Clinical Operations Director - Duke Health System - Advanced Practice

Duke University and Duke University Health System - Durham, NC (30+ days ago)4.0

Clinical Operations Director for Advanced Practice Nursing– Duke Health System

Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together.

Department Profile:
Provide overall direction and leadership for activities and operations associated with the provision of advanced practice nursing services in accordance with hospital and health system strategic plans and objectives, internal and external credentialing and regulatory requirements, and evidence based practice standards on a 24 hour basis. The Director for Advanced Practice Nursing is responsible for 24/7 management of all aspects of those advanced practice nursing positions within designated clinical areas. The director is responsible for maintaining productive working relationships with nursing leadership, hospital / health system leadership, and medical leadership. The Director also serves as an expert resource for requirements related to licensure, regulatory, and practice issues for advanced practice nursing positions to include Clinical Nurse Specialists (CNS) and Nurse Clinicians (NC). In addition the director is responsible for providing leadership and oversight of nursing champion programs. This includes but is not limited to setting champion program roles and expectations, development of metrics that matter, and budget oversight.

Work Hours & Shifts:
Full Time, generally Monday-Friday with 24 hour coverage accountability

Knowledge, Skills, Education, and Experience Required:

BSN required.
Master’s degree required.
MSN preferred.


Valid RN license in the state of NC required or current/active RN licensed in another state and eligible for NC RN licensure.


Minimum of 3-5 years of experience in advanced clinical practice with proven leadership experience and evidence of operations / administrative responsibilities or an equivalent combination of relevant education and/or experience.


BLS (or higher) certification required.
Professional specialty certification required. Nurses hired into leadership positions must obtain a leadership certification within three months of hire/meeting eligibility requirements.

Duties and Responsibilities of this Level:
Direct and coordinate work of designated advanced practice employees, manage personnel activities to meet CSU/ Departmental, Hospital, and Health System objectives related to the provision of patient care within designated clinical areas.
In collaboration with ACNO- Advanced Practice, Nursing leadership, CSU/Service line leadership, Medical Director and/or other key leadership personnel, establish strategic and operational plan to ensure adequate advanced practice nursing staffing models, space and facilities. Communicate and continuously evaluate plans.
Collaborate with DUHS leadership to determine need for advanced practice nursing positions, based on health system/hospital metrics, patient care needs, clinical coverage requirements, and projected areas of growth.
Ensure effective processes for recruitment, orientation, on-boarding, competency assessment, staff development, and retention. Assure staff participation in health system/hospital, departmental, CSU, and nursing structures as appropriate.
Hire qualified staff and maintain appropriate staffing models consistent with the needs of the health system and within budgetary parameters.
Provide leadership and direction for policy and procedure recommendations related to advanced practice nursing issues within specific CSU/service lines and across the Health System.
Serve as an expert resource on advanced practice nursing requirements for scope of practice, licensing, regulatory and compliance requirements.
Ensure the activities of all advanced practice nurses meet The Joint Commission, the NC Board of Nursing, and other regulatory body standards for credentialing, orientation, ongoing development and evaluation of staff.
Provide leadership and administrative direction to Advanced Practice Team Leaders including supporting plan development, priority-setting, decision-making, fiscal planning, and professional development.
Provide coaching and feedback on performance to Team Leaders and advanced practice nurses and colleagues. Conduct thorough performance appraisal and development planning in a timely manner. Institute corrective action plans, disciplinary action, and termination, when appropriate.
Direct the development and implementation of educational programs for advanced practice nursing staff. Ensure developmental opportunities for advanced practice nurses and other DUHS staff.
Ensure effective communication to all advanced practice nurses, team leaders, nursing leadership, health system/hospital leadership, and medical staff.
Direct the planning, coordinating and conducting of staff meetings, health system meetings, leadership development retreats, etc to ensure compliance with established practices and regulatory requirements, to implement new policies, and provide communication to staff, and to engage leadership at all levels in strategic planning.
Champion collaboration and communication across work areas and departments. Facilitate solutions to problems and resolve complaints regarding departmental services and activities.
Remain current with trends and changes in practice both within advanced practice roles and in regard to the overall organization and health care environment.
Represent the Associate Chief Nursing Officer regarding advanced practice nursing issues.
Provide leadership and direction for assigned Nursing Champion Programs including program structure, expectations, metrics, and budget.
Perform other related duties incidental to the work described herin.

Duke Nursing Highlights:
All three Duke Hospitals have received Magnet designation for excellence in nursing.
Nurses from each hospital are consistently recognized each year as North Carolina’s Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Quality of Life: Living in the Triangle!
Relocation Assistance! Tuition Reimbursement!

Pre-employment Physical Capacity Testing Required:
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EEO Disclosure:
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Registered Nurse, advanced practice, NP, APP

Duke Health Highlights:
Duke University Hospital Profile
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2016, Duke University Hospital admitted 41,408 patients and had 1,119,151 outpatient visits. U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2016-17. Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, diabetes and endocrinology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.