Acting in the interest of the organization, the HOA exercises independent judgment and has the authority to interpret and enforce policies, provides direction to team members, direct clinical and operational activity, resolve complex issues, allocate resources, and make real-time decisions necessary to ensure continuity of safe, high‑quality patient care across all units. • Keeps hospital leadership and the appropriate chain of command informed of significant clinical, operational, staffing, safety, patient experience, or employee-related situations requiring escalation, follow-up, or leadership awareness.