The Director of Patient Care Services is a leadership position with 24 hour clinical and management responsibility. The Director serves as liaison to the ACNO/CNO, clinical staff, patients and their families, and the community. The Director will collaborate with physician leaders and other clinical and administrative leaders to assure that quality, service and operational objectives are met. The Director ensures and carries out the organization's purpose in a manner consistent with the mission and vision, objectives, and established policies. This role includes primary responsibility for patient care services, nursing practice/standards, contract management, operations, throughput and budgetary accountability for respective service lines. The Director will participate in strategic planning to develop objectives and goals to improve efficiency and ensure quality delivery of healthcare services.

Serves as a member of the patient care team whose primary responsibility is facilitating continuous, smooth, efficient patient flow of admissions, unit transfers, and early discharges. Coordinates with each department to ensure processes for admissions and discharges are carried out in an efficient manner identifying and resolving barriers to these processes. Gathers and reports patient flow data collection for admissions and discharges on occasion. Makes suggestions for improved patient flow processes. Participates in education and presentations to staff and management on patient flow barriers to admissions and discharges. Must have strong interpersonal skills for interfacing with team members, all levels of staff, physicians, patients, families and other contacts to facilitate patient flow activities

Responsible for the overall administration and direction of Nursing Administration including planning, organizing, controlling, and directing all services and collaborating with Case Management and Social Services in the areas of Utilization Review and Discharge Planning. With primary focus of this role being on throughput, responsibilities will be oversight of the nursing office (House Supervisors, Staffers, Float Pool and Transporters).

This position requires providing managerial/administrative supervision to departments which provide services to critically ill through rehabilitating neonatal through geriatric patient population in a manner that demonstrates an understanding of the functional and/or developmental age of the individual served.

This position requires the full understanding and active participation in fulfilling the Mission of San Gabriel Valley Medical Center. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support San Gabriel Valley Medical Center’s strategic plan and the goals and direction of the Performance Improvement Plan (PIP).

• Responsible for 24 hour departmental coverage of house supervisors
• Serves as a resource person & internal consultant to department heads, medical staff & hospital staff, relating to troughput and utilization review.
• Initiates problem investigations in response to concerns received for investigation & action by appropriate manager.
• Responsible for positive staff morale, staff absenteeism management and low turnover. Ensures qualified new hires and vacancies levels are appropriate.
• Reviews all Quality Assurance referrals from Case Managers and refers cases for peer review.
• Accountable for the selection, performance & retention of qualified staff to carry out quality care systems in accordance with defined needs & organization objectives.
• Responsible for the budget development & implementation of Nursing Administration
• Responsible for close interaction with Administration & physicians to manage costs & quality of care.
• Coordinates the design, development & evolution of systems to monitor & evaluate the achievement of optimal clinical outcomes.
• Contributes to Nursing Services & institutional operations through active participation on committees & programs.
• Guides practice groups in the team development of critical paths to yield patient specific & aggregate data related to patient outcome,
• Coordinates with creative interventions directed at reducing acute length of stay to established targets.
• Participates in reduction in Delay of Service and End of Stay denials.
• Participates in reduction in out-of-network days by capitated patients.
• Assures InterQual criteria are used to document and communicate Intensity of Service and Severity of Illness.
• Communicates with Case Management leadership Avoidable Patient Day trending/ profiling.
• Keeps an open line of communication with each department regarding patient flow barriers. Provides assistance to staff in problem solving and disposition of patient. Resolves barriers to patient flow with staff.
• Knowledgeable of state and federal regulatory requirements including EMTALA, CMS, state-mandated ratios, Title XXII regulations, and The Joint Commission standards
• Knowledgeable of, observes, and complies with hospital safety policies, emergency procedures, and standard precautions
• Organizes and prioritizes patient flow activities. Facilitates appropriate resources, main transport, obtaining beds, equipment, and supplies to support the patient flow activities. Ensures each step in the patient flow of admissions has been carried out by floors in timely manner including physician order for admission to time of bed request, bed request to bed assign, and bed assign to disposition to floor.
• Participates in continuous quality improvement data collection and analysis of admissions, transfers, and discharges
• Participates in hospital/medical group Joint Operating Committee meetings.
• Implements and monitors new patient programs as requested by administration using process improvement methods to measure effectiveness.
• Maintains current knowledge of nursing leadership and evidenced based clinical practice
• Participates in policy and procedure development, recommends changes to ensure updated and consistent patient care delivery

• Participates in hospital/medical group Joint Operating Committee meetings.
• Implements and monitors new patient programs as requested by administration using process improvement methods to measure effectiveness.
• Maintains current knowledge of nursing leadership and evidenced based clinical practice
• Participates in policy and procedure development, recommends changes to ensure updated and consistent patient care delivery
• Serves as a positive and professional role model and resource to the hospital staff
• Collaboratively works with the clinical directors to implement unit goals and objectives in congruence with the service goals mission and vision.
• Registry/contracts and staffing level management is conducted and reviewed in collaboration with unit leadership to ensure safe and cost effective management of the department needs.
• Management of the float pool and all staff requirements for competency, licensure, education, scheduling, and evaluations
• Ensures ongoing bed management and process flow improvements are made and reviewed
• Works to ensure house liaisons have necessary tools, education, training to ensure bed placement done timely and effectively
• Maintains throughput and throughput committees to ensure hospital flow and patient movement
• Oversight and coordination of external transfers
• Acts as the Hospital’s administrative representative to hospital personnel, patients and families, and outside agencies.
• Participates in education and presentations to staff and management, and administration on patient flow barriers to admissions and discharges.
• Receives report from bed huddle and prioritizes efficient patient flow. Works with Liaison to coordinate the best movement of patients to and from the departments.
• Reduces barriers to patient flow which is accomplished through consistent rounding in patient care departments.
• Responsible for timely coordination of admissions, unit transfers, and early discharges in conjunction with the Nursing Supervisor. Follows all laws and regulations pertaining to such activity. Displays excellent communication skills with staff, physicians, management to facilitate patient movement.
• Reviews the patient medical record to anticipate discharges. Works with Nursing Supervisor, nurse, case management, and support departments to identify barriers to early discharges. Intervenes quickly to resolve barriers in regards to resources, medications, transportation, obtaining services. Works with nurse and case management along with clinical support departments on barriers to obtaining early beds in skilled nursing facilities and Durable Medical Equipment.
• Assists with early discharges including early identification and awareness of discharge orders, discharge process is expedited on identified patients to be discharged, and communication and follow through on each step in the discharge process is being carried out
• All other duties as assigned.

Masters degree in nursing or allied health field required or 5 years minimum management experience. 

Graduate of a RN School of Nursing required

CA License required

Broad knowledge of medical and allied health sciences

Extensive knowledge of Joint Commission, state and federal regulatory requirements

Results oriented with proven management experience

Excellent written and verbal communication skills.

 Current CA RN License

            Current AHA BCLS and ACLS Certification