Director of Quality Assurance LTC

San Francisco Campus for Jewish Living

Nestled in San Francisco's Excelsior neighborhood on a nine-acre campus, the San Francisco Campus for Jewish Living (SFCJL) is a center of excellence in providing a continuum of care. This includes the Frank Residences, which offer luxurious assisted living and memory care services; the Jewish Home and Rehabilitation Center, featuring long-term skilled nursing, short-term rehabilitation, and an acute psychiatric unit specializing in mental healthcare for older adults (age 55 and over); and the Jewish Home and Senior Living Foundation.

Grounded in the Jewish values of dignity, compassion, and community, the San Francisco Campus for Jewish Living—fondly referred to in the past as "the Jewish Home"—was founded in 1871. Today, 150 years later, it continues to build upon its legacy of enriching the lives of older adults.

Position Overview:

The Director of Quality Assurance LTC is responsible for the development, day-to-day management of Long-Term Care residents and oversight of Quality Assurance Performance Improvement program, and for conducting and coordinating quality and compliance reviews for the organization. The Director of Quality Assurance/LTC partners with applicable department heads in evaluating compliance, efficiency, efficacy, and consistency with industry best practice(s) with respect to policies and procedures, and organizational systems. Lastly, the Director of Quality Assurance/LTC (in partnership with the Administrator and Chief Nursing Officer) leads, plans/organizes, implements, evaluates, and coordinates the Jewish Homes’ Quality Assurance and Performance Improvement (QAPI) Program (this encompasses Quality Improvement as well as Quality Assessment and Assurance).

Essential Functions:

• Works in collaboration with the Administrator and the Chief Nursing Officer (CNO) to monitor, develop, implement, coordinate, and evaluate all activities related to the QAPI Program.
• Oversee, direct and coordinate nursing staff to provide proper resident care consistent with standard nursing practice.
• Oversee the provision of appropriate medications, treatments and general nursing services according to the resident’s/patient’s care plan and physician-directed orders.
• Identifies learning needs related to the QAPI Program and regulatory requirements and collaborates with key Departamental Managers for the education/training of staff.
• Consults with appropriate staff and managers regarding clinical/non-clinical and individual department concerns to ensure that issues are identified and assessed timely; that an accurate root cause analysis is complete; that appropriate action is taken; and that there is sufficient re-evaluation and monitoring to ensure continued resolution.
• Ensure the facility is trained and prepared for the annual California Department of Public Health (CDPH) survey, resulting in no preventable significant citations from CDPH. When needed, create Plan of Correction (POCs), Informal Dispute Resolutions (IDRs) etc.
• Collaborates with the Education Department and applicable Department Heads to ensure that documentation for all training is completed in accordance with state and federal requirement.
• Leads (as needed) and participates in unit-based QAPI processes, meetings, and projects.
• Ensure adequate staffing levels allowing admissions without interruption, as well as the prevention of the facility from falling below required staffing ratios.
• Review facility transfers and discharges to evaluate ways to improve quality of care.
• Coordinate interdisciplinary approach for all Resident Care Services & program development with the team.
• Lead and Develop a strong and cohesive Nursing Team that practices strong inter-departmental collaboration, as well as act as role model and lead by example.
• Ensures the Jewish Home QAPI program meets or exceeds state, federal, and accreditation requirements
• Assists in planing, creating, organizing, leading, and/or coordinating audits and/or audit systems that identify issues/challenges related to patient care, as well as evaluate resident/patient care and service delivery.
• Conducts state and federally required QAPI projects (including regulatory updates) – routine and as- needed.
• Outreach in relations to families regarding care concerns.
• Conducts an orientation program for new, re-hired, and applicable contract employees.
• Responsible for preparing/participating in the development of the annual nursing budget and ensuring adherence to the approved budget.
• Assist the Medical Director’s in reviewing and implementing relevant clinical policies and procedures for the facility
• Works closely with the Administrator and Director of Nursing to ensure that QAPI issues are identified, actions plans are written and implemented, and issues are resolved.
• As needed and with approval, facilitates and supports interdisciplinary QAPI task forces to address quality and risk management issues.
• In partnerhsip with the Administrator and Chief Nursing Officer, develops and implements a comprehensive mock survey process to ensure positive outcomes.
• Reports results of mock surveys and associated plan of corrections, as well as other relevant activity related to QAPI to the CEO.
• Performs other duties as assigned

Education/Experience Requirements:

• Bachelor’s degree in nursing (Master’s degree preferred)
• At least five years’ experience working in a regulated environment and a minimum of three years of direct clinical experience in healthcare, senior services, or long-term care is preferred.
• Experience auditing organizational records and documentation is also preferred.

Skills and Abilities:

• Strong knowledge of state and federal regulations, CMS guidelines and regulations.
• Excellent organizational and interpersonal skills.
• Strong communication skills (verbal and written). Ability to communicate effectively with residents and family members, and at all levels of the organization.
• Self-motivated and able to work independently and work on multiple tasks in a deadline-oriented environment.
• Ability to be accurate, concise, detail-oriented and to maintain confidentiality
• Able to provide direction and coordination of a multi-faceted program, including problem resolution within facility.
• Demonstrates problem-solving skills with the capacity to make quick and definitive decisions
• Gather and analyze data, draw conclusions, and make recommendations;
• Communicate effectively, both one on one and in groups
• Knowledge of QAPI methods, learning principles/training techniques, resident/patient safety, risk management, survey process, infection control, and employee health
• Demonstrated proficiency with MS Office, including Outlook, Word, Excel, as well as various software platforms.
• Demonstrated high level of interpersonal skills to handle sensitive and confidential situations.
• Demonstrated ability to build rapport quickly with peers and customers.
• Strong knowledge of federal and state regulations that govern skilled nursing facilities/nursing homes.
• Excellent organizational and interpersonal skills.
• Excellent communications skills, both written and verbal.
• Ability to read, write, communicate and comprehend verbal and written instructions in English.
• Ability to be accurate, concise, detail oriented.
• Self-motivated and able to work independently and work on multiple tasks in a deadline-oriented environment.
• Strong commitment to customer service.
• Ability to communicate effectively with staff, residents/patients, family members, and at all levels of the organization.
• Ability to maintain confidentiality.