Director of Nursing, Skilled Nursing

Job Description

Job Description

Job Title

SNF Director of Nursing (DON)

Department

Skilled Nursing Facility (SNF)

Reports To

Chief Nursing Officer (CNO), or CEO Designee

FLSA Status

Exempt / Salaried, Executive Exemption (HR-014, HR-015)

Pay Range

$156,000 – $183,414 Annual Salary (Hourly Equivalent $75.00 – $88.18 at 2,080 Hours, or $83.33 – $97.98 at 1,872 Hours for a 12-Hour Clinical Shift Schedule), Based on Verified Years of Nursing Leadership Experience and Qualifications

Work Location

Southern Inyo Healthcare District Skilled Nursing Facility (33 Licensed Beds)

501 East Locust Street; Lone Pine, CA

The SNF Director of Nursing plans, organizes, directs, controls, and coordinates nursing and health services in the 33-bed Skilled Nursing Facility. The position is accountable for management responsibilities that include staffing, leading, staff morale, resident and family satisfaction, quality, organization, and regulatory compliance. A key component of success is the ability to partner with District departments, including Quality, Compliance, and Patient Financial Services.

The DON is the designated full-time Registered Nurse responsible for nursing services under federal and California requirements. The position oversees the nursing leadership team, staff development and CNA training, MDS and care planning, infection prevention, medication safety, QAPI, and survey readiness, and reports to the Chief Nursing Officer (CNO), or CEO designee.

Essential Duties and Responsibilities

1. SNF Operations and Policy

• Maintains SNF Operations Guidelines by Reviewing, Writing, And Updating Policies and Procedures
• Oversees SNF Operations by Initiating, Coordinating, and Enforcing Program, Operational, and Personnel Policies and Procedures
• Ensures Compliance with State and Federal Regulations and Investigates and Corrects Problems, Issues, and Concerns
• Serves as the Designated Full-Time Director of Nursing for the Facility and Only this Facility

1. Clinical Quality and Documentation Oversight

• Reviews and Audits Dietary, Pharmacy, and Resident Medical Records, and Documents and Communicates Actions, Irregularities, and Continuing Needs
• Attends And Documents the SNF Quality Assurance and Infection Control Meetings and Leads Nursing Participation In QAPI
• Oversees the Quarterly Medical Review and Ensures Physician Orders, Visits, and Medication Regimen Reviews are Completed and Acted on
• Reviews Clinical Outcome Indicators Monthly, Including Falls, Pressure Injuries, Weight Loss, Antipsychotic Use, Infections, and Hospital Transfers, and Directs Improvement Actions

1. Resident Protection and Safety

• Develops and Interprets Infection-Control Policies and Protocols and Oversees the Infection Prevention and Antibiotic Stewardship Programs
• Reviews and Enforces Medication Administration and Storage Procedures and Controlled-Substance Regulations, in Partnership with the Pharmacist-in-Charge
• Ensures Nursing Compliance with Procedures, Rules, and Regulations Regarding Patient Safety, Infection Prevention, and Sanitation, in Partnership with the EVS and Life Safety Teams
• Ensures Every Allegation of Abuse, Neglect, or Exploitation Is Reported and Investigated as Required by Law

1. Staffing And Staff Development

• Plans And Posts Nursing Staffing to Meet Minimum Direct Care Service Hours Per Patient Day, Resident Acuity, and Regulatory Requirements, and Reviews Payroll-Based Journal Data
• Participates in The Screening, Interviewing, And Selection Of Staff, And Makes Or Recommends Hiring, Discipline, Promotion, And Separation Decisions
• Conducts Annual Staff Evaluations And Periodic Reviews Of Job Descriptions
• Develops And Oversees The Director Of Staff Development (DSD)
• Supports the DSD in Developing and Running Training Programs, the CNA Certification Program, and Staff In-Service Training Programs
• Defines, Directs, and Supervises the Nursing Leadership Team, Including but Not Limited to the RN Clinical Care Coordinator, Charge Nurses, MDS Coordinator, Social Services, Activities Director, and DSD
• Conducts Regular SNF Department Meetings with the Broader SNF Leadership Team, Including EVS, Dietary, Quality, and Nursing Leaders, Covering Clinical, Social, Environmental, and Operational Aspects of Facility Operations
• Ensures Daily Morning Huddles Are Held and Are Informative and Productive

1. Resident Care Requirements and Coordination

• Identifies Resident Care Requirements and Coordinates Services with Community Agencies, Physicians, Families and Residents, and Other Departments
• Supervises Resident Admissions, Resident Assessments, MDS, Discharge Planning, the Activities Program, and Care Plans on All SNF Residents
• Ensures the RN Clinical Care Coordinator Maintains Regular Communication with the Medical Director on Resident Care, Policy, and Provider Issues
• Directs Dietary Services Jointly with the Dietary Manager and the Consultant Dietitian on Nutrition and Weight Concerns

1. Fiscal and Administrative Responsibility

• Participates in the Annual Nursing Budget and Monitors Labor Hours, Overtime, Agency Use, Supplies, and Equipment Against Budget
• Partners with the District Quality Department on the Facility’s Response to Regulatory Surveys and on the Development and Implementation of Plans of Correction
• Ensures Adherence to All Plans of Correction in Conjunction with Quality Department Recommendations and Oversight
• May Perform Other Related Duties as Assigned and Deemed Necessary by the CNO

1. Communication, Compliance and Mandatory Reporting

• Immediately Reports Suspected Abuse, Neglect, or Exploitation and Resident-Safety Events as Required by Law and District Policy
• Maintains Confidentiality of All Proprietary and Confidential Information and Complies with HIPAA and District Privacy Policies
• Participates in the Compliance Program and Code of Conduct, and Does Not Participate in or Allow Retaliation Against Those Who Report Good-Faith Concerns

1. Professional Standards

• Displays Integrity and Professionalism, Completes All Compliance Training, and Understands and Follows District Policies, Including Harassment and Compliance Procedures
• Displays Effective Team-Building Skills and Exhibits Excellent Customer Service and a Positive Attitude Toward Residents, Families, and Co-Workers
• Performs Other Duties Reasonably Related to the Position and Consistent with the Incumbent's License, Qualifications, and Department Needs

Knowledge, Skills and Abilities

Knowledge of

• Nursing Administration Practices and Procedures and the Laws, Regulations, and Guidelines Governing Nursing Administration in Skilled Nursing Facilities
• In-Depth Knowledge of Legal Policies and Regulations in the Healthcare Industry, Including 42 CFR Part 483, California Title 22, and Health and Safety Code Staffing Requirements
• Geriatric and Post-Acute Clinical Care, MDS and Care Planning, Infection Prevention, and Medication Safety
• Budgeting, Staffing, Labor Relations, and Employment Law as They Apply to Nursing Leadership
• Quality Assurance and Performance Improvement (QAPI) Methods and Survey Readiness

Ability To