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Category: Management/Professional
Facility: IHA Administration
Department: Quality and Performance Improvement
Schedule: Full Time
Hours: 40 Hours
Job Details: Bachelor's Degree
Registered Nurse (RN)
7-10 years of experience required


The Associate Director of Clinical Operations serves as a strategic partner for the organization, with responsibility for the identification, development, implementation and evaluation of clinical processes, policies, and protocols within IHA practices.  This individual also helps identify areas of clinical educational opportunity and appropriate work role scope.  This position also includes oversight of IHA's Lab and Infection Prevention Manager




1.      Development and implementation of IHA's clinical operations service line that will align and support IHA's priorities.

2.      Serves as a strategic partner with division leadership teams.

3.      Monitors and identifies areas for improvement and develops/implements an action plan to address issues.

4.      Development and implementation of guidelines and processes to ensure consistent procedures, protocols, workflows to ensure working at top of license with all IHA offices.

5.      Development of meeting agendas, through a solid understanding of the scope of each meeting; develops presentations, presents at meetings. 

6.      Maintains knowledge of industry trends and effectively utilizes external resources to gain additional program knowledge and insight, and identifies relevant information that can be utilized or disseminated to improve IHA's clinical support staff.

7.      Management of Clinical Project Managers and Lab & Infection Prevention Manager including recruitment, hiring, training, supervising, evaluating, disciplinary action, and terminations.    

8.      Participate as a clinical policy task force member.

9.      Identification of educational opportunities and collaboration with Learning & Development on course development.

10.   Oversite of the development of patient education material.

11.   Development and oversite of Clinical role expectations.

12.   Provide support as it relates to IHA Preceptor program in order to promote the development of office level clinical leaders.

13.   Oversee Divisional Clinical Leadership groups lead by Clinical Project Managers.

14.   Assess the ongoing documentation improvement needs in order to ensure consistency by all clinical staff.

15.   Establish evidence-based practices and ensure processes adhere to industry best practices and HIPAA.

16.   Support the education and training of clinical staff and leadership to drive best practices adoption resulting in patient safety and quality improvements. 

17.   Develop audit tools and conduct audit and assessment visits in order to determine and implement improvements identified.

18.   Oversite of IHA's Lab and Infection Prevention Manager ensuring standards are communicated and followed, training is provided and up to date, and ensuring CLIA compliance.

19.   Assists with special projects and performs other duties as assigned and works within the scope of RN licensure.




1.      Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the IHA CARES mission and core values statement.

2.      Successfully completes IHA's "The Customer" training and adheres to IHA's standard of promptly providing a high level of service and respect to internal or external customers.

3.      Maintains knowledge of and complies with IHA standards, policies and procedures, including IHA's Employee Handbook.

4.      Maintains complete knowledge of office services and in the use of all relevant office equipment, computer, and manual systems.

5.      Maintains strict patient and employee confidentiality in compliance with IHA and HIPAA guidelines.

6.      Serves as a role model, by demonstrating exceptional ability and willingness to take on new and additional responsibilities.  Embraces new ideas and respects cultural differences.

7.      Uses resources efficiently.

8.      If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities.




Performance that meets or exceeds IHA CARES Values expectation as outlined in IHA Performance Review document, relative to position.




EDUCATION:  Bachelor of Science in Nursing or equivalent combination of education and experience.

CREDENTIALS/LICENSURE:   Valid, unrestricted RN license in the State of Michigan.

MINIMUM EXPERIENCE:   8 years' nursing experience, with background in and working knowledge with clinical project management.  Experience with ambulatory care, outpatient or home health preferred and previous supervisory/management experience all preferred.



1.      Ability to mentor and train project managers.

2.      Ability to effectively support department leadership, providing feedback and guidance to staff and demonstrating effective conflict resolution.  Ability to affect change.

3.      Ability to support and facilitate quality improvement measures.

4.      Knowledge of patient care management procedures and policies related to position responsibilities.

5.      Proficient/knowledgeable in medical terminology.

6.      Proficient in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records, email, e-learning, intranet, Microsoft Word and Excel,  and computer navigation.  Ability to use other software as required while performing the essential functions of the job.

7.      Excellent communication skills in both written and verbal forms, including proper phone etiquette.  Ability to speak before groups of people and display positive listening, and relationship-building skills. Demonstrates ability to influence and negotiate individual and group decision-making.

8.      Good organizational and time management skills to effectively juggle multiple priorities and time constraints.

9.      Ability to exercise sound judgement and problem-solving skills, specifically as it relates to resolving care management issues.

10.   Ability to coordinate, plan, evaluate and integrate clinical education and professional development activities that foster and maintain best practices.

11.   Ability to work effectively with various levels of organizational members and diverse populations including IHA staff, providers, patients, family members, insurance carriers, vendors, external customers and community groups.

12.   Ability to handle patient and organizational information in a confidential manner.

13.   Knowledge of the compliance aspects of clinical care and patient privacy and best practices in medical office operations.

14.   Ability to travel to other office/practice sites and meeting and training locations.

15.   Successful completion of IHA competency-based program within introductory and training period.




1.      Physical activity that often requires keyboarding, phone work and charting.

2.      Physical activity that often requires extensive time working on a computer.

3.      Physical activity that often requires handling and lifting patients walking, standing, bending, stooping, reaching, climbing, kneeling and/or twisting.       

4.      Physical activity that may require lifting, pushing and/or pulling up to 20 pounds.

5.      Specific vision abilities required include close vision, depth perception, peripheral vision and the ability to adjust and focus. 

6.      Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.

7.      Must hear and speak well enough to conduct business over the telephone or face to face for long periods of time in English.




This job operates in a medical facility and requires regular walking to various locations around the hospital/clinic. Employees will be working where there is patient care equipment. Hazardous materials, including bloodborne pathogens and bodily fluids are also present. Exposure to sharps, x-rays, patients' conditions and some unpleasant sights, smells and contagious diseases is possible.  This position requires significant interaction with people (many of whom are scared, hurt and/or ill) which can be stressful and result in competing priorities.

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