Clinical Operations Director

Duke Primary Care is the largest primary care network in the greater Triangle area with family medicine and internal medicine providers, and pediatricians in 34 locations throughout the Triangle.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet® organization
• Nurses from each hospital are consistently recognized each year as North Carolina’s Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses 
• Quality of Life: Living in the Triangle
• Relocation Assistance! 

Job Title: Clinical Operations Director

FLSA: E 

Job Code: 5023 

Pay Target: I2 

Supervisory Responsibility: Yes 

General Description of the Job Class

The Duke Primary Care Clinical Operations Director (COD) is responsible for the oversight of effective and efficient nursing and clinical care delivery systems supporting patient and family needs across the continuum for the DPC multi-site network. The COD provides direction and leadership for assigned clinical areas; ensures the effective administrative management of clinical functions related to personnel and policy and participates in the analysis, planning and strategy formulation of network-wide goals.  

Additionally, the COD provides programmatic oversight for administrative and clinical activities related to identified nursing services; prepares and manages budgets, supervises program leaders and develops policies and procedures consistent with program objectives. The COD serves as a member of the DPC Nursing leadership team, under the direction of the Associate Chief Nursing Officer for Duke Primary Care.

**Must be willing to travel to all nine Urgent Care clinics spread across multiple counties. Urgent Care clinics are open 8 AM-8 PM, 365 days out of the year.**

Duties and Responsibilities of this Level

Hiring/Evaluations/Mentorship/Leadership (5%):

Collaborates in various personnel actions including, but not limited to, hiring and onboarding, performance appraisals, disciplinary actions, terminations and other related activities.

Collaborates to ensure effective processes for recruitment and retention.

Collaborates in the development, implementation and expansion of learning opportunities and skill development for all staff.

Serves as a professional role model and mentor to nursing leaders by responding positively to change while supporting colleagues throughout the change process. Serves as a change agent to facilitate communication and transition while supporting the mission of the organization.

Program Oversight (25%):

Conducts needs assessments and identification of outcomes for assigned programs.

Provides overall direction and leadership for operational activities of assigned program within nursing services; makes decisions and issues instructions in accordance with departmental policies and procedures.

Directs and coordinates work of designated employees, manages personnel activities to meet CSU/Departmental and Health System objectives related to the provision of patient care within designated clinical areas and programs.

Evaluates program objectives on a continual basis; implements changes to existing policies and procedures as appropriate.

Clinical Operations (40%)

Plans, implements and evaluates ambulatory health care services, programs and activities.

Collaborates with interdisciplinary teams through effective communication.

Analyzes, develops and maintains an effective and efficient nursing care delivery system that reflects patient and family needs across the continuum; achieving desired outcomes.

Actively supports and promotes a professional practice model that encourages staff participation in the development of clinical standards that is collaborative, collegial and utilizes current trends and data in professional practice (clinical and administrative). Develops and fosters effective collaboration between other Health System departments to ensure an integrated approach to providing services, with fulfilling operational goals and objectives. 

Assists clinic and regional leadership in identifying clinical operational needs.Collaborates in oversight of such areas as clinical quality, custimer service, human captial management, culture and engagement, information systems, process management, lean management principles, finances and general clinic operations.  

Collaborates to ensure a safe environment of care for all staff, patients, and families. Provides support to clinics with nurse manager vacancies; Available on-call for emergencies involving the facility, staff members and patients.

 Quality Improvement (10%)

Develops and implements processes to enhance clinic and network operations for ongoing quality improvement and patient safety.

Coordinates in the development, implementation and evaluation of policies and procedures designed to improve operational efficiency.

Budget (5%)

Collaborates with the regional leadership team to determine fiscal requirements of assigned clinics, and prepare budgetary recommendations. Monitors the level of resources utilized in service delivery and determines the appropriateness of resource consumption in the service; including necessary nursing personnel and patient care materials necessary for the provision of care. Develops action plans in conjunction with the regional leadership team to ensure budget and resource efficiency, and satisfaction with patient care delivery.

Determines fiscal requirements and prepares budgetary recommendations; monitors costs and expenditures of program activities and authorizes expenditures of program funds.

Policy/Regulatory (5%)

Develops, plans and implements policies and procedures to support nursing and patient care services in DPC practices.

Ensures DPC (Duke Primary Care) policies and procedures are aligned with the Health System.

Serves as the clinical operational liaison with administrative and professional personnel concerning departmental and Health System policies and procedures.

Develops, documents, implements and monitors written policies and procedures reflective of the ambulatory healthcare environment using evidenced-based care.

Collaborates with nurse leaders to ensure compliance with clinical patient care standards and established policies and procedures.

Collaborates to ensure that departments/staff meet The Joint Commission, NC Board of Nursing, and other regulatory/licensure requirements. 

Represents the Associate Chief Nursing Officer regarding nursing service issues. 

Strategy (10%)

Participates, with senior ambulatory personnel, in the analysis, planning and strategy formulation of ambulatory entity goals and the implementation of plans and programs; analyzes practice operations and needs to determine potential enhancements or improvements to procedures and activities. 

Participates in the development of the clinical areas' strategic and operational plans.

Openly supports and consistently communicates the mission of the organization.

Provides strategic direction in the development and implementation of goals and objectives of assigned program in conjunction with the ACNO and Senior Leadership team.

In collaboration with other administrative leadership, develops strategic and operational plans for assigned clinical area(s). Communicates and continuously evaluates plans.

Develops and communicates our vision for care delivery models and facilitates the ongoing refinement of such models.

Participates in identified DPC and DUHS committees/initiatives and attends clinical leadership meetings. Serves on committees and task forces to address network issues, and represents the needs and goals of the network on external committees. Acts liasion to all levels of DUHS administration, providers and outside organizations to coordinate the clinical functions of network and to facilitate problem resolution. 

**Performs other related duties incidental to the work described herein.**

Required Qualifications at this Level

Education: Master's Degree and Bachelor's Degree in Nursing is required.

Experience:Five years of nursing experience is required including at least 2 years of experience in a management role.

Degrees, Licensure, and/or Certification:

Must have current or compact RN licensure in the state of North Carolina.

BLS (Basic Life Support) certification required.

Nurses hired into leadership positions must obtain a nursing leadership certification within one year of hire.

Knowledge, Skills, and Abilities:

Ability to manage multiple organization missions. Facilitation, consensus-building, and negotiation skills

Sensitivity for and understanding of clinical disciplines and issues.

Understand cost containment and managed care systems.

The ability to work with all types of individuals in multiple settings and locations and to promote diversity in the workplace.

Knowledge of necessary regulatory bodies including North Carolina Nurse Practice Act.

Expert communication skills.

Distinguishing Characteristics of this Level

N/A

Job Code: 00005023 CLINICAL OPERATIONS DIRECTOR
Job Level: I2

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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.