Director of Nursing Services Registered Nurse RN Position Description: Under the direction of the Administrator, the Director of Nursing Services is responsible for the administration and management of Nursing Services to residents in accordance with orders of the physicians and total needs of the residents. Responsible for 24-hour supervision of Nursing Services. Director of Nursing Services Registered Nurse RN Qualifications: • A graduate from an accredited school of professional nursing • Current licensure as a Registered Nurse in the state in which practicing • Experienced or trained in nursing service administration, rehabilitation, psychiatric or geriatric nursing • One or more years of demonstrated ability in nursing administration and/or supervision in a health facility in the last 5 years • Supervisory or operations management experience, a strong understanding of skilled nursing standards of care, and federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules • Demonstrates knowledge of and ability to apply basic principles of nursing care and teaching • Demonstrates leadership ability and capability to work effectively with all levels of personnel • Maintains an interest and knowledge of current trends and new developments in nursing and health administration • Demonstrates interest and ability to work effectively with the public • A desire to work with geriatric and disabled persons • Skills for critical-thinking and problem-solving • Ability to generate enthusiasm and cooperation from others • Ability to develop and maintain good interpersonal relationships • Possession of good emotional and physical health • A high level of professionalism and excellent communication skills • A genuine interest in and respect for people and a desire to be of service to them • Ability to accept and work with persons with different social and cultural traits • Ability to work in a long-term care environment Director of Nursing Services Registered Nurse RN General Duties and Responsibilities GENERAL • Assumes ultimate responsibility for coordinating plans for the total care of each resident which comply with physician’s orders, governmental regulations, and facility resident care policies • Develops, maintains, and upgrades nursing service objectives, standards for nursing practice, nursing procedure manuals and written job descriptions for each level of nursing personnel • Participates in the recruitment, selection, hiring, orientation, training, and dismissal of nursing personnel • Assists in controlling nursing service hours and supply costs, including recommendation for the number and type of nursing personnel to be employed and nursing service equipment and supply needs • Participates in admission and discharge planning for residents • Communicating with doctors, residents, and family members about resident health • Maintains contact with physicians as necessary according to resident needs, facility policies and governmental regulations • Implementing new policies and procedures and training nurses • Evaluates information to be shared with outside nursing personnel and allied services for continuity of resident care • Assess community resources that may be utilized to improve resident care • Maintains good interpersonal relationships with residents and their families, nursing personnel, allied professional services and the community • Periodically visits residents to ensure maximum care and to ascertain need to additional or modified services • Participates in professional organization activities, identifies, and meets educations need of staff through meeting and in-service classes • Attends and participates in all required meetings, conferences and policy making committees in the facility • Promotes a safe environment within the facility, which includes fire and accident prevention, maintenance of sanitary conditions and assurance that all nursing personnel understand their roles in the event of a disaster or other disruption of services • Assures that an adequate orientation and in-service training program is provided for all nursing personnel • Confers daily with the Administrator regarding current status of nursing services and submits written reports as requested SUPERVISION • Assigns duties and delegates responsibilities to nursing personnel according to their abilities • Evaluates performance of nursing personnel reporting to her/him and maintains evaluation records • Coordinates nursing service with other resident care services provided; such as physician, dietary, occupational, physical and speech therapies, resident activities, social services, medical records and business office • Assures that a resident Plan of Care is established for each resident and that the plan is reviewed and modified as needed • Encourages staff development and professional growth • Assures adequate 24-hour nursing coverage in the facility each day • Designates a responsible professional nurse to be in charge of the nursing service during the absence of the Nursing Director • Provide close supervision and direction to the Charge Nurses to continually improve the nursing care of residents • Participate in the Quality Assurance Committee Meeting • Reviews and corrects findings and deficiencies of Pharmacy Consultant, Department of Health Services, Dietary Consultant, Medical Records Consultant, Quality Assurance Team and prevent reoccurrence by implementation of recommendations and follow through • Maintains quality assurance in facility by frequent nursing rounds and continuous assessment of resident conditions from admission through discharge • Assumes responsibility for investigation of alleged abuse or unusual occurrence as outlined within our established policies and procedures CONSUMER SERVICE • Presents professional image to consumers through dress, behavior, and speech • Adheres to Company standards for resolving consumer concerns • Ensures that all resident rights are protected
Sign on Bonus of $7,500 for Full-time new hires! A licensed professional nurse under the supervision of a Registered Nurse who provides nursing care and services to residents in a long-term care setting. Qualifications: • Graduate of an accredited school of nursing or an approved LVN program • Current nursing licensure in good standing with the State licensing board • Strong communication and organizational skills • Ability to provide quality patient care in accordance with applicable standards, policies, and procedures • Ability to identify and report problems, use initiative and good judgment to reach quality decisions • Comprehensive knowledge of applicable nursing principles and practices to ensure the quality of care standards for residents are • Possess the willingness to work with professional and non-professional personnel. Proficiency of the English language including the ability to speak, read, write, and comprehend the language with minimal to no difficulty • Valid CPR certification General Duties and Responsibilities: GENERAL • Provides nursing care as prescribed by physician/health care professional in accordance with the legal scope of practice, any Board of Licensing restrictions, and within established standards of care, policies, and procedures • Administers professional services and provides care consistent with allowing residents to attain or maintain his or her highest practicable physical, mental, and emotional well-being. Provides clinical data and observations to contribute to the nursing plan of care CLINICAL • Admits, transfers, and discharges residents in accordance with policy and procedure • Orients new residents/families as necessary • Gives/receives nursing reports upon beginning and ending of assigned shift. Reviews daily patient report and assignments with Nursing Assistants upon the beginning of assigned shift • Assures that the unit area is maintained in a clean and safe manner for resident comfort and convenience. • Conducts daily resident rounds to observe the resident’s physical and emotional status • Collects clinical data and reports significant clinical findings according to policy • Performs manual and technical skills according to the scope of practice under the direction of a Registered Nurse • Records care information accurately, timely and concisely. Completes all required documentation including resident observations, interventions, and patient response(s) in the medical record in accordance with policy • Assists in developing, reviewing, revising, and updating resident Plans of Care as indicated. Contributes to the evaluation of the patient’s progress towards specific goals and the adjustment of the nursing plan of care as necessary • Receives and transcribes orders accurately from attending/alternate physician. • Assists in making rounds with the attending physician, as necessary. • Prepares/administers medications as ordered by the physician and within the legal scope of practice. • Completes medical treatments as indicated and ordered by the physician. • Evaluates response and report adverse reactions to medication or treatments in accordance with the policy. • Assures that narcotic and controlled drugs are secure, inventory counts are accurate and narcotic register documentation is timely and accurate • Orders prescribed medications, supplies and equipment as established by the facility’s policies and procedures. • Requisitions and arranges for diagnostic and therapeutic services as ordered by the physician. • Notifies the attending/alternate physician, as well as the resident’s legal guardian/representative, when the resident becomes critically ill, injured, etc., or has a significant change in condition as outlined within established policies. • Notifies the attending/alternate physician of resident incidents/unusual occurrences. Completes Accident/Incident Report forms as indicated and documents relevant information in the resident’s medical record as outlined in established policies and procedures. Initiate investigation of accidents and unusual occurrences • Informs RN Supervisor or RN in charge of the facility of significant changes in resident condition, unusual occurrences, incidents, or accidents as indicated and per facility policy and procedure • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required. • Reports allegations of abuse or unusual occurrence per State and Federal Regulations and facility policy. Assists with a gathering of information relative to the event. • Initiates emergency procedures (including basic CPR) and provide emergency patient treatments • Participates in the facility’s infection control program for monitoring communicable and/or infectious disease among residents and staff. • Participates in procedures for reporting hazardous conditions or equipment. • Assists in orientation of newly assigned personnel as requested. • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assigned. • Supervise CNAs SUPERVISION • Make resident rounds to ensure appropriate care is being rendered, identifying, and making corrections as necessary • Meet with nursing personnel to assist in identifying and correcting problem areas and/or the improvement of resident care • Assist the Charge Nurse in revision and distribution of nursing assignments as needed • Assist in the supervision and direction of nursing personnel • Participate in disciplinary action and evaluation of nursing personnel CONSUMER SERVICE • Presents a professional image to consumers through dress, behavior, and speech. • Treats residents/family members with dignity and respect • Responds to Resident and family concern(s) and assists in resolving grievances. Records grievances per facility policy ADDITIONAL DUTIES • Participate in the facility's Quality Assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing. Actively participates in Quality Assurance Performance Improvement teams and activities • Ensures the protection of health information as required by the Health Insurance Portability and Accountability Act (HIPAA) • Participates in the facility’s Infection Control Program for monitoring communicable and/or infectious disease among residents and staff • Participate in procedures for reporting hazardous conditions or equipment. • Orient new staff members upon request • Participate in the facility's quality assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required • Attends in-services and educational classes to maintain nursing skills competency, and current knowledge for the standard of care and effective practices • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assign
