Patient Care Executive

Adventist Health•Kailua, HI

About The Position

The Patient Care Executive provides overall leadership, strategic direction, and administration of day-to-day operations for direct patient care across all care settings. The role leads and models a mission- and service-oriented culture focused on patient safety, quality, patient experience, and employee engagement, with responsibility for nursing services 24 hours a day, seven days a week. The executive serves on the organization’s and system’s executive leadership teams. The position oversees clinical services and programs, nursing practice and standards, quality improvement, patient safety, care management, staff education, workforce planning, and operational and capital resources. It collaborates with executive leaders, physicians, clinical and departmental leaders, educators, staff, and community stakeholders to support effective care delivery and organizational goals. The role is based at Adventist Health Castle in Kailua, Hawaiʻi.

Requirements

  • Bachelor’s degree in Nursing (BSN) or a related field.
  • Master’s degree in nursing or a related field, or the knowledge and skills associated with an advanced degree or a written plan to obtain these qualifications.
  • Registered Nurse (RN) licensure in the state of practice.
  • Certification in Executive Nursing Practice Exam (CENP), Nurse Executive (NE-BC), or Nurse Executive Advanced (NEA-BC).
  • Receive all required vaccinations as a condition of employment and annually thereafter, where applicable; medical and religious exemptions may apply.

Nice To Haves

  • Doctor of Nursing Practice (DNP) degree in Nursing Executive Leadership.

Responsibilities

  • Provide leadership as a member of the organization and system leadership teams, coordinating leaders to deliver nursing care, treatment, and services.
  • Represent nursing with the governing body, medical staff, clinical leaders, and organizational decision-making groups.
  • Lead strategic development, implementation, and maintenance of clinical and operational services and programs aligned with community needs and system initiatives.
  • Establish a patient care management framework that considers patient mix, community needs, staff capabilities, resources, regulatory requirements, and healthcare expectations.
  • Lead process improvement and innovative care delivery or operational models to improve clinical services, outcomes, patient throughput, and safety.
  • Provide leadership to clinical teams and foster patient-centered, healing environments and service excellence.
  • Develop a vision for patient experience and act on feedback from patients and families.
  • Collaborate with the CMO, physicians, colleagues, and departmental leaders to advance organizational philosophy and goals.
  • Build effective relationships with internal and external stakeholders and represent the organization in community meetings and activities.
  • Collaborate with nursing educators and leaders to influence nursing education curricula, where available.
  • Promote the use of technology to streamline operations, facilitate communication, and improve work processes.
  • Champion patient safety and continuous improvement in patient safety and quality across all care settings.
  • Oversee programs to measure, assess, and improve the quality of patient care, treatment, and services; ensure identified quality and infection-control issues receive corrective action.
  • Maintain knowledge of clinical practice and regulatory requirements, and apply knowledge of healthcare economics and policy.
  • Coordinate care, treatment, and services across programs, sites, and departments; lead improvement in care management, transitions, and utilization management.
  • Incorporate nursing research, professional standards, and expert literature into policies and procedures, and foster evidence-based decision-making.
  • Implement the Adventist Professional Practice model and ensure ongoing improvement of clinical services and nursing practice.
  • Oversee hospital-wide nursing programs, policies, procedures, staff guidelines, and standards consistent with regulatory requirements; approve and ensure periodic review of nursing policies and standards.
  • Set and approve standards of practice for licensed and unlicensed nursing staff, and ensure adequate supervision and evaluation of non-employee personnel performing clinical activities within nursing services.
  • Oversee nursing peer review, including evaluation and performance of advanced practice nurses.
  • Coordinate ongoing education and development for nursing and other clinical staff, assess education needs, and ensure mandated education is completed.
  • Hold overall responsibility and authority for nursing services at the facility 24 hours a day, seven days a week, including final authority over staff providing nursing care.
  • Oversee safe, effective, high-quality nursing care; nursing-services budget and productivity; consumer satisfaction; and staff retention.
  • Promote financial stewardship and clinical excellence, allocating financial and human resources to improve services and deliver cost-effective care.
  • Establish performance measures, evaluate operations, and work with department management to ensure efficient and effective services.
  • Oversee departmental budgets, expenditures, staffing, space, and other resources to maximize efficiency and cost-effectiveness.
  • Collaborate on business plans, define outcomes, and develop implementation, monitoring, reporting, and evaluation plans.
  • Coordinate hospital-wide nursing care plans and ensure consistent practice that meets regulatory requirements and reflects organizational mission and values.
  • Ensure nursing personnel have appropriate education, experience, licensure, competence, and specialized qualifications for patient needs.
  • Develop nursing leaders who can meet financial goals, recruit and retain staff, coach and mentor employees, promote teamwork, and build positive relationships with patients, physicians, and families.
  • Perform other job-related duties as assigned.
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