Career Opportunities

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Job Description:

The Assistant Nurse Manager supervises and coordinates the delivery of patient care in their respective department.  The Assistant Nurse Manager, as a registered nurse, provides professional nursing care.  The Assistant Nurse Manager works in collaboration with the physicians, other health care providers and other ambulatory support staff within the department and with other disciplines to plan and coordinate the delivery of patient care.

The ANMA demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychological, cultural, educational, spiritual, safety and age-appropriate considerations of patients.

The Assistant Nurse Manager: Ambulatory collaborates with staff and other healthcare team members to provide direct patient care and assumes the responsibility for the plan of care and has the authority to make decisions and is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan.  The Assistant Nurse Manager: Ambulatory facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of:

Clinical judgment and decision making

• Professional Relationships
• Clinical leadership
• Clinical scholarship
• Management
• Fiscal Responsibility

Developing an appropriate patient care assignment

• Properly and adequately teaching, directing and supervising the delegate
• The outcome of the delegation

Essential Duties & Responsibilities: including but not limited to:

Clinical Judgment and Decision Making: The process by which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways.

Develops, implements, and assures compliance with Nursing Practice Guidelines.Encourages staff participation on shared governance councils, nursing committees and organization committees.Maintains and displays knowledge of current professional/clinical issues and uses evidence based resources to implement necessary changes in the delivery of nursing care.Collaborates with leadership team to provide opportunities for staff development. i.e.:

• Participation in nursing research.

• Certification in nursing field

• Participation in professional organizations.

When providing direct patient care, the ANM demonstrates the knowledge and skills necessary to provide expected standards of care by

• Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and   addresses preventative measures.   
• Delivering care that is specific to the age of the patient
  • Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family
  • Performing systematic patient and family assessment relevant to practice settings.
  • Evaluating effectiveness of care and adapts plan based on patient/family response

F. Providing patient care by:

• Providing necessary physical care to appropriate patient populations which include activities of daily living (ADL), positioning,

       transporting and treatments     

• Utilizing and transporting equipment
• Monitoring and recognizing acute changes in the patient and intervenes appropriately
• Administering medications including blood and blood products

G. Determines staff assignments based on patient acuity and staff skill mix.

II. Professional Relationship: The professional relationship is based upon Lahey Clinic’s guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient’s response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care.

stablishes professional relationship with nurses, physicians and other colleagues and patients and families.

• The relationship includes the patient and family as a partner in care and is based upon Swanson’s Theory of Caring.

Educates the patient and family about the patient’s illness and treatment including preventative measures appropriate to the patient.Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond.

III. Clinical Leadership:  The Assistant Nurse Manager: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning based on Benner’s Novice to Expert skills acquisition model.  This supports the retention and recruitment of clinically competent nurses.   The ability to lead and influence the reasoning of colleagues in the patient’s best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others’ strengths. 

      A.  Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics

      B.  Demonstrates skills as a responsive team member

      C.  Demonstrates role of nurse as teacher

      D.  Demonstrates ability to fulfill role in regulatory compliance and readiness

      E.  Achieves and maintains ACLS certification as required by departmental standards

SYSTEM COORDINATION: In collaboration with the Administrative Director

Links departmental goals to organization’s mission and goalsWorks collaboratively to solve problems, improve processes, and integrate services within the department and with other departmentsSupports new ideas and changes within the department by actively participating and contributingDemonstrates flexibility in meeting demands of the departmentOrganizes and prioritizes work to meet deadlinesDevelops effective communication methods to keep staff and others informed about activities of the organization and department.Facilitates patient flow utilizing necessary computer applications

QUALITY IMPROVEMENT:

Monitors compliance to regulatory criteria and standards of care.Reviews outcome measures and works collaboratively with staff and leadership to improve patient outcomes,   i.e.: Press Ganey.Collaborates with multi-disciplinary teams to:

• Comply with regulatory standards
• Improve patient satisfaction
• Improve patient outcomes
• Identify, assess, measure and systematically improve processes and activities

IV. Clinical Scholarship: The Assistant Nurse Manager: Ambulatory achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis.

PROFESSIONAL GROWTH/SELF IMPROVEMENT:

Upholds standards of quality nursing careDemonstrates a commitment to life long learning. Demonstrates evidenced based practice (EBP) in nursing.Pursues self-awareness, actively seeks feedback, accepts constructive criticism, and modifies behavior accordingly.Engages in professional development activities such as education, participating in professional associations, or other appropriate activities.Maintains necessary continuing education requirements for license, certifications and enhancements.Maintains own educational record.

       H.  Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond.

Management:  The Assistant Nurse Manager: Ambulatory works collaborativelywith Administrative Director/Nurse Manager maintain and develop staff and promote fiscally sound and patient care.

HUMAN RESOURCE MANAGEMENT:

      A.   Works collaboratively with the Administrative Director to recruit, hire and retain qualified personnel.

      B.   Conducts the performance appraisal process.

      C.  In collaboration with the leadership, assures appropriate orientation, competence assessment, in-service training and continuing education for all staff.

      D.  Counsels colleagues and initiates corrective action.  Recommends termination as appropriate. 

      E.  Fosters staff development by assisting them to identify goals and appropriate opportunities for learning.

      F.  Encourages creativity and celebrates staff accomplishments.

      G.  Promotes an environment that is sensitive to the diverse needs of the patients and employees.

      H. In conjunction with the Administrative Director, coaches and supports staff by removing barriers and addressing issues.

      I.  Actively participates in staff meetings.

      J.  Leads Unit Based Councils, encourages staff participation, per direction of leadership,  in:

• Unit Based Council
• Ambulatory Nursing Council
• Ambulatory Clinical Practice Council

      K.  Communicates staffing concerns to Administrative Director.

      L.  Delegates work appropriately and provide direction and guidance to nursing and support staff

      M.  Coordinates the scheduling and staffing of the department.

FISCAL RESPONSIBILITIES:

Develops and implements cost effective staffing patterns.Uses resources effectively to provide high quality cost effective services.Promotes staff awareness of hospital cost and assists the Administrative Director with maintenance of the unit budget.Monitors daily schedules to ensure accurate staffing patterns.Monitors expenses and identifies areas of potential cost savings.

Minimum Qualifications:

Education:  Graduate of a state approved or accredited School of Nursing, BSN

Experience: Must have Endoscopy Experience

Licensure, Certification, Registration: Current license to practice professional nursing from the Massachusetts Board of Registration, and Basic Life Support (BLS) certification. BSN strongly preferred.

Skills, Knowledge & Abilities:

Clinical Skills 

Demonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures.  Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the unit-specific competencies.  Ability to cross train to other clinical areas

Experience:  A minimum of three years of acute nursing experience required.

FLSA Status:

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

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