Quality & Improvement Nurses - Baystate Health

Req#: R28733
Category(s): Nursing, Quality & Improvement Nurses
Full Time / Part Time: Full-Time
Shift: First

Baystate Health, western Massachusetts’s premier healthcare provider, and home to Baystate Medical Center (BMC), a Magnet Hospital for Nursing Excellence is looking for a Registered Nurse – Regional Director Endoscopy and Pain Services.

Regional Director Endoscopy and Pain Services – Position Priorities

The Regional Director of Endoscopy and Pain Services reports directly to the Vice President of Surgical Services and works in collaboration with physician leaders and other directors, as well as with entity leaders (CEO, CMO, CNO, other key stakeholders) and Surgical Services managers across Baystate Health and Baystate Health partners.  The director is accountable for the effective management and administration oversight of gastroenterology procedural services and pain services at all Baystate Health entities (BFMC, BWH, BNH, BMC).  The director is accountable for the effective management and administration oversight of the Pain Center and all pain services for Baystate Health, as well as fostering a unified approach to patient care, while supporting a Culture of Safety.

MANAGEMENT / OPERATIONS:  Oversight responsibility for the technical operations of endoscopy and pain services at all Baystate Health entities; Incorporating operational practices that include LEAN principles, and staff engagement to deliver and meet/exceed quality, safety, financial, and patient experience targets. Strategically utilizes local, regional, and national benchmarks and networks to advance services.

Partners with the leadership team in supply chain to evaluate and provide recommendations for purchase agreements for supplies, equipment, and professional services for endoscopy and pain management services.  Coordinate departmental facility maintenance, renovations, and expansion initiatives.

Supports and promotes access to services (schedules of staff and equipment), development and oversight of policies and procedures, equipment maintenance/service and vendor relationships, patient and referrer satisfaction, and overall operating efficiencies.

Address system and interdepartmental problems related to the endoscopy and pain services.

STRATEGIC / BUSINESS DEVELOPMENT: Collaborates with the vice president of surgical services and other senior leaders, medical leadership, and staff to develop strategic priorities and plans to implement new programs/services, manage expenses, and grow procedural and pain service visit volumes, revenue, and enhance contribution margins.

Forecast future growth opportunities and emerging technologies necessary to effectively manage volumes and ensure the provision of the highest possible level of clinical quality.  Establish and maintain strong/positive relationships with referring physicians and their office staff, vendors, and other department staff throughout the hospital to promote services, address critical issues, attract/retain customers, and ensure communication of new technologies/services, successes, improvement initiatives, and department needs. Manage customer service and service recovery efforts as necessary; train and oversee staff to handle situations directly and appropriately.  Collaborates with physicians and nursing colleagues to facilitate the endoscopy and pain management schedule each day.

Establishes and maintains an environment/culture that is committed to promotion of the Baystate Health mission and operating principles, high standards of quality care, patient safety, and customer service.

QUALITY & PERFORMANCE IMPROVEMENT: Establishes and monitors quality improvement through ongoing assessment and planning to assure professional and technical competence, as well as the efficiency and effectiveness of operational systems.  Maintains a quality control program to monitor personnel qualifications, training, performance, equipment, and facilities.  Maintains and promotes expertise in process and workflow design, efficiency, and performance improvement to entire surgical service line.

COMPLIANCE / REGULATORY:  Assures compliance with TJC, DPH, OSHA, and various regulatory agency standards, laws and regulations for entire surgical services line; including writing and revising policies as well as communicating standards and requirements to staff, physicians, anesthesia team members, and others. The director is also responsible for assuring that services are provided in a safe and efficient manner in accordance with federal, state, local, and other associated accreditation entities, regulations, and hospital policies. 

HUMAN RESOURCES:  Leads, mentors and coaches subordinate managers and supervisors, to ensure effective systems and processes are in place for staff planning, talent acquisition, engagement, retention, performance & conflict management, and professional development.  Reviews and approves disciplinary action and/or terminations under the guidance of HR.  May direct the investigation and resolution of complaints or other staffing problems.  As a successful mentor and motivator, effectively develops current and future leaders.  Collaborates effectively with attending physicians, residents, fellows, RNs, LPNs, technicians, and others.

Promote and support a Culture of Safety, serving as a conflict resolution mentor and system wide coach.

Size and Scope:

  • State-of-the-art day stay surgical facility performing 11,000+ case/year. 
  • 18,000 endoscopic cases/year
  • Active pain management clinic at multiple locations within Baystate Health
  • Approx. 50 FTEs

Required Experience:

3 years of experience in Surgical Services or other procedural nursing areas required, preferably Endoscopy.

3 years of experience in a leadership role or equivalent combination of education and/or experience

Masters Degree, preferably in nursing; BSN preferred.

  • Must have a strong working knowledge of employee engagement practices, management practices, process improvement, diversity, as well as the ability to support the organization's mission and operating principles.
  • Must have a strong ability to work as a team member/leader and communicate effectively at all levels throughout the organization to affect the successful completion of the short- and long-term objectives of Baystate Health.
  • Must have demonstrated knowledge of Gastroenterology and Procedural operations, skilled team facilitator, negotiator with vendors, excellent written and verbal communication skills, computer, and software skills: Word, Excel, and PowerPoint.  Experience with various EHR software, such as Cerner.

All correspondence can be directed to:

Beth Fox

Director Provider and BMC Nurse Recruitment, Baystate Health


You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.



Bachelor of Nursing Degree (Required)


Certified Gastrointestinal Registered Nurse – American Board of Certification for Gastroenterology Nurses, Certified Nurse Operating Room – Competency and Credentialing Institute, Certified Nurse Operating Room – Perioperative Certification – Competency and Credentialing Institute, Registered Nurse – State of Massachusetts

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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