Assistant Director of Nursing

HIGHBRIDGE HEALTHCARE

POSITION TITLE: Assistant Director of Nursing

REPORTS TO: Director of Nursing

FLSA: Exempt

POSITION SUMMARY:

The Assistant Director of Nursing (ADON) has 24-hour accountability and supports the Center Nurse Executive (CNE) with the delivery of efficient and effective nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction.

The ADON serves as a clinical operational liaison between the units and the Center Nurse Executive/Director of Nursing. He/she is responsible for the daily clinical operations of the Nursing Units including ensuring compliance with HIGHBRIDGE policies and procedures, practice standards and regulations. Additionally, he/she is responsible for facilitating the implementation of the care delivery model and processes, mentoring staff, coordination and communication with other departments, and ensuring patient and family satisfaction.

In the absence of the CNE, the ADON assumes the duties and responsibilities of the CNE.

RESPONSIBILITIES/ACCOUNTABILITIES:

1. Administrative: 1.1 Works with the CNE to develop, allocate and control the budget for the Department of Nursing Services;

2 Assists CNE with nurse staffing: 1.2.1 Makes recommendations regarding the staffing needs of the Nursing department necessary to meet the nursing needs of the patients; 2 Recruits, interviews, hires, on-boards, and orients professional nursing staff;

3 Provides oversight and approves nursing department schedules to include position control and pay practices;

4 Reviews and evaluates the performance of nursing staff as well as counsels staff according to established company personnel policy;

5 Provides direction to nurse management regarding Individual Performance Improvement Plans, problem resolution, and disciplinary actions; 1.2.6 Recommends and facilitates employee promotions, transfers and terminations;

6 Collaborates and coordinates with other departments to provide timely effective care consistent with individuals’ needs, choices and preferences.

7 Ensures there is a safe, coordinated and thorough discharge planning process in place;

8 Fosters a strong partnership between the medical staff and the department of nursing;

9 Makes recommendations to the Center Nurse Executive regarding nursing care equipment/supplies required to meet the needs of the patients and assures that adequate supplies are available;

10 Promotes a culture of safety to ensure a healthy practice and living environment;

11 Participates in meetings to address patient care, survey and/or standards of care issues;

1.9 Participates in Center meetings such as Utilization Management, Customer at Risk, Quality Improvement, etc. as needed;

12 Maintains professional relationships with community, payors, and referral sources;

13 Assumes administrative responsibilities of the Center for weekend and holiday coverage as requested;

14 Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of patients;

15 Works with the CNE to effectively plan, organize, direct and implement a comprehensive center-wide nursing program;

16 Provides nursing leadership in order to meet the goals of the HIGHBRIDGE organization and the individual center;

17 Creates an environment that is respectful, team oriented and responsive to the concerns of staff, patients and families;

2. Clinical Leadership:

1 Completes daily rounds on the units to observe patients and to determine if nursing

2 Provides patient care when required;

3 Monitors nursing care to ensure positive clinical outcomes;

4 Ensures Point Click Care (PCC) is utilized according to the Business Processes;

5 Encourages communication between licensed nursing staff and CNAs during and between shifts;

6 Encourages shift-to-shift communication between incoming and outgoing nursing staff;

7 Ensures timely and accurate compliance of the MDS process and that it reflects the patient's plan of care;

8 Reviews prospective admissions in relation to existing nursing capabilities and ensures readiness to treat;

9 Ensures that patient's attending physician and family or responsible party are promptly 10 Provides education, training, and competency validation as needed;

11 Promotes professional development and career opportunities for nursing staff;

12 Supports the CNE in employing a strong Quality Improvement (QI) process for the nursing department and participates on the QI Committee;

13 Ensures that the patients’ Care Plans are implemented and periodically reviewed and modified as necessary;

14 Ensures that Physician Orders are followed as prescribed;

15 In collaboration with the CNE, ensures that patient's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with HIGHBRIDGE policies and procedures and the Federal/State rules and

needs are being met;

COMPLIANCE:

1. Complies with and promotes adherence to applicable legal requirements, standards, policies and procedures including but not limited those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA.

2. Provides leadership and support for the Compliance and Ethics Program within management area.

3. Ensures timely and accurate reporting and responses to compliance-related issues and monitors the implementation of corrective action plans related to such issues.

4. Ensures that staff participates in orientation and training programs including but not limited to all required compliance courses and relevant policies and procedures, and that such training is properly documented. Participates in compliance and other required training programs.

5. Provides open lines of communication regarding compliance issues within management area and access to the Integrity Line and ensures that retaliation against staff who report suspected incidences of non-compliance does not occur. Promptly reports concerns and suspected incidences of non-compliance to supervisor, Compliance Liaison or to the Compliance Officer via the Integrity Hotline. 6. Participates in monitoring and auditing

7. Completes performance reviews and determines compensation and promotions based on the accomplishment of established standards that promote adherence to compliance and quality standards.

SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:

1. Graduate of an accredited school of nursing, college or university with a current registered nurse licensure by the State Board of Nursing.

2. A minimum of three years full-time or equivalent clinical experience is required and a minimum of two years of clinical experience in long-term care nursing with one year in a management/administrative or supervisory capacity is preferred.

3. BSN preferred.

4. This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and wellbeing of our patients and visitors at the work site when responding to their medical and physical needs.

5. Must provide verification of TST (tuberculin skin test) as required by state law and in accordance with Company policy. TSTs will be administered at the work site if required.

6. Maintains current BLS/CPR certification (All SNFs and Behavioral Centers; ALFs/ILFs as required by State).