Regional Clinical RN- Assisted Living - Full-Time 1st Shift

Regional Clinical RN- Assisted Living

The Regional Clinical RN- Assisted Living provides clinical oversight and support across multiple Assisted Living communities in Wisconsin, ensuring compliance with Wisconsin Department of Health Services (DHS) regulationsspecifically DHS Chapter 83 and DHS Chapter 89. This role is responsible for guiding clinical teams, conducting and reviewing comprehensive assessments, developing Individualized Service Plans (ISPs), and delegating nursing tasks in accordance with the Wisconsin Nurse Practice Act.

Essential Functions:

Clinical Assessment and Care Coordination:

• Promotes quality of care and services for residents in assigned communities, including their physical, emotional, and social well-being.
• Perform and/or review initial and ongoing Comprehensive Assessments for residents/tenants.
• Develop, implement, and update Individualized Service Plans (ISPs) based on assessments and changing resident conditions.
• Attend and contribute to interdisciplinary care conferences.
• Conduct and document assessments per DHS guidelines such as Self-Administration of Medication, Psychotropic Medication reviews, Pain assessments, Fall Risk or other community assigned assessments.
• Assures written physician orders are signed, processed and implemented in each assigned community.
• Document observations, concerns, changes in resident conditions, incidents, and/or accidents, ensuring follow-up until resolution.
• Serve as liaison between residents, resident representatives, and physicians/health care providers regarding resident health care issues.
• Coordinate care for residents returning from hospitals or skilled nursing, ensuring appropriate transitions and follow-ups.
• Monitor residents' health status and coordinate care with physicians, home health agencies, hospice providers, and other external partners.
• Identify and respond promptly to changes in residents' health conditions, ensuring timely communication with physicians and resident representatives.
• Participate in resident admission and discharges.

Clinical Excellence:

• Maintains up-to-date knowledge of current standards and best practices in assisted living care.
• Collaborates with clinical leadership to develop and implement clinical protocols, policies, and procedures that ensure compliance with applicable laws and Wisconsin state guidelines.
• Designs and oversees an audit process to review nursing assessments and the development of individualized service plans (ISPs) across assigned assisted living communities.
• Maintains oversight of the infection control program, including monitoring employee health and related protocols in assigned communities.
• Remains accessible and available via cell phone and serves as 'on call' for clinical emergencies, resident changes in condition, and support of staff performing delegated nursing tasks.
• Ensures adherence to all applicable assisted living licensure regulations.
• Monitors the timeliness and quality of nursing assessments for residents and provides clinical support when needed.

Medication Management:

• Provide oversight of medication management systems to ensure safe and effective dispensing.
• Reviews medication administration system and medication documentation at least monthly in each assigned community.
• Ensure that MAR (Medication Administration Records) is accurate and complete.
• Ensure the medication cart is orderly and that all medications are properly packaged and stored.
• Assures that medication administration procedures are followed properly and discuss any needed corrections, errors, and other follow-up with staff.
• Validates the disposal of medications policy is followed at each assigned community.

Leadership, Delegation, and Staff Development :

• Collaborates with senior leadership and community Executive Directors to promote the alignment of nursing practices with organizational goals and standards.
• Delegate nursing tasks appropriately per the Wisconsin Nurse Practice Act and supervise delegated tasks to ensure safe and effective care.
• Ensure proper training, competency validation, and ongoing support for direct care staff.
• Train and support facility RNs, LPNs, and care staff on clinical protocols and regulatory requirements.
• Conduct in-service training on topics such as infection control, medication management, emergency response, and chronic disease management.

Regulatory Compliance and Oversight :

• Ensure facility compliance with Wisconsin DHS Chapter 83 (CBRF) and DHS Chapter 89 (RCAC) regulations.
• Monitor and assist with incident reporting, follow-up, and mitigation strategies.
• Prepares for and participates in the regulatory survey process.
• Participates in quality improvement initiatives to enhance resident clinical outcomes, quality of life, and operational efficiency.

Association Involvement & Management :

• Works with community leadership and senior leadership to manage participation in WiCAL's PEAL program (Performance Excellence in Assisted Living) and Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL) involvement.
• Monitors and encourages the participation of assigned communities in the Wisconsin Board on Aging and Long-Term Care (WI BAL) forum meetings.
• Shares relevant information and insights from WI BAL forums with other team members as appropriate.

Collaboration and Support :

• Work closely with Executive Directors, care teams, families, and external providers to coordinate resident care.
• Work closely with Regional Operations, Executive Directors, and Support Center leadership to support high-quality, efficient service delivery.
• Monitors resident and family concerns to validate prompt and effective resolution.
• Provides input and/or helps perform annual evaluations for nursing and direct care staff.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Additional Responsibilities :

• Safety: Know and follow North Shore Health rules
• Follow North Shore Health dress and hygiene policies
• Demonstrate proper use of equipment
• Report equipment needs or repairs
• Follow North Shore Health smoking policies
• Reports and documents any incidents or accidents of residents, staff or visitors to the appropriate North Shore HealthCare personnel
• Use required protective equipment (as needed during center visits)
• Follow infection control standards, policies and procedures
• Resident Rights: Know Resident Rights Help the residents/patients exercise and/or protect their rights
• Maintain confidentiality of resident/patient and employee information
• HIPAA: Follow and adhere to North Shore Health's policies and procedures implementing HIPAA requirements for the privacy and security of protected health information
• Use and/or disclose only the minimum amount of Protected Health Information necessary to complete assigned tasks
• Report all suspected violations of the company's HIPAA policies or procedures to NorthShore Health Compliance Department.

Work Environment/Physical Requirements:

The responsibilities of this position may involve significant travel and physical activities including standing, occasional lifting (up to 50 pounds unassisted), bending, stooping, pushing, pulling, and twisting. All employees when visiting centers may be required to provide lifting and transfer assistance to residents. Lifting and/or transferring some residents will require use of a lifting device and/or assistance from other staff.

Required Education and Experience :

Active Registered Nurse (RN) licensed in the State of Wisconsin or a valid Multi-State license under the Nurse Licensure Compact (NLC), with Wisconsin as the primary state of residence or eligibility to practice in Wisconsin under the compact.

Demonstrated nursing management experience in a resident/patient care setting

Experience working with older adults in senior living, long-term care, home health or other health care setting preferred or has demonstrated ability or strong desire to engage with residents with dementia

Must be able to adapt to a flexible work schedule and occasional overnight travel

Ability to work in a team environment. Strong communication and interpersonal skills

Empathy for the challenges experienced by residents, families, and team members and problem solving skill sets to support them

Strong computer skills and ability to interact with a variety of electronic devices

Must have and maintain current CPR certification

Previous experience in an assisted living setting

Demonstrated nursing management experience in a resident/patient care setting

Demonstrated success leading a fun and productive work environment

Preferred Education and Experience :

3+ years management experience

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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