Somnia Inc.

VP of Clinical Operations CRNA

Job Locations US-NY-Harrison


Position Summary

The Vice President of Clinical Operations will work in conjunction with the following team members: Chief Operations Officer, Chief Medical Officer, VP of Clinical Operations, Regional Medical Directors, Regional Practice Administrator, Director of Quality, and local leadership (Facility Medical Director and/or Chief CRNA, on-site Administrator) to provide facility management and clinical services for Somnia Inc. and affiliates anesthesia facility contracts.



Responsible for the delivery of overall management of profit and loss to assigned contracts as well as clinical services. 



Serves as Vice President of Clinical Operations reporting to the Chief Operating Officer (COO). 



  1. Clinical Responsibilities
  1. Provide clinical anesthesia in facilities requiring additional staff to meet contracted points-of-service. It is expected this position will provide clinical services on average of three (3) days per week.
  2. Cross-credential at facilities across regions, where deemed necessary by senior clinical leadership, to provide clinical anesthesia coverage as part of Somnia’s growth strategy and contract maintenance process.


  1. Leadership Responsibilities
  1. Clinical operations leadership
    1. Accountable for clinical operational leadership in new facilities in conjunction with Somnia’s growth strategy, including development of an anesthesia improvement plan (AIP) and collaboration with senior clinical leadership on AIP implementation.
    2. Work with corporate management team, hospital administration, Medical, and CRNA directors to build comprehensive site management structures.
  • When requested, perform clinical evaluation of new hire candidates within 48 hours of request with completed write-up of the evaluation to the respective recruiter.
  1. Meet with facility C-suite at least on a quarterly basis and presents quarterly site visit report (site visit report template attached – Exhibit I).
  2. Ensure ongoing training of facility-level leaders: workday, compliance training, payroll process, scheduling, and additional leadership training as deemed necessary.
  3. Work in conjunction with the Chief Clinical Officers (CCO) to identify additional leadership training needs for existing and incoming clinical leaders. CCO includes, but is not limited to, Chief Executive Officer (CEO), Chief Medical Officer (CMO), Chief Operating Officer (COO), Regional Medical Directors (RMD), VP of Clinical Operations, Medical Directors, and Chief CRNAs.
  • Work with COO to develop standardized programs related to facility-specific clinical informatics, centralized databases, electronic scheduling, etc.
  • Support evidence-based leadership concepts through leader rounding and feedback.
  1. Work with Compliance Department to ensure providers are educated on regulatory and documentation requirements.
  2. Work with Site Medical Directors, Regional Medical Directors, Chief CRNAs, or on-site Administrators to ensure facility Departmental Policy & Procedure manuals are up to date and staff are inserviced annually.
  3. In collaboration with the Director of Quality:
    1. Ensure clinical quality program compliance and clinicians are successful with P4P key metrics.
    2. Ensure facility P4P key metrics are audited and submitted in a timely manner to facility for payment according to facility contract.
  4. In collaboration with the Joint Commission corporate representative, ensure the development of Joint Commission updates, facility assessments, and educational inservices.
  5. Review operational analytic reports, evaluate coverage models, and ensure site is meeting expectations. Proactively review processes for value-add services, more efficiencies, and improved overall performance of sites. 
  • Report comprehensive reviews on facility reviews for accountable facilities outlining coverage models, utilization efficiencies, compensation models, financial performance to pro forma, billing performance, areas of concern, facility project reporting, etc.
  1. Work closely with VP of Revenue Cycle Management on billing performance reporting and development of action plans for improvement, when applicable.
  2. Work with Service Line Directors to enhance service offerings.
  3. Ensure that policy and procedures, forms, and processes are compliant, reviewed at least every two years, and staff understand expectations.
  • Attend regional/corporate meetings/conference calls as deemed necessary by senior executive leadership.
  • Work with the CCO team to identify and develop action plans for annual goals/objectives for Somnia Clinical Services.


  1. New contract/facility leadership
    1. Collaborate with Business Development Team with new facility contracts, utilizing any/all processes required for new facility start-up.
    2. Participate in weekly calls/meetings with Clinical and Business Operations, as indicated.
  • Work alongside CCO/regional-level clinical leadership in new contract implementations to assist with clinical needs, culture training, and chief/team development.


  1. Existing facility management
    1. In accordance with COO direction, assume clinical leadership role in unstable contracts with the goals of stabilization of contract and anesthesia team improvement.
    2. Review quality outcome data monthly and collaborates with site leadership and Director of Quality for performance improvement project implementation.
  • Develop and implement the anesthesia improvement plan (AIP), coordinating with C-suite hospital leadership, director-level hospital leadership, and Somnia leadership.
  1. Provide clinical and leadership management throughout the duration of the AIP, with frequent, cadenced communication with key stakeholders responsible for overall contact performance.
  2. Facilitate completion of Phase I and Phase II of AIP with full transition back to CCO-level leadership.
  3. Conduct on-site visits at least on a quarterly basis.
  • Complete quarterly site visit reports and submit them to the COO by the 15thday of the following month when quarter ends (submission due dates: April 15, July 15, Oct. 15, Jan. 15).


  1. Budgetary Responsibilities
  1. Possess knowledge of facility budgets and contracted POS for new facilities, unstable facilities requiring intervention, and assigned accounts.
  2. Collaborate with Somnia operational and clinical leadership in budgetary management:
    1. Ensure Regional, Chief CRNA, and on-site Administrators are equipped/trained in schedule development to cover contracted points-of-service within budget parameters.
    2. Partner with on-site Administrator, Medical Director, and Chief CRNA in reviewing MD/CRNA overtime/additional compensation against points-of-service and variance requests.
  • Collaborate with credentialing and revenue department to ensure compliance with provider enrollment requirements, billing compliance, and information request management.


Bonus Compensation

The Somnia C-suite reviews the potential availability of leadership bonuses during the annual budgetary review process based on past performance and future projections. Based upon this information and the C-suite identified annual goals, the bonus structure goals/allocations are established. Typically, the bonus structure allocation sets benchmarks for overall corporate financial performance in conjunction with clinical operations and job performance benchmarks. Bonus compensation is paid out annually (pending financial approval by the C-suite) upon completion of a performance review by the COO. Input from the CEO, CMO, and Operations team will be elicited as deemed necessary by the COO.



Qualifications/Education Requirements

  1. Holds current state licensure as a registered nurse in the state(s) of practice and complies with the applicable state statutory or regulatory requirements of the State Board of Nurse Examiners.
  2. Graduate of a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor.
  3. Holds active license as an Advanced Practice Nurse Anesthetist (if applicable) in the state of practice.
  4. Insurable by an appropriate medical malpractice insurer for the limits required by the group, institution, or state.
  5. Complies with one of the following requirements regarding certification eligibility, initial certification, or recertification:
  1. Is currently certified by the Council on Certification of Nurse Anesthetists or its predecessor.
  2. Is currently recertified by the Council on Certification of Nurse Anesthetists or its predecessor.



  1. Demonstrates current competency in those clinical responsibilities for which the candidate applies.
  2. Experience in management, along with effective leadership abilities, as determined and at the sole discretion of the Chief Operating Officer.
  1. Mentally and physically able to provide safe anesthetic care.
  2. Knowledge of anesthesia principles, techniques and procedures for patient care and the ability to apply that knowledge to the clinical care of the patient.
  3. Adhere to the American Association of Nurse Anesthetist Standards of Practice.
  4. Maintain a practice current with CDC, OSHA, JCAHO, and HIPPA standards in regard patient care and as directed at each assigned medical facility.
  5. Advanced knowledge of physiology, pathophysiology, and pharmacology and the ability to apply this knowledge on a case-to-case basis. 
  6. Professionalism and communication skills and the willingness to work as a team.
  7. Possess the ability to multitask, delegate projects when appropriate, and ensure deadlines/timelines are met. 
  8. Compassion in dealing with others.
  9. Work ethic: considerate of others when coordinating time off, work arrival, and departure.
  10. Ability to assess and prioritize multiple tasks, projects, and demands.



Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, and hear; walk; use hands and fingers to feel, handle, or operate objects, tools, or controls; and reach with hands and arms. In addition, the employee must stand for extended periods of time and adapt to unpredictable work hours. The employee must occasionally lift and/or move up to 40 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must be able to perform fine manipulation, simple grasping, firm grasping and have a steady hand to intubate patients and perform medical nonsurgical procedures, such as IV insertion, intubation, induction of anesthesia, emergence of general anesthesia, placement of arterial and central venous access lines, administration of anesthetics and various types of anesthetic blocks, maintenance of fluid and electrolyte balance, administration of epidurals, and securing of airways in routine and emergency situations.


Mental Requirements

The mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job; work and deadlines may impose pressure on a routine and frequent basis, substantive contacts with people in stressful situations, delicacy, ability to appropriately delegate, and unpredictability of contacts routinely may create significant/constant stress. 


Performance Evaluation

This job description will be used as the basis for the CRNA/VP of Clinical Operations Performance Evaluation in the practice setting. The appraisal system will be used to reward the CRNAs who excel in the practice and administrative setting and to offer comments to help improve deficient areas of practice or capabilities of the individual. Employees who consistently fail to improve in deficient areas after a given period will be counseled, possibly suspended, or even terminated if unable to perform the duties of the job description. 



Other Duties

Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time with or without notice. 


Adherence to Company Policies and Rules

All employees are expected to adhere to the company’s policies and procedures, and Code of Conduct and Ethics policy. All employees are expected to provide services in a manner consistent with the established and accepted standards of the profession and with the laws and regulations that govern its practice and endorsed by the assigned facilities.



Employees are required to sensitive to cultural values, beliefs, and diversity, accepting that the opinions and values of others are as valid as their own. Employees will exemplify and exercise integrity, honesty, and due diligence while carrying out obligations to patients, co-workers, and customers.


AAP/EEO Statement

Somnia Inc. and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation, protected veteran status, or other protected classifications as deemed by law. 


This job description will be used as the basis for the Vice President of Clinical Operations Performance Evaluation in the practice and administrative setting. The appraisal system will be used to reward the Vice President of Clinical Operations who excels in the practice and administrative setting and to offer comments to help improve deficient areas of practice or capabilities of the individual. Vice Presidents of Clinical Operations who consistently fail to improve in deficient areas after a given period will be counseled, possibly suspended, or even terminated if unable to perform the duties of the job description.




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