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Nurse Manager - Behavioral Health
Job Code:2019-04-017
FT/PT Status:Regular Full Time
Salary Minimum79,601
Salary Midpoint99,502
Position Closes:
Open Until Filled 

Job Responsibilities & Qualifications:
Primary Function: The incumbent assumes overall responsibility for nursing services for Crisis Stabilization Unit, Outpatient and Residential Behavioral Health Services and assists with other administrative and management activities that occur within the hospital during assigned tour of duty.  Responsibility involves administering, coordinating and directing nursing service activities to insure conformance to acceptable standards of care to patients of all ages.  This position requires maximum utilization of personnel and adherence to required administrative practices and procedures.  

Job Duties and Responsibilities: Responsible for the management of nursing by planning, organizing, and directing nursing services.  In the absence of the Executive Director, Division of Nursing may be required to assume full responsibility of the nursing program.
Insures conformance to acceptable standards of nursing practice, including all Cherokee Indian Hospital policies and procedures, rules and regulations required for nursing licensure.
Develops, implements and evaluates nursing standards which ensure quality patient care in compliance with recognized standards of care and Cherokee Indian Hospital objectives.  Reviews the quality and performance of charge nurses, clinical nurses, and other nursing personnel in assessment, organization, implementation, and evaluation of individualized patient care.  Reviews and evaluates identified patient services and personnel management problems to resolution. Identifies, appraises and implements corrections on modifications of all nursing care and quality assurance actions.
Defines departmental nursing program goals and objectives and evaluates programs.  Participates in developing and revising nursing policies and procedures.  Collects relevant data and statistics for documentation and prepares special projects and reports for the nursing department.
Makes periodic rounds to observe the condition of patients and monitors the nursing staff's patient care activities.
Participates in the development and implementation of Continuous Quality Improvement activities.
Reviews work schedules, assignments, patient classification and charge nurse reports to assess daily, the appropriate number and level of personnel required to provide quality patient care.  Recommends and carries out changes in personnel and assignments accordingly.
Provides advisory and consultative support to nursing staff on a wide range of patient care and administrative matters.  Directs and implements nursing activities for emergency planning.
Alone or in collaboration with the Officer of the Day, assumes responsibility for managing or obtaining proper assistance for the management of non-nursing emergencies occurring within the hospital during assigned tour-of-duty.
Participates in the development, administration and evaluation of the nursing department's annual budget and conducts departmental activities in consideration of budget constraints.
Participates in the recruitment and retention of quality nursing staff and initiates an on-going plan of guidance, counseling and evaluation that will foster the professional growth and development of the nursing service staff.
Establishes performance standards for subordinate employees and appraises the individual performance of the employees on a regular basis.  Initiates necessary action for unsatisfactory performance ratings.  Initiates disciplinary actions, commendations, reprimands, and separations of subordinate employees.
Schedules and approves leave, identifies leave abuses and initiates necessary action to correct the abuse.  Counsels subordinate employees on individual personnel problems.  Receives and resolves all informal complaints, forwarding unresolved issues to the Executive Director, Division of Nursing for review and assistance.
Maintains and promotes positive and constructive communications and activities within nursing services, other departments, tribal, and community agencies for purposes of coordinating and understanding of goals and objectives relevant to the population served.
Attends interdisciplinary meetings, planning sessions, committees and serves on CQI teams to promote quality and performance improvement.
Maintains accurate and complete personnel records, miscellaneous documents, reports, statistics, etc.

Education / Minimum Qualifications: A Bachelor’s Degree in Nursing required.
4 years of Management experience required.
A strong background in Psychiatric Nursing required. 
Must have an unrestricted valid Registered Nurse license within the state of North Carolina or a state that is accepted as reciprocity.
Current Basic Life Support (BLS) required.
Must have a valid North Carolina driver’s license. 
Proficiency rated at 24 weeks.

Job Knowledge: Knowledge of principles, practices, techniques, and theories of professional nursing in order to plan and provide nursing care to meet the physical, emotional, spiritual, and socio-cultural needs of patients of all ages.  Specifically in Infancy (Birth-1 Year), Toddler and Early Childhood (2-5 years), Latency (6-9 years), Preadolescence (10-12 years), Early Adolescence (13-15 years), Adolescence (16-20 years), Adult (21-64 years), Elderly (65-+ years).
Knowledge of the nursing process and its application to clinical practice.
Knowledge of principles and practices of effective employee supervision.
Knowledge of the biological aspects of the disease process of illness in order to recognize complications and therapeutic interventions required.
Knowledge of psychiatric nursing treatment and psychotherapeutic interventions, laws and regulations pertaining to psychiatric nursing, the uses and effects of psychotropic drugs and narcotics, patient safety practices and locked facility security, theories, principles and techniques of group and individual psychotherapy, symptoms and behavior patterns of emotionally disturbed and mentally ill patients, mental health community resources and services, and health education, interviewing and counseling techniques.
Knowledge and ability to analyze the results of various medical procedures and translate into appropriate nursing interventions.
Knowledge and ability to independently plan, manage, and organize work in order to meet priorities, accomplish work within established time frames and work in stressful situations.
Knowledge of the occupational functions of multi-disciplinary health care teams.
Knowledge of the culture and medical health profile of the patient population.
Knowledge of available health care programs and community resources.
Knowledge and ability to teach and counsel patient/family and staff on health maintenance and disease prevention.
Knowledge of processes and procedures for establishing, revising, continually monitoring, and evaluating standards for the practice of nursing.
Knowledge and skills in operating specialized medical equipment, such as: monitoring devices, incubators, suction pumps, oxygen equipment, etc.
Knowledge and skills in operating a computer and ability to use word processing and spreadsheet programs.
Knowledge of problem oriented medical record methods.
Knowledge of legal and ethical aspects of nursing.
Ability to communicate to and interact with persons (staff, health care professionals, individuals in the community) with different functions, levels of knowledge, and requirements.
Ability to supervise nursing personnel and delegate work.
Knowledge of JCAHO accreditation standards, nursing quality improvement standards, personnel regulations and safety standards.
Knowledge of clinical teaching methodologies and methods of evaluating the effectiveness of teaching strategies.
Ability to gather and analyze data and communicate findings.

Complexity of Duties: The work involves a wide range of activities performed in an independent manner and requires decision-making and problem solving abilities related to data collection, planning, implementing, evaluating, and modifying methods and techniques.  The nature of the assignments require flexibility and ability to make rapid adjustments from performing administrative and supervisory management functions to interacting with physicians, hospital and area administrators, hospital services and nursing services outside the organization.  Consults with the Executive Director, Division of Nursing, and clinical and supervisory staff members in professional and patient care/activities. 

Guidelines consist of professional standards of practice as determined by the nurse practice act, nursing, and medical policy and procedures, standing orders, and hospital and agency policies.  Complies also with SAMHSA, FPM, DHHS, PHS, and IHS regulations.  These guidelines are not always specifically applicable to all situations and independent judgment is required to analyze and determine the appropriate course of action in problem solving related to the specific situation.  Evaluation of work performance is accomplished through reports, conferences, and effectiveness in meeting the objectives of the service.

Supervision Received: The Executive Director, Division of Nursing is the immediate supervisor.  The Executive Director, Division of Nursing sets the overall objectives and resources available.  The Nurse Manager exercises independent judgment in planning and carrying out the assignment and in changing or modifying plans based upon program needs and standards.  Work is reviewed for effectiveness in meeting expected results.

Responsibility for Accuracy: The incumbent’s responsibility for accuracy is critical in achieving and maintaining The Joint Commission accreditation requirements that would negatively affect meeting accreditation and having potential of losing revenue generated from Medicare and Medicaid collections. 

The incumbent’s performance affects the health, recovery, and rehabilitation of patients, and the quality of care provided.  Evaluations and observations are used to modify and develop clinically appropriate treatment plans.  The incumbent has a positive effect upon the recovery of the patient and is responsible for the development of policies and procedures, which serve as hospital guidelines.

Contact with Others: Contacts are with patients, families, hospital personnel, medical services and community agencies. Contacts with patients, families, and hospital personnel are to exchange, provide, and obtain information concerning the patient's physical and psychosocial health care problems and needs.  Contacts with nursing and medical, administrative and other hospital departments are to monitor and evaluate the quality of care and implement corrective actions. 

Confidential Data: The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical, and all other pertinent information that comes to his/her attention or knowledge.  The Act carries both civil and criminal penalties for unlawful disclosure of records. Violations of such confidentiality shall be cause for adverse action. 

The incumbent is responsible for the development, application, and implementation of EEO requirements and the EEO program guidelines established by the HRSA Office of Equal Employment Opportunity.  In addition, the incumbent is directly accountable for the achievement of tangible EEO progress and results relative to minorities and women with the jurisdiction of the immediate organizational unit supervised.  Sets the tone and carries out the leadership role by: initiating affirmative EEO action, selection, details, reassignments, training awards, career ladders and/or lattices, hiring; redesigning jobs; developing and promoting minorities and women and acting as a positive model in EEO matters for the benefit of subordinate supervisors and employees.   Seeks out and utilizes the appropriate personnel generalist, EEO deputies and/or counselors applicable training resources, etc.  Reports will be submitted concerning EEO matters, as required.

Mental / Visual / Physical Effort: Work in various services within the nursing department requires considerable walking, standing, bending, pushing, and lifting in helping patients.  These same activities are required in moving equipment and medical supplies.  The ability to cope with the volume of patients, personnel problems, and constant changes is required.

Environment: The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, irritant chemicals, and explosive gases.  May be necessary to work when Administrative leave is granted if patient care would be compromised. 

Extent of Supervision: Supervises the work of between 5 to 10 personnel in licensed professional, ancillary support, and clerical positions.  Is responsible for planning work to be accomplished, setting priorities, assigning work, evaluating the performance of subordinates, counseling subordinates on technical and administrative matters, interviewing, selecting and assigning new employees or reassigning those currently employed, hearing and resolving complaints; effecting minor disciplinary measures and resolving complaints; effecting minor disciplinary measures and identifying development and training needs of subordinates.  Promotes the incentive awards, equal employment opportunity, upward mobility and other special programs.  Schedules and approves leave.

Customer Service: Consistently demonstrates superior customer service to patients/customers by displaying behaviors and skills consistent with CIHA guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.  Acts as a positive role model for all employees. Communicates service problems, team plans, and facilitates problem-solving meetings with team. Immediately addresses service issues and follows up to ensure patient/customer satisfaction.