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Regular Full Time Durham, North Carolina
Requisition Number: 219268

Duke University Health System Duke Heart Network

Scope of Responsibilities

The Associate Clinical Director position is a hybrid role that is responsible for supporting the mission and role of the Duke Heart Network (DHN) by working toward advancing the mission and priorities of the Duke Heart Center to:

  • Assist Duke affiliates in providing access to high-quality, evidence-based cardiovascular care in their communities

  • Serve as a liaison for Duke in the role of Acute Myocardial Infarction (AMI) coordinator for the health system.  This portion of the role requires regular interaction with regional emergency services personnel and agencies

  • Guide the appropriate application of chest pain and STEMI clinical guidelines and facilitate continuous improvement of systems for rapid transfer of patients presenting to outside hospitals

  • Participate in routine analysis of health system data and case reviews to identify and communicate pre-hospital successes and improvement opportunities impacting quality outcomes for AMI patients

  • Oversee Duke Cardiovascular Affiliate Site Clinical Quality and Patient Safety

  • Serve as the central point of contact for Duke Heart Network affiliate physicians and staff

The Associate Clinical Director is responsible for assisting DHN affiliates in developing and/or enhancing clinical programs, including:

  • Providing individualized support to each affiliate site based on needs assessment, collaborative work plan and program development strategy

  • Facilitate access to Duke resources and intellectual property

  • Design, support and deliver cardiovascular education and training programs

  • Communicate evidence-based standards and facilitate compliance

  • Assist DHN affiliate sites with regulatory compliance and cardiovascular accreditation/certification

The Associate Clinical Director is responsible for promoting and verifying optimum patient safety and clinical quality processes and outcomes, including:

  • Work with the Director and DHN affiliate program physicians and staff to monitor operations at DHN sites, recommending changes or adjustments to ensure an effective, efficient, and service-oriented operation with optimum clinical outcomes

  • Analyze cardiovascular registry data to identify strengths and opportunities for improvement and develop DHN affiliate site clinical quality performance reports

  • Routinely report affiliate site clinical business and operational performance to DHN team, ACMIO and The Duke Heart Center

  • Conduct targeted competency-based assessments of DHN affiliate site staff

In collaboration with Director/Sr. Director and ACMIO, the Associate Clinical Director, will participate in and conduct pre-affiliation baseline assessments in support of new business development, identifying strengths and opportunities for mutual collaboration

The Associate Clinical Director will function under the guidance of the Director/Sr. Director and Associate CMIO of the DHN in meetings with physicians and staff of DUHS and external organizations

Job Responsibilities: 

  • Collaborate with the on-site Duke Heart Center AMI coordinator in order to promote evidence-based acute MI care

  • Serve as the primary point of contact for referral organizations and EMS related to pre-hospital cardiac emergencies

  • Conduct regular review of Duke regional referral centers and EMS agencies to evaluate the current state of STEMI and cardiac resuscitation systems of care

  • Provide planning and operational support for DHN including, developing and executing action plans, establishing targets to ensure work is progressing as planned and taking action to ensure deadlines are met

  • Develop and execute baseline and targeted site assessments to identify strengths and opportunities for improvement

  • Assist DHN affiliate teams with real-time data collection and analysis to inform performance improvement and improve patient outcomes

  • Assist DHN affiliate clinical and operational leadership in the development of efficient and effective patient flow processes for new and existing clinical programs, including emergency transfers

  • Serve as the point of contact for up-to-date cardiovascular clinical standards, guidelines, and evidence-based practice, and interpret and summarizing publications (in collaboration with DHN team and Duke Heart Center experts as appropriate) for communication to appropriate site-based personnel

  • Manage and guide the facility design process, to assure efficient and effective clinical operations and optimum patient outcomes

  • Demonstrate the ability to understand the financial impact to the affiliate organization when developing or evaluating clinical programs

  • Assist with regulatory agency(s) and/or accreditation/certification preparedness

  • Provide consultative support and guidance in the development and implementation of DHN affiliate site quality oversight and reporting structure, assuring execution of plan and monitoring of results

  • Lead programmatic review processes, including:

    • Morbidity and Mortality Conferences

    • Case reviews and dissemination of reports

    • Immediate identification and communication of trends to the Director and ACMIO

  • Support DHN affiliate site with cardiovascular registry participation, including vendor selection and data submission

  • Develop community and staff education programs; responsibilities include but are not limited to:

  • Conducting an initial and ongoing assessment of staff education and training at assigned affiliate(s)

  • Complete competency assessments of affiliate staff as needed

  • Develop and deliver relevant educational content, utilizing Duke Heart Center experts for guidance as needed

  • Establish Continuing Medical and Staff education plan

  • Support CME/CE and site community educational events

  • Assist in the development and provision of affiliate educational events

  • Participate in DHN affiliate site strategic planning and cardiovascular service line and program performance reviews to share observations, discuss opportunities for new or enhanced clinical services

  • Participate in business development discussions to expand the referral markets for the Duke Heart Center

  • Ability to travel to affiliated sites (generally within a 4-hour drive or short flights on small planes, some regional/national overnight travel will also be required)

  • Make recommendations in support of and/or participate in DHN budget preparation

  • Perform other duties or tasks incidental to the work described herein as required and requested to meet the objectives of the DHN.

Required Qualifications at this Level

Education: Work requires a general business background generally equivalent to a bachelor’s degree in a business-related field.

Experience: Work requires four years related business or administrative experience in hospital or group practice operations, management, planning, managed care contracting or project management.

A master's degree in Business Administration, Public Administration, Health Administration, or Public Policy may be substituted for two year’s experience.

Preferred Qualifications at this Level

Education: This position requires a Bachelor’s Degree (BSN) and state licensure in NC. A Master’s in Nursing Science, or MPA, MHA, or MBA with health care concentration is strongly preferred.


Work requires a minimum of four years as a registered nurse in cardiovascular or emergency room care.  Minimum of two years of progressive supervisory or program management experience. Experience as a STEMI coordinator or in clinical education on topics related to the care of the STEMI patiincludinglude 12 lead ECG interpretation a plus.

Associate Clinical Directors optimize services offered by the Duke Heart Network with complementary clinical experience and expertise in cardiovascular services, including heart failure, cardiovascular procedural areas (cardiac catheterization laboratories, electrophysiology, structural heart, cardiovascular/cardiothoracic operating rooms), cardiovascular inpatient nursing care (e.g., cardiology or cardiovascular critical care, step-down, progressive care and telemetry units), and emergency services.         

The successful candidate will possess the following:

  • Exhibits the highest ethical and moral standards that support the mission of DUHS and the Duke Heart Network, with emphasis placed on collaboration, problem-solving, and networking

  • Excellent verbal and written communication skills

  • Exhibits a high level of emotional intelligence

  • Clinical informatics skillset to assist with data gathering and reporting

  • Effective facilitation, consensus-building and consultative skills

  • Proven success in motivating and developing teams and building positive relationships

  • Demonstrated ability to utilize and analyze data to develop and support recommendations

  • Sensitivity for and understanding of clinical disciplines and issues

  • Exhibits understanding of principles of revenue cycle management

  • Ability to promote diversity in the workplace

  • Ability to manage several projects and processes simultaneously and effectively communicate progress toward goals

  • Computer literacy including- Word, PowerPoint, Publisher, Excel and Internet

  • Protocol development and implementation skills

  • Adult education principles

  • Comfort and effectiveness in utilizing and communicating via electronic formats and forums

  • General resourcefulness

  • Ability to travel to affiliated sites (generally within a 4-hour drive or short flights on small planes, some regional/national overnight travel will also be required)

Knowledge, Skills and Abilities: An Associate Clinical Director must have the ability to respond appropriately in highly public environments, remote to the Duke campus, in high-pressure situations. A person with experience in DUHS or another academic-based health care delivery system is preferred.   

Performance Measurement: This position will be reviewed annually based on performance against a set of goals and objectives developed in alignment with DUHS and functional strategies. The set of annual goals and objectives is to be developed and agreed upon.

Job Level: H2

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 essential job 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.

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