Director of Nursing - Skilled Nursing and Assisted Living

Duties and Responsibilities

Develop and maintain the nursing-service objectives, standards of nursing practice, nursing policy and procedure manuals, written job descriptions for each level of nursing personnel; make daily rounds, coordinate nursing services with other resident services; staff the recommended number and levels of nursing personnel to be employed; and staff development. Exercise the ability to delegate responsibility and exercise authority as needed.

Participate in planning, budgeting, and the development and implementation of resident-care policies; plan orientation programs for personnel; plan scheduled in-service training for all direct resident-care personnel; participate in medical reviews as dictated by the resident’s levels of care.

The person holding this position is delegated the responsibility for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures.

• Ensure that nursing personnel provide treatments, medications, rehabilitative nursing care, and activities of daily living as stated in care plans to make certain optimum comfort and care is provided.
• Attend, as needed, regularly scheduled conferences with resident Activities Manager, Social Service staff, Dietary Service Manager, and other professionals to review and update resident assessment, MDS, and comprehensive care plan and other services needed by residents.
• Assure that visiting physicians are accompanied by licensed personnel and physician’s orders are carried out properly.
• Attend, as needed, conferences with resident and/or family member as necessary and inform them as significant resident changes occur.
• Refer residents and family members to social services and/or proper community agencies if necessary.
• Conduct daily rounds of residents in order to update knowledge of resident’s physical and emotional conditions, and assure that staff is providing proper and adequate care.
• Conduct regular conferences with nursing staff to explain resident behavior and significant changes.
• Oversee and review controlled substances to assure proper count and documentation.
• Oversee chart audits to assure proper charting and documentation of care.
• Assure facility is receiving correct payment for level of care administered and for services and supplies including Medicare oversight.
• Attend Risk & Quality Management Committee meetings and assist in maintaining quality assurance data and preparing reports.
• Supervise nursing activities and promote improvement in nursing care, in collaboration with other departments.
• Coordinate nursing service with other departments.
• Support accurate reporting and recording according to policies and procedures set forth, and evaluate and make recommendations for improvements for the welfare of residents.
• Maintain a comfortable and pleasant environment and promote elimination of hazards.
• Receive reports from charge nurses on shifts and work closely with them to insure maximum total care.
• Where applicable, assure a registered nurse screens resident for goal-directed therapy soon after admission or re-admission according to procedure.

• Assure nursing department staff knows lines of authority of the organizational chart.
• Oversee creation and daily review of nursing schedule; approve staffing changes. Monitor and manager PPD, overtime, and agency utilization.
• Oversee, develop, and maintain nursing service goals and objectives, standards of nursing practice, and content of nursing policy and procedure manuals.
• Ensures required staff, in accordance with federal, state, and local laws, to assure uninterrupted service to residents.
• Establish and maintain a procedure to ensure licensed personnel and medication aides have a current and valid license as required by state.
• Periodically evaluate work of each employee in nursing department and discuss each evaluation. Based upon employees’ merits, award promotions when vacancies or new positions occur, and grant pay increases as merited by employees.
• Manages the nursing staff through…