Director - Advanced Practice Clinicians

The Director for Advanced Practice Providers is responsible for the oversight of Regional Advanced Practice Providers and the associated comprehensive care to patients in the hospital setting. The Director will work closely with multidisciplinary teams to oversee growth, staffing, standardization, quality, and process initiatives in collaboration with APP leads and under the supervision of the Chief Medical Officers (supporting Legacy-LVPG), Chief Nursing Officer, the Associate Chief Physician Executive of JMG (supporting Legacy-LVPG) and reporting directly to the SVP of Advanced Practice Providers.

The Director functions in an expanded role within the guidelines of the Nurse Practice Act, Nursing and Medical Staff Policies and Procedures and in accordance with clinical protocols. The Director is granted affiliate privileges by the respective medical staff (s), which list specific clinical protocols and procedures and are reviewed bi-annually. This position will have a variable clinical and administrative effort based on size and complexity of the region. It will work closely with appropriate service line and institute leadership.

Essential Functions:

The specific responsibilities include, but are not limited to:

• In collaboration with senior leadership, explore, recommend, develop, and implement new opportunities to optimize clinical care and enable better utilization of APPs with top of scope practice to drive Jefferson's growth, enhance revenue and drive quality, safety, and throughput initiatives.
• Direct and prioritize resource allocation to ensure that service needs are met, while maintaining Jefferson's quality standards.
• Represent all APPs, ensuring that they are included in multi-disciplinary activities by chairing or serving as members of various committees that contribute to the organization's clinical care.
• Represents APP practice on appropriate committees
• Works collaboratively with multidisciplinary leadership on unit initiatives and departmental support for patient flow, policies/protocols, levels of care, etc.
• Participates in operational and strategic planning with senior leadership & SVP APPs for APP inpatient program.

• Oversee the overall operation of the APP practice, ensuring appropriate and efficient provision of services to meet clinical-programs and Jefferson goals and objectives.
• Oversee the development and management of the APP budget in accordance with institutional financial goals and expectations.
• Manages premium compensation and outsourced labor.
• Oversees APP performance, productivity, and budgetary reporting.

• Management oversight of the APP (Physician Assistants, Nurse Practitioners, Certified Nurse Midwives, and Certified Nurse Anesthetist) practice.
• Establish standards for the hiring, onboarding, credentialing, privileging, performance appraisal/competency assessment, and clinical practice of APPs.
• Establish job expectations, performance standards, and methods for measurement/monitoring of standards for APPs.
• Coordinate with Human Resources and physician, nursing, and administrative leadership in the development and implementation of policies and procedures that apply to APP staff.
• Ensure that Nurse Practitioners/APNs practice the tenets of Nursing's care-delivery model and adhere to ANCC Magnet standards, including participation in Nursing's shared-governance structure, peer review, and RN-satisfaction surveys.
• Coach, mentor, and develop staff through innovative mechanisms (e.g., peer reviews) designed to improve performance.
• Maintain awareness of team engagement; identify and respond to key challenges and areas of opportunity.
• Develop and maintain effective recruitment and retention strategies for APP's

• Identify and develop process and outcome metrics specific to the practice environments to ensure the highest quality of care and patient satisfaction.
• Ensure the completion of focused/ongoing professional-practice evaluation with appropriate leadership.
• Engage APPs in developing and implementing process-improvement initiatives, while anticipating downstream impacts of the changes; communicate and collaborate with stakeholders regularly and accordingly.
• Promote clinical inquiry by facilitating research and translating research findings into practice, utilizing an evidence-based practice (EBP) approach.
• Ensure integration with the hospitals and the clinical departments' QA/Safety structures and processes.

• In collaboration with the SVP APPs and Jefferson's Regulatory Affairs serves as the regional hospital resource regarding APP collaborative practice, credentialing, scope of practice and regulatory compliance.
• Communicate and ensure compliance with institutional policies and procedures and with state medical boards and state nursing boards regarding APP practice at Jefferson.
• Deferring to Hospital Regulatory Affairs, monitor physician supervision of APP practice in accordance with all applicable regulations, appreciating the differences that may exist among NPs/APNs, PAs, CNMs, and CRNAs as well as the State variations in requirements.
• Within the process defined oversee the APP credentialing and privileging process.
• Keep abreast of current and future legislative issues and actively participate in State and national activities as they relate to APP practice.
• Ensures APP Leads encourage their teams to practice at the full extent of their license and education, within their scope of practice, as defined by their governing bodies.

• Foster an engaged and learning environment by promoting APP participation in continuing education programs (e.g., CME/CEU).
• Support academic-degree achievement to enhance professional knowledge and clinical practice. Support APP engagement in research.
• Role-model professional growth and development and keep abreast of trends through participation in educational programs and workshops.
• Promotes opportunities for clinical preceptorships and learning opportunities for Advanced Practice Provider students.

• Provides inpatient care around their expertise.

Educational/Training Requirements:

• If PA, graduate of an ARC-PA-approved Physician Assistant program required. Master's degree in PA studies or a related discipline preferred.
• If NP/APN, MSN or DNP required.
• If PA, current (or need to obtain) PA/NJ licensure as a Physician Assistant,

Certifications, Licenses, and Registration:

• Board certification required (NCCPA, ANCC etc.)
• If NP/APN, current licensure as a Registered Nurse and CRNP/APN

Experience Requirements:

Prior supervisory experience required. Excellent leadership skills and experience managing a large department/function through well-established performance management skills. Proven success in developing an engaged and high-performance work environment/culture with diverse workforces.

• Proven problem solver, with the ability to analyze issues and opportunities systematically to make decisions that will support Jefferson's mission, vision, values, and goals.
• Outstanding analytical and process skills. Capable of tracking and monitoring data/metrics, identifying trends, and making sound recommendations based on key indicators and rational thinking approaches to drive productivity and operational results.
• Well organized and disciplined, with the ability to manage multiple priorities and projects as well as communicate project milestones and issues on a timely basis.
• Excellent team building and facilitation capabilities. Can structure and lead business initiatives and meetings to achieve results.
• Extensive knowledge of APP regulations, CMS professional billing, Medical Board and Nursing Board practices, and JCAHO mandates regarding APP practice in hospitals.
• Experience with Joint Commission and other governmental surveys/audits is desirable.
• Experience in a Magnet hospital, along with an understanding of ANCC Magnet standards and the ability to operationalize them, is desirable.