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MD Anderson Cancer Center Associate Director, Clinical Nursing - Nursing ICU in Houston, Texas

Associate Director -Clinical Nuring Opportunity on our - Intensive Care Unit

Ideal candidate must have a Bachelor's degree, TX RN license, BLS or CPR certification and six years of professional nursing experience with two years in cancer care. Two years of management experience in the management of direct patient care activities. LEADing Self Accelerate program may substitute for one year of required supervisory or management experience.

Prefer candidates with a Master's degree, four years of recent ICU nursing experience and two years management and certifications in CCRN, ONS and/or Nurse Executives, specialty practice area or administration.


The primary purpose of the Associate Director position is to provide strategic, creative long term and daily operational leadership for the assigned inpatient unit. The Associate Director promotes a professional nursing practice environment. The Associate Director is accountable and responsible for all aspects of clinical operations, finance, human resources, and quality outcome management.

Essential Job Functions Sets strategic priorities and tactics in consultation with the Director of Nursing or Clinical Administrative Director to align with institutional and divisional strategic initiatives. Responsible for the outcomes of care processes on assigned unit(s) including clinical quality, financial, productivity, throughput/efficiency and interdisciplinary team work. Provides direction, guidance and developmental planning to clinical nurses and support staff. Directs, delegates and oversees care delivery and work efforts to achieve and maintain excellence in nursing and patient care outcomes. Promotes a satisfied, healthy work environment for the workforce by establishing a climate of growth, challenge and development for all staff. Supports a high level of clinical competence and professional development for staff.

Function Responsible for the delivery of evidenced based inpatient services in a complex oncology inpatient environment requiring 24 hour, 7 day a week supervision.

Scope Impacts the delivery of patient care and the operational success of the assigned unit.


Transformational Leadership and Structural Empowerment

Transformational Leadership: The Associate Director is visionary and influential in leading an assigned unit, utilizing systems thinking and change theory to transform the unit's values, beliefs, and behaviors to meet the demands of the future.

a. Develops unit budget plans in collaboration with the Inpatient Business Manager Recognizes trends and responds in a cost effective manner to changing patient population, staff and inter-professional team requirements

• Accountable for compliance with established budget

• Accountable for design, implementation and evaluation of unit staffing plans, in collaboration with the Inpatient Business Manager, considering skill mix, staff and patient care requirements

b. Creates and supports an environment where staff practice with autonomy

c. Serves as a change agent, leading others in understanding the importance, necessity, effect and process of change

• Establishes the structure for relationship building among staff members that enhances loyalty and commitment to the organization

• Synthesizes and integrates divergent viewpoints for the good of the organization

d. Creates an environment for exceptional professional nursing practice and serves as a role model by fostering peer relationships and participating in coaching and mentoring

e. Fosters an environment that values and respects the diversity of patients and staff

Structural Empowerment:

The Associate Director develops, directs, and empowers staff to problem solve in order to meet organizational and unit goals and achieve desired outcomes.

a. Manages human resource activities for all clinical and clerical staff including recruitment, retention, supervision, evaluation and productivity

• Recruitment: Identifies recruits, develops and retains top talent through effective performance management

• Retention: Engages staff in career counseling to identify and foster opportunities for personal and professional growth and development

• Supervision: Implements principles and practices of an environment of Just Culture that facilitates non-punitive accountability for performance

• Evaluation: Oversees performance of staff through the use of annual evaluations, rewards, recognition, counseling and disciplinary action

• Productivity: Develops, directs and empowers staff to accomplish organizational and departmental goals to achieve desired outcomes

b. Fosters a cohesive team through effective communication, collaboration, and conflict management and resolution. c. Creates an innovative environment where strong professional practice flourishes and the mission, vision and values promote positive patient outcomes believed to be important for the organization

d. Directs the Nurse Manager and the Clinical Nurse Leader in the improvement of health and patient outcomes by strengthening practice, building strong relationships, and developing partnerships on the unit and within the organization

Exemplary Professional Practice The Associate Director demonstrates a comprehensive understanding of the role of nursing and its application to patients, families, communities, and the inter-professional team, and applies new knowledge and evidence.

a. Develops, implements, and evaluates evidence-based, quality clinical nursing practice consistent with current nursing research, the Professional Practice Model, the Nurse Practice Act of the State of Texas, institutional, and national practice standards

b. Establishes a measurable, outcome focused, systematic approach to patient care delivery; identifies, implements, and evaluates opportunities for improvement

c. Creates an environment that fosters effective communication and collaboration with other leaders, departments, disciplines, staff, patients, and families

d. Creates an environment that cultivates an understanding and integration of ethical principles into clinical practice

e. Demonstrates professional accountability by maintaining clinical practice knowledge, relevant technological proficiency, and knowledge of the healthcare environment

f. Seeks opportunities to broaden knowledge relevant to the Associate Director role and healthcare though engagement in professional organizations and commitment to life-long learning

New Knowledge, Innovation and Improvements and Empirical Outcomes New Knowledge, Innovation and Improvements:

The Associate Director is responsible and accountable for providing strong leadership, empowering professionals, and exemplary practice. The Associate Director has an ethical and professional responsibility to contribute to patient care, the organization, and the profession.

a. New Knowledge

• Applies new or existing evidence in setting unit patient care standards, incorporating new knowledge, innovation, and improvements in unit clinical practice, patient care delivery systems, and work design

• Creates a unit vision that incorporates current and future healthcare economics, policy, regulatory and sociopolitical knowledge

• Develops an environment that challenges the status quo and embraces and promotes effective change

b. Innovation

• Leads and provides support for the application of patient care delivery system and the Professional Practice Model

• Demonstrates understanding of and the ability to integrate information technology to support patient care and business processes

c. Improvement

• Demonstrates leadership that incorporates evidenced-based practice, quality improvement, and patient safety initiatives to ensure the Institute of Medicine's six quality aims: safe, timely, effective, efficient, equitable, and patient-centered care

Empirical Outcomes: The Associate Director demonstrates a comprehensive understanding of and ability to analyze and disseminate empirical outcomes, including the impact of quality improvement initiatives and institutional best practices on the patient population, nursing workforce and institution, as reflected in unit and institutional metrics.

a. Initiates, monitors, manages, and improves unit performance and processes based on outcome data

b. Analyzes and trends unit data in order to develop action plans to improve and sustain outcomes by hardwiring practices

c. Establishes expectations for and initiates plans to address performance improvement based on review of outcomes data

d. Mentors and provides leadership to staff to improve or sustain unit performance on outcomes measures

e. Demonstrates knowledge of institutional best practices and collaborates with quality improvement colleagues to ensure consistency throughout the institution

Other duties as assigned


Education: Bachelor's degree in Nursing.

Preferred Education: Master's Level Degree

Certification: Current State of Texas Professional Nursing License (RN).

Preferred Certification: Certification in oncology, specialty practice area, or administration.

Experience: Six years of professional nursing experience with two years in cancer care. Two years of management experience in the management of direct patient care activities.

Preferred Experience: With required experience, four years of management experience and/or two years of professional nursing experience in cancer care.

Onsite Presence: Is Required

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law.

Additional Information

  • Requisition ID: 137605

  • Employment Status: Full-Time

  • Employee Status: Regular

  • FLSA: exempt and not eligible for overtime pay

  • Work Week: Day/Evening

  • Fund Type: Hard

  • Pivotal Position: Yes

  • Minimum Salary: US Dollar (USD) 118,000

  • Midpoint Salary: US Dollar (USD) 147,500

  • Maximum Salary : US Dollar (USD) 177,000

  • Science Jobs: No

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