Duke University Health System (DUHS) Job Descriptions
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VP, PATIENT CARE & SYS CHIEF NURSE EXEC
Job Title: VP, PATIENT CARE & SYS CHIEF NURSE EXEC
Job Code: 5334
FLSA: E
Job Level: M2
Revised Date: 05/01/2020
Supervisory Responsibility: Yes
General Description of the Job Class
The Vice President of Patient Care & System Chief Nurse Executive is responsible for the practice of Nursing at DUHS Clinical Facilities by ensuring consistency in the standard of nursing practice across the clinical settings. As a member of the DUHS executive team, the VP/CNE supports and facilitates an interdisciplinary team approach to the overall delivery of care to patients, families, and the community. This includes creating an environment in which collaboration is valued and excellence in clinical care, education, and research is promoted and achieved. The VP/CNE leads quality, safety and innovation initiatives in partnership with the Vice President of Medical Affairs. The VP/CNE ensures the vision of and the advancement of the profession of Nursing in DUHS.
Duties and Responsibilities of this Level
Identifies and articulates the vision and strategic direction for the delivery of patient care and the discipline of Nursing across all patient care settings for DUHS and its clinical affiliates; directs and collaborates on the implementation of strategies to achieve them.
In conjunction with other DUHS executive leadership, participates in strategic planning, development, implementation, and evaluation of clinical programs and services, assuring appropriate resources for the delivery of care.
Serves as the senior spokesperson for Nursing in DUHS. Advises the senior leadership of DUHS, the medical staff, board and individual clinical facilities and other internal and external groups by providing input about the implications of decisions and change on the quality of patient care, on nursing practice, and on nursing care providers.
Articulates the health system vision and priorities, and is accountable for outcomes for patient care quality and safety in collaboration with the Vice President of Medical Affairs, the DUHS Patient Safety Officer and other health system leaders.
Assures that the Health System patient care delivery model(s), clinical and staffing standards for nursing and patient care are consistent with current research and professional standards and with the mission, vision, and values of the organization.
In conjunction with entity leadership, accountable for the design, implementation and systems for DUHS patient care policies and procedures to assure continuity and consistency of care delivery.
Promotes and fosters a multidisciplinary approach to patient care, and the coordination of care among disciplines.
Provides system leadership in the establishment and oversight credentialing/privileging policies for nurses and ensures compliance with such policies for nurses who seek to practice and who practice in DUHS.
Accountable for the evaluation and development of practices, processes of care coordination, case management and utilization review services across DUHS.
Provides system leadership and direction for the development of strategies to promote the recruitment, retention, and recognition of excellence in Nursing; including but not limited to the oversight and recommendations regarding compensation and benefit programs for nursing staff.
Provides strategic direction regarding centralized use of temporary services that provide nursing care; in collaboration with the Director of Procurement (DUHS) negotiates monitors and evaluates the effectiveness of agency contractual agreements.
Establishes vision and is accountable for programs which support the nursing profession such as the Clinical Ladder program, Nurse Residency Programs, nursing leadership development and nursing tuition programs.
In collaboration with the Medical Center Development Office, establishes the vision and is accountable for the DUHS Friends of Nursing Program, its board and endowments.
Establishes vision and is accountable for the direction for operational departments as assigned at a hospital or health system level for DUHS : Nursing Institute ,Clinical Education and Professional Development, Accreditation and Regulatory Affairs, Interim on Premise, Nurse Recruitment, Payroll and Administrative Systems, Nursing Practice and Nursing Research.
Accountable for the structures, and processes that support the infrastructure for nursing research across DUHS (coordinated with the Dean, School of Nursing).
Participates as a voting member on multiple DUH and DUHS committees that have an impact on system strategy and overall performance.
Leads the DUHS-Nursing Executive Council.
Accountable for the processes and oversight of the processes that support the contractual obligations for nursing students and other clinical affiliations within DUHS excluding Medicine and PA students.
Co-directs the Duke Translational Nursing Institute in collaboration with the Dean of the Duke University School of Nursing.
Assures that all nursing services are provided in compliance with all applicable standards and requirements of TJC, the North Carolina Board of Nursing, and all other applicable regulatory bodies. Oversees the Magnet designation processes for DUHS.
Reports to and assumes additional duties at the direction of the Executive Vice President, DUHS.
Health System organizational structures are subject to change at the discretion of the CEO.
Required Qualifications at this Level
Education
Doctorate in Nursing or related field required.
Experience
Ten years of nursing experience is required with at least 7 years of experience in a nursing leadership role.
Degrees, Licensure, and/or Certification
Must have current or compact RN licensure in the state of North Carolina. Nurses hired into leadership positions must obtain a nursing leadership certification within one year of hire.
Knowledge, Skills, and Abilities
Ability to build alliances and lead in a highly matrixed system: demonstrates honesty, integrity, and follow through on commitments, anticipates internal/external customer needs and meets expectations, strives for collaboration, supports others and team results, ability to manage different perspectives and find win-win solutions. Recent hospital/health system experience with direct responsibility for cost/revenue centers, experience designing business plans, and experience in a large complex academic medical center is preferred. Demonstrated leadership and complex organizational management skills.
Strong financial/analytical skills, verbal/written communication skills, problem identification and resolution skills, decision-making ability, and the ability to develop/mentor management team.
Strong operational skills; ability to recognize workflow problems and redesign new process/workflow and create buy-in from all customers on change; and the ability to initiate and manage change.
The ability to work with physicians, staff and professionals in multiple settings and locations and to promote diversity in the workplace
Strong negotiation skills.
Well-developed planning, marketing, organizational development and business skills.
Active in community and professional organizations.
Experience in healthcare administration in a large and complex setting.
Distinguishing Characteristics of this Level
N/A
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
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.
