Director of Rehabilitation

Position Summary: The Grayson Nursing and Rehab Center Director of Rehab plans, organizes, and manages the effective and efficient delivery of rehabilitation services within their assigned facility.

Qualifications: The Director of Rehab must have: an Associates, Bachelors, and/or Master’s degree in Physical Therapy, Occupational Therapy, or Speech and Language Pathology, a current state license in their discipline, a minimum of 3 years of rehabilitation experience, proven leadership and program development/supervisory (management) experience, knowledge of state, federal, and therapy practice act legislation/laws, interdisciplinary management skills, an understanding of essential duties in the rehab department, excellent oral and written communication skills. Previous skilled nursing facility experience

preferred.

Duties and Responsibilities: Every effort has been made to keep your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.

The Director of Rehab:

• Utilizes Rehab Optima software to effectively monitor delivery of care, efficiently manage clinical services provided, maintain the caseload on a daily basis, perform monthly closeouts for operations and billing export, and make use of the advanced documentation to meet specific clinical standards
• Utilizes Rehab Optima to monitor the Part B Therapy Cap and the Mandatory Manual Review, as per CMS guidelines
• Orients and trains rehabilitation personnel
• Completes skills competency checklist for all rehabilitation staff
• Reviews and updates Rehabilitation policy and procedures on a regular basis to ensure compliance with facility process and state/federal regulations
• Supervises rehabilitation clinical and support staff within the facility. This includes:

o Conducting Monthly Quality Assurance Reviews and Chart Audits on Active and Discharge rehabilitation patients

o Informing staff of all deficiencies and charting completions, as indicated

o Developing a progressive discipline plan for frequent non-compliance

• Conducts quarterly program evaluation reviews, including:

o Identifying rehab program evaluation areas

o Collecting program evaluation information

o Developing an action plan for all non-conforming areas

• Runs management reports in Rehab Optima, which include:

o Therapist Productivity

o RUG Utilization

o Average Length of Stay

o Functional Outcome Measures

o Census Summary

• Reviews referrals and discharges of Rehabilitation and Long-term care (Restorative) programming to evaluate service delivery and needs
• Facilitates facility integration of rehabilitation services by:

o Communicating rehabilitation service information to the facility administrator, including: Rehabilitation programming: Restorative programming, in-servicing, rehabilitation staff concerns and recommendations, me57onthly Management and Quality Assurance Report interpretation

Program development activities (i.e., Developing dining programs or Hip replacement critical pathways)

Referral patterns

• Assist in facility and rehabilitation marketing plan, including:

o Performing referral rehabilitation screenings; being a community and referral source in servicing

o Providing program evaluation and outcome information for inclusion in marketing materials

o Assisting in market analysis and providing recommendations for new rehabilitation programs

• Reviews and makes recommendations to the facility concerning staff education needs and requests
• Provides in-services and obtains speakers to assist staff in improving their job performance
• Depending on the volume of the facility, the Director Rehab will be responsible for providing direct patient care (a productivity standard will be set depending on the volume of rehabilitation services)
• Based on the Director of Rehab’s therapy discipline, they will be held to the same professional job duties/responsibilities, qualifications, and physical, emotional, and cognitive requirements as delineated in the discipline job description
• Other duties as assigned by the facility

Team Dynamics:

• Effectively communicates with staff to accomplish goals and objectives
• Creates a work atmosphere that promotes cooperation, respect, flexibility, and teamwork amongst peers and staff

Safety and Sanitation:

• Follows all established safety procedures and precautions when operating equipment • Reports equipment malfunctions or breakdowns to the program manager as soon as possible • Reports all unsafe/hazardous conditions to the program manager immediately

Customer Service:

• Maintains an adequate liaison with families, residents, and patients
• Demonstrates awareness, respect, and concern for internal customers (coworkers) and external customers (i.e., patients, residents, families, physicians, referral sources)

Residents' Rights:

• Maintains CONFIDENTIALITY of all resident care information to assure resident rights are protected
• Assures that the resident's rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to wage complaints, are followed

Attendance:

• Observes rules, policies, and regulations with regard to attendance, punctuality, appearance, and professional attitude, as established by the facility

Miscellaneous:

• Conforms to the HIPAA Compliance Program and applicable facility policies for patient privacy • Conforms to the facility’s policies and procedures

Physical:

• Able to stand two (2) plus hours without interruptions or breaks
• Able to push, pull, move, and/or lift a minimum of 50 lbs. to a minimum of 4 feet, or carry 50 lbs. a minimum of 2 feet.
• Must be able to perform all patient transfers (including stand pivot, 2-person, sliding board, Hoyer Lift, non-weight bearing) safely and effectively, with or without mechanical devices.
• Must be able to sit, stand, bend, lift, and move intermittently throughout the day
• Must be able to assist with the evacuation of residents during emergency situations
• Must pass Medical and Physical examination based on job qualifications, requirements, and duties/responsibilities.

Emotional:

• Must have the willingness to work with severely physically, emotionally, and cognitively compromised residents and patients
• Must be able to take direction from registered therapist and other team members to promote patient treatment and safety
• Must be willing to work in an environment with risk of personal injury, exposure to infectious waste/materials, infectious diseases, and odors
• Must be able to cope with the emotional stress associated with working with patients, families, and coworkers
• Must be able to work independently with periodic (daily or less) support and direction

Cognitive:

• Must be alert and attentive to patients and work environment throughout day
• Must be able to shift attention and task performance based on patient and facility requirements
• Must be able to work in a distractible and stimulating environment
• Must be able to read, understand, and comply with all facility-based policy procedures
• Must have effective verbal and written communication skills

Sensory:

• Must have visual, hearing, and sensory skills adequate to preserve patient and personal safety