Administrator (SNF/Long-term Care)

Job Description

Job Description

Required Qualifications 

The Administrator must possess: 

• A valid, unrestricted Nursing Home Administrator’s license in the state. 

• Bachelor's degree in health administration preferred. 

• Must have at least three (3) years of experience in a supervisory role in a hospital, nursing home, or other related health care facility. 

• Knowledgeable of skilled nursing home regulations, procedures, laws, regulations, and guidelines pertaining to long-term care. 

Major Duties and Responsibilities 

Plans, develops, organizes, implements, evaluates and directs the operation of the facility and its programs and activities, in accordance with current state and federal laws and regulations. 

Plans, develops, organizes, implements, evaluates, and directs the facility’s programs and activities in accordance with guidelines issued by the governing body. 

Identifies, in conjunction with the Director of Nursing and selected department heads, the facility’s key performance indicators.  Establishes an ongoing system to monitor these key indicators such as the Quality Assurance and Performance Improvement process throughout the facility.   

Evaluates key performance indicator outcomes with department heads to determine the need for action from leadership and/or management such as re-education or revisions related to the facility’s outcomes, regulatory compliance and/or customer satisfaction. 

Develops and implements processes and systems with the Business Office Manager that maintains the facility's fiscal health.  

Develops and executes a census and occupancy management strategy that results in improved census and improved fiscal health for the facility.  

Serves as the facility representative and spokesperson to the public and professional arenas.  In so doing, we must periodically successfully deliver a confident, concise, message on a variety of topics that is understood by a wide range of people with diverse backgrounds and levels of education. 

Leads and coordinates daily, weekly, bi-monthly or monthly management team meetings to discuss priorities and develop solutions with facility leaders such as census, collections, clinical health, survey readiness, customer service satisfaction, activity participation, etc.  

Develops and maintains positive relationships with residents, employees, and family members through scheduled, deliberate positive interactions with them using face to face, phone, or other means of communication.  

Evaluates work performance of department heads and maintains accountability across all departments in concert with Human Resources for expected performance outcomes in each respective department.  

Facilitates, serves, attends, or participates in various committees of the facility, as necessary.  

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 such as value-based purchasing programs like SNF-VBP, SNF-QRP, Quality Measures, Nursing Home Compare, Payroll Based Journal reporting, etc.  

Ensures delivery of compassionate quality care and services across an interdisciplinary team approach as evidenced by adequate, and competent facility staff, employee turnover, general cleanliness, physical plant condition, and optimal resident functioning-physically and psychosocially.  

Identifies and collaborates with members of the interdisciplinary team, physicians, consultants, and community agencies to identify opportunities for enhanced services to the residents and/or resolve issues. 

Recruits talented, qualified individuals with Human Resources to fill department head positions as a key factor in building and maintaining a strong and capable team. 

Performs rounds to observe residents and ensure overall needs are being met.  Know residents by name and sight.  Practices management by walking around.  Makes himself/herself available to employees at all levels by practicing an open-door policy.  

Knows employees across all departments, all shifts by name and makes himself/herself available periodically on a routine, scheduled basis across all three shifts to gain informal employee feedback. 

Conducts periodic observations of in-service education to ensure staff members delivering the education are competent with the knowledge and skill set required to accomplish employee learning. 

Promotes teamwork, mutual respect, and effective communication.  Promotes positivity and active daily problem solving.   

Leads budget development with department heads bi-annually.  

Leads, with the Business Office Manager, weekly or bi-monthly budget compliance meetings to ensure financial goals are met.  

Reviews and interprets monthly financial statements and provides relevant information to the governing board. 

Makes written and oral reports/recommendations to the governing board about the facility's operation. 

Leads, guides, and directs facility readiness related to health inspection surveys, Occupational Safety and Health Administration (OSHA) surveys, and any other regulatory entity or requirement.  

Ensures follow up is completed with any “mock” survey issues identified in preparation for health surveys, OSHA surveys, and any other regulatory requirement.  

Ensures the facility’s plan of correction response to any regulatory, inspection survey is completed, adequate, implemented, and timely.  

Communicates directly with residents, medical and nursing staff, family members, department heads and members of the interdisciplinary team to coordinate care and services.  Responds and resolves complaints and concerns when necessary. 

Manages and minimizes facility risk through a team approach to achieve desired outcomes in customer service, key performance indicators, employee retention and other areas as identified. 

Coordinates and cooperates with the facility’s liability insurance carrier and legal representative in the unfortunate event of litigation involving the facility.  

Reads and stays informed regarding regulatory, business practices and other changes influencing facility outcomes; thereby, facilitating continued success for all.  

Engages as a change agent for the facility when necessary.  

Ensures resident incidents and concerns that rise to a reportable event such as alleged abuse, neglect, mistreatment, misappropriation, etc. are reported to the correct entity within the stated regulatory requirement.  

Promotes and encourages an environment of trust among all employees related to the overarching goal of resident safety and abuse prevention. 

Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness. 

Delegates administrative authority, responsibility, and accountability to other staff personnel as necessary.