Director of Nursing

Purpose of This Position Oversee all services required to satisfy the resident service plan – including but not limited to medical/clinical aspects of care. Assure delivery of service in compliance with the licensing rules. Responsible for overall operation of the house in the absence of the Administrator. Works directly with the Administrator to assure goals and objectives of this living center are satisfied. Assure ultimate quality service delivery to each resident. Direct care of the physical needs of residents of this living center. Qualifications Education and experience relevant to working with frail elderly, as well as elderly having dementia. L.P.N. preferred. Must maintain current Michigan licensure or registration, as well as current first-aid and CPR certification. Course work or experience in gerontology or geriatrics. Combined nursing and management experience. Compassion for serving our resident population. Innovative and creative thinking processes. Very good communication skills: both verbal and written – including electronic communication via email and Electronic Care Plans. Strong leadership and motivational skills for effective staff supervision, training, and leadership; Excellent clinical skills, with experience caring for persons with age related health concerns including dementia. Experience and training in medication management and ability to educate staff. Exemplary time management and organizational skills. Must be able to pass the state mandated criminal background screening and random drug testing. Essential Functions * Must be able to effectively utilize the technology made available to expedite the clerical functions of the position: ECP – Electronic Assessment and Care Plan; EMAR – Electronic Medication Administration Record; EMAIL – Electronic Communication; ON SHIFT – Electronic staff schedule and communication; Internet Search; ATMOS – e-call system Clinical:

• Conduct and Coordinate the Personal Service Assessment for each resident upon residency (not more than 30 days prior to move in, or the day of move in) as well as periodic review of the Assessment throughout the resident’s stay at this living center, in accord with the guidelines of the Operations Manual. (30 days post residency, 90 days thereafter as well as when there is a change in condition, an acute episode, or hospitalization, or care and treatment in a SNF or rehab center.) Develop care plan in response to needs identified in the assessment.
• Evaluate residents’ continuing needs, condition, care, and then update plan of care as required.
• Oversee and coordinate services with outside/ancillary service providers as needed to assure individual resident needs are met: podiatry, pharmacy, home health, vision, dental, PT, etc.
• Oversee medication administration program.
• Oversee the appropriate documenting of medical history, physician’s orders, transfer and pre-residency information, EMAR, resident observation notes, and resident task completion.
• Review resident’s COMPLETE medical and social history.
• Visit residents who may be in the hospital or SNF/Rehab center to assure the resident is able to return to the living center prior to their discharge from care.
• Assures Communication of diet orders to Culinary Service Department (required for ALL residents).
• Oversees the coordination of communication with family members, physicians, therapists, counselors, etc. as needed for each resident, individually.
• Oversee proper monitoring of resident records – monitoring content, rule compliance, etc.
• Conduct weekly Safety Review of Resident Incident and Fall reports; submit report to HPM-AL Assistant Director of Clinical Operations weekly.
• Perform charting duties. Complete required medical chart forms, including any insurance forms.
• Review and evaluate all incident reports – take action to minimize impact as well as to reduce number and frequency of incidents.
• Conduct quarterly Infection Prevention Committee meetings to analyze the infections from the previous 3 months and determining a plan to prevent future infections. Assure plan is followed through on.
• Oversee pressure ulcers weekly. Assure they are measured, and those measurements are added to a PUSH tool weekly. Also, assure there is an entry in the care plan to describe the location of the wound, and who is overseeing the care of the wound.

Management:

• Oversee all Resident Services Personnel: Clinical Coordinator (where applicable), Shift Supervisors, Med Techs, Resident Support staff, and Records Specialist (where applicable).
• Hire and terminate employees in accordance with company’s policy and under the direction of the Administrator and ORBIS. Assure sufficient staff is hired, trained, and performing the duties necessary to provide quality care and service to meet resident needs and maintain compliance with licensing and budget.
• Assures all resident services staff is adequately trained to fulfill the duties which they are required to perform, including use of equipment relevant to resident care and services. Maintains adequate and appropriate documentation of same.
• Utilizes ON SHIFT staffing program and assures that staffing is adequate.
• Perform written evaluations of employees and make recommendations for salary increase and/or advancement.
• Evaluate work site injury reports and worker’s compensation claims.
• Assures that staff respond to call times appropriately

Compliance with Licensing, HPM, PACE and MI Choice Waiver

• Compliance with all federal, state, and local rules and regulations.
• Compliance with Corporate Operations Manual - implementation and enforcement of policies & procedures for daily operations.
• Prepare and submit all required reports to Corporate Office.
• Adhere to all company personnel directives as per the manual of operations and procedures.
• Assist administrator in oversight of operation.
• Assure budget compliance in supplies, labor, resident revenue (accuracy in level of care assessment, as well as timely service plan reviews and submission of documentation to corporate billing department).
• Regulatory compliance with HFA rules, HPM policies and procedures.
• Other duties as assigned or as may be necessary to assure that the goals and objectives of this living center are fulfilled
• Attend HPM meetings virtually or in person as directed
• Submit reports and documentation as directed by HPM

General Responsibilities

• Comply with Life Safety policies and periodic “drills”
• Participate in training opportunities
• Report safety and health hazards to the Maintenance Supervisor
• Observe residents for any change in condition (physical, emotional, cognitive, or behavioral)
• Comply with infection control protocols
• Provides information such as brochures and informational packets, to all inquiries with the intent of achieving application for residency or waiting list status.
• Conducts tours for prospective residents, families, and referral resources.
• Participates in Manager-On-Duty weeknight and weekend rotation with Administrator and other managers.
• Participate in Family and Community events as directed
• Share administrative on-call responsibility for the residence.
• Practices HPM core Values: Honesty, Quality, Respect, Teamwork, Potential and Balance.
• The Resident Services Coordinator is a member of the Management Team for this living center and is expected to maintain professional standards of behavior.
• The RSC is expected to communicate professionally, maturely, and respectfully with ALL persons associated with this living center.
• Be a good will ambassador for this living center
• Work cooperatively with others on the same shift and across shifts
• Report to work as scheduled
• Treat all residents with dignity and respect
• Compliance with all Resident Rights including confidentiality
• Compliance with the guidelines stated in the Employee Handbook, including code of conduct

Physical and Mental Requirements

• Able to walk distances on hard surfaces
• Able to stand for extended periods of time
• Able to sit for extended periods of time
• Some repetitive motion work
• Able to bend, turn, stoop, twist, kneel, push, pull, reach, and stretch
• Able to communicate verbally and in writing
• Able to use telephone for communication, including a “smart phone”
• Able to use a computer, internet, email and other technology
• Able to push a med cart
• Able to assist geriatric residents to transfer and with general ADL care
• Able to lift 50 pounds
• Able to read and comprehend the written word – especially physician’s orders.
• Licensed driver with ability to drive to outside assessments and appointments.

SCHEDULE: The Resident Services Coordinator must be on site sufficient hours to assure that resident services are provided in keeping with current resident service plans. (Typically, this will be 45 hours per week). Hours include evenings, midnight and weekends as needed to assure proper care and service to residents of this HPM-ALC. Participates in Manager on Duty rotation of evenings and weekends, as well as holiday on call coverage. RSC is expected to visit the overnight shift at least once per quarter. ON CALL 24/7 for resident services concerns and emergencies. Compensation and Benefits:

• Salary and benefits as outlined in the Employee Handbook
• Eligible for a 2% increase after 90 days of satisfactory employment
• Eligible for annual merit increases based on the supervisor’s written performance evaluation