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Director of Nursing (Cross-Country)

• AHN is looking for a highly skilled and dedicated team member for the role of Director of Nursing. In this position, the Director of Nursing is responsible for hiring standards and competencies, training and continuing education, oversight of audits, and nursing policies and procedures. While the nursing teams in Kenya, Tanzania, and Rwanda will report up through country line management for administrative matters, the Director of Nursing is the senior-most nurse that is accountable for the systemic quality and performance assessment of our nursing teams. This role requires someone with strong working experience in both clinical and management positions, who is passionate about empowering nurses and caring for patients.

Scope of The Role:

• Hiring Standards and Competencies
• Clinical Quality Assurance
• Training, Learning, & Development
• Nursing Policies and Procedures

Key Responsibilities:

Hiring Standards and Competencies:

• Define minimal qualifications for new hires, in partnership with Country Directors
• Help design the interview process, ensuring an efficient and effective approach to bringing top quality nursing talent to AHN
• Work with leading international bodies to define the specific competencies expected of AHN nurses
• Manage Nursing JDs for new nursing hires and nursing team members
• Own Nursing Performance Management processes with HR, overseeing implementation at a country level

Clinical Quality Assurance:

• Own audit content development and revisions
• Ensure audits are done on-time across all countries, with high quality and integrity
• Lead the integration of new technologies to enhance audit processes
• Participate in country level audit and KPI reviews, and conduct needs-based analysis on training/knowledge gaps within the organization
• Working with Country Directors and clinical leadership to identify, through quality assurance processes, key gaps in country and developing targeted action plans for implementation
• Oversee Clinical Incident Reporting and Management processes, with steps to identify the root cause of the incident or near miss, working with country leadership to develop corrective and preventative action plans
• Identifying and managing potential risk and hazards in clinical dialysis settings – including developing risk assessment tools, implementing preventative measures and creating systems to mitigate risk
• Ensure morbidity and mortality (M&M) meetings are occurring at a country level on a monthly basis, making sure the meeting follows the guideline, is solution oriented, and has clear deliverables as outcomes.
• Own Inventory Management processes, ensuring that calculations are correct and that we are clearly identifying significant over-usage and underusage as it pertains to quality

Training, Learning, & Development:

• Work with Director of Training and Education to develop processes and guidelines for the training and management of training and trainees at AHN
• Oversee the management of training across operational countries, in collaboration with the Director of Training and Education and Country Level Management
• Promote a working environment where learning is supported and development is encouraged
• Deliver trainings as required to nursing team members
• Help review and approve training, learning and development budgets

Nursing Policies and Procedures:

• Ensure that SOPs are reviewed annually by the Director of Education and Training
• Ensure that policies are reviewed annually by the Director of Education and Training
• Work in partnership with clinical leaders to develop and implement new policies as they pertain to nursing care at AHN
• Ensure that AHN is compliant with all laws, regulations and practice guidelines as it pertains to dialysis and broader nursing practice
• Build a nursing culture of policy and procedure adherence

Other:

• Mentor, coach and help manage team members
• Any other tasks as directed by the Executive Committee (ExCo)

Director of Expansion

Scope of The Role:

• Projects Management
• New Center Construction
• Regulatory Compliance
• Special Projects/Innovation

Key Responsibilities:

Projects Management:

• Ensure project plans for each new project are created and managed with support of country teams (including ensuring procurement for centers done on time, staffing for center done on time, and center launch activities are planned)
• Review Country Teams project / financial models for new projects and provide thoughts from a construction perspective
• Assist with the creation, revision, updating and improvement of operational manuals, templates, guidelines and financial reporting procedures for the office and dialysis centers to ensure successful delivery on all projects

New Project Construction:

Partner Management:

• Select and manage consultant teams and vendors to work with on projects across markets
• Identify and help on-board innovative, high quality, and cost-effective partners – ensuring we always have a good set of potential partners across each country

Clinic Design and Layout:

• Work with teams to finalize floor plans for new centers
• Review floor plans for various projects and recommend improvements
• Collaborate with architects and engineers to determine specifications on projects, and for their comments on floor plans
• Work with electrical & mechanical consultant teams to finalize plans

BOQ:

• Work with quality surveyors to review bills of quantities for materials, equipment and manpower estimations for entire projects with attention to budgetary limits
• Work with the construction teams to prepare and review BOQs, mechanical and electrical drawings and floor plans for the dialysis centers. Furthermore, provide negotiation response to external vendors, while ensuring that they remain within the AHN cost estimates
• Assess and ensure accuracy of interim payment claims

Construction:

• Oversee all aspects of construction of new dialysis centers and repairs/ maintenance in older centers, including quality fixes as per audit team reports, while ensuring adherence to quality standards and timelines
• Oversee construction finances including reviewing, approving and tracking invoices for work claimed, and tracking payments made
• Liaise with partner hospitals on all aspects of the center construction and launch including scheduling of meetings and completion of necessary paperwork for new centers
• Assist with the creation, revision, updating and improvement of operational manuals, templates, guidelines and financial reporting procedures for the office and dialysis centers to ensure successful delivery on all projects
• Participate in the acquisition of local construction contractors and support the Country Director on all contract administration matters
• Manage relationship with architects, contractors and hospital partners in the process of construction
• Ensure accurate and systematic record-keeping of all aspects of the various operations
• Visit sites and ensure that AHN quality standards are maintained
• Work with relevant line managers/ directors to hire contractors and allocate responsibilities
• Ensure timelines are met for all construction projects through scheduling intermediate phases across project plans
• Liaise with contractors to ensure they have the necessary materials and direction
• Evaluate construction progress and prepare detailed reports
• Ensure construction procedures adhere to relevant health and safety standards
• Support management on decisions around new center expansion, schedules, budgets, etc.
• Other duties as assigned

Regulatory Compliance:

• Ensure that corporate operations and new clinics operations are implemented with sound managerial, technical, financial and overall conducive practices, and that the processes and activities adhere to the organizational policies, legal and contractual obligations, and global AHN standards
• Create and maintain manuals for AHN standards
• Maintain a thorough understanding of the health landscape in the countries of operation
• Follow up to ensure health and safety measures are implemented across all center projects, and oversee the acquisition of all the necessary health and safety equipment

Special Projects/Innovation:

• Develop innovative new approaches (e.g., prefabricated builds, smaller concept clinics) that would help reduce timelines, save money, improve quality, or enhance patient experience
• Manage relationship with architects and contractors and hospital partners in the process of construction
• Ensure accurate and systematic record keeping of all aspects of the various operations and reports on new project completion

Desired Competences:

• Bachelor’s degree in business administration, construction, engineering or related fields
• Experience in quantity surveying and large-scale project management
• At least 7-10+ years of work experience in the private or public sector preferred, with increasing levels of responsibility
• A demonstrated interest and passion for working in a healthcare setting
• Practical mind to solve problems on the spot partnered with an ability to see the “big picture” and make improvements.
• Exceptional written and oral communications skills
• Ability to effectively prioritize and work independently and effectively in high-pressure, fast-paced environment and handle multiple tasks simultaneously with minimal supervision
• Ability to learn on the job quickly and absorb/synthesize a broad range of information
• Strong analytical and problem-solving skills
• Strong work ethic and flexibility, respectful of local norms and culture, ability to work with humility and urgency
• Comfortable in Microsoft Office and using technology in general
• Passion for AHN’s Mission

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