Patient Care Manager (Day Shift)
Arkansas Children's Hospital - Little Rock, AR

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Position Summary
The Patient Care Manager has responsibility for managing daily operations of the clinical nursing department on their assigned shift. Specific duties include: organizing, facilitating, and prioritizing activities to insure quality patient care delivery in accordance with hospital, professional, and regulatory standards; staff supervision, coaching, mentoring and evaluation; cost effective management of staff and supplies; scheduling and assignment of staff; promoting evidenced based practice and ongoing performance improvement; and ensuring that department and hospital goals are met for assigned departments/ shift. The Patient Care Manager demonstrates clinical nursing leadership, patient, family and staff advocacy, credibility with others, critical thinking, proactive innovative problem- solving, interdisciplinary communication and collaboration, and shift-to shift management of safe, family centered patient care. The Patient Care Manager exhibits the ability and desire to lead and develop others and consistently role models high standards of professional practice and accountability. The Patient Care manager collaborates and works in conjunction with the Radiology Director, physicians and other members of the department’s leadership team as well as with the designated senior nursing leader liaison as needed. This employee reports directly to the Radiology Director for operational issues, while issues related to professional nursing practice or nursing scope of practice will be addressed through the designated senior nursing leader liaison assigned to the department.

Position Duties

Patient Care Delivery & Quality Management
  • Collaborates with nursing staff and other disciplines to ensure the development, implementation, and evaluation of effective plans of care for each of the department’s assigned patients. 1) Utilizes patient rounds, direct observation, team discussions, review of clinical documentation,feedback from patients, families, physicians, and other disciplines to monitor ongoing care. 2) Coaches, mentors, and supports staff in the consistent delivery of excellent quality patient and family centered care. 3) Promotes active involvement of staff in effective interdisciplinary communication, collaboration, rounds, care planning, hand-offs, and clinical documentation. 4) Assigns and directs staff as needed to prioritize and coordinate patient care delivery. 5) Promotes timely delivery of care by all team members. 6) Guides team to achieve good coordination of care with other services and disciplines and efficient delivery of needed care. 7) Helps to facilitate anticipation of discharge needs and early discharge planning. 8) Assists as needed to assure safe and prompt patient flow (i.e., admissions, discharges, and transfers). 9) Ensures that the clinical competence of assigned staff is appropriate for the needs of the department’s patient population.
  • Evaluates the care environment to ensure that it is safe and healthy for patients, visitors and staff: 1) Leads in the implementation of strategies to address national patient safety goals. 2) Promotes patient safety rounds and proactive identification and management of potential safety risks. 3) Follows up on occurrences and near misses to identify and address risks.
  • Assures compliance with regulatory and professional standards and hospital policies and procedures. 1) Assists in communicating, translating, and clarifying standards to assigned staff. 2) Teaches, coaches, and mentors staff as needed to ensure understanding and competence. 3) Encourages staff involvement in conducting audits, promoting individual accountability, and improving compliance with standards.
  • Participates with department leadership and staff in the identification of key indicators and measures of quality, safety, and customer satisfaction for assigned patient population and services: 1) Encourages staff involvement in collecting data, understanding clinical implications and improving results. 2) Trends and analyzes pertinent data to evaluate effectiveness of care delivery.
  • Leads in the development, implementation, and evaluation of improvements in care delivery processes: 1) Assists in communicating, translating, and clarifying process improvement changes to assigned staff. 2) Promotes shared staff decision-making related to practice changes and innovative approaches to improve patient outcomes and patient/ family satisfaction with care.

Advancement of Evidence-Based Practice
  • Role models and encourages the use of critical thinking skills to address clinical practice issues: 1) Accurate problem identification 2) Evaluation of current processes 3) Use of evidence- based resources to identify best practices 4) Implementation of innovative solutions 5) Evaluation of outcomes
  • Collaborates with department leadership and staff and other disciplines to evaluate and plan improvements for care delivery, programs and services.
  • Promotes the ongoing improvement of patient care and nursing practice: 1) Encourages the use of research findings and other evidence in the development of policies and best practices. 2) Teaches staff how to access and utilize professional standards, literature reviews, benchmarking, and networking activities. 3) Assists assigned staff to analyze and interpret research for relevance 4) Supports staff in identifying and implementing innovative solutions to clinical issues. 5) Promotes networking activities among peers and colleagues. 6) Assists staff to implement performance improvements for key patient care indicators.
  • Supports staff in the development of skills in evidenced-based practice and clinical research: 1) Promotes networking between frontline staff and evidenced-based practice and research resources. 2) Assures that staff has access to evidenced-based practice resources and appropriate time allowed for review of evidence. 3) Encourages and supports staff participation in quality improvement and clinical research activities and committees.

Human Resources Management
  • Role models and promotes personal mastery: 1) Assumes accountability for self-directed personal assessment of professional strengths and areas for practice development. 2) Seeks feedback from others, acknowledges mistakes and demonstrates desire to improve. 3) Demonstrates ongoing learning, professional development and personal advancement of clinical and administrative skills and knowledge. 4) Remains flexible and promotes change to meet the evolving needs of the department. 5) Demonstrates commitment to lifelong learning and ongoing professional development through education, team building, certification, and participation in professional organizations.
  • Assures that the work environment promotes respect for individuals and a professional image of nursing: 1) Creates a climate of effective communication, collaboration, and interdisciplinary teamwork. 2) Role models and coaches effective conflict management. 3) Demonstrates honesty and fairness in dealing with staff in accordance with ACH Behavioral Standards and Just Culture. 4) Works with director to develop and implement strategies to recruit and retain high quality nursing staff. 5) Assists director in developing appropriate staffing patterns and skill mix for projected patient population. 6) Actively participates in timely staff recruitment, interviewing and hiring processes. 7) Seeks and responds to staff feedback regarding work setting and employee satisfaction issues. 8) Evaluates and promptly addresses issues contributing to staff turnover and negatively impacting retention.
  • Ensures clinical competence, appropriate skill mix and assignment of clinical staff: 1) Provides oversight to successful completion of department orientation and annual competencies. 2) Assures that appropriate education and training is available for assigned staff, specific to the clinical needs of the department’s patient population. 3) Provides ongoing feedback to staff regarding their professional performance and completes annual performance reviews. 4) Consoles, coaches, mentors and disciplines staff as appropriate for performance issues and in accordance with Just Culture. 5) Guides delegation of responsibility which is appropriate to the credentialing, education, and experience of staff. 6) Maintains employee records per hospital policy and regulatory standards.
  • Assists assigned staff to identify and achieve ongoing professional goals: 1) Shares knowledge and skills with others and acts as a role model, coach and mentor. 2) Provides assigned staff with opportunities to maximize job satisfaction and professional development. 3) Encourages assigned staff to grow professionally though career ladder advancement, professional certification, advanced education, and active participation in professional activities and organizations. 4) Provides staff with outside employee assistance resources and services when needed. 5) Recognizes, demonstrates appreciation, and celebrates accomplishments of staff.

Resource Management
  • Provides fiscal oversight of allocated resources to optimize the provision of quality, cost-effective care: 1) Ensures that staffing is in accordance with budgeted productivity ratios and costs per department of service. 2) Adjusts staffing daily to maintain productivity based on patient volumes and acuity. 3) Ensures appropriate utilization of assigned staff and assists with scheduling and payroll reconciliation for assigned staff as needed. 4) Proactively manages special staffing requirements in order to minimize the use of premium pay (i.e.,LOAs, anticipated vacancies, etc). 5) Maintains appropriate ratios of both direct care and indirect labor costs for assigned staff. 6) Plans ahead to budget for special nursing initiatives and activities (i.e., special training, council activities, performance improvement projects, etc). 7) Assures that patient charges are accurately captured in a timely manner (i.e., monitoring clinical documentation, supply and patient charges, etc.). 8) Encourages staff to be cost effective in the use of supplies and special equipment.
  • Promotes cost effective practices by assigned staff: 1) Interprets department’s financial performance data for staff. 2) Helps staff recognize their role in cost effective care and fiscal responsibility. 3) Fosters staff involvement in enhancing cost effectiveness of care. 4) Works with team to assure that patient stays are not extended by avoidable errors or delays in care.

Advancement of Professionalism & Hospital Citizenship
  • Creates a professional practice environment that fosters excellence in nursing services: 1) Maintains and promotes effective communication with Director, physicians and other members of the leadership team. 2) Fosters empowered decision-making, accountability, and autonomy in nursing practice for professional nurses. 3) Advocates on behalf of patients, families, and staff considering individual needs and cultural issues. 4) Demonstrates and fosters professional nursing practice which reflects patient and family centered care, evidenced based practice, interdisciplinary teamwork, and ongoing professional development. 5) Assumes personal accountability for staying up to date with changes in health care delivery, application of emerging technologies, and evolving ethical issues. 6) Initiates department and hospital-wide projects and assumes responsibility for their success by contributing to organizational performance improvement activities; and actively participating on department- and hospital- based teams. 7) Assists team to assume accountability for their personal and professional performance, including consistent compliance with policies, procedures and regulatory standards.
  • Role models, promotes, and leads in the development of behaviors consistent with the ACH vision and mission and the ACH Service and Behavioral Standards: 1) Builds trust by demonstrating honesty, keeping commitments, and behaving in a consistent, respectful and fair manner. 2) Proactively solves problems, anticipates the needs of others, and seeks long-term solutions. 3) Facilitates, and improves collaboration with other departments in providing patient care across the continuum. 4) Ensures that staff assumes accountability for the maintenance of a clean and safe work environment.
  • Consistently role models and promotes a positive and professional image of ACH in the community: 1) Is actively involved in hospital, community, and/or professional activities. 2) Volunteers for activities which improve the overall health and well being of children and families.

Position Qualifications

Education Requirements

Bachelor's degree from four-year college or university Field of Study: BSN Note: Internal applicants with a diploma or associates degree may be considered if the applicant commits to enrollment in a BSN program with BSN completion by December 2015. Must complete professional certification relevant to leadership role by December 2015.

Experience Requirements

4 years total experience required • •
which includes 4 years of relevant RN experience or 100% meets standard on RN-IV experience


Nursing leadership experience preferred

Pediatric critical care, emergency department or PACU experience preferred

Certification/License/Registry Requirements

RN License (AR or Compact State) Candidate must possess at time of hire

Certification specific to patient population, leadership role or education

Skill Requirements

Demonstrated communication (written and oral),

Poblem-solving skills

Leadership and collaborative skills.

Basic computer skills

Mental/Reasoning Requirements: - reading - complex - writing - complex - complex calculations

Word processing, spreadsheets, and Meditech skills.

Physical Requirements

Physical Activity - Stand

Physical Activity - Walk

Physical Activity - Sit

Physical Activity - Use hands to finger, handle, or feel

Physical Activity - Reach with hands and arms

Physical Activity - Stoop, kneel, crouch, crawl, twist, or bend

Physical Activity - Talk or hear

Physical Environment - Inside Office Environment / conditions

Physical Environment - Fumes or airborne particles

Physical Environment - Toxic or caustic chemicals

Physical Environment - Risk of electric shock

Physical Environment - Risk of radiation

Physical Environment - Infectious disease

Physical Environment - Blood or bodily fluid

Lifting/Pushing/Pulling Weight - Up to 50 pounds (Manage safely with assistance of equipment or another person)

Noise Level - In general, the noise level for this position is considered to be:

About this company
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As the only pediatric medical center in the state, Arkansas Children's Hospital (ACH) serves the youngest Razorbacks from birth to age...