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1 Job Description Job Title: Clinical Nurse Manager Date: June 2013 Reports To: Medical Operations Manager Rev.: Department: Operations Administration FLSA: Exempt Job Grade: 17 SUMMARY: This is a clinical management position responsible for the direction of clinical activities at Healthcare Network medical sites. The Clinical Nurse Manager provides leadership and nursing services to patients in a community/rural health setting, and works with the health care team to coordinate with the medical providers to provide health care services. The Clinical Nurse Manager identifies appropriate resources to provide education to the patients, their families and staff members. The Clinical Nurse Manager assists in the administrative efficiencies through the medical service areas, and works closely with the Medical Operations Manager exercises frequent independent judgment in monitoring the day-to-day operation of the units with minimal administrative assistance/supervision. DUTIES & RESPONSIBILITIES 1. Works directly with the Medical Operations Manager to manage the daily operations of the centers. 2. Develops and implements tactical work plans to support the goals and objectives of the organization. 3. Ensures that offices/departments are clinically staffed appropriately. 4. Analyzes patient flow problems and assists in instituting corrective actions. 5. Monitors clinical staff performance in compliance with established timeframes. 6. Regularly interfaces with providers, managers and staff to assist to facilitate communication and improvement activities. 7. Functions as EHR super user working closely with Community Health Center Alliance to ensure that appropriate training, error monitoring and corrections are completed in a timely manner. 8. Assists as directed with the development and implementation of corporate policies and procedures. 9. Provides direction and support for Clinical Leads in order to achieve the clinical goals and objectives in the organization s comprehensive health care plan. 10. Participates as needed as a member of various committees related to the overall improvement of the corporation. 11. Complies with company policies and procedures: promotes and complies with accreditation body standards of care.

2 12. Manages the activities of the day by staff, patients, students, and providers to assure a smooth, efficient patient flow through the units. 13. Works with the Medical Operation Manager to assure that the medical equipment, and supplies that the providers require is readily available at the time it is needed, and in emergencies, includes medications, lab processing and notification of emergency medical services when indicated. 14. Observes infection control and standard precautions. 15. Oversees and controls stock drugs, vaccines and clinical inventory at all locations. Monitoring stock for expiration dates. 16. Works with clinical lead in each department/site to accurately monitor all clinical logs for accuracy and completion. 17. Ensures that all sites have accurately completed and sent in monthly reports, i.e., hand hygiene, infection control and equipment check list. 18. Coordinates and prepares clinical staff for potential weather relates disasters. i.e., secure vaccines and store with maximum refrigeration back up. 19. Assures that all documentation in the EHR is complete as required. 20. Attends all mandatory in-services and meetings. 21. Supervises use of universal precautions and Infection Control standards are maintained. 22. Maintains the QI/QA Program. 23. Coordinates with Clinical Lead at each site to assure clinical support competencies. 24. Coordinates clinical staff education with outreach worker, hospice, case managers, hospitals, staff development leader, and other health care providers. 25. Adheres to all AAAHC standards. QUALIFICATIONS Education/Training Level o Graduate of an accredited school or college of nursing o Licensed to practice nursing in the state of Florida. o At least five (5) years nursing experience. One or more years in a supervisory position. o Preferred knowledge of immunizations, growth and development, cultural diversity, performance improvement and coding. Licenses & Certifications State of Florida Licensed Registered Nurse Communication Skills Strong verbal and written communication skills Specialized Competencies o CPR certification, Abuse, Immunizations and Growth and Development.

3 Technology Skills o Strong understanding and ability to use: Practice Management System, and o Strong understanding of Electronic Health Record for audit purposes, error correction, training and reporting. NATURE OF WORK Job duties involve conceptual analysis and the resolution of complex problems and situations. Most responsibilities are stated in terms of objectives to be reached, instead of the specific means by which results are to be achieved. Situations will be encountered that involve the need to determine the problem itself before solutions are proposed. Written and verbal communication skills are essential to job performance, including providing both technical factual information and the objective and subjective analyses of the information. Those receiving the information may be emotional or uncooperative, requiring the employee to resolve the conflict or diffuse tension. May be required to perform the duties of other employees, including supervisors/managers, in their absence. May be required to perform duties and responsibilities not listed in this description, on a temporary or long-term basis. WORKING CONDITIONS AND ENVIRONMENT Work is performed in a standard office environment. DISCLAIMER The duties and responsibilities, qualifications, physical conditions and other statements contained herein represent the current general nature of the job described, and are subject to change at any time, with or without notice. This job description does not limit in any way the assignments that may be given to an employee in the job, and employees are expected to perform any and all duties assigned by their supervisor willingly and without reservation.

4 Healthcare Network of Southwest Florida Job Specifications PHYSICAL REQUIREMENTS: Ability to perform repetitive tasks Ability to walk the equivalent of 5 miles per day Ability to reach above shoulder level Ability to hear tape recorded transcriptions Ability to distinguish colors Ability to adapt to shift work High degree of manual dexterity Moderate degree of manual dexterity Ability to work with chemicals and detergents Ability to tolerate exposure to extreme cold Ability to tolerate exposure to extreme heat Ability to tolerate exposure to dust and/or fumes Ability to grip High degree of physical flexibility Ability to bend a knee Ability to sit for periods of time Ability to crawl Ability to climb stairs or ladder Ability to push/pull a cart weighing 25 pounds Ability to stand for long periods of time Ability to lift 40 pounds Ability to lift 25 pounds Ability to squat Ability to perform CPR MENTAL AND EMOTIONAL REQUIREMENTS: Ability to cope with a high level of stress Ability to make fast decisions under high pressure Ability to cope with the anger/fear/hostility of others in a calm manner Ability to manage altercations Ability to concentrate High degree of flexibility Ability to cope with confrontation Ability to handle multiple priorities in a stressful situation Ability to assist with problem resolution Ability to work alone Ability to demonstrate a high degree of patience Ability to adapt to shift work Ability to work in areas that are close and crowded FOR NURSING/PATIENT CARE JOBS - CHECK AGE(S) OF PATIENT SERVED: Infant (0 to 31 days) Child (1 month to 14 years) Adolescent (15 to 17 years) Adult (18 to 64 years) Geriatrics (65 years and above) All age groups (birth and above) - depending on unit hired HOURS OF WORK: Days, accepts flexible schedule to meet department needs. Evenings, accepts flexible schedule to meet department needs. Nights, accepts flexible schedule to meet department needs. Variable shifts, as scheduled.

5 Job Description and Job Accommodation Requests The Americans with Disabilities Act (ADA) and its amendments ensures that individuals with a disability (as defined in the Act) have the right to work if they can perform the essential duties of the position for which they are hired, with or without reasonable accommodations. Healthcare Network of Southwest Florida (Healthcare Network) is committed to providing reasonable accommodation for employees with disabilities when an employee identifies a need and requests accommodation. It is recognized that employees may acquire a physical or mental disability at any time during their employment. Employees can request accommodations under the ADA at any time during their employment. Those seeking detailed information on employee rights and procedures for requesting accommodations, should review company policy or speak to the Human Resources Director. Additionally, the Healthcare Network is committed to the delivery of quality health care to all patients. This commitment extends to situations where an employee s personal cultural values, ethics and religious beliefs may conflict with patient care procedures or treatments. When the commitment to patient care delivery conflicts with an employee s values, ethics, and/or beliefs, the conflict must be resolved in such a way that patient care is not negatively affected. Individuals requesting job accommodations should meet with a Human Resources representative to obtain request forms and submit their request. Please review your job description carefully and Healthcare Network Policy above regarding accommodations under the ADA, before completing this form. I have read and understand the job description of the position for which I am being employed. I have had the opportunity to have any questions answered. Check one: I do not believe I need any accommodations to perform my job under the Americans with Disabilities Act and am willing and able to perform those duties without accommodation. I do believe I require an accommodation due to disability/disabilities, and I request an accommodation under the ADA. Check one: I do not believe I have a personal conflict with the duties of my position and am willing and able to perform those duties. I do not request accommodations for personal conflict. I do believe I have a personal conflict with participating in an aspect of patient care and request an accommodation due to personal reasons. Employee Name (PLEASE PRINT) Employee Signature Human Resources Representative Job Title Date Date

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