San Mateo County Health has an exciting new opportunity for a Deputy Director of Ambulatory Nursing at San Mateo Medical Center.

Working closely within San Mateo County Health and with the Chief Nursing Officer (CNO) of San Mateo Medical Center, the Deputy Director of Ambulatory Nursing will assess, plan, evaluate, and monitor all aspects of Patient Centered Medical Home, Team Care to ensure a supportive healing and recovery milieu; partner with and coordinate services with other divisions and departments, supporting a collaborative effective interdisciplinary team; work collaboratively with the medical staff, executive management, other San Mateo County Health divisions, and community stakeholders to develop policies and procedures to maintain quality of care and safety for patients and staff. This position may be appointed as Chief Nursing Officer (CNO) for the San Mateo Medical Center by the Chief Executive Officer.

San Mateo Medical Center has 10 primary and specialty clinics for which the incumbent will provide the leadership in designing the role of nurses as part of team-based care delivery to meet the needs of a transitioning health care delivery model. The incumbent will accomplish this by facilitating the current clinical nurse leaders in the ambulatory setting. As Deputy Director of Ambulatory Nursing the incumbent will oversee and monitor nursing practice to ensure the best evidence is applied in development of policies and procedures. In addition, responsibilities will include participating in training, coaching and counseling activities and other projects as assigned.

The Deputy Director of Ambulatory Nursing receives general direction from the Chief Nursing Officer and will exercise direct and indirect supervision over assigned managerial, clinical, professional, technical and clerical staff, and is responsible for all aspects of the design, delivery, and execution of ambulatory nursing including: Developing and executing a vision for how to position the Service to best meet the needs of the population we serve. Establishing annual goal for areas of responsibility that support the organization strategic plan. Coordinate with the clinical manager to develop and manage the capital and operation budget for areas of responsibilities. Work closely with the CNO and HR partners to develop an effective recruitment and retention plan to ensure that staff requirement are managed effectively. Collaborate with physician, clinical managers and other members of the health team to promote optimum patient care. Understand and support the professional practice of nursing.

• Clinical experience and expertise in Ambulatory Nursing.
• Interest in advancing Ambulatory Nursing with integration of evidence-based practices.
• Commitment to enhancing through Nursing Practice a "Recovery" Milieu.
• Interest in building relationships, partnering with and coordinating services with other divisions and departments, supporting a collaborative effective interdisciplinary team within the community and within San Mateo County Health.
• A minimum of three years in an ambulatory nurse manager or leadership role with experience in system or program development.
• A baccalaureate degree in Nursing.
• Nurse Executive Certification or plan to be certified within one year.
• Bilingual English and Spanish is preferred.

Duties may include, but are not limited to, the following:

• 
  Oversee and monitor nursing practice in the ambulatory setting to ensure the best evidence is applied in the development of policies and procedures.

• Participate in creating an organizational culture that promotes ethical decision making and continuous improvement in a manner that preserves/protects patient autonomy, dignity and respect.
• Assure staff receive training and education necessary to support compliance with all federal, state and county policy including anti-harassment and discrimination policies that support a respectful and supportive workplace for employees of all backgrounds and abilities.
• Create an environment which recognizes and values diversity and designs strategies that address the unique needs of a diverse patient population and workforce.
• Assess, plan, evaluate and monitor all aspects of nursing care delivery to ensure a supportive healing and recovery milieu.
• Direct, coordinate and participate in the development and delivery of division goals, objectives, policies and procedures and priorities; establish and monitor performance measures.
• Lead concurrent and retrospective evaluation of patient care consistent with the quality processes, and through these review processes, evaluate and recommend changes and improvements in areas affecting the quality of patient care.
• Create systems and processes that advance accountability for problem solving and input into decision making at all levels within the organization.
• Create an environment that provides staff who demonstrate clinical leadership and expertise in their practice to provide peer review and learning opportunities.
• Evaluate practices to assess safety risks to patients and employees and, in collaboration with the safety manager, prepare, establish and enforce policies and standard work to establish and maintain safety.
• Collaborate with staff, providers, and San Mateo County Health staff to develop and implement service goals and priorities, which include the establishment of standards of practice in patient care that are consistent with national professional standards and evidence-based practices.
• Support and coordinate efforts with Aging and Adult Services, Behavioral Health and Recovery Services, and Correctional Health Services in the movement of patients from the community, lower level of care placements and correctional health through the acute care settings.
• Serve as the administrative liaison between the interdisciplinary team, executive management, advisory boards and commissions, regulatory bodies and nursing staff to ensure services are integrated within San Mateo County Health and the community.
• Plan, budget, manage and evaluate the design of staffing patterns and work assignments to ensure all staff work to the full extent of their job description and license.
• Coordinate and direct the quality improvement work ensuring mechanisms are in place to meet all publicly reported metrics, i.e., core measures, nurse-sensitive indicators, etc.
• Provide guidance for the overall management of nursing and patient care services in the San Mateo Medical Center and clinics.
• Develop the staff at all levels to reach their full capabilities and support their full engagement in the work.
• Perform related duties as assigned.

License/Certification:

• Current Licensure as a Registered Nurse in California
• Certification in nursing specialty upon hire or within two years of hire.

• Nurse practice act and scope of practice of all licensed staff providing direct patient care.
• Laws, codes and regulations governing acute care programs. Principles and practices of organization, public administration, budget and revenue enhancement and personnel management, including planning, implementation, evaluation and reporting.
• Nurse Practice Act, principles and practices of nursing and clinical systems, including safety, infection control practices, and current trends in research, treatment prevention, education and related services.

• Plan, organize, direct and coordinate diversified, multidisciplinary mental health and substance abuse programs.
• Properly interpret and make decisions in accordance with appropriate laws, regulations and policies.
• Develop, control and administer the division budget; use alternative financing methods and funding sources, as needed to meet division goals.
• Communicate effectively with diverse audiences including professional, consumer and family members and citizen groups.
• Maintain liaison with various private and public agencies and deal successfully with the public and other interested groups.
• Work cooperatively and effectively with other county divisions and departments and officials and employees of other public and private agencies.
• Communicate effectively and persuasively, both verbally and in writing.
• Develop, implement and interpret objectives, goals, policies and procedures for area of responsibility.
• Develop and maintain effective working relationships with other departments, agencies, community groups and employees.
• Supervise, train, and evaluate subordinate staff.

Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, Confidential and Management extra-help/limited term, and SEIU or AFSCME represented extra help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.
Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.

The examination will consist of an interview (weight: 100%). Depending on the number of applicants an application appraisal of education and experience may be used in place of other examinations or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position based solely on the information provided in the application materials. Because of this screening process, all applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California, and applicants must participate at their own expense.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date.

~TENTATIVE RECRUITMENT SCHEDULE~
DEADLINE TO APPLY: April 12, 2023, 11:59 PM
APPLICATION SCREENING: April 18, 2023
COMBINED PANEL/DEPARTMENT INTERVIEWS: April 28, 2023

The County of San Mateo may require that all employees provide proof of COVID-19 vaccine. Employees hired into specified health care facilities and other high-risk settings where there is potential for frequent COVID-19 exposure to staff and highly vulnerable patients are required to provide proof of COVID-19 vaccination. For more specific information, please refer to the County's COVID-19 Vaccine and Testing Policy.

San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically and linguistically diverse communities. The County of San Mateo is committed to advancing equity in order to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work. County of San Mateo is an equal opportunity employer committed to fostering diversity, equity and inclusion at all levels.