Job Description

Location: St. Joseph Medical Center
Posted Date: 10/27/2022


Has 24-hour accountability for the quality and efficiency of the department’s nursing care. Responsible for maintaining staffing within the productivity standard and when variances occur he/she investigates contributing factors. Is responsible for the performance improvement planning and monitoring for the department.


Service Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center. Upholds the Standards of Conduct and Corporate Compliance. Adheres to all Steward Healthcare policies on Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI) Participates as a productive member of the Nursing Services leadership team. Serves as a change agent, assisting staff in understanding the importance, necessity, impact, and process of change. People Collaborates with inter and intraprofessional colleagues to ensure quality outcomes. Maintains visibility and open communication within the facility. Assesses, addresses, records and tracks staff competence. Fosters a proactive vs. reactive approach to problem identification and resolution. Actively participates on committees and task forces to meet goals.

Promotes staff retention. Provides staff performance feedback to director Ensures personnel management is consistent with state and federal laws and facility policy and procedure. Utilizes progressive disciplinary action process to address staff performance and behavior issues in a timely manner. Quality: Completes annual education requirements. Promotes of a culture of patient safety which results in the identification and reduction of unsafe practices. Identifies risks and hazards to patients through various risk assessments, with actions taken to mitigate patient harm. Advocates for patient rights while supporting regulatory standards. Champions the reduction of hospital acquired conditions through improved compliance with patient safety bundles and/or other formal performance improvement programs.

Makes appropriate and timely decisions, considering patient safety and facility needs. Monitors and trends Performance Improvement activities and makes suggestions for improvements as needed. Appropriately involves the nursing staff in this process. Listen to and honor patient and family perspectives and choices. Acknowledge the patient’s and family’s knowledge, values, beliefs, and cultural backgrounds to ensure they are incorporated into the planning and delivery of care. Communicate and share complete and unbiased information with the patients and families in ways that are affirming and useful. Ensure that patients and families receive timely, complete, and accurate information to effectively participate in care and decisionmaking. Encourage and support patients and families in participating in care and decision making at the level they choose. Collaborate with patients, families, healthcare practitioners, and healthcare leaders in policy and program development, implementation and evaluation in facility design, in professional education, as well as delivery of care. Provides essential leadership for advancing the practice of the patient- and family-centered care. Ensures that the development and dissemination of materials, policy, and training increase the understanding and skills necessary to build effective partnerships. Actively solicits the ideas and perspectives of patients, families, clinicians, and staff encouraging everyone to share their safety stories. Consistently circulates and talks with staff, clinicians, patients, and families Offers empathy to a patient and/or impacted by an adverse event. Encourage the concept that “just culture” should prevail. Understands that a solution may create a “new way of doing things” that is not how it has always been done, but is the right thing to do. Takes ownership of a patient safety related issue and openly acknowledges an ongoing problem requiring attention. Other duties as assigned. Growth: Maintains competency and knowledge of current standards of practice, trends, and developments. Enhances the patient experience by fostering a positive relationship with customers. Contributes to improving HCAHPS results. Finance: Promotes stewardship of hospital resources while ensuring quality patient care. Maintains staffing within productivity standards and investigates variances and reports findings in a timely fashion. Adjusts staffing for acuity and unusual situations.


Licensed as a Registered Nurse accepted by Texas State Board of Nursing to engage in professional nursing Four or more years of practice experience in a healthcare setting. Comprehensive knowledge of nursing procedures, processes, and acute care organizations. Technical, critical thinking and interpersonal skills relevant to area in order to effectively and work collaboratively with the leadership team and staff. Certification requirements as defined by the certification policy. Able to communicate effectively in English, both verbally and in writing. Adept using Microsoft Office, online applications.


Bi or Multilingual. Baccalaureate degree. Previous leadership experience. National Certification as recognized by the American Nurses Credentialing Center within three years of appointment.

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