Director of Nursing

Salary: Starting at $130,000
FTE: 0.8-1.0 FTE
In Person Expectation: At least 4 days/week in person
FSLA Status: Exempt
Primary Location: Lyon-Martin Community Health Services
Address: 1735 Mission Street
Reports To: Medical Director

Organization Mission

The mission of Lyon-Martin Community Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay. 

We aim to address and eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that’s why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.

Job Summary

The Director of Nursing acts as a clinical leader by overseeing of all aspects of clinical care within the nursing scope of practice throughout the clinic. The Director of Nursing is a key member of the Leadership Team, contributing to strategic vision of the organization, directly supervising the nursing team, and providing coverage for nursing support to LMCHS patients using a trauma-informed, harm reduction focused, patient-centered medical home delivery model. They participate in the Operations Committee, which oversees training and workforce development programs, new staff on-boarding, Quality Improvement activities, Research programs, and the development, implementation and maintenance of policies and procedures. The Director of Nursing is expected to uphold and imbue in others a commitment to addressing racism, ableism, fatphobia, gender and sexual discrimination within the organization and our clinical practice.

Key Responsibilities

Supervisor Responsibilities:  

• Provides direct supervision of all Registered Nurses, the Outreach RN, and the Medical Assistant Manager, leading hiring, on-boarding, training, professional development, performance evaluations, and disciplinary actions for all direct reports. Manages schedules and coverage for the Nursing department, stepping in to provide direct coverage when needed.
• Develops, implements, and maintains policies & procedures, standing orders, guides, handouts, and forms pertaining to the Nursing Departments in collaboration with Operations Committee.  
• Provides clinical leadership and oversight to students participating in Lyon-Martin’s workforce development programs such as its clinical rotation, externships, and fellowship program. 
• Participates and/or leads research programs as needed.
• Serves on the Quality Improvement Committee, leading PDSA interventions and acting as a champion of change.
• Supports team in meeting benchmarks for applicable quality indicators as noted in the annual quality improvement plan. 
• Leads and oversees quarterly nursing peer review processes.
• Increases staff competencies and satisfaction through training and mentorship.
• Works to improve the overall quality and efficiency of clinical workflows.

Clinical Care Responsibilities:

• Promotes and enhances integrated team-based care in the provision of medical care, including patient centered care using trauma-informed care and harm reduction frameworks. 
• Provides care, within the scope of credentialed privileges and standardized procedures, to patients within an integrated delivery model, documenting care promptly and following charting protocols and applicable CA state licensing requirements; completes patient sessions in a timely manner; closes visit notes in a timely manner (same day for visit notes and urgent inbasket messages, within 72 hours for routine messages)
• Informs clients of normal and abnormal lab results and follow up plans, as appropriate for scope or under guidance of a provider.
• Triages and responds to patient and colleague requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner.
• Works collaboratively with mental health staff to facilitate integration between primary care and mental health in order to improve patient outcomes.
• Obtains and maintains licensure and BCLS/CPR certification. 
• Attends continuing professional education programs, at the request or with the approval of supervisor, demonstrating participation in required hours of continuing medical education according to California law.
• Utilizes motivational interviewing skills and encourage patient activation and self-management.
• Appropriately utilizes standing orders.
• Facilitates team functioning and efficiency.
• Assesses, triages, and provides nursing advice to patients who walk-in with medical complaints or who call-in with medical concerns seeking advice.
• Prioritizes and takes responsibility for patients with complex medical issues and follow up with all patients regarding recent emergency room visits and inpatient stays. 
• Works in collaboration with Leadership Team to review and makes recommendations for changes to all forms and handouts stocked to ensure evidence-based, trans inclusive and patient-centered language is used.
• In collaboration with Leadership Team, creates and provides trainings and orientation to RNs about LMCHS specific policies, procedures and protocols to newly on-boarded clinical staff.

Organizational Responsibilities: 

• Demonstrate clear commitment to and understanding of gender affirming care and abortion.
• Keep up to date with operational and procedural requirements. 
• Complete mandatory trainings within deadlines.
• Maintain availability for various administrative/clinical duties as requested by supervisor (e.g., case presentations.
• Provide in-service training to staff as needed.

And, other duties as assigned.

Competencies:

Communication, Written: Delivers written communications that have clarity and impact including emails.

Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.

Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.

Time Management: Organizes and establishes priorities; gets the job done in a timely manner.

Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.

Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance. 

Teamwork: Accountable to team; participates effectively in group- and teamwork; collaborates positively with other team members; giving and accepting constructive criticism.

Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.

Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.

Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.

Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact. 

Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.

Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.

Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.

Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.

Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.

Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.

Education, Knowledge, Skills:

• Graduation from an accredited school of nursing with minimum BS degree
• Possession of a valid, active California license as a Registered Nurse 
• Possession of BCLS/CPR certification 
• At minimum, 2 years experience in clinic setting, prefer 5 years
• At minimum, 1 year experience in supervisory role, prefer 3 years
• At minimum, 2 years experience working with Lyon-Martin’s priority populations in a healthcare setting
• Commitment to the mission of Lyon-Martin and to community-based primary care
• Knowledge of third party payer requirements, California practice guidelines and malpractice laws 
• Demonstrated leadership and expertise in the field of transgender, queer, and intersex health 
• Experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex clients, populations with varying lifestyles, disabilities, racial, ethnic and cultural backgrounds and economic statuses, clients who do sex work, those experiencing homelessness, people who have challenges with mental illness, people who use drugs, those of with a history of incarceration, people of varying ages, safety net populations.
• Commitment to working in an environment offering abortion services and the full scope of pregnancy options counseling.
• Experience with electronic medical records, specifically Epic.
• Strong phlebotomy skills.