Director of Nursing Services

Job description:

Saint Antoine Residence is seeking a new Director of Nursing for its 180 bed Skilled Nursing Facility. This is a unique opportunity for its next Director of Nursing to receive a warm handoff and be oriented to the position by its current Director of Nursing who will be retiring in the spring.

The primary purpose of this position is to plan, organize, develop and direct the overall operation of the nursing services department in accordance with current federal, state and local standards, guidelines and regulations that govern the facility and as directed by the Administrator and the Medical Director to ensure the highest degree of quality care is always maintained.

Collaborate with other health care professionals including consultants, government agencies and advocacy groups in the development and support of resident care, administrative functions and facility mission.

Develop and maintain nursing policies and procedures that conform to current standards of nursing practice, facility mission and state and federal regulations.

Maintain knowledge of all current state and federal regulations and facility policies.

Review all referrals based on facility ability to meet the needs of potential resident.

Review re-hospitalization trends and implement a plan to reduce unnecessary re-hospitalizations in accordance with facility policies and regulations.

Participate in the annual facility assessment.

Work with the Infection Preventionist to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections.

Provide fiscal oversight and management of the nursing department budget.

Oversee the staff development program to ensure nursing team members have the tools, training and resources to properly care for residents in accordance with facility policies and the resident assessment.

Develop methods for coordinating nursing services with other resident services to ensure the continuity of resident care.

Develop, implement, and maintain an ongoing quality assurance and performance improvement (QAPI) program for the nursing services department.

Develop, maintain and periodically update written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations.

Develop, maintain and periodically update written facility policies and procedures that govern the day-to-day functions of the nursing services department; review facility policies at least annually.

Monitor the facility's quality measure reports; develop and implement performance improvement plans.

Participate in facility surveys (inspections) made by authorized government agencies as necessary or as directed.

Perform administrative duties such as auditing the electronic health record (EHR), completing forms, compiling reports, producing and approving evaluations, studies, charting, etc., as necessary.

Oversee and monitor the facility abuse prevention program.

Ensure competent and qualified individuals provide nursing care.

Plan, develop, organize, implement, evaluate, and direct the nursing services department as well as its programs and activities in accordance with current rules, regulations, and guidelines that govern the nursing care facilities.

Participate in all team meetings as required including "triple check," admission, discharge planning, standards of care, utilization review, QAPI, safety and risk meetings, etc.

Participate in regularly scheduled reviews of the discharge plans; revise as necessary to ensure a safe discharge; conduct post-discharge follow-up calls or referrals to state agencies as appropriate.

Participate in risk management and safety committees to mitigate risk factors for residents and staff.

Serve on, participate in, and attend various committees of the facility as appointed by the Administrator.

Monitor residents for preventable decline including weight loss, pressure ulcers, loss of activities of daily living (ADLs), incontinence, dehydration, pain, etc.

Monitor the nursing 24-hour and change of shift reports to ensure timely and effective responses to significant change in residents' condition, transfers, discharges, new restraints, unexplained injuries, falls, incidents, accidents, behavioral management episodes and/or medication errors.

Provide direct nursing care as necessary including clinical care and resident assessments.

Assist the Administrator and/or the Director of Human Resources in the recruitment and selection of nursing services personnel; ensure proper background checks are conducted.

Delegate to nursing services supervisory personnel the administrative authority, responsibility and accountability necessary to perform their assigned duties.

Determine the staffing needs of the nursing services department necessary to meet the total nursing needs of the resident population including special skills identified in the facility assessment.

Ensure all CNA credentials are verified through the state Nurse Aide Registry.

Ensure the facility has sufficient nursing staff with the appropriate competencies and skill sets to provide nursing and related services.

Make daily rounds of the nursing services department to ensure all nursing services personnel are performing their work assignments in accordance with acceptable nursing standards.

Review complaints and grievances made or filed by department personnel; develop action plans as necessary.

Assist the Staff Development Coordinator in developing annual facility in-service training programs (e.g., Occupational Safety and Health Administration (OSHA), tuberculosis (TB), Health Insurance Portability and Accountability Act (HIPAA), abuse prevention, safety, infection prevention and control, etc.).

Attend continuing education programs to remain knowledgeable with current regulations and nursing best practices.

Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures and to his/her job position and duties.

Educate the nursing team on facility policies and procedures, monitor staff practices and implementation of facility policies; ensure team members are trained in advance of implementation of new facility policies.

Provide leadership training that includes the administrative and supervisory principles essential for the Charge Nurse/Nurse Supervisor; develop performance improvement plans as appropriate.

Ensure the resident environment remains as free of accident hazards as much as possible and residents receives adequate supervision and assistive devices to prevent accidents.

Ensure medications, medical supplies, equipment, etc., are always maintained on premises to adequately meet the needs of the residents.

Prepare and plan the nursing services department's budget and submit to the Administrator for review, recommendations and/or approval.

Working Conditions

• Works in office areas as well as throughout the nursing services area (i.e., drug rooms, nurses' stations, resident rooms, etc.).
• Moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
• Is subject to hostile and emotionally upset residents, family members, personnel and visitors.
• Communicates with the medical staff, nursing personnel and other department directors.
• Works beyond normal working hours and on weekends and holidays when necessary.
• Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)
• Is involved in community/civic health matters/projects as appropriate.
• Attends and participates in continuing education programs.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday as well as to reactions from dust, disinfectants, tobacco smoke and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.
• Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.

Education

• Must possess, as a minimum, a nursing degree from an accredited college or university.

Experience

• Must have, as a minimum, three (3) year(s) of experience Director of Nursing or Assistant Director of Nursing, in a Skilled Nursing Facility or other related health care facility.
• Must have, as a minimum, one (1) year experience in rehabilitative and restorative nursing practices.

Specific Requirements

• Must possess a current unencumbered active license to practice as a Registered Nurse (RN) in the state of Rhode Island.
• Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
• Must be able to read, write, speak and understand the English language.
• Must be a supportive team member, contribute to and be an example of teamwork and team concept.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the public.
• Must be knowledgeable of nursing and medical practices and procedures as well as laws, regulations and guidelines pertaining to nursing care facilities.
• Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
• Must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies, procedures, etc., necessary for providing quality care.
• Must have patience, tact, a cheerful disposition and enthusiasm as well as the willingness to handle difficult residents.
• Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
• Must be able to relate information concerning a resident's condition.
• Must not pose a direct threat to the health or safety of other individuals in the health or safety of other individuals in the workplace.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

• Must be able to move intermittently throughout the workday.

• Must be able to speak and write the English language in an understandable manner.

• Must be able to cope with the mental and emotional stress of the position.

• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure the requirements of this position can be fully met.

• Must function independently and have flexibility, personal integrity and the ability to work effectively with residents, personnel and support agencies.

• Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

• Must be able to relate to and work with the ill, disabled, elderly, emotionally upset and, at times, hostile people within the facility.

• Must be able to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move and/or carry such weight a minimum distance of 50 feet.

May be necessary to assist in the evacuation of residents during emergency situations.

Equal Employment Employer

The Saint Antoine Community is committed to equal employment opportunity for all employees and applicants for employment without regard to race, color, national origin, gender, disability, military status, genetic information, or age, or any other legally protected characteristic unless a bona fide occupational disability or exemption exists. In addition, the Saint Antoine Community complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to: hiring, promotion, training, disciplinary action, termination, leaves of absence, compensation and benefits.

All offers of employment are contingent upon a national criminal background check and required medical screenings that are satisfactory to Saint Antoine Community.

All newly hired staff at Saint Antoine Community must be fully vaccinated before they begin work.'

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person