Erie County is an Equal Opportunity Employer and committed to workplace diversity.

Residence Requirements:

THERE ARE NO RESIDENCY REQUIREMENTS FOR PARTICIPATION IN THIS EXAMINATION. There is one anticipated vacancy at the Erie County Medical Center Corporation. 

Examples of Duties:

A Director of Nursing Services-Ambulatory Services directs the delivery of nursing services in the Ambulatory Services Department (outpatient clinics) at the Erie County Medical Center Corporation; 

Directs the nursing service for Ambulatory Services as performed by lower-level professional nursing staff, registered nursing staff and ancillary staff;

Develops and implements staffing plans; evaluates appropriate staffing levels, selects personnel for employment and promotion and identifies learning needs of staff; participates in staff education and monitors staff participation in educational programs;

Develops and implements policies and procedures for nursing services in the Ambulatory Services Department; assists in the development and implementation of policies and procedures for departmental operations; Provides recommendations for developing and implementing new and amended services and programs;

Oversees the patient experience and engages staff in promoting positive patient outcomes and satisfaction;

Monitors performance of the nursing services for applicable laws, rules, regulations, accreditation standards, policies and procedures; develops and implements appropriate corrective actions regarding non-compliance with policies, procedures and standards;

Assists in monitoring the financial performance of Ambulatory Services including, but not limited to: identifying cost, revenue and profit, evaluating charge structures, determining payor mix, and developing strategic plans for improving and growth of service lines; develops and implements appropriate corrective actions;

Facilitates case reviews and root cause analysis for critical incidents; participates in labor relations meetings, grievances and arbitrations;

Develops employee performance goals, evaluates employee performance, determines individual merit, incentive and/or promotional increases;

Develops and determines work priorities and monitors status of special projects on an ongoing basis;

Identifies overall patient/client service needs across service lines and develops clinical quality programs to meet those needs; ensures delivery of quality clinical services for outpatients;

Develops and maintains ongoing and effective communication with medical and licensed staff, applicable ECMCC staff and external medical professionals;

Develops and maintains relationships with community agencies, community groups, professional affiliations, etc.;

Participates in and may organize meetings, committees, conferences, trainings, etc.;

Promotes and participates in research studies.

Qualifications:

MINIMUM QUALIFICATIONS:  Candidates must meet the following requirements on or before the date of the written test:

A.) Graduation from a regionally accredited or New York State registered college or university with a Master’s Degree in Nursing, Healthcare Administration or closely related field and three (3) years of administrative* or supervisory** registered professional nursing experience in an ambulatory services*** setting; or:

B.) Graduation from a regionally accredited or New York State registered college or university with a Bachelor’s Degree in Nursing, Healthcare Administration or closely related field and five (5) years of registered professional nursing experience, of which three (3) years were in an administrative* or supervisory** capacity in an ambulatory services*** setting; or:

C.) An equivalent combination of training and experience as defined by the limits of (A) and (B).

SPECIAL REQUIREMENTS:

Possession of a license and current registration to practice as a Registered Professional Nurse in New York State at time of appointment and maintenance throughout duration of appointment.

Notes:

1. *Administrative experience, as defined by New York State Civil Service, means responsible direction and control of an identifiable organizational unit or program; in addition to the supervision of work groups, an administrator is involved in planning, resource allocation, program evaluation and policy formulation. Experience performing specialized functions or “staff activities” such as budgeting, finance, administrative analysis or personnel, which do not involve the aforementioned responsibilities, are not considered administrative experience.

2. **Supervisory experience, as defined by New York State Civil Service, means responsible direction and control of subordinate employees. This involves a responsibility for planning for individuals in a work group. Typical duties may include, but are not limited to, assigning and reviewing work, evaluating performance, maintaining work standards, motivating and developing subordinate employees, implementing procedural changes, increasing efficiency and dealing with problems of absenteeism, morale and discipline. The supervision aspects must be an integral part of the job, not incidental or occasional. True supervision (e.g., first-line supervisors as opposed to “lead workers”) is characterized by: (1) the close and immediate supervision of permanently assigned employees, on a regular, ongoing basis; (2) responsibility for the assignment and review of work, providing work instruction, the evaluation of work performance, maintenance of work standards, handling absenteeism, discipline, etc.; (3) accountability for the quantity and quality of subordinate’s work

3.  ***Ambulatory services is defined, for qualifying purposes, as medical care in which patients are admitted, treated and discharged all on an outpatient basis. Examples include outpatient community-based practices, hospital clinics, outpatient dialysis, emergency room, outpatient rehabilitation services, infusion, dentistry and ambulatory surgery centers.

4. Verifiable part-time and/or volunteer experience will be pro-rated toward meeting full-time experience requirements

5. Your degree and/or college credit must have been awarded by a regionally accredited college or university or one recognized by the New York State Education Department as following acceptable educational practices. A grade of "D" or better is necessary for a course to be credited as successfully completed. If your degree and/or college credit was awarded by an educational institution outside of the United States and its territories, you must provide independent verification of equivalency. You can write to this Department for a list of acceptable companies providing this service; you must pay the required evaluation fee.

Notice to Candidates: Transcripts will now be accepted by the Department of Personnel ONLY at time of application.
All subsequent transcripts must be submitted at time of interview.

The New York State Department of Civil Service has not prepared a test guide for this examination. However, candidates may find information in the publication 'General Guide to Written Tests' helpful in preparing for this test. This publication is available on line at:https://www.cs.ny.gov/testing/testguides.cfm

Subjects of Examination:

Scopes / Subjects of examination: A test designed to evaluate knowledge, skills and /or abilities in the following areas.

Preparing written material These questions test for the ability to present information clearly and accurately, and to organize paragraphs logically and comprehensibly. For some questions, you will be given information in two or three sentences followed by four restatements of the information. You must then choose the best version. For other questions, you will be given paragraphs with their sentences out of order. You must then choose, from four suggestions, the best order for the sentences.

Understanding and interpreting written material These questions test for the ability to understand and interpret written material. You will be presented with brief reading passages and will be asked questions about the passages. You should base your answers to the questions only on what is presented in the passages and not on what you may happen to know about the topic.

Administrative supervision These questions test for knowledge of the principles and practices involved in directing the activities of a large subordinate staff, including subordinate supervisors. Questions relate to the personal interactions between an upper level supervisor and their subordinate supervisors in the accomplishment of objectives. These questions cover such areas as assigning work to and coordinating the activities of several units, establishing and guiding staff development programs, evaluating the performance of subordinate supervisors, and maintaining relationships with other organizational sections.

Administration These questions test for knowledge of the managerial functions involved in directing an organization or an organizational segment. These questions cover such areas as: developing objectives and formulating policies; making decisions based on the context of the administrator's position and authority; forecasting and planning; organizing; developing personnel; coordinating and informing; guiding and leading; testing and evaluating; and budgeting.

NOTICE TO CANDIDATES:  It is recommended that candidates use a quiet, hand held, solar or battery powered calculator.  Devices with typewriter keyboards, "Spell Checkers", “Personal Digital Assistants", "Address Books", "Language Translators", "Dictionaries", or any similar devices are prohibited.  You may not bring books or other reference materials.

**IMPORTANT APPLICATION FEE - READ CAREFULLY**

A $20.00 filing fee is required for this exam. The required fee must accompany your application. Send or bring check or money order made payable to Erie County Personnel Department and write the examination number(s) on your check or money order. Do not send or bring cash, as the County cannot be responsible for cash payment. As no refund will be made, you are urged to compare your qualifications carefully with the requirements for admission and file only for those examinations for which you are clearly qualified.