible adult in decision-making
  3. Provide access for support systems; i.e., family, peers
  4. Facilitate coordination of academic education
  5. Provide articles for grooming and personal hygiene appropriate to developmental level and clinical status
  6. Provide recreational opportunities
  7. Provide diet appropriate to eating patterns, food choices and ability to chew
  8. Provide privacy
  9. Involve patient/responsible adult in procedure and education
  10. Incorporate normal physiological parameters into assessment
  11. Recognizes physical/psychological indications of abuse/neglect and initiates and notifies Child Protective Agency
  12. Recognizes family interactions considering stressors: i.e., fear, anxiety regarding potential altered body image, immobility, regression
  13. Uses easily understood terms

Adult (18–65 years)

  1. Provide for safe environment by providing orientation to unit and surroundings
  2. Provide caloric intake based on physical needs; i.e., healing or maintenance
  3. Allow patient to participate in decisions regarding his/her plan of care/treatment
  4. Encourage access to support systems; i.e., family, significant other, pastoral care
  5. Incorporate normal physiologic parameters into assessment of status and response to care/treatment
  6. Demonstrate respect for individual by addressing with name the individual wishes to be called
  7. Education should be directed to patient with family involvement unless cognitive ability prevents this
  8. Ensure assist devices such as glasses, hearing aides, and walkers are available and utilized
  9. Recognizes anxiety regarding potential changes in life style (i.e., physical, economic) resulting from illness

Geriatric (over 65 years)

  1. Explain any unfamiliar objects, equipment and what you will do before you start
  2. Give one direction at a time; repeat as necessary
  3. Review perception of current health status, health problems and medications taken
  4. Provide for safe environment; do not leave unattended during procedure; keep side rails up post procedure; provide a night light; answer call bell immediately
  5. Provide assistance and privacy for bowel and bladder elimination
  6. Provide diet appropriate to eating patterns, food choices, and ability to chew
  7. Provide assistance with activities of daily living and use of assist devices as indicated
  8. Incorporate normal physiologic parameters into assessment of status and response to care/treatment
  9. Encourage access to support systems; i.e., family, friends, pastoral care
  10. Demonstrate respect for the individual by addressing that person by the name that individual wishes to use
  11. Allow patient to participate in decisions regarding plan of care/treatment
  12. Education should be directed to patient with family involvement unless cognitive ability prevents this
  13. Maintains body temperature by providing blankets
  14. Recognizes family interactions considering stressors; i.e., fear, anxiety regarding potential altered body image, immobility, regression
  15. Recognizes potential for altered level of orientation which may require family intervention
  16. Provides education regarding post-operative instructions, using easily understood terms
  17. Assesses potential increased educational needs due to compromised ability to comply and/or comprehend instructions
  18. Recognizes physical/psychological indications of abuse/neglect and initiates and notifies Adult Protective Services

The above staff member must demonstrate the knowledge and skill levels necessary to provide care, based on defined criteria, that is appropriate to the age of the patients served in his/her assigned service area. The skill level and knowledge needed to provide such care is gained through education, training, and/or experience. When the individual does not meet the standard for a specific competency, he/she will not be allowed to care for the specified populations until retraining has occurred and competency has been demonstrated.

Key Relationships

  1. Maintains positive relationships with internal customers: Staff, Medical Staff, Department Directors, Executive team, and contract employees.
  2. Maintains positive relationships with external customers: patients, families, vendor/Reps, and referral community.
  3. Keeps Department Director informed of problems and recommends solutions.
  4. Participates in education/development of peers and other staff.

Initiative

1      Develops specific work plans and due dates.

  1. Follows through on planned assignments within assigned timeframes.
  2. Effectively prioritizes assignments.
  3. Demonstrates a willingness to accept extra assignments.
  4. Adjusts to change, work pressures or different situations without undue stress.
  5. Demonstrates skill in developing improvements in work methods.
  6. Effective in cost control and resource utilization.

Professionalism

  1. Adheres to dress code, conduct and attendance policies.
  2. Accepts both positive and negative constructive feedback.
  3. attends at least 80% of in-services and departmental meetings.
  4. Demonstrates a supportive/positive attitude toward the hospital and fellow employees – is a positive team member.
  5. Expresses self in an organized, comprehensive, articulate and concise manner.
  6. Participation in hospital wide committees.
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