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Floyd County Medical Center is aware of questions regarding the status of our Obstetrics program. We want to clarify that FCMC is not closing its Obstetrics program. We continue to provide labor and delivery services and obstetrical care for the communities we serve. Patients with questions regarding their care are encouraged to contact our Rural Health Clinic at 641-228-5151.

Rural Health Clinic Director – Registered Nurse

Position Overview: The Clinic Director is responsible for providing leadership, policy direction and oversight to the Rural Health Clinic (RHC). Maintains accepted standards of medical practice throughout the RHC and provides administrative and professional supervision of all staff. Responsible and accountable for the delivery of nursing services for all nursing staff and clinical nursing operations in the RHC. The Director has administrative responsibility for risk management, utilization management, and reimbursement. Accountable for quality assurance and outcomes management of the RHC.

Duties and Responsibilities:

• Participates at senior-management level in all planning, budgeting, policy making, and decision making related to clinical operations.
• Makes certain the RHC is operating under RHC standards and regulations, this includes ensuring required reporting is completed timely and accurately and required policies and procedures are in place.
• Develops, maintains, implements and communicates nursing policies and procedures to staff that conform to current standards of nursing practice and organizational philosophy.
• Ensures that nursing aspects related to risk management, reimbursement, financial management, and other administrative functions are incorporated into operational systems.
• Monitors outcomes, budget results, patient satisfaction surveys, and other indicators of nursing performance.
• Develops a human resources plan for nursing including staffing and types of nurses needed as well as related allied health staff. Works with human resources, nursing directors, and team leaders to recruit, select, orient, and train new staff.
• Oversees staffing and scheduling of clinic personnel and medical providers. Works in partnership with the Clinic Coordinator to maintain staff work and call schedules and manage time off requests for personnel and medical providers.
• Ensures the performance and productivity of all nursing staff are evaluated annually and periodically throughout the year. Advises on appropriate corrective actions and professional development opportunities.
• Maintains high quality of care by nursing staff through continuous improvement of standards and protocols.
• Collaborates with physicians, medical professionals, consultants, community agencies, and institutions to improve the quality of nursing services and resolve identified problems.
• Ensures all staff is trained in quality assurance/control requirements and meet these standards.
• Stays current with state, federal, and payer regulations/requirements and updates professional standards for nursing for the medical practice appropriately.
• Responsible for ensuring a safe, clean work environment.
• Acts as the main point of contact during clinic surveys including Department of Inspections, Appeals, & Licensing (DIAL) and Department of Health and Human Services (HHS) surveys. Performs mock surveys periodically in preparation for surveys, ensures the clinic is always “survey ready”.
• Responsible for the general operation of the RHC.
• Assumes other duties and responsibilities that are related and appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as all-inclusive.

Minimum Education and/or Experience Required:

• Bachelor of Science in Nursing (BSN) required. Master of Science in Nursing (MSN) or master’s degree in business, health administration, or related field preferred.
• Minimum of two years healthcare leadership experience.
• Previous supervisory experience.
• Experience in an organization undergoing rapid change and growth preferred.
• Experience in implementing and operating standardized performance measurement and work processes preferred.

Additional Qualifications:

• Knowledge of nursing principles, practices, and procedures.
• Knowledge of federal, state, and payer regulations and requirements related to nursing including patient safety, infection control, and confidentiality.
• Knowledge of medical terminology.
• Knowledge of quality assurance, risk management, utilization management, and outcomes management standards.
• Understanding of an electronic health record, referrals, and corresponding clinical workflows.
• Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, Outlook and appropriate practice management software including Meditech Expanse.
• Excellent oral and written communication skills required.
• Ability to communicate with confidence in a group setting.
• Self-motivated.
• Must be able to read, write, comprehend, and verbally communicate in English fluently.
• Integrity and ability to work independently. Initiative to take on tasks without being told.
• Strong attention to detail.
• Adaptive to change, embraces change with optimism.
• Ability to problem solve, critically think.
• Ability to prioritize assignments and manage time efficiently.
• Ability to operate technologies and equipment associated with this position.
• Must have a service mindset and a commitment to continuous learning.
• Ability to work outside of regularly scheduled hours if needed.
• Ability to perform all duties of a staff RN in the RHC in the rare instance staffing and patient volumes require it.

Licensure/Certification Required:

• Current certification as a Registered Nurse (RN) in the state of Iowa.
• Basic Life Support (BLS).
• Mandatory Reporter of Dependent Adult/Child Abuse or completion within six months of hire.

Physical/Cognitive Requirements:

• Sit: Frequent
• Stand: Frequent
• Walk: Frequent
• Lift:
  • 10 pounds Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Carry:
  • 10 pounds: Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Push/Pull:
  • 10 pounds: Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Squat/Kneel/Crouch: Occasionally
• Climb: Occasionally
• Balance: Occasionally
• Twist: Occasionally
• Bend/Stoop: Occasionally
• Grasp/Grip: Frequent
• Talk: Frequent
• Hear: Frequent
• See: Frequent

*Anything greater than 50 pounds- assist of two or more, or mechanical lift are required.

• May be exposed to communicable diseases due to working in a health care environment.
• Works in a well-illuminated climate-controlled environment.
• Work environment is comfortable, with minimal exposure to physical hazards.
• Moderate noise level when machines/equipment in use but typically quiet environment.
• May come in contact with blood and other body fluids.

Organizational Relationships:

Reports to: Chief Operating Officer (COO), with clinical direction and guidance provided by the Chief Nursing Officer (CNO), as appropriate.

Employees supervised: All clinical RHC personnel including but not limited to Certified Medical Assistants (CMAs), Licensed Practical Nurses (LPNs), and RNs. Referral Specialists. RHC Coordinator.