Job DescriptionResponsibilitiesManages the day-to-day healthcare operations of the community to ensure resident's healthcare needs are met. Ensures residents are treated with respect and dignity and ensures quality care as residents' healthcare needs change. Supervises licensed nurses and other direct care staff within the community. Plans, organizes, develops, and directs the overall operations of the Clinical Services Department in accordance with federal, state and local standards. Responsible and accountable for maintaining the highest degree of quality care at all times. Travels 100% within the division as assigned to support management vacancies, start-ups, vacations, etc.
- Oversees the assessment of comprehensive nursing needs of each resident using acceptable long term care assessment tools and according to state and federal time frames. Coordinates the care plans for each resident.
- Participates in community surveys completed by authorized government agencies. Monitors the community Quality Indicators and survey reports. Assists with the development of success plans for identified areas of opportunity.
- Develops and implements a Clinical Services organizational structure. Determines staffing needs; recruits, selects, hires, and orients nursing staff/direct care personnel.
- Directly supervises community-based licensed nursing staff (LPN/LVN, RN), CNAs, and Med Techs/CMAs (if allowed/required by State Regulations). Also responsible to supervise nursing administrative associates.
- Assigns and directs work of subordinates, appraises performance, rewards and disciplines associates, and addresses complaints and resolves problems.
- Provides training, supervision, and monitoring of associates in the administration of medications as described/allowed in Nurse Practice Act, including auditing of medication administration records. Trains and educates resident care associates on an ongoing basis with classroom in- services, situation-specific training, and resident-specific training.
- Supervises the maintenance of resident charts and reviews documentation performed by caregiving staff.
- Assesses the health, functional and psycho-social status of residents, initiates individualized service plans, proactively manages care and services for each resident, evaluates effectiveness, and maximizes the resident's opportunity to remain in their environment. Manages the health care of residents, including the dissemination of information to families and associates. Ensures that family members are aware of residents' need for scheduled appointments.
- Participates in pre-admission screening of prospective new residents. Ensures that required documentation is completed prior to or upon resident admission, including nursing assessments, service plans, and other assigned forms. Updates assessments as required by policy and as described/allowed in Nurse Practice Act.
- Performs on-site evaluations of residents admitted to alternate care environments for treatment and maintains contact with resident families with the intent of returning the resident to Brookdale.
- Evaluates residents; documents changes in condition, and notifies executive director, physician, and resident's legally responsible party/family of resident's condition and reactions. Prepares the Physician Visit Form and reviews and updates the resident chart.
- Facilitates continuity of care for residents receiving home health care, hospice services, and other third party healthcare-related services. Ensures in-house ancillary medical services such as podiatrist visits, doctor visits, and dental visits, psych visits, lab tests, X-ray, ambulance, etc., are scheduled and followed through.
- Participates in, or leads, meetings relevant to resident care issues, such as Care Plan, Change of Condition, Clinical Stand-Up, and Collaborative Care meetings involving appropriate parties as needed.
- Participates in department quality improvement activities. Assists in keeping the environment safe for associates to reduce the occurrence of Workers' Compensation claims by appropriately evaluating resident transfer and mobility needs and involving therapy services as indicated.
- Shares on-call and manager-on-duty responsibilities/shifts as required.
- Supports other requirements within the division as assigned.
This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.
QualificationsEducation and ExperienceEducation as required to obtain state nursing license (RN). Five years of skilled nursing experience as a Director of Nursing (DON) or District/Regional Nurse Consultant required. Certification in Infection Prevention/Control and RAI process preferred. Basic typing skills, along with a working knowledge of personal computing and word processing software, are required, preferably in a Microsoft Windows environment.
Certifications, Licenses, and Other Special RequirementsRN license.
Management/Decision MakingApplies existing guidelines and procedures to make varied decisions within a department. Uses sound judgment and experience to solve moderately complex problems based on precedent, example, reasonableness, or a combination of these.
Knowledge and SkillsPossesses extensive knowledge of a distinct skill or function and a thorough understanding of the organization and work environment. Has a working knowledge of a functional discipline.
Physical Demands and Working Conditions- Standing
- Requires interaction with co-workers, residents or vendors
- Walking
- Sitting
- Occasional weekend, evening or night work if needed to ensure shift coverage.
- Use hands and fingers to handle or feel
- On-Call on an as needed basis
- Reach with hands and arms
- Possible exposure to communicable diseases and infections
- Climb or balance
- Potential injury from transferring, repositioning, or lifting residents
- Talk or hear
- Exposure to latex
- Taste or smell
- Ability to lift: Up to 50 pounds
- Possible exposure to blood-borne pathogens
- Possible exposure to various drugs, chemical, infectious, or biological hazards
- Subject to injury from falls, burns, odors, or cuts from equipment
- Requires Travel: Occasionally
- Vision
