Typical pay range: $45.83 - $64.56
ST. CHARLES HEALTH SYSTEM
Administrator On Duty
Director of Patient Logistics and Hospital Staffing
Patient Care Support
September 23, 2019
Creating America’s healthiest community, together
In the spirit of love and compassion, better health, better care,
Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: Patient Care Support provides
many services throughout the health care system, including: patient
flow and capacity management, house supervision, scheduling &
timekeeping, staffing, and the clinical staff float pool.
POSITION OVERVIEW: The Administrator On Duty (AOD)
serves as the representative of Administration, providing
leadership and accountability for overall management of hospital
operations 24/7/365. The AOD assumes the role of in-house
administrator during assigned shifts, and has authority to provide
operational oversight throughout the hospital, to handle crisis
management, operational issues, provide interpretation of
policies/procedures and make timely decisions that directly impact
patient care. This position is also responsible for the
distribution and utilization of available resources to provide safe
patient care based on system-wide assessment assuring quality and
cost efficiency. The AOD oversees the coordination and expedites
patient throughput to the most appropriate available bed based on
clinical criteria and patient placement guidelines in accordance
with St. Charles Health System clinical standards, Joint Commission
requirements, state regulations, and EMTALA and COBRA guidelines.
The AOD acts as the administrative liaison to patients, families,
caregivers, providers and external customers. The position requires
a working knowledge of the overall operation of the hospitals,
efficient patient throughput, crisis intervention, disaster
management, conflict resolution and excellent interpersonal
communication skills. This position does not directly manage other
caregivers, however may be asked to review and provide feedback on
the work of other caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Oversees the activity in hospital operations; providing
leadership and accountability for overall management of hospital
Serves as administrative agent of the hospital in off-hours and
in the absence of administrative personnel:
- Responsible for staffing of patient care departments and
- Emergency, code, disaster management, and initiation of initial
Incident Command process after-hours or when Duty Administrator is
- Media and law enforcement point of contact.
- Acts as a resource for organ donation when department
leadership unavailable. Assists with managing morgue
Provides judgment and self-sufficiency in effective problem
solving while serving as the administrative and operational
resource for the hospital while collaborating with leadership.
Obtains adequate facts and evaluates data to identify and
intervene in actual and/or potential safety and risk management
issues. Investigates and intervenes in situations involving
patients, visitors, hospital staff and other external customers
Investigates patient complaints and applies appropriate
interventions as necessary. Refers follow-up solutions to nurse
manager or other appropriate person.
Maintains visibility with hospital staff through rounds;
rounding through each unit, to collect information for patient flow
and other concerns.
Serves as a clinical and administrative resource to patient care
units and support departments.
Prioritized decision making to ensure timely patient flow
(admits, discharges, transfers, emergencies) from all sources
(internal departments, ER, provider offices and clinics, and other
elective admissions and transfers) based on acuity, diagnosis, bed
management, staffing, and resource / equipment availability.
Coordinates with Patient Logistics RN.
Collaborates with patient care departments regarding patient
Collaborates with Duty Administrator, ER, and Trauma services,
regarding peak census protocol and diversion status.
Delegated responsibility / authority for management of bed
Facilitates bed control meeting twice each shift: forecasts
planned patient flow and staffing needs, monitors system
Coordinates with environmental services and clinical leadership
to facilitate efficient bed turnaround times, when escalated by
Patient Logistics RN.
Delivers excellent customer service in a manner that promotes
goodwill, is timely, efficient and accurate.
Monitor the overall capacity status of the four St. Charles
Health System hospital campuses.
Assumes responsibility and accountability for allocation of
clinical resources to provide safe patient care and optimal fiscal
Performs scheduling and staffing functions in automated time and
attendance system, updating changes as necessary.
Collaboration with clinical leadership to ensure appropriate
Maintains collaborative relationships with managers and clinical
Communicates and documents pertinent information (verbal and/or
electronic) in a timely manner to the hospital administration staff
and department leadership
Acts as requesting / approving authority for ordering of
specialty clinical equipment (i.e. specialty beds) to ensure that
internal resources are appropriately utilized as first line
options, collaborating with clinical leadership as appropriate.
Understands and ensures compliance with state, federal, and
Joint Commission guidelines related to patient transport,
transfers, and admissions.
Demonstrates fiscally responsible resource utilization.
Maintains working knowledge of collective bargaining agreements
and state and federal labor / staffing laws.
Provides caregiver performance feedback to appropriate managers
Maintains ongoing communication with caregivers, medical staff
and system leadership to ensure needs are being met for caregivers
and patients. Communicates (both written and orally)
effectively and maintains professional relationships with
caregivers, medical staff, patients, guests and other hospital
Attends and is actively involved in Hospital Leadership
meetings, initiatives and process improvements.
Supports the vision, mission and values of the organization in
Supports Value Improvement Practice (VIP- Lean) principles of
continuous improvement with energy and enthusiasm, functioning as a
champion of change.
Creates a healing environment that supports all aspects of care,
respects the wholeness of the individual, and demonstrates
therapeutic presence through attitudes and behaviors that enhance
the care experience for patients and
Provides and maintains a safe environment for caregivers,
patients and guests
Conducts all activities with the highest standards of
professionalism and confidentiality. Complies
with all applicable laws, regulations, policies and procedures,
supporting the organization’s corporate integrity efforts by acting
in an ethical and appropriate manner, reporting known or suspected
violation of applicable rules, and cooperating fully with all
organizational investigations and proceedings.
May perform additional duties of similar complexity within the
organization, as required or assigned.
Required: Bachelor's Degree in Nursing.
Consideration will be made for those actively enrolled in a BSN
program. Must obtain BSN within 3 years of hire to position.
Preferred: Master's Degree in Nursing or related
Required: Current Oregon RN license.
AHA Basic Life Support for Health Care Providers
Five years acute care hospital
A working knowledge of overall hospital operations and the
ability to prioritize multiple tasks.
Strong analytical/problem solving skills with the ability to
Demonstrated team and interpersonal skills.
Knowledge of EMTALA regulations.
Knowledge of computer software programs such as Microsoft Office
Previous leadership experience in healthcare Critical care & ER
Experience with Scheduling and Staffing systems, Bed Tracking
Software, and EMR.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment
(PPE) required to perform the job safely.
Continually (75% or more): Standing and walking, keyboard
operation, use of clear and audible speaking voice and the ability
to hear normal speech level.
Frequently (50%): Sitting,
lifting/carrying/pushing or pulling 1-25
Occasionally (25%): Bending,
stooping/kneeling/crouching, reaching overhead,
grasping/squeezing, ability to hear whispered speech
Rarely (10%): Climbing stairs.
Never (0%): Climbing ladder/step-stool,
lifting/carrying/pushing or pulling 25-50 pounds,
operation of a motor vehicle.
Exposure to Elemental Factors
Rarely (10%): Wet/slippery area, chemical
Never (0%): Heat, cold, noise, dust, vibration,
Blood-Borne Pathogen (BBP) Exposure Category
Risk for Exposure to BBP
Schedule Weekly Hours:
Variable (United States of America)
Is Exempt Position?
NON CONTRACT RN HOUSE SUPERVISOR
Scheduled Days of the Week:
As Scheduled (may include weekends and holidays)
Shift Start & End Time: