What are the responsibilities and job description for the Unit Manager position at Topaz Fiscal Services LLC?
Position Summary
The LPN/RN Unit Manager is responsible for the clinical oversight, staffing coordination, and day-to-day operational management of an assigned nursing unit within a skilled nursing facility (SNF). This role serves as a critical link between frontline nursing staff and facility leadership, ensuring that residents receive high-quality, person-centered care in accordance with federal and state regulations, facility policies, and clinical best practices. The Unit Manager is expected to demonstrate strong leadership, sound clinical judgment, and a proactive approach to quality improvement and regulatory compliance.
Essential Functions & Responsibilities
Clinical Oversight
Education & Licensure
The LPN/RN Unit Manager is responsible for the clinical oversight, staffing coordination, and day-to-day operational management of an assigned nursing unit within a skilled nursing facility (SNF). This role serves as a critical link between frontline nursing staff and facility leadership, ensuring that residents receive high-quality, person-centered care in accordance with federal and state regulations, facility policies, and clinical best practices. The Unit Manager is expected to demonstrate strong leadership, sound clinical judgment, and a proactive approach to quality improvement and regulatory compliance.
Essential Functions & Responsibilities
Clinical Oversight
- Supervise and direct nursing staff (CNAs, LPNs, RNs) on the assigned unit across all shifts
- Conduct and document comprehensive nursing assessments for newly admitted and current residents
- Develop, review, and update individualized care plans in collaboration with the interdisciplinary team (IDT)
- Monitor residents for changes in condition; initiate appropriate interventions and physician notification in a timely manner
- Oversee wound care, medication management, and treatment protocols for assigned residents
- Participate in IDT meetings, care conferences, and family meetings as required
- Collaborate with therapy, social services, dietary, and activities to ensure holistic resident care
- Assist the DON with unit-level scheduling to maintain appropriate staffing ratios per shift
- Address call-outs and staffing gaps in real time; coordinate with staffing coordinators or agency vendors as directed
- Monitor and enforce compliance with agency utilization targets and overtime thresholds
- Evaluate daily staffing levels against census and acuity; escalate concerns to leadership as needed
- Ensure all clinical documentation is accurate, complete, and timely in accordance with CMS requirements and facility policy
- Support MDS coordination by providing timely clinical data for accurate RAI/MDS completion
- Participate in preparation for and response to state surveys (AHCA/ODHS inspections); assist with plan of correction development
- Monitor F-tag risk areas on the unit (F600-F699 range, resident rights; F700s, quality of care); implement corrective actions proactively
- Ensure incident reports are completed accurately and within required timeframes
- Maintain compliance with HIPAA, 42 CFR Part 483, and all applicable Georgia Department of Community Health (DCH) regulations
- Track and trend unit-level quality indicators including falls, pressure injuries, infections, and rehospitalizations
- Participate in QAPI initiatives; implement and monitor interventions to address identified deficiencies
- Conduct regular chart audits and nursing documentation reviews
- Contribute to reducing avoidable rehospitalization rates through proactive clinical monitoring and communication with attending physicians
- Provide coaching, mentoring, and performance feedback to nursing staff on the unit
- Identify training needs and collaborate with the Staff Development Coordinator to address clinical competency gaps
- Participate in performance evaluations for unit staff in coordination with the DON
- Foster a culture of accountability, professionalism, and respect among the care team
- Model Southeast Healthcare's values and standards of conduct at all times
- Conduct or participate in shift-to-shift huddles to ensure continuity of care and communication
- Maintain open lines of communication with residents, families, and responsible parties regarding care concerns
- Submit required unit reports (staffing summaries, incident logs, supply requests) to leadership on schedule
- Assist with onboarding of new nursing hires assigned to the unit
Education & Licensure
- Active, unrestricted LPN or RN license issued by the Georgia Board of Nursing — required
- Associate's Degree in Nursing (ADN) or higher preferred for RN applicants
- Current CPR/BLS certification
- IV certification required for LPN applicants (or willingness to obtain within 90 days of hire)
- Minimum 2 years of clinical nursing experience in a long-term care, skilled nursing, or post-acute rehabilitation setting — required
- Minimum 1 year of charge nurse, supervisory, or unit management experience — preferred
- Experience with Point Click Care (PCC) or similar SNF EHR platform strongly preferred
- Familiarity with MDS/RAI process and CMS SNF survey protocols preferred
- Working knowledge of 42 CFR Part 483 Conditions of Participation and Georgia SNF regulations
- Strong clinical assessment and critical thinking skills
- Demonstrated ability to lead, motivate, and hold nursing staff accountable
- Proficiency in electronic health records and Microsoft Office applications
- Excellent oral and written communication skills
- Ability to manage competing priorities and work effectively under pressure
- Commitment to resident-centered care and maintaining a dignified living environment