Evaluates the overall operations of the Nursing Services department, as well as its programs and activities, in accordance with current state and federal laws and regulations.
Interprets and communicates policies and procedures to nursing leadership, and monitors staff practices.
Audit daily or weekly management team meetings to evaluate census changes, resident changes in status, complaints or concerns.
May participate in QAPI or facility assessment activities as needed.
Periodically audits various committees of the facility.
Evaluates the delivery of compassionate quality care and nursing supervision as evidenced by adequate staff coverage on the units, general cleanliness, and maintaining optimal resident functions.
Collaborates with members of the interdisciplinary team to identify and resolve issues and improve the quality of services.
Performs rounds to observe residents and ensure nursing needs are being met.
Conducts observations of nursing care and in-service education to ensure nursing staff is competent in current knowledge and skills.
Promotes teamwork, mutual respect, and effective communication.
Monitors the infection control program in accordance to current infection control guidelines to prevent the development and transmission of disease and infection.
Assists in the preparation of inspection surveys and conducts mock surveys, as indicated.
Participates in the facility’s plan of correction response to an inspection survey required for nursing allegations.
Communicates with residents, medical and nursing staff, family members, department heads and members of the interdisciplinary team to evaluate care and services.
Oversees resident incidents and concerns daily to identify any unusual occurrences and reports them promptly to the Administrator and/or state agency for appropriate action.
Assists in monitoring for allegations of potential abuse or neglect, or misappropriation of resident property.
Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness.
May provide direct nursing care, as necessary.
Evaluates the quality assessment and assurance (QA&A) program and quality assurance performance improvement (QAPI) activities of the facility in accordance with current state and federal laws and regulations.
Reviews key performance indicator outcomes to determine the need for action from leadership and/or management such as re-education or revisions in facility policies related to outcomes, regulatory compliance and/or customer satisfaction.
Maintains a commitment to quality assessment and performance improvement.
Monitors facility’s processes to ensure care and services delivered meet accepted standards of quality.
Assists in the development and implementation of appropriate plans of action to correct identified deficiencies internally at the facility level and as identified by the licensure and certification health inspection survey process (Form 2567).
Audits the facility’s plan of correction response to any health inspection survey.
Maintains positive relationships with residents and employees through deliberate positive interactions with them.
Knows and understands general nursing practices and procedures, OBRA regulations, Code of Federal Regulations, Appendix PP State Operations Manual, reimbursement processes, Life Safety Code regulations, applicable labor relations laws, and all other regulatory entities that may apply.
Understands, continues to learn, and teaches others about new CMS program initiatives.
Assists the facility management/leadership team to remain focused toward the shared goal of delivering compassionate quality care and services across an interdisciplinary team approach as evidenced by meeting expected outcomes.
Identifies and collaborates with members of the interdisciplinary team to identify opportunities for enhanced services to the residents and/or resolve issues.
Conducts rounds, observing residents and staff performance, to further identify care delivery systems in need of improvement and to identify opportunities related to regulatory compliance requirements.
Practices management by walking around.
Communicates rounding observations to the Director of Nursing Services and Administrator.
Promotes teamwork, mutual respect, and effective communication. Promotes positivity and active daily problem solving.
Evaluates facility readiness related to health inspection surveys, Occupational Safety and Health Administration (OSHA) surveys, and any other regulatory entity.
Evaluates the facility’s progress with any “mock” survey issues identified in preparation for health surveys, OSHA surveys, and any other regulatory requirement.
Reads and stays informed regarding regulatory requirements and any other changes influencing facility outcomes.
Maintains a reference library of written quality assessment and assurance materials, laws, etc. necessary for complying with current standards and regulations to support the provision of quality resident care.
Engages as a change agent for the facility when necessary.
Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness.
Adheres to all policies and procedures.
Treats all residents and staff with dignity and respect. Promotes and protects all residents’ rights.
Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to Administrator/Director of Nursing Services.
Complies with standards of business conduct, and state/federal regulations and guidelines.
Follows appropriate safety and hygiene measures at all times to protect residents and self.
Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to Administrator/Director of Nursing Services.
Follows facility procedures for any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals/equipment.
Reports work-related injuries and illnesses immediately to their supervisor.
Follows established infection control policies and procedures.
Maintains confidentiality of protected health information, including verbal, written and electronic communications.
As a condition of employment, completes all assigned training.
Participates in all life safety and emergency drills and trainings.
Reads, writes, speaks, and understands the English language.
Contributes to and exemplifies team work.
Makes independent decisions when circumstances warrant such action.
Deals tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Possesses leadership, supervisory skills and willingness to work harmoniously with and supervise other personnel.
Successfully follows oral and written instructions.
Has patience, tact, and willingness to deal with difficult residents, family and staff.
Successfully relays information concerning residents, employees or any given subject matter.
Does not pose a threat to the health and safety of other individuals in the workplace.
Willing to move intermittently throughout the workday.
Willing to cope with the mental and emotional stress of the position.
Meets general health requirements, including medical and physical exams and checking immunity status to various infectious diseases.
Communicates with medical, nursing staff, and all departments.
Subject to injury from falls, burns, odors, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Subject to exposure to infectious waste, diseases, conditions, etc.
May be subject to handling of and exposure to hazardous chemicals.
Willing to work to task completion in spite of frequent interruptions.
Subject to hostile and emotionally upset residents, family member, personnel and visitors.
Works beyond 9-5pm (normal working hours). May work weekends, and holidays when necessary.
*We are proud to be an equal-opportunity employer.
