STANDARDS OF PERFORMANCE

THE ESSENTIAL JOB FUNCTIONS ARE CATEGORIZED UNDER THE JOINT COMMISSION STANDARDS OF PERFORMANCE.

Program Planning and Treatment

• Direct the provision of 24-hour nursing services for the facility.
• Develop, implement and revise corporate, facility and Nursing Services policies and procedures within the guidelines of the Medical Staff Bylaws and Rules and Regulations of the facility and taking into consideration the recommendations of the CEO, the MedicalDirector, the Director of Social Services and the nursing staff.
• Review the progress, quality and effectiveness of all nursing programs.
• Establish methods for evaluating nursing care practices, formulate plans for new programs and changes to existing programs, and initiate and/or utilize studies and research applicable to the development of nursing services.
• Consult with the CEO on the development of long and short-term facility projects, goals and objectives of Nursing Services.
• Establish nursing committees as needed for quality and patient care needs.
• Strategically solve problems that encompass the larger view of the organization, and establish goals by utilizing an understanding of organizational dynamics in planning and problem solving.
• Participate in developing, justifying and controlling the annual budget for department personnel, facilities and equipment.
• Consult with facility management in the development and facilitation of program activities which assure an optimal therapeutic experience for all patients.
• Ensure all Nursing Services programs maintain current departmental manuals.
• Direct a system that ensures that individual patients and their families are involved in the development of individualized treatment plans.
• Maintain an active involvement and awareness of all patient admissions, discharges and transfers.
• Meet regularly with Program Managers, the Medical Director and program staff to ensure compliance with program goals and objectives.
• Serve on facility committees and attend meetings as assigned.
• Act as a behavior model in transmitting clinical and procedural expertise to other nursing staff.

Professional Development

• Show evidence of continuing education in the area of nursing administration, nursing management and hospital administration.
• Maintain membership in appropriate nursing and health care related organizations.
• Maintain current awareness of mental health activities in the community.
• Remain current on all nursing standards and techniques, and provide direction to staff and facility personnel on changing standards as required.

Professional Collaboration

• Provide services to current referral sources to assure their satisfaction and continued associations.
• Allocate and coordinate program resources for marketing and referral development activities.
• Provide education, support and recognition to staff participating in referral development activities.
• Collaborate with the Director of Business Development to develop, implement and monitor a target marketing plan for the program.
• Provide for guest relations and ensure the appearance of the facility and manner in which program staff communicate with patients, families, referral sources and fellow staff is effective and professional.
• Ensure the implementation of an ongoing system of program orientation for patients, families, professionals and others.
• Maintain an awareness of community and market-related activities which includes knowledge of the activities of other providers, needs of local payers and the political climate related to mental health.

Personnel Management and Staffing

• Evaluate Program Managers and Nursing Supervisors regarding personnel performance and assist them in counseling nursing personnel to help them meet the prescribed goals of performance.
• Maintain and allocate a well qualified core of staff resources.
• Assure that hiring, disciplinary actions and termination procedures are conducted in accordance with hospital policies.
• Involve appropriate facility management in all decisions, and review these decisions with CEO prior to implementation.
• Assure adequate supervision and evaluation processes for all staff members and delegate these responsibilities as appropriate.
• Assure adequate orientation for new employees, attending physicians/licensed practitioners and Allied Health Professionals.
• Provide for educational needs and professional development of staff.
• Ensure that the staff schedule and configuration will meet the needs and demands of the patient population and census and adjust it accordingly.
• Ensure an adequate system of communication and reporting is maintained between all staff members, as well as other departments involved in the ongoing operation of the program.
• Create a structure that best meets the needs of the organization, particularly department organization related to supervision and assignment of staff.
• Routinely review job assignments and utilization of staff.

Continuous Quality Improvement

• Ensure that a system is developed to provide continuity of care and communication with family and appropriate referral sources, and ensure the system is evaluated and reviewed regularly.
• Evaluate the achievement of program goals and objectives with appropriate staff on a regular basis.
• Ensure the program meets The Joint Commission, Medicare and state and federal regulatoryrequirements.
• Develop and implement a Performance Improvement Plan, evaluate the results monthly and report the results to the Corporate Performance Improvement Committee in a timely manner.
• Ensure that all deficiencies identified through the Performance Improvement analysis are addressed with appropriate problem solving actions.
• Review all risk management occurrences and ensure that complete and timely reports are submitted to Risk Management.
• Analyze statistical data of the program to determine and respond to trends.

Additional Standards

• Provides an adequate staffing pattern to meet patient needs, based on patient census and as determined by the patient acuity system.
• Implement methods to effectively control and reduce the need to use agency personnel.
• Continually evaluate the activities, morale and interpersonal relationships of all Nursing Services staff members and promotes methods to improve in these areas.
• Consistently select personnel for transfer, promotion and special training to ensure the most effective utilization of individual skills and employee development.
• Develop and maintain leadership capabilities of Program Managers and other Nursing Services supervisory personnel.
• Ensure that correct job descriptions which delineate the function, responsibilities and desired qualifications for each position exist for each member/classification of the nursing services department and are available to nursing services personnel at the time of hiring. Review and revise as necessary.
• Serve on facility committees as assigned.
• Accept responsibility for professional growth and development of all staff supervised.
• Demonstrate a professional attitude and supports the objectives of the facility's marketing and guest relations philosophy through internal and external communications and interactions with all levels of staff, patients, family members, guests, community and referral sources.
• Adhere to facility, department, corporate, personnel and standard policies and procedures.
• Attend all mandatory facility in-services and staff development activities as scheduled.
• Adhere to facility standards concerning conduct, dress, attendance and punctuality.
• Support facility-wide quality/performance improvement goals and objectives.
• Maintain confidentiality of facility employees and patient information.

Note: The essential job functions of this position are not limited to the duties listed above.

Education: Bachelor's degree from an accredited school of nursing; Master's Degree in psychiatric nursing or related field required.

Experience: A minimum of five (5) years experience in nursing administration and/or dedicated leadership experience in psychiatric nursing.

Licensure: Licensed as a Registered Nurse in Massachusetts.

Additional Requirements: A thorough knowledge of The Joint Commission, Medicare, OSHA regulations and all other state and federal regulatory standards.

KNOWLEDGE, SKILLS, AND ABILITIES

THIS SECTION DESCRIBES WHA T KNOWLEDGE, SKILLS AND ABILITIES AN EMPLO YEE IN THIS POSITION SHOULD CURRENTL Y POSSESS. THIS LIST MA Y NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.

• Knowledge of all code procedures.
• Knowledge of psychiatric and medical nursing procedures.
• Knowledge of Mental Health Laws, Child Abuse/Neglect/Maltreatment Laws and the DHS provider agreement.
• Skill in organizing and prioritizing workloads to meet deadlines.
• Skill in telephone etiquette and paging procedures.
• Effective oral and written communication skills.
• Must have excellent leadership and interpersonal skills.
• Ability to communicate effectively with patients and co-workers.
• Ability to analyze situations, evaluate data, recommend/implement courses of action that would improve the functioning of the systems/processes he/she is involved in.
• Ability to adhere to safety policies and procedures.
• Ability to use good judgment and to maintain confidentiality of information.
• Ability to work as a team player.
• Ability to demonstrate tact, resourcefulness, patience and dedication.
• Ability to accept direction and adhere to policies and procedures.
• Ability to recognize the importance of adapting to the various patient age groups (adolescent, adult and geriatric).
• Ability to work in a fast-paced environment.
• Ability to meet corporate deadlines.
• Ability to react calmly and effectively in emergency situations.

Equal Opportunity Employer

At Hospital for Behavioral Medicine we value a diverse, inclusive workforce and we provide equal employment opportunity for all applicants and employees.We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.