Employment Opportunities

The purpose of this position is to lead professional nursing care as a clinical leader to a patient population exhibiting a variety of illness and injury within scope of licensure. The incumbent is subject to the administrative supervision of the Health System’s Administration component (Deputy Director of Health, Executive Director of Health, and functional/operational supervision of the Clinic’s Medical Director). The incumbent supervises the all activities of assigned nursing staff (other RNs, Licensed Practical Nurses, and other assigned personnel in the Department as identified), as well as nursing students conducting internship, field training, or practicums in the Public Health Nursing Department and/or within the Health System. The Director of Quality Services coordinated and maintains programs designed to assess and review the quality of care provided in all clinical areas of the health system. He/she will conduct oversight and management of state and regulatory and contractual compliance for the QI program. This includes conformance with applicable laws, regulations, and accreditation standards which include local, state, and federal laws governing patient quality care, OSDH/OFMQ, Medicare/Medicaid compliance, AAAHC Accreditation, I.H.S. Quality Programs, etc. May present status and results of programmatic activities to health board. Key competencies are knowledge of Clinical Quality Areas such as NCQA, HEDIS, CLIA, OSHA, CMS CoPs, OSDH, I.H.S., Quality Assurance and working knowledge of Employee Health Standards, as well as, Infection Control Measures. Liaisons with Medical Compliance Officer on areas of overlap and compliance affecting clinical quality and compliance with federal, state, and local health laws, regulations, and practices. Evaluates reported information for appropriate clinical quality or compliance action(s) by health system leadership. Responsible for ensuring clinical processes are conducted in accordance with guidelines and regulations. Develops, performs, and manages all health system quality assurance activities. Presides over clinic audits. This role requires daily communication with the supervisor.

• Maintain full compliance with: the Absentee Shawnee Tribe’s Administrative Manual, and the Federal, State, the Absentee Shawnee Tribe and any of their agencies laws, licensing and certification requirements for a Tribal Health System.
• Maintain reasonable assurance that employees located at clinic are knowledgeable of the goals and objectives of the Tribe’s Health Care Program, Strategies, and Strategic Goals; the overall services available through the Health Programs; and the Tribe’s various other treatment programs and services.
• Ensure that employees possess the necessary knowledge, skills, and follow proper procedures to effectively address health care issues upon patient presentation to the clinic.
• Receive and greet visitor, patients, and staff members in a professional manner.
• Perform selected nursing and administrative duties.
• Manage and responsible for the staffing and nursing scheduling as well as provider support including coverage of shifts when necessary to continue operations.
• Order and maintain clinical and office supplies and equipment.
• Work towards sustaining AAAHC Accreditation with Health System.
• Maintain patient files, records and other information; complies with E.H.R. policies and procedures.
• Work closely with the Professional Staff (i.e., Physician, PA, or NP) to receive guidance and instruction for treating patients including patient education and staff education.
• Perform direct patient care as instructed by Licensed Independent Practitioners.
• Assure all equipment for use at all times, is in a clean and safe and certified operational condition (as appropriate).
• Report/replace defective equipment and/or assures appropriate coordination with administration.
• Make suggestions to improve work flows and process improvements.
• Actively engages and supports performance improvement efforts.
• Ensure patient satisfaction, safety, and quality of care.
• Ensure training and orientation for new employees, and maintains evidence of completion of nurse competencies.
• Assure congruency with all of the health system’s resources; maintains knowledge of services and coordinated access to other services provided to patients regarding follow-up of primary care, dental, optometry, behavior health, diabetes wellness, purchase referred care, etc., to ensure patients are appropriately followed/referred when necessary.
• Integrate with health system clinical staff and case management team and actively work with Group Practice Manager and Chronic Care Programs.
• Provide assistance to the Medical Director and Medical Staff with medical care and treatment of patients to assure quality and continuity of care within the parameters of appropriate professional nursing standards.
• Promote continuity of care by providing medically relevant health care instructions and patient education.
• Provide assistance in emergency situation as described in the Clinic Emergency Preparedness Plan or as directed by the Medical Director or designate.
• Participate in continuous quality improvement activities including quality assessments, surveys, checklist assessments, and entering into the electronic system at the beginning of each month.
• May be tasked with Environment of Care Surveys of Health System.
• Supervise the Registered Nurse, Licensed Practical Nurse, Certified Nurse’s Assistant, Medical Assistant and any student nurses assigned to the Clinic.
• Provide assurance of Confidentiality of Medical Records and HIPAA programs.
• Travel to all other AST Health System clinics to help out as needed, and to ensure proper staffing is maintained.
• Work as a team member to complete all daily duties assigned within the clinic.
• Complete all duties assigned by supervisor and actively supports the patient experience program.
• Ensure that all processes are in place and contributing to the performance of a high-quality clinical outcome for the health system’s patients.
• Troubleshoot clinical improvement activities once reported deficient or revealed by patient complaint.
• Manage and maintain databases for the quality system.
• Prepare and assist with monthly, quarterly, and annual quality trending reports.
• Report the status of the quality levels of staff, systems and production activities.
• Preside over improvement programs.
• Develop and direct total quality improvement projects. Audits the system’s clinical programs and policies to ensure that physician, patient and customer needs are effectively addressed.
• Constantly performing follow-up evaluations of data and organizational performance to ensure consistent improvement.
• Evaluate quality events, incidents, queries, and complaints.
• Keep up to date with all related quality legislation and compliance issues.
• Compile and prepare materials for submission to regulatory agencies.
• Document internal regulatory processes.
• Ensure regulatory rules are communicated through corporate policies and procedures.
• Work with the organization’s leadership and staff to create policies and procedures that ensure good quality care and minimize harm to the patient.
• Maintain management and organization of policy and procedure documentation.
• Ensure that investigator, vendor, facility and system audits are conducted; coordinated and collaboration with compliance is vital for successful internal auditing program.
• Communicate any critical compliance risks noted from these activities to senior management.
• Assume a lead role for the preparation, conduct, and responses to regulatory agency requests for information and/or clinical inspection.
• Liaison with legal and compliance where and when necessary.
• Keep leadership apprised of all events/notifications.
• Provide leadership and strategy in line with health system’s strategic objectives, goals, vision and values.
• Oversee the organization's reporting of patient care benchmarks and measurements to federal and state authorities.
• Train and educate the organization's staff to promote good clinical quality practices throughout the health system; assures congruency with all applicable federal and state laws and regulations.
• Responsible for conducting Quality Committee meetings, as well as, the documentation of, minutes for all Quality Committee and Process Improvement meetings.
• Perform other related duties as assigned.

• Master's degree in health related field or equivalent graduate degree program that emphasizes health administration in a clinical setting preferred; however a bachelor's degree with some graduate degree credit may be acceptable.
• A minimum of three (3) years management experience in a clinical setting with supervisory responsibility over a minimum of 5 employees.
• A minimum of 3 years’ experience is required in the following; (i) Federal and State laws and regulations concerning health care, including Medicare and Medicaid and (ii) the business aspect of effectively and efficiently operating an ambulatory health care clinic, including without limitation, the financial and cost accounting functions, the statistical gathering functions and all possible revenue generating functions.
• Knowledge of Joint Commission and/or AAAHC Accreditation bodies essential for the success of the incumbent.
• Graduate of an accredited institution in nursing and certified as a Registered Nurse.
• Must have a professional knowledge of nursing care principles, practices and procedures, working knowledge and application of proper nursing protocols, training and knowledge of pharmaceuticals and their side effects and complications of use.
• Ability to observe and react to adverse signs exhibited by patient and the ability to respond appropriately in emergency situations.
• Able to educate and counsel with patient regarding their medical care and treatment as ordered by a physician.
• Industry related/recognized certification in clinical quality, infection control, and/or employee health preferred. 
• Must maintain membership in related professional organizations for currency in programs.
• Three years of healthcare quality and/or clinical quality risk management experience.
• Knowledge of accrediting and regulatory agencies in regards to patient quality of care and patient rights.
• Demonstrated awareness and value of cultural competence.
• Must be a certified American Heart Association Basic Life Support (BLS) CPR
• Must have valid OK RN nursing licensure and maintain nursing license within good standing yearly.
• Effective management and supervisory skills that will include professional and non-professional staff.

• Excellent verbal and written communication skills.
• Outstanding interpersonal skills, requisite poise, judgment and trustworthiness to work collaboratively with internal and external groups such as the person's immediate management, the Tribe's elected officials, the Tribe's citizens, and Federal and State officials.
• Excellent problem solving skills including the problems inherent to a health clinic setting.
• Strong business skills and working knowledge of accounting and database systems.
• Must be able to effectively relate within local community.
• Must be able to respond effectively to oral and written directives.
• Ability to apply process methodology, manages projects, and analyzes findings.
• Ability to be solution oriented and work well in a team environment.
• High degree of independence, flexibility, initiative and commitment.
• Able to work independently; work under pressure and attention to detail.
• Must be computer literate required (Windows operating systems – Microsoft Word, Excel). 
• Must have a valid Oklahoma Driver’s License.
• Must be able to pass a background check and drug test.

• Must be able to sit, stand, stoop, bend or kneel for long periods of time.
• Prolonged sitting, standing, or walking; occasional bending, squatting, kneeling, and stooping; good finger dexterity and sensory perception; frequent repetitive motions; as well as talking, hearing, and visual acuity are required.
• Frequent lifting (up to 15 lbs)
• Occasional lifting (up to 30 lbs)

The Absentee Shawnee Tribe of Oklahoma (AST) is committed to Equal Employment without regard to race, religion, color, gender, national origin, age, disability, or sexual orientation. However, in accordance with the Indian Preference Act (Title 25 U.S. Code 472 and 473) preference in filling vacancies are given to qualified Indian candidates. AST will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and its amendments.