Director of Health Services

JOB SUMMARY

The Director of Health Services leads the clinical services of the community to ensure residents receive safe, personalized, and compassionate care. The Director of Health Services oversees assessments, care planning, medication systems, infection control, documentation, clinical oversight of staff, and regulatory compliance. The Director of Nursing participates in hiring, onboarding, coaching, and recommendations for disciplinary action or termination related to clinical performance or safety concerns.

PERFORMANCE OBJECTIVES

Clinical Assessments and Care Planning

• Initiates contact to schedule required assessments within one business day of receiving necessary information or notification 100% of the time
• Completes 100% of required resident assessments within state-regulated timeframes.
• Completes 100% of required resident assessments within state-regulated timeframes.
• Completes 100% of individualized care plans within state-regulated timeframes.
• Updates care plans according to required regulatory timelines following significant changes for 100% of applicable residents.
• Achieves at least 95% accuracy on quarterly care plan audits.
• Ensures 100% of residents are clinically cleared and care-planned per regulation prior to move-in.

Medication Management

• Ensures 100% real-time documentation of medication administration in the EMAR system
• Maintains a medication error rate below 1% monthly with documented corrective actions.
• Ensures 100% compliance with medication storage, disposal, renewals, and physician orders.

Incident, Risk, and Safety

• Completes documentation and follow-up for 100% of incident reports within established timelines.
• Completes investigations for 100% of required clinical incidents within 24 hours.
• Achieves 100% compliance with mandatory reporting timelines.
• Implements at least one targeted clinical risk intervention per quarter based on identified trends.

Regulatory Compliance and QAPI

• Achieves 98% documentation accuracy based on monthly chart audits.
• Demonstrates zero repeat deficiencies and completes required corrective actions within required timelines.
• Ensures 100% adherence to clinical policies and state regulations.
• Actively participates in QAPI meetings, contributes to QAPI projects, and completes assigned QAPI action items within required timelines 100% of the time.
• Maintains current knowledge of applicable state regulations and integrates updates into practice 100% of the time.

Infection Control

• Maintains 100% compliance with infection control standards and required reporting.
• Ensures 100% of clinical and care staff complete required infection control training and competencies.

Communication and Coordination

• Notifies physicians and families within 24 hours of incidents and significant changes for 100% of applicable residents.
• Completes 100% of clinical handoffs and return-to-community documentation within 24 hours.
• Provides proactive clinical updates for 100% of residents at least quarterly.

Staff Meetings and Leadership Communication

• Leads clinical staff meetings at least monthly and ensures updates, expectations, and follow-up items are communicated to all clinical and care staff.
• Communicate relevant leadership information to the care team within two business days.

Staff Competency and Clinical Oversight

• Completes competency checks and supervisory visits for 100% of new hires and annually for all clinical and care staff.
• Initiates and documents corrective action for 100% of clinical performance concerns within five business days and recommends termination when clinical safety or competency thresholds are not met.

Training and Development

• Achieves 100% completion of required onboarding, annual training, and professional development for self and clinical/care staff.
• Maintains RN licensure in good standing 100% of the time.

Resident Experience, Engagement, Marketing Support

• Supports resident engagement by participating in scheduled events and activities as appropriate to role and licensure and collaborates with leadership to promote resident involvement and a positive community environment 100% of the time.
• Supports marketing-related efforts by meeting prospective residents, supporting tours when clinically relevant, or providing information about clinical services when requested, and contributes to positive resident and family satisfaction outcomes 100% of the time.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

• Current, active Registered Nurse (RN) license in the state where the community is located, in good standing and free of restrictions.
• Minimum of 2 years clinical nursing experience in senior living, long-term care, assisted living, memory care, home health, hospital, or related setting.
• Minimum of 1 year supervisory or leadership experience overseeing clinical or care staff.
• Must be able to read, write, and communicate effectively in English to complete documentation, follow care plans, and communicate with residents, families, and regulatory agencies, unless reasonable accommodation can be made.
• Experience completing resident assessments, developing care plans, and managing change in condition.
• Demonstrated knowledge of state regulations related to assisted living and/or memory care.
• Proficiency with electronic documentation systems (EHR/EMAR).
• Ability to participate in on-call rotation or provide after-hours support as required.
• Valid driver's license and reliable transportation.
• Strong communication, critical thinking, and decision-making skills.
• Ability to work collaboratively with interdisciplinary teams, residents, and families.
• Ability to meet the physical demands of the role, including mobility throughout the community.

PREFERRED QUALIFICATIONS

• Prior experience as a Director of Health Services, Assistant Director of Health Services, Health and Wellness Director, or similar leadership role in senior living.
• Experience with QAPI participation or quality improvement initiatives.
• Experience in memory care or dementia-related care.
• Experience hiring, coaching, or developing clinical staff.
• Experience supporting resident engagement, family communication, or community events.

ENVIRONMENT

WORK CONDITIONS

• Works in a resident-centered senior living environment including resident living areas, care spaces, and shared community spaces.
• Experiences moderate activity and noise consistent with a dynamic community setting.
• Primarily working on-site during business hours with flexibility for occasional evenings or weekends based on community needs.
• May have on-call responsibilities for urgent clinical situations.
• Uses electronic systems including HR, EHR, EMAR, CRM, and communication platforms.
• Works collaboratively with leadership and staff.

PHYSICAL DEMANDS

• Periods of sitting, computer work, and administrative tasks.
• Frequent walking, standing, bending, and movement throughout the community.
• Routine use of hands and fingers for documentation and equipment handling.
• Occasional lifting or movement of items up to 50 pounds.

OTHER DUTIES & ACKNOWLEDGMENT

OTHER DUTIES This job description outlines the primary expectations of the role. This job description supersedes and cancels all previous position descriptions, schedules, and arrangements as of its effective date. The Director of Nursing may be assigned additional responsibilities as needed to support resident care, engagement, regulatory compliance, QAPI participation, marketing support, or community operations.

Nothing contained in this job description creates an employment contract or in any way alters the employee's status as an employee at-will.