Assistant VP, Nursing - Accreditation and Regulatory Affairs

  • Requisition Number: 149354
  • Department: HEALTH SYSTEM
  • Location: Durham
  • Type of Position: Regular
  • Specialty: Nursing Leadership
  • Employment Status: Full Time
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Duke University Health System Job Description:
ASSIST VP, NURSING Accreditation and Regulatory Affairs


General Description of the Job Class

The Assistant Vice President, Nursing is responsible for leading key programs and initiatives that address overall Quality, Safety and Outcomes within an assigned Service Line, or across Duke University Health System (DUHS). Responsibilities may also include leading DUHS Nursing initiatives in Education, Clinical and Advanced Practice, Research, Quality, Recruitment & Retention, Workforce Development, Administrative Systems, and DUHS –wide Accreditation and Regulatory Affairs.


Duties and Responsibilities of this Level


Collaboration & Partnership: Develop and foster effective collaboration across DUHS  DUHS service line programs, clinical departments, academic departments/divisions, and other affiliated services to ensure an integrated approach to providing clinical care, assuring compliance with accreditation and regulatory standards and fulfilling our clinical, research and educational goals and objectives. Foster productive physician faculty relationships to assure collaborative problem solving and support physician leadership's clinical initiatives.


Management & Leadership: Oversee all facets of human resource management for reporting and ensure that all applicable institutional policies and procedures are effectively managed. Provide administrative direction to management staff within areas of responsibility across DUHS including supporting plan development, priority-setting, decision-making, and professional development. (A/RA provides leadership for Duke Health’s overall Policy Management System)


Strategic Planning: Participate in the creation and implementation of a visionary strategic agenda for nursing (DUHS accreditation and regulatory affairs) that links clinical practice, education and research, and is tied to the DUHS strategic plan. In collaboration with other entity/ DUHS service line leadership will participate in and oversee the development and implementation of the vision/strategic plan. Partner with key stakeholders across the system to create short- and long-term strategies that will positively impact quality, safety, regulation, accreditation and the patient experience. Establish systems to ensure appropriate levels of staff and manage budgets effectively. Synthesizes data and information regarding organizational performance and collaborates effectively to plan/implement strategies to meet or exceed regulatory standards. 


Finance & Growth: In collaboration with colleagues in the Patient Revenue Management Organization (PRMO) and Finance, responsible for the revenue cycle and billing processes (where applicable) as well as improving fiscal and operational performance. Collaborates with other leaders to ensure adequate financial resources are available to fulfill the vision of excellence for clinical/support operations. Establishes and maintains effective internal controls. Provide significant input and direction with regard to building and/or renovating clinical facilities as needed.


Operational Oversight: Identify areas of potential care or programmatic redesign and lead initiatives to meet DUHS service line or operational objectives of improved efficiencies, effectiveness, and patient experience.

Nursing Practice: The Assistant Vice President, Nursing is responsible for developing, supporting and sustaining a comprehensive, evidence- based nursing professional practice model and will assume accountability for the outcomes of nursing practice across the health system. Create an environment that supports the advancement of professional nursing and advanced practice and the development of a robust workforce to insure the ability of the entity/DUHS service line to meet future needs for professional staff. Standardize, develop, and ensure the appropriate translation of evidence-based practice into daily practice throughout multiple sites. Lead initiatives that advance nursing, advanced practice and interdisciplinary care, resulting in improved patient-care outcomes through the implementation of evidence-based practice and collaborative practice.


Compliance & Regulatory: Maintain compliance with all relevant legislative and regulatory rules and requirements established by state and federal agencies as well as those of voluntary accrediting bodies to ensure continued compliance. Serves as liaison to external professional and regulatory organizations.  Perform other related duties and Duke Health committee assignments incidental to the work described herein.


Required Qualifications at this Level


Master's degree in nursing in area of specialty required. Doctorate preferred.



Seven years of progressive nursing leadership experience including at least 5 years of experience at the leadership level, preferably in the area of assignment.


Degrees, Licensure, and/or Certifications: 

Must have current or compact RN licensure in the state of North Carolina.

Nurses hired into leadership positions must obtain a nursing leadership certification within one year of hire.


Knowledge, Skills and Abilities: 

Ability to lead effectively in a matrixed organization requiring high levels of collaboration, sound judgment and significant operational and practice management expertise. Knowledge of physician practice management, clinical operational issues and research practice that contribute to effective and efficient care structures and processes. Knowledge of health care payment systems and sound financial management practices. Knowledge of relevant legislation, regulatory and accreditation requirements. Demonstrate a high level of responsibility, ethical practice, sensitivity to a diverse patient population and adherence to legal and regulatory requirements. Build strong performance around quality and patient experience and continually drive for improvement. Assure effective communication of initiatives within and across relevant internal and external audiences.


Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


Nursing Leadership