District Nurse Administrator (DNA)


Location: Fresno/Kings County Job Summary:    Under the general administrative direction of the Director of Nursing, thisposition serves as the District Nurse Administrator (DNA) for Health Center Nurses. The DNA leads, directs and supports the clinical/nursing operations in designated areas within the organization. They are directly responsible for the clinical teams; nurses and medical assistants, within the health centers. The DNA will work closely with the providers and other Health Center leaders to assure coordination and implementation of clinical, ancillary, and business services in the health centers in a way that meets or exceeds standards while providing excellent patient experience across all services.
    Job Duties: Principal Duties and Responsibilities:
    1. Oversee staffing utilization of nurses and medical assistants.
    2. Coordinate hiring practices.
    3. Monitor FTE requests and ensure highest utilization of nursing staff across Omni Family Health.
    4. Promote efficiency between clinics by ensuring staff are performing daily huddles to plan for patient care.
    5. Organize and prioritize clinical responsibilities, provide direct supervision to nursing staff, (RN, LPN, etc).
    6. Monitor and evaluate staff performance and provide feedback.
    7. Responsible for setting expectations for clinical Environment of Care.
    8. Round and act as a liaison to Clinical Engineering and Facilities.
    9. Round in clinics and report out on day to day activities, volume and staffing benchmarks and any clinical concerns.
    10. Serve as a local clinic leader in the absence of others.
    11. Maintain a minimum percentage of clinical activity to assess and model competencies.
    12. Accountable for institutional annual updates and expected competencies.
    13. Facilitate compliance with required educational offerings.
    14. Hold clinical staff accountable for strategic goals and project outcomes.
    15. Gather data to support change.
    16. Monitor institutional clinical Safety concerns and analyze for trends and targeted interventions.
    17. Is the expert in practice issues for designated health centers.
    18. Interpret need for specialty areas; such as Classes for Asthma, Diabetes, Childbirth Education, Lactation, and so forth.
    19. Analyze weaknesses and areas of growth to create effective teams.
    20. Oversee The Joint Commission visit preparedness.
    21. Establish regulatory audit programs with a culture of readiness.
    22. Represent department at institutional regulatory meetings.
    23. Convey the importance of readiness and facilitates adherence to audit processes.
    24. Implement programs that develop service excellence skills.
    25. Maintain and develop all Ambulatory policies & protocols.
    26. Serve as a general resource for clinical EHR functionality.
    27. Monitor and audit adherence to protocol workflows.
    28. Provide resources to ensure adequate training and development.
    29. Work closely with nursing staff to enhance staff EHR functional skills.
    30. Display willingness to manage all patient needs within the clinic environment wherever possible.
    31. Maximize provider efficiency through formulation of policy and protocols for nursing staff.
    32. Implement novel approaches to care.
    33. Conservatively manage clinical operations to stay on budget.
    34. Establishe relationships with other leaders in clinic to leverage collective knowledge and capital.
    35. Collaborate with other health care providers, Chiefs of Medical Affairs, Director of Nursing, and Medical Director regarding clinic and patient needs.
    36. Actively involved in the development, implementation and management of a continuous Performance Improvement Program (PIP).
    37. Collaborate with all clinical staff to achieve clinical quality indicators.
     Other Responsibilities:
    1. Participate in Patient Centered Health Home team meetings and quality improvement initiatives.
    2. Facilitate health and disease patient education, including leading group office visits.
    3. Support patient self-management of disease and behavior modification interventions.
    4. Ensure coordination of continuity of patient care with external health organizations and facilities, including the process hospital admission and discharge and referrals from primary care provider to specialty care provider.
    5. Ensure coordination of continuity of patient care with patients and families following hospital admission, discharge, and ER visits.
    6. Ensure managing of high risk patient care; including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting, including a registry.
    7. Ensure patient medication management based upon standing orders and protocols.
    8. Participate in community functions as appropriate.
    9. Assume other responsibilities as required.
    Other Duties
    1. HIPAA compliance – responsible for maintaining abreast of and in compliance with all H.I.P.A.A. regulations and requirements. Treats all member information as confidential.
    2. Compliance – Ensure compliance with all local, state and federal regulations.
    3. QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
    4. IT – Required to learn and use the EHR/EOHR (Medical Practice Electronic System) and its components. As required by the job functions and highlighted in the Policies and Procedures.
    5. All employees will participate in Patient Centered Health Home Model at Omni Family Health.
    Qualifications, Education, and Experience:
    1. Licensed Registered Nurse from an accredited Nursing Program.
    2. Bachelor’s Degree Nursing (BSN) from an accredited university required.
    3. 1 year of management or supervisory experience in a clinical environment.
    4. Minimum 2 years’ experience in outpatient operations experience as a nurse.
    5. Experience in a federally qualified health center or rural (FQHC) health center (clinical) setting preferred.
    6. Proficient computer skills, including Microsoft Office (specifically Work and Excel)
    7. Highly organized and well-developed oral and written communication skills.
    8. Knowledgeable through practical experience and/or training in the areas of:
    • Clinical Practices
    • Community Health
    • Joint Commission
    • Managed Care
    • Maternal and Child Health
    • Primary Care Medical Home
    • Preventative Care Guidelines
    • Pediatrics
    • Public Health
    1. Self-disciplined, energetic, passionate, and innovative.
    2. A team player that can follow a system and protocol to achieve a common goal.
    3. Must be sensitive to the needs of the patients in a community health care setting, in the areas of health and social services as one component.
    4. Demonstrate sound judgment, decision-making, and problem solving skills.
    5. Able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations.
    6. Bilingual in English and Spanish preferred, but not required.
    7. Must have current CPR card.
    8. Must be willing to work at any Omni Family Health locations and be amenable to work weekends, if so needed.
    9. Must maintain a Valid California Drivers License at all times plus proof of insurance, to facilitate travel to all Omni Family Health sites.
    10. Must provide a safe, operational vehicle for transportation.
    11. Promote and believe in Omni Family Health mission statement.
    12. Ability to relate to the public regardless of ethnic, religious and economic status.
    Competencies Required:  Planning/Organizing
    • Managing People
    • Multitasking
    • Problem solving
    • Leadership
    • Teamwork
    • Professionalism
    • Change Management
    • Developing Others
    • Customer Service
    • Collaboration
    • Interpersonal skills
    Responsible To: Director of Nursing Classification: Full Time Position, Exempt