Chief Nursing Officer (CNO)

Definition:  Under general direction from the HHS Director, provides management of case management, community health, nursing practice across HHS, infection control and ancillary services (may include but not limited to radiology, lab, pharmacy),  with the goal of promoting and restoring health, preventing disease and disability as well as improving the quality of life.  This job class is treated as FLSA Exempt.

Essential Functions:   Essential functions may vary among positions and may include the following tasks, knowledge, skills, abilities and other characteristics.  This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.

1. Workflow, supervision and management: Oversees ancillary staff and nursing practice Provides clinical and technical supervision of nursing staff and ancillary staff.

• Oversees nursing practice and medical assistant practice including documentation and treatment planning, medication administration, documentation and monitoring, coordination of care and patient education.  
• Works with nursing and ancillary department supervisors and managers to develop shift schedules, and coordinate time off.
• Approves time cards and payroll.
• Maintains operations by initiating, coordinating, and enforcing program, operational and personnel policies and procedures.
• Outlines goals and objectives for evaluation, evaluates performance of staff and conducts timely performance evaluations.  
• Provides training and leadership for the staff to accomplish the community’s health goals and standards of care for the clinic including care/treatment plan documentation, licensure requirements, etc.
• Ensures safe and clean working environment by coordinating with and educating staff regarding infection control best practices. 

2. Departmental Management: Maintains direction with community objectives on standards of care and operations

• Evaluates processes and procedures for quality standards of care, recommends changes to meet the organizational goals of the department.
• Maintains supplies inventory by studying usage reports; identifying trends; anticipating needed supplies; approving requisitions and cost allocations.
• Operates within the departmental budget for operations (personnel and supplies).
• Provides input for the annual budget process to support budget expenditures for departments reporting to the Nursing Administrator.
• Maintains documentation of patient care services by auditing patient records.

3. Patient Interaction: Assist with staff duties as needed, including obtaining health histories and performing physical assessments.

• Initiates preventative health measures within the scope of practice for a professional Registered Nurse (RN) or other ancillary professional scope of practice.
• Evaluates and carries out medical providers' orders.
• Initiates appropriate interventions according to health care priorities identified in assessments.
• Adheres to established policies and procedures and standing orders.
• Coordinates programs, services and other activities to implement targeted health promotion and disease prevention activities.
• Maintains patient confidence and protects operations by monitoring confidential information processing.

4. Case Management: Directs Case Management Department including but not limited to transitional care and chronic care management programs. Oversees care coordination for individuals and families including coordination of all health-related appointments.

• Works with families, Community programs and medical personnel to arrange for additional services including convalescent and rehabilitative care as well as medical specialty services.
• Provides referrals for clients with social and emotional problems or any other needs, beyond the scope of the RN, to other community agencies and services for assistance, as needed. 
• Participates in case management meetings with all programs servicing assigned clients
• Participates as a member of multi-disciplinary consultation and review teams including case assignments.
• Attends staff meetings as requested.

5. Quality Improvement, Data Collection, and Analysis: In conjunction with the quality department, collects data pertinent to areas of oversight regarding patient safety, quality, efficiency, patient experience, and the health status of the population and community served.

• Works with the quality department to maintain and analyzes program data to make suggestions for program enhancements.
• Prepares and submits required reports as necessary.
• Participates in Root Cause Analysis and develops and implements appropriate action plans.  

6. Health Education/Facilitation: Oversees health education and health skills training opportunities for the Community and employees of the Community, including CPR, diabetes education, and blood borne pathogens.

• Collaborates with representatives of the Community, service organizations and HHS professionals in providing for, and promoting, the health of the population.
• Actively reaches out to all who might benefit from an intervention or service.
• Identifies and investigates health risks to the Community by working with other health professionals as assigned.

7. Updates professional knowledge and proficiency in nursing through continuing education, staff meetings, training and conferences, etc.

8. Works in collaboration with and communicates with the HHS executive team.  

9. Performs other job-related duties as assigned.

Knowledge, Skills, Abilities, and Other Characteristics:

• Knowledge of the history, customs, culture, traditions and government of the Salt River Pima- Maricopa Indian Community.
• Knowledge of medical, public health and social service resources available to Community members including, but not limited to, Indian Health Service (I.H.S.), Medicare, Medicaid, ALTCS, SSI, etc.
• Knowledge of assessment, diagnostic, preventative and therapeutic procedures used in a community health program.
• Knowledge of federal, state and SRPMIC laws and regulations governing professional nursing practices.
• Knowledge of theory, principles and scope of practice for a professional Registered Nurse.
• Knowledge of theory and practices of management in nursing services.
• Knowledge of counseling theory and techniques as well as learning principles and strategies.
• Knowledge of health systems and disease processes.
• Knowledge of data collection and analysis.
• Knowledge of public health practices and concerns.

• Skill observing, assessing and documenting the behavior and progress of patients.
• Skill assessing client needs and developing care plans.
• Skill applying professional Nursing methods and techniques as well as emergency medical procedures including First Aid and Basic Cardiac Life Support.
• Skill with verbal and written communication and the ability to communicate effectively with a wide range of people, clients, families, community groups and health professionals.
• Skill managing various employee types in stressful situations
• Skill with program planning, operational processes, and creating department budgets

• Ability to establish and maintain positive and effective working relationships with colleagues, subordinates, supervisors, health care professionals, Tribal officials, representatives or resource agencies, patients and Community members.
• Ability to work as a productive member of a team.
• Ability to deal with sensitive issues and maintain appropriate, professional and confidential relationships.
• Ability to incorporate cultural differences, health beliefs and learning styles.
• Ability to develop and implement program protocols as well as identify and address programmatic problems.
• Ability to use a personal computer and related software, including MS Office along with a variety of standard office equipment including cellular phones, photocopiers, FAX machines and calculators.
• Ability to bend, lift, and move in a manner consistent with the duties assigned.

Education:  A Bachelor’s degree from an accredited college or university, Master’s degree required, AND Registered Nurse Certification from an accredited School of Nursing are required

Experience:  Seven (7) years professional Nursing experience required with at least five (5) years’ experience Nursing Management experience in a multidisciplinary clinical environment

• Regulatory experience and knowledge of various accreditation bodies preferred. 
• Experience working with Native Americans and knowledge of CHR programs is preferred.
• Working knowledge of infection control, ancillary services (radiology and lab), immunizations, wound care, diabetes education and chronic disease management preferred.

Equivalency: Any equivalent combination of education and/or experience that would allow the candidate to satisfactorily perform the duties of this position, will be considered.

Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill.

• May be required to work beyond normal work hours including nights, weekends and holidays.

• Employees in, and applicants applying for, jobs providing direct services to children are subject to the “Community Code of Ordinances”, Chapter 11, “Minors”, Article X. “Investigation of Persons Working With Children”.

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check. 

"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified: Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate.

In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).

Documents may be submitted by one of the following methods: 

1) attach to application

2) fax (480) 362-5860

3) mail or hand deliver to Human Resources.

Documentation must be received by position closing date. 

The IHS/BIA Form-4432 is not accepted. 

Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.

Salary : $150,780 - $218,633