Director of Nursing

Shriners Children's Lexington, KY 40508, US

Company Overview

Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.

Job Overview

The Ambulatory Surgery Center Director of Nursing has administrative authority and responsibility for patient care services, policies and procedures, evidence-based nursing standards of patient care, and compliance with the Nurse Practice Act. Reports directly to the site administrator and has indirect reporting relationship to the Regional Nurse Executive and the System Chief Nursing Officer. Maintains sound organizational relationships and shared decision making with the Board of Governors, Site leadership, (Administrator, Chief of Staff and Director Fiscal Services), physicians, department leaders, and all stakeholders. Develops, implements, and evaluates long and short-term goals for nursing as well as for assigned departments; responsible for directing, planning, and facilitating process improvements in patient care in a safe, consistent environment that promotes quality care and optimal patient outcomes within the constraints of available resources. On an ongoing basis, evaluates and initiates revisions as necessary to ensure nursing care is implemented via the Nursing Process and Nursing Philosophy which is derived from FOCUSED the Shriners Hospitals for Children (SHC) Professional Practice Model.

Maintains effective communication with all nursing, patient care services, and other personnel; physicians, board members, and stakeholders; strives for the advancement of the nursing profession within the community and on the local, state, and national level. Maintains awareness of legislation affecting nursing practice and implements practice or process changes as needed; acts as a resource person for the ambulatory center related to nursing standards and practices.

Responsibilities

As a member of the Senior Leadership team, participates in the development, monitoring and execution of the site’s strategic plan demonstrating systems thinking and change management skills. In collaboration with unit/department leaders, contributes to planning, decision making, and policy formulation.
Attends/holds membership on site and medical staff committees as appropriate. Attends Board of Governors and physician meetings to report on activities of nursing and assigned departments. Provides administrative coverage in the absence of the administrator. Participates in community educational programs and meetings as the site’s representative.
Demonstrates ability to lead/direct Patient Care Services (PCS) team by providing leadership, mentoring and guidance to patient care leaders and staff using principles of management. Identifies needed changes, facilitates/directs the change and role models positive attitude toward change. Role models professional nursing practice and behaviors. Coaches (PCS) leadership team in leadership principles. Collaborate with members of the site’s leadership team.
Identifies, develops, and facilitates patient safety initiatives, quality improvement strategies, nursing and employee satisfaction initiatives and other programs to maintain and improve the patient-focused culture of assigned departments and services. Embraces shared decision making by energizing staff and others in decision making that is patient and family centered in an environment that is conducive to discussion and opinion sharing.
Makes unit/department and patient rounds frequently to keep channels of communication open. Gives appropriate feedback in a timely manner to questions and Promotes and facilitates harmonious relationships among assigned personnel, the Medical Staff, patient and public, and acts as liaison between assigned departments and other departments of the ambulatory surgery center.
Responsible for oversight, development, allocation, and administration of the budget for assigned departments, based on past requirements, forecasted patient care needs, best practice, available resources and for quality management Read, analyze, and interpret the most complex data documents.
Develops, implements, and assures the organization's plan for providing nursing care and other assigned patient care services in accordance with the mission / vision of the Evaluates problems and concerns in the patient care services areas and overall site in terms of ensuring safe, effective, quality patient care, and staffing.
Manages human resources via workforce planning, employment decisions, reward & recognition for exemplary performance, performance issue management, identification of current/future needs and skill sets. Participates in the interview process of key leadership positions. Assists in the selection, implementation and evaluation of information technology assuring optimal support of patient care function in collaboration with system and other site leaders.

Qualifications

Required:

Masters Degree in Related Field
RN Licensure in state of practice
Certified Administrator Surgery Center (CASC) within two years of hire
5+ years experience in Pediatric/Ambulatory Care/Surgery Center
4+ Years of nursing leadership experience

Preferred:

Nursing Leadership Certification(s)

Share this job

Related Jobs

Director of Nursing

Full-time

1 week ago

Director of Nursing DON

Madison Health & Rehabilitation Richmond, KY

Lucrative salary, benefits and sign on bonus. Come work with a great team. POSITION PURPOSE: Plan, organize, develop, and direct the overall operation of the facility's nursing department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, as may be directed by the Administrator, to ensure that the highest degree of quality care is maintained at all times. ESSENTIAL FUNCTIONS OF POSITION: • Responsible for the planning, organizing, direction, supervision, and evaluation of all the nursing services provided in the facility • Ensures nursing department compliance with federal, state, and local regulations and implementationof nursing programs • Ensures maintenance of records and reports concerning resident care • Ensures the orientation and training of nursing services personnel • Manages the Nursing Services department within the budget • Develop, maintain, and periodically update written policies and procedures that govern the day-to-day functions of the nursing department • Make written and oral reports/recommendations to the Administrator as required concerning the operation of the nursing department • Provide the Administrator with information relative to the nursing needs of the resident and the nursing service department's ability to meet those needs • Develop methods for coordination of nursing services with other resident services to ensure the continuity of the residents' total regimen of care • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary • Monitor the facility's survey reports and assist in developing plans of action to correct potential or identified problem areas • Serve on, participate in, and attend various committees of the facility as appointed by the Administrator • Determine the staffing needs of the nursing department necessary to meet the total nursing needs of the residents • Responsible for, in conjunction with Human Resources, the recruitment and selection of nursing service personnel • Ensure development of work assignments and schedule duty hours of nursing service personnel • Perform other duties as assigned EDUCATION/ REQUIREMENTS: Registered Nurse License required with a minimum of 4 years related experience. Bachelor's Degree preferred; or equivalent combination of education and experience. Must be organized and have the ability to communicate effectively with residents, their families, medical personnel. and facility staff in a confidential and professional manner.

Full-time

2 months ago

Registered Nurse (RN) Revenue Cycle Nurse Auditor (FT M-F 8-5)

UMC Health Systems Richmond, KY

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. The Revenue Cycle Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities include leveraging Epic technology and analytics to identify revenue integrity trends and investigate areas of revenue leakage, monitor financial performance and work with IT to build mistake-proofing into the Epic system. The nurse auditor will work with clinical teams, compliance and other departments within revenue cycle to provide documentation and charging education and maximize system efficiency, timely and complete charge capture, and submission of clean claims to payer to drive financial performance. Reports to Vice President, Revenue Cycle Job Specific Responsibilities 1. Responsible for identifying, building, and maintaining revenue guardian edits within the Epic billing system based on documentation and CDM requirements. 2. Perform routine chart audits and clinical documentation review to identify correct level of care, missing, incorrect or undocumented charges across clinic, hospital and ancillary departments. 3. Provide education to clinical and professional staff regarding proper documentation to ensure accurate patient charging. 4. Work with clinical, financial, and operational stakeholders to implement accurate and complete charging for new and emerging therapies and services and high-risk/high-dollar services provided by the organization. 5. Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6. Finalize and sign-off with those auditors on agreed upon final audit reports and charges. 7. Utilize clinical knowledge and documentation review to identify revenue guardian edits within the billing system and perform routine chart audits. 8. Collaborate with clinical teams and other departments to provide documentation and charging education, maximize system efficiency, and ensure timely and complete charge capture. 9. Monitor KPIs such as missing and late charges, charge lag timeframes, average daily revenue, ABN completion, DNFB days/days to timely bill, and clinically triggered charges. Also, follow up on improvement initiatives with departments negatively impacting metrics. 10. Monitor denial trends related to upstream system and logic issues and/or workflows and act as a liaison across departments to find solutions. 11. Align with CDI, Coding and CBO/Revenue Cycle follow-ups teams to reduce denials and influence proactive revenue optimization. 12. Work effectively with ancillary departments, IT, physicians, clinics, and all other hospital clinical areas to resolve charge capture and process gaps. 13. Develop and update policies related to billing and revenue and perform clinical investigations of potential claim payment integrity issues. 14. The nurse auditor will facilitate drafting appeal letters and identify denial trend root causes. Education and Experience • Bachelor’s degree in nursing from an accredited college or university • 5+ years of experience in utilization review, clinical review, and authorizations • Knowledge of CMS Medicare Part A, B, & C billing requirements • Advanced experience with national evidence-based screening guidelines (MCG, formerly Milliman Care Guidelines) • Viseo software experienced user, is preferred Required Licensures/Certifications/Registrations • Valid Texas RN License/Eligible Compact License Knowledge, Skills and Abilities • Well-versed in ICD10 diagnosis codes and payer regulations • Expert level analytical and process mapping skills • High level knowledge of Medicare, managed care, and commercial insurance payment requirements • Excellent attention to detail, communication and reporting skills • Highly organized with the ability to multi-task and prioritize work • Self-starter with the ability to think outside-the-box to solve problems • Customer service focus, critical thinker, and excellent interpersonal skills Interaction with Other Departments and Other Relationships Collaborate with colleagues in patient financial services, practice management, and other relevant departments. Communicate effectively with team members and supervisors. Physical Capabilities Occasionally exerts a small amount of force to lift, carry, push, pull, and move objects. Employees should be able to lift 10 lbs. Work involves sitting for prolonged periods of time. Hearing acuity is required to be able to accurately transact business dealings. Environmental/Working Conditions This position is subject to indoor environmental conditions. Protection from weather conditions is present, however, temperature changes inside the building may occur. This position may travel to off-site locations; therefore, participation in certain activities will be based on present weather conditions. Direct Reports N/A UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. *Request for accommodations in the hire process should be directed to UMC Human Resources.*

Full-time

2 weeks ago

Registered Nurse RN Day Shift Weekends

Madison Health & Rehabilitation Richmond, KY

New Pay scale Rotation every other weekend POSITION PURPOSE: Organizes and directs assigned unit duties to provide quality nursing care to residents. ESSENTIAL FUNCTIONS OF POSITION: • Responsible during the shift for the total nursing care of residents in the assigned unit. • Assumes responsibility for compliance with Federal, State, Local, and company regulations. • Explains procedures and treatments and care plan to resident. • Administers prescribed medications and treatments in accordance with approved nursing techniques. • Transcribes physician's orders. • Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care. • Receives /gives report from/to nurse he /s he is relieving/coming on and records sufficient infonnation and implements appropriate follow-up action as necessary • Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees. • Conducts frequent rounds to evaluate effectiveness of care delivery. • Prepares equipment and a ids Physician during treatment and exami nation of resident. • Maintains awareness of comfort and safety needs ofr esident. • Observes resident, records significant conditions and reactions, and notifies supervisor or Physic ian of resident ' s condition and reaction to drugs, treatments, and significant incidents . • Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from nonnal and assess condition of resident. • Responds to emergency situations based upon nursing standards, policies, procedures, and protocol. • Assists in completion of the care plans (acute and long term) and is involved in the care conferen ce as deemed necessary. • Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse. • Ensures that documentation i·s reflective of the care plan and that the approaches on the care plan are being followed. • Assures that assigned CNAs are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care. • Monitors that CNA documentation is completed daily . • Takes report from CNAs to facilitate accurate documentation in resident medical record. • Follows company policy and procedure in the event a restraint must be utilized. • Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met. • Identifies residents at risk for nutritional problems and implements preventative measures. • Records new/changed diet orders. Forwards information to the Dietary Department. • Makes beds, bathes and feeds resident, when necessary. • Assures documentation is accurately completed for admission, discharge and transfer. • Supervises and evaluates implementation of the "Resident's Rights". • Participates in department or unit quality improvement activities. • Follows facility procedure requesting supplies and charges for items ordered through Central Supply. • Participates and attends periodic in-services and staff meetings. • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.

Full-time

2 weeks ago

Registered Nurse (RN)- Night Shift

Madison Health & Rehabilitation Richmond, KY

New Pay scale POSITION PURPOSE: Organizes and directs assigned unit duties to provide quality nursing care to residents. ESSENTIAL FUNCTIONS OF POSITION: • Responsible during the shift for the total nursing care of residents in the assigned unit. • Assumes responsibility for compliance with Federal, State, Local, and company regulations. • Explains procedures and treatments and care plan to resident. • Administers prescribed medications and treatments in accordance with approved nursing techniques. • Transcribes physician's orders. • Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care. • Receives /gives report from/to nurse he /s he is relieving/coming on and records sufficient infonnation and implements appropriate follow-up action as necessary • Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees. • Conducts frequent rounds to evaluate effectiveness of care delivery. • Prepares equipment and a ids Physician during treatment and exami nation of resident. • Maintains awareness of comfort and safety needs ofr esident. • Observes resident, records significant conditions and reactions, and notifies supervisor or Physic ian of resident ' s condition and reaction to drugs, treatments, and significant incidents . • Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from nonnal and assess condition of resident. • Responds to emergency situations based upon nursing standards, policies, procedures, and protocol. • Assists in completion of the care plans (acute and long term) and is involved in the care conferen ce as deemed necessary. • Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse. • Ensures that documentation i·s reflective of the care plan and that the approaches on the care plan are being followed. • Assures that assigned CNAs are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care. • Monitors that CNA documentation is completed daily . • Takes report from CNAs to facilitate accurate documentation in resident medical record. • Follows company policy and procedure in the event a restraint must be utilized. • Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met. • Identifies residents at risk for nutritional problems and implements preventative measures. • Records new/changed diet orders. Forwards information to the Dietary Department. • Makes beds, bathes and feeds resident, when necessary. • Assures documentation is accurately completed for admission, discharge and transfer. • Supervises and evaluates implementation of the "Resident's Rights". • Participates in department or unit quality improvement activities. • Follows facility procedure requesting supplies and charges for items ordered through Central Supply. • Participates and attends periodic in-services and staff meetings. • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.

Full-time

3 weeks ago

Registered Nurse 7p-7a Full and Part Time

Kenwood Health Center, LLC Richmond, KY

POSITION PURPOSE: Work with physicians, implementing orders for medications, treatments and special tests. Supervise LPNs, LVNs and CNAs, providing them support in order that they may provide total nursing care for residents. ESSENTIAL FUNCTIONS OF POSITION: • Utilize the nursing process to assess resident care plans, implement interventions, and evaluate outcomes related to nursing care. • Interview applicants, recommend hires; participate in counseling to extent permitted by law • Initiate and lead team conferences to develop individualized nursing care plans; assess and document resident's condition and nursing needs; assign team members who have the capabilities and qualifications to meet resident's needs • Implement physicians' orders; administer medications, start IVs, perform treatments, procedures and special tests and document treatment as required by company policy and local/state/federal rules and regulations • Ensure supplies are used economically and equipment is clean and maintained in a safe manner • Coordinate nursing care of residents scheduled for therapy or procedures by other departments • Report and record observations and reactions regarding residents • Assist or institute emergency measures for sudden adverse developments • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Must be skilled in directing, motivating and training staff and able to work as a member of a team; able to communicate effectively with residents, family members and all levels of the organization and maintain confidentiality. Should be a graduate of an accredited RN School of Nursing with valid RN state license, and a minimum of 2 years nursing experience; or equivalent combination of education and experience.