Assistant Regional Director of Clinical Services

General Purpose This position provides support and education for nursing clinical programs with an emphasis on Infection Control and Disease Prevention Nursing Standard of Care and Nursing Standard of Practice per the applicable State Board of Nursing and the American Nurses Association.

• Advise and support facilities in their efforts to comply with State and Federal Survey Regulations for
• Medicare and Medicaid Licensure and Certification, with special focus on Infection Prevention, Control & Immunization.
• Assist facilities in response to endemic, epidemic, & pandemic disease outbreaks.
• Assist the Administrator and/or DON in writing plan of corrections (POC) and Allegation of
• Compliance (AOC) for any state and federal survey deficiencies cited. Review POC and AOC documents prior to submission.
• Monitor facilities compliance with POC's submitted to State Health Department (HD) for recertification of Medicare and Medicaid License.
• Provide oversight for reportable events that are submitted to HD which includes: reviewing and approving reportable documents sent to HD and assisting facility in correction of issues identified.
• Provide training to facility Administration and/or staff as needed to help them meet Professional Nursing Standard of Care and Nursing Standard of Practice per the applicable State Board of Nursing and the American Nurses Association; and State and Federal Survey Regulations for Medicare and Medicaid Licensure Certification.
• Assist Administrator with hiring, training and disciplinary actions for the Director of Nursing (DON).
• Conduct monthly Regional DON meetings for clinical program training and DON development.
• Assist facilities with their clinical, MDS, dietary, social services and regulatory policies and related education.
• Assist DON in determining appropriate staffing structure and nursing PPD.
• Conduct visits to the facility to assess and train clinical staff. Conduct Regional monthly MDS meetings for training and CMI development. Monitor and assist as needed, RAC audits received from Insurance, State or CMS.
• Develop Regional tracking and trending reports for clinical metrics regarding CMS 5-star rating. Assist facilities in their clinical risk management efforts.
• Assist facility defense attorneys as needed with lawsuits, depositions, reports and document production as requested.
• Review record requests for appropriate documents for release.
• May be required to act as an onsite Interim DON

This position will have supervision responsibilities and clinical oversight. Education and/or Experience Bachelor's Degree in Nursing (BSN) or equivalent Accredited Nursing Program Degree Master's Degree in Nursing preferred 20+ years of Clinical and Management experience preferred. MDS certified, Legal Nurse Consultant or Risk Management experience; experience with CMS/OIG surveys including Jeopardy citations. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Certificates, Licenses, Registrations Professional License must remain active and in good standing at all times with the State Board of Nursing. To perform this job successfully, an individual must be proficient in the Microsoft Suite products. Frequent use of office-related equipment, including copier/scanner/fax, telephone, and calculator.

• Travel by auto or airline may be required The work environment is usually low to moderate noise level
• Prolonged use of a desktop or laptop computer.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Note : Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.