All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored.
Join our award-winning team at UW Medical Center - Montlake. Among the top medical centers in the United States as rated by U.S. News & World Report 2019-2020 "America's Best Hospitals", UW Medical Center - Montlake prides itself on compassionate patient care as well as its pioneering medical advances. UW Medical Center - Montlake has again earned U.S. News & World Report’s No. 1 hospital ranking in Washington State and in the Seattle metropolitan area. It is the seventh consecutive year that UW Medical Center - Montlake has achieved both distinctions.
UW Medical Center - Montlake has an outstanding opportunity for an Associate Director to join our Cardiac Transplant & Mechanical Circulatory Support Programs team. The Associate Director provides leadership and management of the advanced heart failure, cardiac transplant and mechanical circulatory support (MCS) programs in collaboration with the Program Directors and Heart Institute leadership in an academic medicine setting. Responsibilities include management of patient care delivery, human resources, quality assurance performance improvement (QAPI) activities, program financials, organizational change and future clinical development to assure the success of the programs. The Associate Director will also demonstrate a commitment to staff education and development.
SCHEDULE 100% day shift.
RESPONSIBILITIES Management of Patient Care Delivery: Assures the delivery of quality, therapeutic and cost-effective care to advanced heart failure, cardiac transplant and MCS patients in both the inpatient and outpatient settings:
Assures that care given to patients is in accordance with standards of practice and desired patient outcomes.
Determines an appropriate delivery of care model for the programs in cooperation with Program Directors, Heart Institute and Transplantation Services leadership. Implements and evaluates safe, therapeutic, cost-effective innovative patient care practices.
Assures efficient, effective work flow to meet the needs of patients and staff, including adequate number of staff, materials and supplies.
Assures development, maintenance, accurate interpretation and use of policies and procedures within the organization and within the programs.
Assures the programs compliance with state, federal and other regulatory mandates (Department of Health, the Joint Commission, CMS and UNOS). Develops action plans to ensure on-going compliance with all regulatory mandates. Assures submission of UNOS data (i.e. TIEDI) and coordinates with the Transplantation Services Administrator to assure applicable Medicare cost report data is collected and submitted in a timely fashion.
Manages work flow within given fiscal parameters. When patient care requirements or other operational needs obligate use of resources beyond monthly portion of annual resource allotment, provides justification to the Heart Institute Administrator.
Assists in the provision of patient care when necessary; maintains clinical competence.
Identifies and/or responds effectively to the programs changing needs and helps with priority setting. Anticipates potential problems and formulates plans to prevent them.
Promotes policies and practices that treat family members as valued members of the health care team.
Works with program staff on developing and implementing patient teaching guidelines and checklists.
Collaborates with the leadership of the units that interact with the advanced heart failure, cardiac transplant and MCS patient populations to ensure clinical practice guidelines and delivery of care is in compliance with all regulatory mandates.
Human Resource Management Communicates staff and management performance expectations to the Heart Institute Administrator. Manages human resources effectively. Provides ongoing and annual performance feedback and evaluation:
Works with Recruitment and Human Resources to attract, recruit and retain qualified applicants.
Interviews staff in a timely manner according to appropriate hospital, regulatory and federal guidelines.
Ensures that staff participates in competency-based orientation and training that is current, effective and outcome-oriented.
Effectively coaches and counsels staff to promote a higher level of development. Lends support and guidance as appropriate.
Assists staff to develop and implement measurable professional goals reflecting UW Medicine’s mission and strategic imperatives as well as individual learning needs.
Resolves conflicts constructively using appropriate management strategies.
Effectively uses the corrective action process when necessary.
Evaluates ways to use technology to improve efficiency and effectiveness of care delivery.
Quality Assessment Performance Improvement (QAPI) Strives toward high performance and improvement in all program operations. Develops, implements, and evaluates PI projects/processes in order to continually monitor and improve patient care:
Clearly identifies opportunities to improve quality, efficiency and effectiveness of care delivery for advanced heart failure, cardiac transplant and MCS patients.
Collaborates in the development of processes that monitor patient care delivery.
Uses a variety of analytical techniques to solve problems.
Evaluates and assesses outcomes related to QAPI processes.
Communicates processes and outcomes to all levels of staff and other disciplines.
Orients and educates staff to their role in contributing to the hospital wide and program based performance improvement processes.
Develops and implements a written quality improvement plan for both the cardiac transplant and MCS programs which are evaluated and updated at a minimum annually.
Collaborates with Program Directors and the Heart Institute Quality Specialist to provide the hospital quality oversight committee an annual update on the status of the programs.
Works with program staff and Program Directors to complete and present the cardiac transplant and MCS program dashboards to the multidisciplinary team on a quarterly basis.
Works with Organ Procurement Organizations to monitor the accuracy and completion of donor activity and data and to ensure the quality of on-call donor procurement operations. Provides data as needed.
Recognizes and reports defined adverse events in accordance with hospital policy and program requirements.
Collaborates with the hospital’s quality program to assure timely adjudication of adverse events.
Develops action plan(s) to prevent reoccurrence of adverse events based on input from the program’s multidisciplinary team and the hospital quality team.
Maintains the programs Performance Improvement activity logs for use during regulatory surveys.
Encourages and engages program staff and faculty in PI activities for constant program enhancement and improved patient care delivery and safety.
Identifies PI projects that require the initiation and implementation of PI tools (i.e. Plan-Do-Study-Act (PDSA)) and monitors the outcomes of each PI cycle.
Collaborates with Program Directors, Transplantation Services Administrator and program staff to assure ongoing readiness for regulatory agency on site surveys including Department of Health, UNOS, CMS and the Joint Commission.
Facilitates the provision and implementation of ongoing regulatory education to faculty and program staff to assure compliance with all mandated policies and standards.
Fiscal/Revenue Management Manages program workflow and patient care delivery with the goal of achieving optimum financial position:
Communicates the program’s capital requests to the Heart Institute Administrator for budgetary planning purposes.
Effectively controls costs through economical utilization of personnel, materials and equipment, taking into consideration patient quality issues.
Collaborates with faculty, program staff and other disciplines to assure a cost-effective approach to individual patient care from admission through discharge.
Monitors monthly budgets and financial reports for the programs. Reviews variance reports with the Heart Institute Administrator and implements corrective action to maintain service operations within budget constraints.
Solicits input and feedback, and develops action plans on opportunities or methods to improve program cost-effectiveness and enhance revenue.
Maximizes revenue by tracking all donor related charges, procurement travel expenses and any other fees related to organ acquisition with the Transplantation Services Administrator.
Works with staff and other departments in providing clinical information for contracting proposals and negotiations. Responds on a timely basis to requests for information from the insurers and organ procurement agencies.
Monitors and utilizes resources to ensure that all transplant services’ related billing is in compliance with governmental agencies (Medicare, Medicaid, etc.).
Communication and Interpersonal Relationships Communicates effectively to maintain positive working relationships and achieve desired outcomes:
Collaborates with faculty and other disciplines to establish and maintain quality patient care delivery.
Effectively organizes ideas for logical presentation and acceptance.
Conveys and role models a positive, professional image which reflects favorably upon the public relations of the organization.
Management of Organizational Change Works collaboratively to guide and influence the course of change:
Maintains a current awareness of changes in the health care environment.
Identifies opportunities to develop programs which contribute to the effectiveness of the overall operation.
Facilitates staff understanding of the need for and impact of change.
Encourages new and innovative strategies to proactively address change.
Recognizes and manages the impact of stress and burnout on organizational effectiveness; plans approaches to help staff handle stress.
Professional Development Assumes responsibility for professional self-development. Quality of work reflects high professional and ethical standards:
Acquires knowledge and skills, clinical and administrative, required to effectively perform job functions.
Integrates management skills with clinical expertise.
Performs work duties with creativity, resourcefulness and initiative.
Develops and implements a plan for professional self-development; uses personal insight and feedback from others to complete self-evaluation and performance goals.
Seeks opportunities to enhance clinical and management competencies.
Actively participates and contributes to hospital and departmental committees.
Complies with UW Medicine’s attendance, health and safety standards.
Provides clear direction and establishes challenging yet realistic priorities for the programs.
Maintains perspective, balance and flexibility in managing complex systems and programs.
Creates and facilitates collaboration and cooperation among diverse groups and professional disciplines to achieve results.
Promotes team building among diverse groups by emphasizing a spirit of cooperation among all advanced heart failure, cardiac transplant and MCS program staff members.
Collaborates with Heart Institute leadership to develop new ideas for increasing volume growth, patient education and overall program visibility. Assists in the development of program materials for internal and external use.
Performs other duties as assigned.
REQUIREMENTS Bachelor of Science in Nursing. RN - Valid Washington license to practice as a Registered Nurse or NP - Valid Washington license to practice as a Nurse Practitioner or PA - Valid Washington license to practice as a Physician Assistant.
Demonstrates an ability to recognize management problems and collaboratively develops solutions.
Demonstrates appropriate judgment in referring unresolved and recurrent issues or problems.
Demonstrates the ability to consider age-appropriate needs when interacting with and caring for the adult patient population.
Demonstrates effective and positive communication skills in all situations. Role models and coaches staff to do the same.
Demonstrates good judgment in selecting the appropriate mode of communication (verbal, written, electronic).
Demonstrates effective communication skills with patients and families.
Demonstrates ability to manage organizational change.
LEGAL REQUIREMENTS Current and valid Washington State Registered Nurse Licensure or ARNP Licensure or Physician Assistant License.
DESIRED Six to eight years’ experience as a transplant program manager; previous heart transplant coordinator or Ventricular Assist Device (VAD) coordinator experience preferred.
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