Job Description

Do you want to work in a facility that is friendly and works together? Do you want to feel appreciated and wanted? Then Carmel Hills Nursing & Rehab is for you! Come and join us and see what it's like to work together and make differences in residents lives.

Responsible for supporting and carrying out the administration and management of Nursing Services to residents in accordance with orders of the physicians and total needs of the residents. In partnership with the Director of Nursing, is responsible for the 24-hour supervision of Nursing Services and directs the Nursing Department to maintain quality standards of care in accordance with current Federal, State and The Company standards, guidelines and regulations. In absence of the Director of Nursing, assumes the responsibility for clinical operations. The position conducts the nursing process – assessment, planning, implementation and evaluation – under the scope of the State’s Nurse Practice Act of Registered Nurse licensure.

Principal Responsibilities

• Coordinates plans for the total care of each resident which comply with physician’s orders, governmental regulations and facility resident care policies.

• Communicates and interprets policies and procedures to nursing staff, and monitors staff practices and implementation.

• Participates in all admissions decisions, and may visit prospective residents before admissions, as needed.

• Participates in daily and weekly management team meetings to discuss resident status, census changes, personnel, or resident complaints or concerns.

• Ensures delivery of compassionate quality care and nursing supervision as evidence by adequate services and staff coverage, absence of odors, general cleanliness, prevention of pressure wounds, and apparent maintenance of optimal resident functions.

• Demonstrates knowledge of and application of Key Clinical Quality Indicates, and proactively monitors and implements systems to achieve and/or surpass company thresholds.

• Collaborates with physicians, consultants, community agencies, and institutions to improve the quality of services and to resolve identified problems.

• Assist in the coordination of nursing services with all other departments including Therapy.

Responsible for competency testing on registered, licensed, certified, non-certified nursing personnel.

• Implements and monitors the infection control program designed to provide a safe, sanitary, and comfortable environment designed to prevent the devilment and transmission of disease and infection.

• Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections. Submits an infection control report to the QA Committee.

• Coordinates on-going QA activities for nursing services to monitor nursing compliance with standards and regulatory requirements through rounds, interviews, and record reviews. Compiles summary of findings for the Quality Assurance committee.

• Helps the Director of Nursing prepare staff for inspection surveys, instructing staff on matters of conduct and disclosure, being interviewed by inspectors, immediate corrections of problems noted by surveyors, etc. Reviews and reinforces important standards previously cited.

• Participates in the preparation of the Plan of Correction response to an inspection survey, and implements any follow-up QA required for any nursing allegations.

• Communicates directly with residents, families, medical staff, nursing staff, interdisciplinary team members, and Department Heads to coordinate care and services, promote participation in care plans, and maintain a high quality of care and life for residents.

• Oversees nursing schedules to assure they meet resident needs and regulatory and budgetary standards; 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.

• Performs rounds to observe care and to interview staff, residents, families or other interested parties. 

• Makes daily rounds and spot checks documentation accuracy and completeness on new admissions, residents with change in condition, residents triggering occurrence investigations, and residents to be discharged.

• Promotes customer service and hospitality and responds to and adequately resolves complaints or concerns from residents or families about nursing services.

• Monitors staff for compliance with OSHA mandates and facility policies on workplace safety. Proactively develops procedures and incentives to promote workplace safety and safe work practices.

• Supervises development and delivery of in-service education to equip nursing staff with sufficient knowledge and skills to provide compassionate, quality care and respect for resident rights.

• Develops positive employee relations, incentives, and recognition programs. Promotes teamwork, mutual respect, and effective communication.

• Assist in the development, maintenance and improvements of nursing service objectives, standards for nursing practice, nursing procedure manuals and written job descriptions for each level of nursing personnel.

• Provides 24-hour “on call” service to the nursing center in case of emergency.

• 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.

• Ensures 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.

• Ensures ethical care delivery with adherence to corporate compliance and safe business practices.

• Understands and promotes the Federal, State and company position on Abuse and Neglect prevention.

• Understands federal and state survey enforcement practice and to attain and maintain compliance; educates staff.

• Promotes nursing process and critical thinking in nursing care delivery.

• Institutes organizational structure and effective communication systems, which include all levels of nursing staff to promote effective care delivery and follow-up.

• Designs systems to plan, promote, develop, assess, interpret, validate and evaluate the implementation of clinical programs, policies, procedures and forms.

• Monitors facility incidents and complaints daily to identify those defined as unusual occurrences by State policy and promptly reports such occurrences to Administrator/Executive Director for appropriate action.

• Monitors complaint reports daily for allegations of potential abuse or neglect, or the loss or misappropriation of resident property, and participates in these investigations.

• Promotes compliance with accident prevention procedures, safety rules, and safe work practices to prevent employee injury and illness and control worker’s compensation costs.

• Ensure 24-hour services such as RN coverage compliance; abuse and neglect coordination compliance, and other services as required by federal, state, local and other governing agencies.

• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

• Develops departmental strategies by contributing information, analysis, and recommendations to strategic thinking and direction; establishing functional objectives in line with departments objectives.

• Establishes operational strategies by evaluating trends, establishing critical measurements; determining production, productivity, quality, and customer-service strategies; designing systems; accumulating resources; resolving problems; implementing change.

• Develops financial strategies by estimating, forecasting, and anticipating requirements, trends, and variances; aligning monetary resources; developing action plans; measuring and analyzing results; initiating corrective action; minimizing the impact of variances for the department.

• Oversees the development of the nursing department structure and roles of each position.

• Establishes and manages goals and objects for the nursing department through analysis and strategic planning consistent with the company mission.

• Understands and affects the role of the nurse leader with staff through effective team building, motivation, change management, efficient time management, delegation, stress management and effective and timely communication.

• Facilitates collegial relationships among nurse managers and other healthcare professionals.

• Hires, educates and counsels a nursing leadership team to participate in clinical oversight.

Qualifications:

• Currently licensed as RN or LPN in the state practiced.

• Associate or Bachelor Degree from an accredited nursing school required for an RN only.

• Five years in long-term or acute health care preferred; At least 2 years nursing supervisory experience required.

Compensation based on years of experience, supervisory experience and education; will be discussed during interview with the DON

Health, Vision, Dental and Paid Time Off

Tuition Reimbursement for Nursing Staff

Regular Employee Appreciation Events

SRZ Management Company

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