Job Details Position Type: Full Time Salary Range: Undisclosed Description Texas Organ Sharing Alliance (TOSA), founded in 1975, is one of 57 federally-designated Organ Procurement Organizations (OPOs) in the United States. TOSA is committed to a mission of saving lives through the power of organ donation by providing organ donation and recovery services to Central and South Texans wishing to donate, and to those waiting for a life-saving organ transplant. Recognized as a Top Workplace in San Antonio since 2014. TOSA has staff members in Austin, San Antonio, and McAllen. JOB SUMMARY: The full-time Administrator-On-Call responsible for the clinical assessment of potential organ donors for medical suitability and pertinent risk factors that may impact recipients. In collaboration with the daily clinical call team, the AOC determines patient eligibility for organ donation, guides family interaction timing, clinical management of organ donor patients, oversees the plan for each donor while on call and works to overcome logistical barriers that may present throughout the donation process. This position will have access to confidential material and needs to use discretion with this information while strictly adhering to the Texas Organ Sharing Alliance confidentiality policy. WORK SCHEDULE: The Administrator-on-Call position is a full-time position that is supported within a strong team environment with periods of high stress and extended on-call rotation responsibility with M-F business hours as needed. KEY FUNCTIONS AND DUTIES:

• Coaches frontline team members by providing consistent, evidenced based critical thinking and decision support while considering appropriate resource management decisions. Provides thorough, in-depth guidance utilizing highly developed clinical expertise and advanced knowledge of the organ donation process.
• Interprets hospital policies for determination of neurological death and guides staff to ensure potential donor patients are declared appropriately (where applicable). Collaborates with Medical Director(s) and other physician consults in evaluating donor suitability and setting appropriate donor case plans.
• Ensures appropriate and timely family interactions based upon TOSA’s Family Readiness Assessment Tool.
• Presents complex clinical information and determines a clear and cohesive plan for assessing donor risk factors and effectively communicates to transplant centers. Identifies potential anomalies appropriately.
• Provides resource management and direction to the clinical teams for the day-to-day operations.
• Provides real-time direction and guidance to staff for donor identification, evaluation, approach, authorization, clinical management, donor transfers, organ allocation, and surgical recovery directed towards maximizing every organ donation opportunity.
• Collaborates with Clinical Practice Specialist to optimize donor management.
• Problem solves with onsite organ team members and provides clinical and logistical expertise in all areas of the donation process. Advises staff when working through operational challenges by providing mentoring, talking points, coaching and on-site support. Communicates deviations from standard behavior and/or practices to appropriate manager for follow-up.
• Maintains an awareness of all active referrals and pending activity to ensure optimal use of available resources.
• Ensures consistent application and compliance with regulatory standards/requirements as well as organizational policies and procedures.
• Participates in performance improvement initiatives, identifying trends and supporting formal staff education needs including involvement in regular case activity review process. Assists with data collection, analysis, and shares best-practices for presentation and education during TOSA Interdepartmental Performance Improvement Team meetings.
• Provides regulatory oversight and verification of critical aspects of the donation process such as death notes, ABO verification, hemodilution, increased risk status, serology results, allocation variances, etc.
• Ensures compliance with JP/Medical Examiner donor related case requests and/or restrictions.
• Offers remote mentoring, education, guidance, and support of clinical staff. Works closely with clinical leadership and the Education Department to identify training needs and employee development. Serves as subject matter expert in clinical processes and procedures.
• Attend and presents donor case reviews with TOSA’s Medical Director monthly.
• Facilitates pre-OR and post-OR donor huddles as well as coordination of NRP related case responsibilities.
• Leads the daily Administrator on Call meeting (including Clinical Leadership, Hospital Development, DSC Leadership, Family Aftercare, AOCs) in meeting daily operational needs to facilitate organ donation.
• In coordination with Hospital Services escalates referral and donor case related challenges to the appropriate hospital administrator.
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