Senior Director, Nursing in Palliative Care
450 Brookline Ave, Boston, MA 02215
Onsite:Up to 1 day remote/wk
The Sr. Nursing Director is a senior nurse executive accountable for overseeing palliative nursing practice across the DFCI enterprise. He/she works collaboratively with Physicians, nurses, social workers, and other clinical and administrative leaders to achieve POPC program goals and objectives. He/she serves as a member of the medical, administrative and nursing team leading DFCI Adult and Pediatric Palliative Care and is accountable to the Department Chair of Psychosocial Oncology & Palliative Care and the SVP, Patient Care Services and CNO. He/she collaborates with interdepartmental and multidisciplinary colleagues (including Medical Oncology, Pediatric Oncology, Radiation Oncology, Surgical Oncology, Clinical Labs, Health Information Systems, Imaging and the Kraft Blood Donor Center, Research Administration and others) to ensure optimal patient and family-centered care, and in collaboration with his/her physician and administrative colleagues is accountable for all programs and services related to palliative care nursing across the DFCI enterprise, the BWH Inpatient Hospital and Boston Children's Hospital Pediatric Advanced Care Team. In addition to overseeing the practice of nursing within the assigned patient care units, this individual spearheads major initiatives within Palliative Care Nursing across the DFCI enterprise that are patient and family centered and have an impact on care delivery, with an emphasis on clinical quality, safety, multidisciplinary collaboration/teamwork, and the overall patient experience.
The Sr. Director is responsible for palliative care nursing practice spanning the entire DFCI enterprise.
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow's physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
PRIMARY DUTIES AND RESPONSIBILITIES
Vision & Strategy
- As a member of the Nurse Executive Committee and with guidance from the Department Chair, Psychosocial Oncology & Palliative Care (POPC) and Chief Nursing Officer, develops and articulates the vision for palliative nursing practice at DFCI and communicates that vision across all assigned patient care units.
- Works collaboratively with the Division Chief, Adult Palliative Care and Division Chief, Pediatric Palliative Care; and in consultation with the Assoc. Chief Medical Officer and Senior Director, Disease Center Operations, in leading the implementation of the strategic initiatives across Adult and Pediatric Services
- Participates in the development of the DFCI's plan for the recruitment and retention of clinical nursing staff, and other clinical and nonclinical staff to assure a sufficient number and compliment of staff to meet the needs of the patient population.
- Demonstrates leadership in forecasting trends in the effective management of human, financial, material and informational resources
Clinical Operations and Care
- Provides goal-directed visionary leadership for the staff and establishes and exemplifies a collaborative practice model in concert with physician, nursing and Institute leadership.
- Assumes joint strategic planning and decision-making responsibility for clinical operations with the Division Chiefs and administrator co-leader.
- Collaborates with disease center leaders to share ideas, identify patient care and operations issues and to address and resolve broader nursing issues.
- Develops, implements and continually refines structures, functions, processes, policies and procedures and channels of communication, which meet quality patient care standards, needs of patients/families, needs of individuals providing care and goals of the Institute.
- Evaluates and continuously improves existing processes related to patient scheduling, patient flow, revenue capture, coding, regulatory compliance and reconciliation including access to care and timeliness of care provided.
- Continues to develop and implement Standards of Palliative Care nursing consistent with national and Institute clinical practice standards.
- Assures that clinical, financial and administrative information systems support multidisciplinary practice and workflow and that appropriate data are collected, analyzed and presented to Department and Division leadership as well as the appropriate administrators
- Maintains a clinical practice, conducts original research, and is involved in education and training the next generation of palliative care nurses and advanced practice providers.
Patient and Family-Centered Care
- Serves as a strong advocate for the oncology patient and family and embodies the patient/family-centered care model that is the binding premise on which care is delivered at Dana-Farber Cancer Institute.
- Assures that active involvement of patients and families occurs within all multidisciplinary disease centers and organizational task forces and committees.
- Assures mechanisms of communications with the inpatient adult and pediatric services to assure that patient and family-focused care occurs across the continuum.
- Supports the vision, mission and values of the Department of Psychosocial Oncology & Palliative Care (POPC) and the Department of Nursing & Patient Care Services (NPCS) and leads various initiatives to achieve the annual goals of the departments.
- Assures that ONS and HPNA standards of clinical and research nursing practice are supported and implemented across the Adult and Pediatric oncology services.
- Assures that proper nursing credentialing systems are implemented and monitored, working collaboratively with the Center of Clinical and Professional Development Director and Human Resources.
- Involves nursing staff at all levels of the organization in planning delivering and evaluating clinical and research nursing practice across the adult and pediatric services.
- Ensures the highest quality of professional clinical and research nursing practice in the adult and pediatric services, meeting and maintaining Magnet criteria and compliance with all regulatory standards.
- Recruits, hires and mentors quality nursing leaders and staff and supports their ongoing professional development and learning.
- Oversees all palliative care nursing education programs.
Quality Monitoring and Improvement
- Develops systems for monitoring quality, cost and outcomes, developing and implementing methodologies for assuring compliance with patient care standards, laws, regulations, collective bargaining agreements and standards and requirements of various professional organizations and agencies.
- Collaborates with nursing, physician and administrative leadership to coordinate preparations for accreditation surveys and maintain adherence to required standards.
- Assures the development and implementation of educational programs, which meet the educational needs of staff and offer opportunities to staff for ongoing professional development.
Collaborative Work Environment
- Collaborates with the medical and nursing leadership, along with other multidisciplinary and interdepartmental colleagues, to promote departmental integration and cohesiveness and to ensure high-quality patient care, using a patient-focused and customer-oriented approach.
- Develops and empowers the staff to enhance customer satisfaction and effectively communicate, coordinate and integrate with other disciplines to achieve improved and cost effective services and patient outcomes.
- Supports and serves as a role model in an open, compassionate and collaborative working environment built on supportive and collegial professional relationships in an evolving matrix organization.
- Manages resources successfully to assure that the orientation, education, evaluation, certification and retention needs of the staff are met in collaboration with the Center of Clinical and Professional Development Director and Human Resources.
- Collaborates with other members of Institute leadership to direct activities and initiatives towards the goal of continual enhancement and improvement of existing programs and the creation and development of new programs and services in palliative care.
Financial Planning and Management
- Determines best practice models of interdisciplinary care, focusing on quality, safety and efficiency.
- Uses management information systems to determine trends, forecasts and marketing strategies, which have implication for the Institute's operational and strategic direction.
- Develops and manages an operational plan and related budgets in collaboration with appropriate support staff.
- Collaborates with multidisciplinary teams in developing financial plans for new and existing programs.
- Works continually to educate, develop and mentor NPCS direct care staff and leaders (nurse directors, nurse managers and clinical specialists) and actively promotes their professional knowledge in the field of palliative care nursing.
- Oversees the hiring, orientation, evaluation, coaching and mentoring of palliative care nursing staff (e.g. program nurses, nurse practitioners and/or research nurses) in accordance with Institute policies and collective bargaining agreement and collaborate with NPCS in orienting and onboarding new staff.
- Creates and continually supports an environment which enables staff to participate in the attainment of Institute goals and objectives, plan and negotiate needs of the patient/family, participate in performance improvement activities and accept responsibility for their own professional growth and competence.
- Determines and manages patient care services' human resource requirements and plays an active role in recruitment and retention of staff and development of programs that meet these requirements.
- Participates in the development, implementation and monitoring of performance standards and performance management systems to assure continuous improvement of the quality of service and care.
- Holds leadership staff accountable for meeting Institute, POPC, NPCS and individual goals.
- Creates an environment that recognizes, encourages and rewards excellence and team work.
KNOWLEDGE AND ABILITIES REQUIRED:
- An energetic and flexible team player and team builder who is creative, diplomatic and can function autonomously.
- Strategically focused, able to effectively manage multiple competing demands and proactively negotiate priorities.
- Experienced and skilled in working collaboratively with physicians in a joint leadership model.
- An individual who enthusiastically advocates for and champions the nursing profession.
- Possesses a sense of humor, enjoys celebrating the successes of staff and provides staff with positive feedback and praise.
- A politically astute risk-taker who facilitates an environment of innovation, is comfortable with, and enjoys working in, a rapidly changing environment.
- Able to communicate in an accurate, clear, concise, positive and timely manner, consensus oriented and a good listener.
- Appropriately utilizes effective conflict resolution skills.
- Positively motivates others to reach their maximum potential.
- Effectively articulates beliefs, philosophy and progressive vision.
The Senior Director directly supervise nurse managers, nurse directors, clinical specialists, program nurses, nurse practitioners and research nurses in their assigned patient care units.
- Registered nurse with 10 -15 years experience in health care required, with progressive administrative experience required. Palliative Care experience required; oncology experience preferred
- Baccalaureate and Master's degrees required, one in nursing; DNP or PhD preferred
- Board certification in nursing specialty strongly preferred
- Current nursing licensure in the Commonwealth of Massachusetts
- APRN preferred
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.