Assistant Director Nursing (RN) Ambulatory Orthopedics - Relocation...

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General Summary of Position

The Assistant Director of Nursing (ADON) for Ambulatory Orthopedic Services at MedStar Washington Hospital Center is a member of the MedStar Health entity-based Division of Nursing and leadership team, providing clinical leadership and administrative oversight for ambulatory orthopedic services in collaboration with the Director of Nursing. This role directs and coordinates clinical operations and patient care delivery for professional nursing and support staff, ensuring the provision of holistic, culturally competent, person-centered, safe, high-quality, cost-effective, and evidence-based care throughout the orthopedic treatment and recovery journey. The ADON supports staff development, promotes shared decision-making, monitors clinical quality and performance outcomes, and ensures adherence to regulatory and accreditation standards and MedStar Health policies and procedures. Working collaboratively with orthopedic surgeons, advanced practice providers, rehabilitation specialists, and interdisciplinary partners, the ADON coordinates patient transitions across the continuum of care, advances quality and patient safety initiatives, and fosters a culture of accountability, continuous improvement, and cost-conscious care. This leader demonstrates behaviors consistent with MedStar Health's mission, vision, goals, SPIRIT Values, patient care philosophy, and commitment to sound moral and ethical judgment while promoting optimal patient outcomes and staff engagement. 

Primary Duties and Responsibilities

• In collaboration with the Director of Nursing develops site/office goals objectives policies and procedures and ensures compliance with entity policies and procedures clinical practice guidelines and regulatory and accreditation standards.
• Develops and maintains effective relationships and partnerships across disciplines (e.g. medicine) and departments (e.g. environmental services) to ensure the delivery of efficient and quality patient care services. Contributes to the efforts to ensures site/office activities and patient throughput proceed smoothly.
• In collaboration with the Director of Nursing develops standards of performance for associates evaluates performance and conducts performance management planning. Initiates or makes recommendations for personnel actions. Sets clear expectations for performance and holds associates accountable. Maintains ongoing communication with associates to review programs discuss new developments and exchange information.
• Completes annual performance reviews of site/office-based associates in a timely manner. Ensures the reviews reflect the individual associate's ability to meet performance expectations and beneficial ongoing developmental goals. Provides associates with ongoing feedback and champions their continued professional growth and development.
• In the absence of the Director of Nursing/Senior Director of Nursing maintains communication with the VP and CNO MAS & MMG Medical Director providers other clinical leaders and personnel from other departments for the purpose of coordinating operations among the site/office clinical nursing division and entity.
• Contributes to the development implementation monitoring and management of the site/office-based budget and to support the organizational objectives patient care standards and quality of care. Demonstrates fiscal responsibility with day-to-day site(s)/office(s) productivity and operations. Ensures availability of necessary materials supplies and equipment for safe and optimal patient care delivery.
• Implements approaches and strategies that optimize patient care delivery and outcomes. Rounds on patients during the day for the purpose of engagement satisfaction and improvement in the care experience. Investigates and follows through on patient complaints and safety events.
• Supports and promotes quality and patient safety initiatives and high reliability standards. Leads site/office-based safety huddles. Escalates care delivery concerns to the Director of Nursing and other leaders as necessary and following the chain-of-command. Takes action to ensure optimal execution of the National Patient Safety Goals nursing sensitive indicators/measures regulatory requirements and other identified quality metrics. Identifies and participates in performance improvement opportunities as appropriate and based on findings.
• Collaborates with the Director of Nursing and Operations leader(s) in the hiring evaluation promotion and termination of personnel within the assigned site/office as needed. Initiates coaching and counseling of associates. Monitors and ensures appropriate staffing for site/office(s).
• Collaborates with other nurse leaders (Directors of Nursing Professional Development and others) to ensure associate competencies. Identifies individual staff development needs and provides appropriate resources to meet needs.
• Assists with developing orientation of newly hired associates and preceptor and resource clinical programs. Plans and coordinates the assessment of site/office-specific competencies for all clinical personnel within the site/office. Supports the implementation of new programs/practices and helps design educational programs that ensure the highest quality care delivery and customer satisfaction.
• Maintains continuing education files competency assessment documentation licensure and specialty certifications for self and the associates within the site/office.
• Maintains and demonstrates a professional patient-first atmosphere and an environment of coaching and development that supports shared decision making interdisciplinary collaboration and a high level of patient and associate satisfaction as evidenced by outcomes data. Provides shift-based clinical leadership through role modeling professional practice behaviors proper delegation of activities and management of the clinical team by maintaining staff accountability. Evaluates the need for and contributes to improvement in the professional practice environment.
• Participates in entity committees task forces interdisciplinary forums and projects (e.g. serious safety event reviews and performance improvement teams) at the request of Director of Nursing or Operation leaders. Promotes a public image of professional nursing excellence and represents the entity in community outreach efforts as appropriate.
• Maintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature attending related seminars and conferences and maintaining membership in professional nursing associations. Demonstrates accountability for own professional development and advancement.
• Assumes administrative responsibilities in absence of the Director of Nursing and provides coverage for other colleagues.
• Maintains clinical knowledge and skills and engages in the provision of direct care of patients as required.

Minimal Qualifications
Education

• Bachelor's degree in Nursing from a Nationally accredited program required and
• Master's degree in Nursing or a health related field from a Nationally accredited program preferred

Experience

• 3-4 years of progressive nursing care experience required and
• 1-2 years leadership and management experience preferred

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid in the State of Maryland or District of Columbia - jurisdiction is dependent on the entity of employment. Upon Hire required and
• Specialty certification from a nationally recognized nursing organization in either a clinical specialty or Nursing Administration Upon Hire preferred and
• CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and
• Additional unit/specialty certifications may vary by department or business unit.

Knowledge Skills and Abilities

• Excellent problem-solving skills and ability to exercise independent judgment on complex situations.
• Verbal and written communication skills
• Basic knowledge of various computer software applications and online learning applications especially Microsoft PowerPoint and Excel

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