Director of Nursing

SALARY: NEGOTIABLE, DEPENDENT UPON EXPERIENCEPurpose of this position

The purpose of this position is to provide nursing management, set Resident care standards for all direct care providers and provide complete supervision and management for the nursing department.

Qualifications:

Education:

1. Holding a current unencumbered license in the State of Nebraska as a Registered Nurse.
2. Completed training accredited school of Nursing.
3. Maintain licensure requirements set by State of Nebraska.
4. Competent to provide nursing related services according to scope of practice.
5. Able to direct and supervise staff.
6. At least two full years of Nursing experience, preferably in long-term care, with proven leadership and management skills.

Personal:

1. Cannot have been convicted of any crime related to any services to be provided under this job description, including, but not limited to, moral turpitude, assault or violence.
2. Adhere to the Code of Ethics adopted by the N.N.A.
3. Must be able to speak and understand the English language or a language understood by a substantial portion of the facility’s Residents.
4. Must have excellent oral and written communication skills.
5. Possess personal qualities, which make it possible to maintain good interpersonal relationships; e.g. respect for each person as an individual, kindness, and loyalty.
6. Comprehensive knowledge of general nursing theory and practice.
7. Knowledge of developments and literature in geriatrics, medical and rehabilitative nursing.
8. Ability to function effectively in emergencies and make necessary decisions regarding activities within the unit.
9. Skill in identifying problems and planning for their solutions.
10. Initiative and judgment in determining needs of Household Care program and maintaining Resident care in conformance with recognized standards of the medical unit

Physical:

1. Good physical and mental health.
2. Lifting: 50 LBS
3. Pushing: 50 LBS
4. Pulling: 50 LBS
5. Reaching above the head
6. Reaching with arms extended
7. Repetitive finger movements
8. Standing
9. Stooping or bending at the waist
10. Turning or pivoting
11. Twisting at the neck, waist, or knees

Duties (including but not limited to):

1. Assume responsibility for the development of Nursing service objectives and performance standards of Nursing practice for each category of Nursing personnel.

2. Assume accountability for the development, organization and implementation of approved policies and procedures.

3. Direct, evaluate, supervise, and assume accountability for all Resident care and initiate corrective action as necessary.

4. Assess/Evaluate Resident care needs and assist in the development of individualized plans of Resident care as related to individualized Resident needs, family involvement and the physician’s plan of care for the Resident.

5. Assess Resident pre-admission and/or admission information and determine appropriate level of care.

6. Assess Resident needs and make recommendations for special rehabilitation programs. Assume responsibility for development and implementation of Nursing rehabilitation and restorative programs.

7. Participate in the Quality Assurance Program, identify concerns and implement corrective action to improve Resident care.

8. Assist with analysis of incident and accident investigation reports to determine cause(s) and implement corrective action(s), when appropriate.

10. Conduct or participate in Resident care committees.

11. Assess Resident responses to medication and treatments and make appropriate recommendations for nursing action to be implemented.

12. Report problems to Administrator conduct daily Resident rounds and initiate corrective action as necessary.

13. Identify safety hazards and initiate corrective action.

14. Direct implementation of “Resident Bill of Rights.”

15. Oversees the directing and implementing nursing service educational programs including, but not limited to, orientation and in-service for licensed and unlicensed nursing personnel (ex: Silver Chair, CPR, etc.).

16. Conduct monthly (minimum) staff meetings with all shifts for purposes of planning, coordinating and implementing nursing service policies and procedures.

17. Demonstrate consistent management of Nursing service problems, emergency situations, and initiate “life-saving” measures in the absence of a physician.

18. Assume responsibility for nursing service compliance with federal, state and local regulations.

19. Participate in the planning and implementation of the nursing service budget.

20. Consistently operate nursing service within the established budget guidelines.

21. Direct allocation of Nursing service equipment and supplies within the facility and establish guidelines for efficient, economical utilization of supplies and equipment. Ensure availability of equipment for nursing personnel. Assess equipment and supply needs and make recommendations to Administrator.

24. Direct and supervise scheduling of team members within established guidelines for allocation of Nursing service personnel on duty. Recommend to the Administrator the number and level of personnel to be employed.

26. Conduct interviews, hire nursing service team members, and conduct counseling interviews and initiate disciplinary action as necessary.

27. Prepare written team member performance evaluations and initiate recommendations for salary increases, promotions and terminations.

28. Control angry feelings and take disciplinary action(s) privately.

29. Participate in committee meetings and serve on committees as assigned.

30. Oversee the organization and scheduling required by the MDS Coordinator for Resident assessments and related documentation for Medicare, Medicaid, and managed care under the Prospective Payment System (PPS).

31. Oversee the MDS Coordinator to consistently make accurate level of care determinations for the Resident’s plan of care in correlation with the MDS score.

32. Make management reports and special assignments and adhere to established time schedules.

33. Establish open lines of communication with consultants and consistently take follow-up action on recommendations.

34. Take inquiries for Resident placement as assigned by the Administrator and initiate procedures for proper placement of Residents and level of care determinations.

35. Assist with Resident admissions, transfers and discharge with community agencies and other facilities.

36. Establish good public relations with hospital discharge coordinators and social service consultants.

37. Communicate daily with nursing personnel providing clear, concise information as well as specific assignments.

38. Consistently demonstrate responsibility, accountability and dependability.

39. Maintain confidentiality of Resident and facility information.

40. Consistently work cooperatively with administration, all facility staff, ancillary personnel and consultants.

41. Be responsible for safety of Residents under his/her supervision.

42. Observe all facility safety policies and procedures.

43. Be knowledgeable and accountable for all data contained in the team members’ handbook.

44. Accept assigned duties in a cooperative manner.

45. Perform other related duties as directed by the Administrator and/or governing body. Perform all duties assigned in an effective, timely and professional manner.

47. Observe infection control procedures, implement tracking program for residents and staff.

48. Follow Residents’ Rights policies at all times.

50. Come to work as needed and consistently demonstrate dependability and punctuality.

51. Come to work in neat, clean attire and consistently present an appropriate professional appearance and wear a nametag.

52. Consistently work cooperatively with Residents, Residents’ representatives, facility staff, physicians, consultants and ancillary service providers.

53. Develop, review and revise the facility Quality Assessment and Assurance program to comply with regulatory requirements and continuously improve resident care.

54. Must comply with all components of the corporate compliance program.