Career Center

Come join our team! Our busy multi-specialty surgery center located in midtown Sacramento is looking for a skilled and dynamic leader to join our team as a Director of Nursing.

Description:

The Director of Nursing/Clinical Services oversees licensure, regulatory and accreditation compliance, quality improvement, risk management and the managerial direction of clinical operations at the surgery center. This position directly and indirectly supervises all personnel and operations in the pre-operative, intra-operative, post-operative, sterile processing and materials management departments. Directly supervises the Nurse Managers and Charge Nurses.

Qualifications:

Education 

• Current Valid RN License to practice Nursing in the State of California Required 
• BSN Preferred
• BLS, ACLS & PALS Required

Experience: 

• Significant experience working in an OR and PACU, preferably in an ambulatory surgery center OR as typically acquired in 4 years. 
• Significant managerial experience in surgical services as typically acquired in 3 years, preferably in an ambulatory surgery center. 
• Requires significant experience in policy & program development, implementation, administration and leadership in quality improvement, risk management, safety, infection control and physician credentialing. 
• Materials management experience is preferred, including application of purchasing processes to order supplies and equipment. 
• Excellent interpersonal skills necessary to tactfully direct the efforts of diverse health professionals to meet patient and physician needs. 
• Ability to communicate well with patients, families, co-workers, physicians, vendors, etc. 
• Excellent knowledge of applicable licensure, accreditation and regulatory requirements (State, CMS, AAAHC, AORN, ASPAN, CDC, OSHA, DEA, CLIA, FDA). 
• Excellent written and verbal communication skills. 
• Demonstrated skills in problem identification, analysis and resolution using a scientific approach. 
• Must have well-developed team-building and conflict resolution skills. 
• Ability to operate and troubleshoot clinical and surgical equipment. 
• Excellent organizational skills and ability to handle multiple priorities. 
• Ability to function efficiently and responsibly in emergency situations. 
• Advanced computer skills. 
• BLS required. 
• ACLS/PALS (per facility policy). 

If interested, please apply online using the following link:

https://sutterhealth.taleo.net/careersection/2/jobdetail.ftl?job=SOPS-1911704&lang=en&sns_id=mailto#.XP7GKnI_6No.mailto

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.

Our multi-specialty Surgical Center located in Victorville, CA is in need of a full-time Director of Nursing. The Director of Nursing is responsible for directing, coordinating, and controlling the multi-disciplinary activities required to provide a safe environment for patients undergoing surgical intervention. 

RESPONSIBILITIES: 

• Determines and accomplishes objectives which are in concert with facility objectives.
• Supervises and directs patient care. 
• Supervises other personnel and staff; directs and assists as necessary. 
• Assures that proper technique and practices are used according to accepted standards of practice. 
• Ensures quality patient care following the center’s policies and procedures. 
• Provides assistance to physicians as required. 
• Ensures proper documentation to meet state licensing, Medicare, and accreditation standards. 
• Conducts group meetings and coaching on a one-to-one basis. 
• Participates in the quality improvement process. Acts as the Quality Improvement Coordinator for the Center. 
• Participates in the center’s infection control plan process. Reduces chances of nosocomial infection by directing attention to infection control and environmental safety practices. 
• Participates in financial oversight within budgetary guidelines, particularly with staff salaries and payroll costs.
• Follows through with orientation, training, and education of personnel to procedures, methods, techniques and safety precautions. 
• Determines performance expectations for nursing personnel. Provides for a performance appraisal system based on performance expectations and individual goals. 
• Participates in the development of policies and procedures. 
• Interprets policy, procedures and directives and recommends the establishment, amendment or cancellation of policies, procedures or directives. 
• Determines educational needs of staff and provides appropriate resources for meeting educational needs. 
• Participates in Medical Executive Committee activities. 
• Assumes the responsibility for assurance of patient safety during the state of enforced dependency created preoperatively, intra-operatively, and postoperatively. 
• Is responsible for creating a safe, therapeutic environment in which the patient's psychological, physiological and physical needs are identified, anticipated, and met. 
• Has a thorough working knowledge of aseptic technique and its application. 
• Assesses needs for instrumentation, supplies, equipment and pharmaceutical requirements of surgical procedures. 
• Performs other duties assigned by the Director of Clinical Services, the Medical Director, and the Governing Body. 
• Is responsible for overseeing and directing all drug utilization, control and accountability per policies. 
• Must file an incident report for any unusual event that occurs to a patient or member of staff; this would include, but not be limited to, falls, needlestick injuries, aspiration of gastric contents, allergic reactions, and disruptive behavior by staff or patients. Also required to report any incidences or alleged incidences of abuse, harassment, or injury to self, other employees, or patients occurring at the Center or relating to the Center. 

REQUIREMENTS:

• Graduate of a school of professional nursing. 
• Current RN (Registered Nurse) licensure in the State of California. 
• Current certification in Basic BLS, ACLS and PALS. 
• At least two years of recent experience as a charge nurse.
• Full command of the English language, both verbal and written.
• May be expected to lift twenty-five pounds without assistance. 

Qualified applicants are encouraged to submit their resume for immediate review to Carole Schumacher at cschumacher@starpointhealth.com.

EQUAL OPPORTUNITY EMPLOYER

POSITION SUMMARY:

The RN Administrator is responsible for planning, organizing, and directing all activities of the center according to its policies, procedures, philosophy, and objectives. The RN Administrator participates in financial and cost-containment decisions and ensures that the center meets all related local, state, federal, and accrediting-body rules and regulations. The RN Administrator serves as internal risk manager and is responsible for management of all aspects of the environment of care, personnel, materials/equipment, education of personnel, and administrative duties. Coordinates and directs patient care in the center according to adopted policies and procedures, state and federal regulations, and accepted accreditation standards. The RN Administrator promotes a favorable image of the center to physicians, patients, insurance companies, and the general public, and may delegate duties as he or she deems necessary.

ESSENTIAL RESPONSIBILITIES:

Philosophy 

• Supports the center’s ideology, mission, goals, and objectives 
• Performs in accordance with the center’s policies and procedures
• Follows the center’s standards for ethical business conduct 
• Conducts self as a positive role model and team member 
• Recognizes patients’ rights and responsibilities and supports them in performance of job duties 
• Respects patients’ rights to privacy, dignity, and confidentiality General 
• Participates in center committees, meetings, in-services, and activities 
• Recommends short- and long-term goals for the center to the management company and governing body
• Recommends action plan for attaining goals approved by the management company/governing body 
• Maintains center and equipment to ensure cleanliness, sterility, and operational ability at all times 
• Monitors the environment of care, including temperature, cleanliness, sterility, operational ability, ventilation, lighting, etc. 
• Evaluates need for new/different items relative to competitive trends and needs of the community and center 
• Coordinates center’s arrangements with contracted service providers (e.g., pathology, radiology, housekeeping) 
• Maintains liaisons with professional ASC associations and incorporates new concepts into appropriate center procedures Communication 
• Communicates effectively and professionally with patients, visitors, physicians, and coworkers 
• Interacts with others in a positive, respectful, and considerate manner 
• Promotes effective communication among the center’s clinical areas, business office, and physician practices Financial practices 
• Promotes cost containment and efficient use of center resources 
• Analyzes work area and makes recommendations for potential cost-effective improvements 
• Oversees business office functions to maintain efficiency 
• Monitors payroll and benefits programs for accuracy, timeliness, cost-effectiveness, and compliance with state and federal regulations 
• Develops and implements capital and operating budgets 
• Conducts cost analyses to promote cost-effective operations and reports findings to AmSurg and governing body 
• Audits accounts receivable and accounts payable for timely collections and payments 
• Negotiates managed-care contracts and maintains positive communication with third-party payers
• Coordinates purchasing of equipment/supplies to provide optimum patient care within budget allowances. Compliance program 
• Contributes to the progress and development of the center’s adopted compliance program 
• Performs according to established compliance policies and procedures 
• Coordinates with AmSurg Corporate Compliance in implementing and maintaining compliance program Performance-improvement program 
• Contributes to the progress and development of the center's adopted performance-improvement program 
• Performs according to established performance-improvement policies and procedures 
• Serves on the performance-improvement committee 
• Ensures that performance-improvement meetings’ schedule and agenda meet accrediting-body/licensure guidelines and ensures timely notification to participants 
• Assists in the development and revisions of the performance-improvement program, policies, and procedures 
• Coordinates activities with the performance-improvement chairperson to promote medical staff involvement in the program 
• Promotes medical staff involvement in the performance-improvement program 
• Identifies needs of performance-improvement program and submits request to management company/governing body for necessary resources 
• Evaluates suggestions, grievances, and processes objectively to identify ways to improve patient care and performance standards Safety/risk-management program 
• Adheres to safety policies and procedures in performing job duties and responsibilities 
• Works with the safety officer to resolve observed or suspected safety violations, hazards, and policy and procedure noncompliance 
• Serves as internal risk manager and oversees the safety and risk-management program, ensuring a safe environment for patients, medical staff, visitors, and center employees 
• Responds to emergency situations with competence and composure 
• Verifies that OSHA requirements are met and that documentation is current 
• Implements and manages emergency preparedness plan 
• Ensures that fire/disaster drills are conducted according to state and accrediting-body guidelines and are documented in a timely manner Professional competence 
• Participates in continuing education and other learning experiences 
• Shares knowledge gained in continuing education with staff 
• Maintains membership in relevant professional organizations 
• Seeks new learning experiences by accepting challenging opportunities and responsibilities 
• Welcomes suggestions and recommendations Personnel 
• Implements approved personnel policies according to applicable state and federal laws 
• Employs, counsels, and terminates non physician staff as needed 
• Completes or oversees evaluation process for all employees 
• Oversees and contributes to the employees’ orientation and mandatory education program 
• Directs in-service education programs with regard to purpose, content, and need; ensures staff attendance 
• Maintains confidential personnel files according to state and federal guidelines Medical staff 
• Maintains open line of communication with medical director 
• Oversees medical staff/medical affiliate credentialing program 
• Maintains confidentiality of medical staff/medical affiliate credentialing files Regulatory 
• Remains current on all applicable state and federal laws, rules and regulations, and professional and accrediting-body standards 
• Submits required reports on a timely basis 
• Develops, interprets, and implements policies, procedures, regulations, programs, and recommended practices to meet requirements of regulatory and accrediting organizations 
• Reviews policies/procedures to ensure continued compliance with state, federal, and accrediting-body rules, regulations, and standards Marketing 
• Suggests marketing plan to management company and governing body 
• Markets to managed-care entities 
• Markets to physicians and their staff 
• Maintains awareness of medical community and assesses new arrivals’ candidacy for medical staff membership

KNOWLEDGE AND SKILLS:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education/Experience:

Registered Nurse with an active state license required, bachelor’s degree preferred. Must have minimum of five (5) years within the healthcare industry with two (2) years in supervisory or administrative position. Prefer at least one year ambulatory care.

Mathematical Skills: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals and percentages.

Language Skills:

Ability to understand, read, write and speak English. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to successfully write business correspondence. Ability to effectively present information, respond to questions and professionally interact with managers, employees, clients, vendors and the general public.

Reasoning Ability:

Ability to recognize and define problems, collect data, establish facts, draw valid conclusions and correct errors. Ability to understand and interpret basic financial data. Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables.

Other Qualifications:

Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Strong verbal and written communication skills required. Must be detail oriented and organized. High integrity, including maintenance of confidential information. Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance.

CORPORATE CORE VALUES

• Puzzle Solving-Turning challenges into opportunities in a collaborative, agile and creative way
• Excellence-On a never-ending quest to improve and exceed expectations
• Ownership-Taking responsibility for our actions, relationships and partners’ success
• Positive Environment-Respectful, caring, trusting and supportive of the team
• Leadership-Leading by example, staying true to our values and dreams
• Ethics-Committing to always doing the right thing guided by integrity and transparency

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 40 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT:

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

Works in well-lit, ventilated and climate controlled office environment with routine office equipment; some equipment has moving mechanical parts.

Noise level in the work environment is usually quiet to moderate.

If interested, please submit your resume to Michele Green at mgreen@amsurg.com.

Avanza Healthcare Strategies is supporting our client Cedars-Sinai in its search for a motivated and energetic Administrator for a high-volume and fast-paced Endoscopy Ambulatory Surgery Center (ASC) located in Los Angeles, CA. The ASC- an affiliate of Cedars Sinai- is physician-run and home to the latest advances in technology and equipment, many of the area’s most reputable physicians, and a hand-picked team of dedicated, experienced nurses and technicians. The Administrator will be a critical member of the leadership team and responsible for the daily oversight of the ASC.

SUMMARY OF ROLE AND RESPONSIBILITIES: 

• Support the mission and vision of Cedars-Sinai Health System and Cedars-Sinai Medical Care Foundation. 
• Consistently provide direction on new opportunities in business growth, strategic planning, marketing, and daily operations and will have oversight of all ASC processes, programs, plans, procedures, credentialing files, services and policies. 
• Coordinate, in conjunction with the Governing Body, the long-range financial development, and management of the center. 
• Ensure that organizational projects/goals are met, and this position has budgetary responsibility for assigned areas.
• Teach and coach staff on workflows including the creation and adherence to standard work. 
• In conjunction with the Director of Nursing, manage subordinate staff in the day-to-day performance of their jobs and takes the time to know the status of each staff member's skill level and opportunities for training.
• Demonstrate the important characteristics and responsibilities of a leader and takes the time to communicate with key stakeholders to make sure they are updated on new projects, programs and completion of projects/tasks.

KEY DUTIES: 

• Work with Governing Board in charting and implementing the Center’s mission in accordance with the needs of the community. 
• Ensure compliance with state and federal laws, professional and regulatory agency standards and licensure requirements. Maintains staff compliance with health system and Foundation policies, procedures and protocols. 
• Foster an environment, which promotes staff growth and development as well as assess staff’s educational needs and implementing programs to meet those needs.
• In conjunction with the Director of Nursing (DON) establish and maintain standards of nursing care.
• Responsible for ASC policy & procedures and coordinate efforts for AAAHC and/or JCAHO, CMS, State of California accreditation surveys.
• Manage, hire, supervise the selection and training of new team members and ongoing professional development of staff.
• Prepare and present management reports and Key Performance Indicators (KPI’s) to the Governing Board and Medical Executive Committee.
• Prepare materials for and attend meetings of the Governing Board and Medical Executive Committee.
• Function as key resource for staff and physicians in utilization of key information systems and technologies. Assumes responsibility as practice liaison for the resolution of system related issues, identification of opportunities for improvement and implementation of key systems and system and workflow enhancements.
• Provide direct coaching, performance management and mentoring to employees in designated areas.
• Oversee and provide training to staff.
• Participate in the design and support the operational implementation of organizational restructuring, new workflows, processes, programs and technologies.
• Maintain strong partnership and collaborative communication across department areas of the Foundation and with associated service departments of CSMCF. Serve as liaison for areas of operational responsibility with facilities management, patient billing, utilization management, quality, risk, human resources and payroll.

QUALIFICATIONS: 

• Knowledge of the principles and experience in the practices of health care planning and management.
• Familiarity with health care billing, codes, terminology.
• Outstanding written and oral communication.
• Fiscal management skills. Proven ability to prepare, monitor and control budgetary expenses and generate increased productivity and revenues. 
• Knowledge of regulatory, reimbursement, legal and policy issues as they relate to operational management. Strong working knowledge of State Licensure requirements and other compliance regulations including Joint Commission, AAAHC, and HIPAA standards. 
• Experience with Lean Management. Demonstrated experience with running a department in a manner that supports the concept of continuous improvement, a long-term approach to work that systematically seeks to achieve small, incremental changes in processes in order to improve efficiency and quality. 
• High degree of initiative, judgment, discretion and decision-making to analyze situations and take effective action.
• Analytical ability to synthesize data to develop reports and help inform decision making.

EDUCATION AND EXPERIENCE: 

• Five years of management experience in an ambulatory healthcare setting.
• Previous experience in a freestanding ambulatory surgery center.
• Bachelor’s Degree required in Healthcare, Management or related field.
• Graduate of accredited nursing school and active RN license preferred.
• Master’s degree in health care management or business administration preferred.

The above statements reflect the general outline considered necessary to describe the principle functions of this job. It shall not be construed as a detailed description of all work requirements. Candidates may be asked to provide three references upon request and undergo a background check.

COMPENSATION:

Competitive salary and benefits commensurate with experience.

APPLICATION INSTRUCTIONS:

Interested candidates should send a cover letter and resume to Resumes@avanzastrategies.com.

Avanza Healthcare Strategies is supporting our client Cedars-Sinai in its search for a motivated and energetic Business Office Manager for two high volume and fast-paced Endoscopy Centers located in Los Angeles, CA.
The Ambulatory Surgery Centers, affiliates of Cedars Sinai, are physician-run and home to the latest advances in technology and equipment, many of the area’s most reputable physicians, and a hand-picked team of dedicated, experienced nurses and technicians.

The Business Office Manager will be a critical member of the team and will work in conjunction with the Administrator and Director of Nursing to supervise and coordinate business functions. The business office includes administration, medical records and human resources.

KEY DUTIES: 

• Identify gaps in billing office practices and works with proper stakeholders to ensure full revenue cycle process is complete. 
• Actively participate in the center’s quality program. Maintain monthly operations reports, daily case count, payer and specialty mix reports and spreadsheets for salary, employee files, and managed care contract. 
• Make regular updates to the centers policy and procedure manual. 
• Ensure that adequate business office staffing is available, coordinates staffing assignments and designates responsibilities daily. 
• Serve as first level contact for escalation of patient complaints. 
• Supervise the daily operation of the business office to ensure it runs efficiently and productively; This includes orientation, performance appraisals, coordinating breaks, lunch relief, assisting in front desk, insurance or scheduling duties. 
• Coordinate with physicians, medical staff and administration to ensure that effective communications are maintained with patients, visitors, and all personnel. Represents and communicates for entire business office all matters relating to timecards, employee vacations, PTO use, etc., goals, physician offices, insurance companies and Administration. 
• Maintain accountability for daily case monitoring and oversees that schedules are remaining fully maximized.
• Oversee billing and cash collection process to ensure that the process is efficient and timely.
• Handle office supplies and inventory.
• Implement safe practices and provide knowledgeable guidance and evaluation of the environment of care management including life safety (fire prevention), security, hazardous materials and waste management, emergency preparedness, infection control, and the safe use of medical equipment and utilities. 
• Maintain current policies and procedures for the Surgery Center business office. Cross-trains all business office personnel for familiarization with others duties to keep office running efficiently. Coordinates/delegates work within the business office. 
• Participate and provide input into the center’s budget throughout the year 
• Oversee and conduct quarterly peer review and chart audits.
• Prepares and participates in center meetings.

QUALIFICATIONS: 

• Knowledge of the principles and experience in the practices of health care planning and management. 
• High degree of initiative, judgment, discretion and decision-making. 
• Communicates effectively and professionally. 
• Ability to put together presentations and collateral for the center. 
• Analytical ability to synthesize data to develop reports and help inform decision making. 
• Demonstrated organization and problem-solving capability.

EDUCATION AND EXPERIENCE REQUIRED: 

Minimum of 3 years related experience in revenue cycle management, insurance contracting, billing and supervision of people.

Previous experience in a freestanding ambulatory surgery center preferred. 

Associates Degree or Two- Year Technical Degree equivalent required; Bachelors Degree in Business or Healthcare management preferred.

Interested candidates should send a cover letter and resume to RESUMES@Avanzastrategies.com.

Tired of working weekends, holidays and nights? Apply now!

At the Greater Sacramento Surgery Center, we strive to accommodate a healthy work-life balance. The O.R. nurse is responsible and accountable for the delivery of individualized nursing care to patients having surgical interventions. The Greater Sacramento Surgery Center is a fast-paced, multi-specialty outpatient surgery center. Services include Orthopedic, GI, GYN, Pain, Dental, Plastics, Spine and more.

The ideal candidate is energetic, motivated and works well with our team.

We offer competitive salaries, 401K matching and benefits.

POSITION REQUIREMENTS 

• Current valid California R.N. License
• Current CPR certification.
• Current ACLS certification.
• Current PALS certification. 
• At least two years of nursing experience in the Operating Room, preferred.
• Variable Schedule to accommodate the facility needs. 
• Knowledge and compliance of AORN standards. 
• Communicates effectively with team members and physicians.

PHYSICAL REQUIREMENTS 

• Physical examination, including drug testing. 
• Requires the ability to work with physicians in the circulating role. 
• Ability to operate and troubleshoot OR surgical equipment.

Please contact Lynn Zeller via email or phone (916) 929-7229.

Santa Barbara Surgery Center is located in Santa Barbara, California and is a multi-specialty surgery center consisting of 3 operating rooms and a procedure room. We have deemed status accreditation through AAAHC and Medicare Certified. We are looking for a Pre-OP/PACU Full-Time Registered Nurse to join our team. We offer competitive salary, benefits, and a great place to work. No weekends or call.

Job Description

Under the direct supervision of the Pre-Op/PACU manager, the Pre-Op/PACU nurse is responsible for implementing all physician orders, providing for the continuity and quality of nursing care for all patients, with continual evaluation of the patient's condition, providing patient safety, comfort, and privacy at all time. At times, assist the physicians in the procedure rooms with various tasks, conscious sedation and utilizing sterile technique as deemed appropriate.

Responsible for providing total comprehensive patient care to patients emerging from general anesthesia and/or sedation.

Responsible for assessment, planning, implementation, and evaluation of the patient and family in preparation for discharge

Required Skills 

• Graduate of an accredited school of professional nursing 
• Minimum of two (2) years previous ASC preferred 
• Current California License as a Registered Nurse 
• Current in BLS, ACLS and PALS required 
• Previous experience with caring for urology, general, ENT, ortho, spine, pain management, ophthalmology 
• Possess the ability to work independently and prioritize responsibilities 
• Possess the ability to deal tactfully with patients, families, physicians, and employees 
• Knowledgeable of facility policies and procedures specific to operating room nurse

If you are interested, please contact Jodi Greenberg, Market Recruiter, at jgreenberg@uspi.com