JOB TITLE: Clinical Administrator NWSC
REPORTS TO: Governing Board
JOB SUMMARY
The Clinical Administrator is responsible for the overall administration and daily operation of Northern Wyoming Surgical Center, LLC. Under the direction of the Governing Board, the Administrator provides leadership and oversight of Center operations, financial performance, regulatory compliance, personnel, quality improvement, credentialing processes, and strategic development.
The Administrator works collaboratively with the Governing Board, Medical Director, Nursing Leadership, Continuous Quality Improvement (CQI) Committee, Medical Staff, and employees to promote safe, efficient, high-quality patient care and ensure the Center operates in accordance with applicable regulatory requirements and Center policies.
This position oversees: Business Office Leadership, Nursing Leadership, Materials Coordinator, EVS, and other administrative or support personnel as assigned.
The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status. They must be able to interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs, and to provide the care needed as described in the unit's/area's/department's policies and procedures.
JOB REQUIREMENTS
- Current Wyoming licensure as a Registered Professional Nurse required or an applicable multistate license issued under the Nurse Licensure Compact.
- Bachelor of Science in Nursing is preferred. Master's degree in nursing, healthcare administration, business administration, or related field preferred.
- Minimum three (3) to five (5) years of healthcare management or administrative leadership experience required.
EXPERIENCE
- Bachelor’s degree in healthcare administration, business administration, nursing, or a related field preferred.
- Minimum of two (2) years of perioperative or surgical services nursing experience required; ambulatory surgery experience preferred.
- Minimum of two (2) years of clinical management or healthcare leadership experience required; ambulatory surgery center and/or hospital leadership experience preferred.
- Demonstrated knowledge of ambulatory surgery center operations, regulatory compliance, staffing, quality improvement, and clinical leadership.
- Multispecialty ambulatory surgery center experience preferred.
SKILLS
- Must possess a high degree of confidentiality in all matters with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
- Must have strong interpersonal skills with the ability to communicate with staff and public in a friendly, courteous and helpful manner.
- Must have excellent leadership skills and supervisory skills.
- Must have integrity and sound judgment.
- Must have knowledge of ambulatory surgery center operations, regulatory requirements, financial management, credentialing processes, and healthcare administration.
- Ability to analyze financial and operational information, establish priorities, solve problems, and implement effective strategies.
- Must have well-developed written and oral communication skills to interpret written instructions, and to communicate and document effectively.
- Knowledge of aseptic technique and infection control principles.
- Ability to work independently and collaboratively with physicians, employees, leadership, patients, and external partners.
- Ability to effectively manage and prioritize multiple tasks while staying organized, motivated, and adaptable to changing operational needs.
- Proficient computer and keyboarding skills.
- Must have ability to learn and use Microsoft Office Suite products including Word and Outlook.
- Ability to learn new computer software applications.
- Knowledge of medical terminology.
- Must have a commitment to patient safety, continuous quality improvement, and teamwork.
REQUIRED CERTIFICATIONS
- BLS, ACLS, PALS (AHA)
- Certified Administrator Surgery Center (CASC), CNOR, or other applicable professional certification preferred.
ESSENTIAL FUNCTIONS
DEPARTMENT OPERATIONS – ADMINISTRATIVE AND CLINICAL DIRECTION
- Direct and oversee the daily administrative and business operations of the Center.
- Provide overall leadership and oversight of nursing services across Pre-Op, Operating Room, PACU, and other clinical areas and ensure care is provided in accordance with policies, professional standards, and applicable requirements.
- Develop and implement policies, procedures, goals, and operational initiatives following appropriate committee and Governing Board approval.
- Ensure compliance with applicable CMS Conditions for Coverage, federal and state requirements, accreditation standards, OSHA, CLIA, and policies and maintain ongoing survey readiness.
- Collaborate with the CQI Committee, Medical Director, Medical Staff, anesthesia providers, Clinical Supervisor, and Governing Board to monitor quality, patient safety, outcomes, complications, complaints, incidents, and performance-improvement activities.
- Develop, monitor, and manage operating and capital budgets and provide oversight of financial performance, revenue-cycle activities, expenses, productivity, and resource utilization.
- Monitor operational performance, including surgical volume, room and block utilization, patient throughout, staffing productivity, case cancellations, and other established performance measures.
- Collaborate with physicians, anesthesia providers, and Center leadership in the evaluation, development, and growth of existing and new surgical services.
- Provide direct administrative supervision of Materials Management and Environmental Services while ensuring appropriate collaboration with clinical leadership regarding supplies, equipment, infection prevention, environmental cleanliness, and patient-safety needs.
- Maintain administrative oversight of the credentialing, recredentialing, appointment, reappointment, and privileging processes for surgeons, physicians, and Allied Health Professionals (AHPs), ensuring required licenses, certifications, credentials, primary-source verifications, and privileges are current and appropriately reviewed and approved through the Medical Staff and Governing Board processes.
- Ensure credentialing and privileging files are complete, current, confidential, and maintained in accordance with policies and applicable regulatory and accreditation requirements, including ongoing monitoring of expirable credentials.
- Maintain oversight of peer review, Medical Staff records, and related Medical Staff processes in accordance with policies and Governing Board requirements.
- Collaborate with the Clinical Supervisor and clinical staff to ensure appropriate scheduling, patient flow, clinical readiness, and coordination with physician offices and anesthesia providers.
- Review significant incident/occurrence reports, patient-care concerns, employee injuries, complaints, grievances, or deviations from established standards and ensure appropriate investigation, follow-up, and communication.
- Ensure appropriate systems are maintained to protect patient rights, privacy, confidentiality, safety, and the timely resolution of complaints and grievances.
- Maintain effective communication with the Governing Board regarding significant clinical, operational, financial, regulatory, credentialing, staffing, and patient-safety matters.
- Remain current regarding regulatory, clinical, reimbursement, legislative, and healthcare-industry changes affecting ambulatory surgery center operations and nursing practice.
- Maintain administrative oversight of infection prevention, emergency preparedness, environment of care, facility maintenance, equipment, supply chain, medical records, and contracted services.
- Ensure significant operational, financial, regulatory, quality, staffing, credentialing, and patient-safety concerns are appropriately communicated to the Governing Board and other responsible leadership.
HUMAN RESOURCE MANAGEMENT
- Employee Lifecycle Management: Provide oversight of recruitment, interviewing, hiring, orientation, supervision, performance management, employee development, and retention of qualified personnel.
- Staffing, Scheduling, and Productivity Management: Ensure qualified, competent, and cost-effective staffing through appropriate staff mix, ratios, assignments, scheduling, relief coverage, productivity standards, and work design. Establish and maintain effective scheduling processes and participate in productivity monitoring to promote appropriate staff utilization, operational efficiency, responsible resource management, and safe patient care.
- Leadership Collaboration and Resource Management: Collaborate with Nursing Leadership to evaluate staffing needs, monitor productivity, and ensure appropriate personnel and resources are available to support safe and effective patient care.
- Licensure, Competency, and Education: Ensure required licenses and certifications for clinical personnel are valid and current; monitor upcoming expirations and communicate them to Human Resources. Establish, maintain, and evaluate orientation, education, annual competency validation, preceptorships, and in-service education to support ongoing clinical competence and professional development.
- Performance Standards and Development: Establish, communicate, and periodically revise performance standards, job descriptions, and position qualifications. Provide ongoing coaching, mentoring, and professional development and collaborate with employees to establish goals and strategies for continued growth.
- Performance Evaluation and Corrective Action: Conduct timely performance evaluations and address performance or conduct concerns in accordance with organizational personnel policies, including coaching, verbal and written corrective action, conflict resolution, and removal from duty when necessary. Maintain appropriate documentation and collaborate with Human Resources regarding recommendations for continued employment or termination.
- Attendance, Leave, and Payroll Administration: Review and approve vacations, overtime, excused absences, personal days, and PTO/EIB use in accordance with organizational policies. Ensure accurate and timely communication of applicable payroll and personnel changes, including new hires, position or rate changes, and hours worked.
SECONDARY FUNCTIONS
- Promote a positive, professional, accountable, and collaborative work environment and effective relationships among employees, physicians, patients, vendors, and the community.
- Participate in and provide leadership for required committees, meetings, staff education, CQI activities, emergency preparedness, and other organizational activities.
- Participate in required meetings, committees, staff education, and organizational activities.
- Recommend purchase of capital equipment items.
- Keep the governing board informed of all matters of importance regarding the Center.
- Serve on designated committees as needed.
- Perform other duties related to Center administration and clinical operations as assigned by the Governing Board and as appropriate to the individual’s education, training, licensure, competency, and scope of responsibility.
