Health Services Director (RN)

About the Role

This position oversees the clinical operations of the community, ensuring high-quality care and adherence to state regulations and company policies. The role involves management of staff, coordination of healthcare services, and advocacy for residents.

Responsibilities

Management

• Adheres to and conveys the philosophy of supporting dignity, privacy, independence, choice, individuality, and a home-like environment for residents.
• Identifies ongoing needs and services for residents through assessment and service planning utilizing the nursing process.
• Coordinates ancillary healthcare services for residents in cooperation with the Executive Director.
• Adheres to all established policies and procedures.
• Responds to resident or staff concerns and refers them to the Executive Director when appropriate.
• Manages and performs TB testing/screening for residents and staff per state regulations.
• Monitors quality of work performance of Care Partners, Medication Staff, and Licensed Nurses and reports to the Executive Director.
• Ensures that staff know and follow infection control procedures.
• Directs the infection control measures for the community.
• Participates in service plan conferences; maintains medication and treatment records for each resident.
• Works closely with staff and designated agent(s) to identify resident problems/concerns/issues; follows up as needed and communicates same appropriately.
• Has 24/7 overall responsibility for the clinical operations and is on call according to a pre-established schedule.
• Oversees and/or completes monthly nursing schedules for nursing staff.
• Participates in the Manager on Duty program as directed by the Executive Director.
• Coordinates/provides treatments within the scope of the nursing license and state regulations.
• Manages labor costs, supplies, and other line items in the clinical budget.
• Develops strategies to eliminate/minimize the use of staffing agencies and keeps the Executive Director apprised of staffing agency usage.
• Participates in the company quality assurance program.

Resident Services

• Conducts initial nursing assessment(s)/evaluations to determine the appropriate level of care, which may be done in a prospective resident’s home or alternative healthcare setting.
• Conducts reassessments per state/company requirements, including significant changes of condition and prior to readmission to the community.
• Works closely with the Executive Director to counsel the resident and designated agent(s) regarding personal and related healthcare needs.
• Evaluates personal services rendered to residents and coaches staff on expectations.
• Evaluates health emergencies and determines emergency medical measures taken regarding resident care.
• Acts as resident advocate in medical-social situations involving residents and/or designated agents, physicians, other agents, or agencies.
• Coordinates administration of medications and treatments; observes results and documents same.
• Examines and gives first aid to residents and staff within scope of practice.
• Addresses physical, social, spiritual, and psychological needs of residents.
• Completes required forms to ensure continuity of care.
• Notifies physician and/or designated agent(s) of resident change in condition.
• Consults with the Regional Director of Operations and Corporate Director of Quality & Clinical Services on resident issues as needed.

Administrative

• Reads staff communications and maintains familiarity with other resident records as required.
• Assures accurate transcription of physician orders into treatment/medication records.
• Assists as directed with move-in and orientation of new residents and designated agent(s).
• Reviews resident service records, treatment, and medication books to assure the quality of care and documentation in the medical record is within nursing standards.
• Verifies physician orders, move-in/move-out information, and initiates appropriate action/follow-up.
• Supervises ordering of medications from the pharmacy.
• Coordinates therapeutic diet orders with staff as required.
• Assures proper records are maintained, including the use of EHR systems for care documentation, medication management, and quality initiatives.

Staff Development

• Provides, plans, schedules, and monitors staff training programs and in-services for the clinical staff, including statutory or regulatory required training.
• Attends/completes all required training, in-service, and staff meetings.
• Trains, documents, and supervises Care Partners under the Nurse Delegation Act as appropriate.
• Trains and supervises staff to perform medication assistance services within best practices.

Requirements

• Willingness to adhere to assisted living principles in provided services.
• Ability to relate to the public, residents, families, staff, and other professionals appropriately.
• Strong verbal and written communication skills.
• CPR/First Aid Certified within 30 days of employment.
• Ability to lift up to 50 pounds occasionally and 30 pounds regularly.
• Maintains appropriate and required nursing license in the state where the community is located.

Qualifications

• Licensed Nurse with a minimum of at least one year of leading clinical operations in a senior living setting.
• Rehabilitative and restorative experience is helpful.
• CPR/First Aid certification.
• Graduate of an accredited nursing school.
• Maintains current RN/LPN/LVN license in good standing in the state the community is located.
• Immediately reports to the Executive Director any disruption to nursing license status.
• Provides a supervisor of all states where an active nursing license/compact license is held.