Director of Nursing (Cambridge Village)

Description

BASIC PURPOSE:

The Director of Nursing is responsible for planning, organizing and directing nursing services. The DON will control and evaluate the nursing service in order to meet the total nursing needs of the patient and to maintain a quality of service that will fulfill the objective and be in accord with the policies set forth by The Davis Community. The DON is responsible for the overall organization and management of all nursing services in the skilled facility.

MAJOR WORK ACTIVITIES:

1. Assist in developing and implementing a nursing organizational structure within budgetary confines, staffing requirements and federal and state guidelines.
2. Accurately participate in completion of comprehensive MDS assessments and significant changes for each resident on the assigned units following the RAI schedule to ensure timeliness.
3. Develop a plan of care for each resident in conjunction with the resident, family, and care plan team members based on needs identified through the MDS assessment process and documented in the CAAs.
4. Assist in developing job descriptions for nursing personnel, keeping standards of qualifications.
5. Assign responsibility, delegate authority, and hold personnel accountable consistent with their job descriptions and level of education and training.
6. Recruit, interview and evaluate applicants; hire and discharge as needed.
7. Conduct all nursing performance evaluations on personnel, awarding merit increases fairly and consistently.
8. Review, investigate and resolve personnel complaints and/or grievances and report to Administrator and Human Resources.
9. Mentor and assist nursing staff in carrying out their duties.
10. Provide continuous assessment of nursing department with identification of personnel requirements and/or nursing services needed relating to resident care, bringing findings and suggestions to Administrator.
11. Responsible for the day-to-day execution of resident care policies with the guidance of the Administrator and Medical Director(s).
12. Conduct clinical rounds throughout the facility on a daily basis and ensure nursing supervisors, managers and staff are conducting clinical rounds on their assigned units and shifts.
13. Ensure timely and appropriate investigations and resolutions for accidents/incidents and reporting findings as necessary to include but not limited to APS, DSS, NCDFS, Human Resources, law enforcement, etc.
14. Develop and/or fill out various reports as necessary such as monthly Board Reports, QA, etc.
15. Develop agenda and conduct nurse meetings as needed.
16. Develop and review policies and procedures as needed.
17. Review monthly pharmacy report and ensure recommendations to physicians and nurses are completed within a timely manner.
18. Participate in development of educational training with Staff Training Coordinator.
19. Participate in development and implementation of patient care plans.
20. Represent the nursing department in various QA committees, strategic planning, etc., to maintain the highest quality of care and service delivery.
21. Represent Cambridge nursing services in a variety of meetings to include community, organizational and off campus.
22. Promote effective working conditions, relationships with Administration, medical staff, pharmacists, other departments, volunteers and agencies affiliated with the health care center to implement recommended changes or implement operational improvements.
23. Responsible for review of departmental payroll, including shift differentials, bonuses, etc.
24. Coordinate fair work time schedules throughout the facility.
25. Ensure obtainment and provision of appropriate reference material for the nursing department, which includes a Physician’s Desk Reference or comparable drug reference, policy and procedure manual, and medical reference manual at each nursing station.
26. Ensure that appropriate supplies and equipment are available to nursing staff as determined by individual resident care needs.
27. Ensure information is maintained with confidentiality, yet accessible to appropriate parties as required.
28. Ensure timely audits of charts as needed to ensure complete and accurate documentation in the medical record.
29. Complete all clinical chart documentation according to best practice at time service rendered, prior to end of current shift, and/or by “late entry” with date, time, and legible signature or initials where appropriate. Documentation that is not time specific/shift specific, i.e. such as MDS, Care Plans, and certain summaries may be completed with signature and date on the day of documentation, completion and/or at time of review.
30. Coordinate any needed documentation and forms required during annual state surveys, federal surveys, health department inspections, etc.
31. Perform specific work duties and responsibilities as assigned by the Administrator.
32. Support Administration and operations through periods of change or stress

Requirements

KNOWLEDGE, SKILLS AND WORKING CONDITIONS:

• Must be computer literate; operate office and all nursing equipment
• Must possess strong leadership, management and organizational skills as well as willingness to cooperate with other department directors.
• Good communication skills, both verbal and written.
• Ability to perform mathematical functions.
• Works in well lighted, well ventilated, temperature controlled office areas and rooms.
• Physical exertion required no more than 20% of the time. Physical exertion is defined as lifting, standing, stooping, bending and walking.
• Moderate exposure to infectious diseases, blood and body fluids, orders and personality peculiarities of the aged.
• May have to handle emotional disturbances.
• May be subject to falls, burns from equipment, scratches, kicks, etc. from residents and must be on constant alert for resident injuries.
• Must be in good mental and physical condition and have the ability to organize, plan and direct nursing service.
• Must have patience, tact, cheerful disposition, and enthusiasm and be able to handle residents on whatever cognitive level they are currently functioning.
• Experience in the use of patient/resident care equipment.
• In an emergency, is expected to respond and includes the possibility of evacuation of residents.
• Ability to evaluate and appropriately respond to verbal and nonverbal communication from residents’ diverse stages of development, i.e. adults and geriatrics.
• Physical job demands may be subject to possible modifications to reasonably accommodate individuals with disabilities.

MINIMUM QUALIFICATIONS:

Education:

Bachelor of Science in Nursing preferred or working towards post graduate degree i.e. MSN, MSA, MPH, MBA or certification in Executive Nursing Leadership in LTC

Licensure/ Certification:

Must be a current Registered Nurse in the state of North Carolina

Experience:

At least 5 years experience in geriatrics

An equivalent combination of education and experience may be considered.

The Davis Community requires that all current and new employees be fully vaccinated (Covid-19 & Influenza) in order to work unless a reasonable accommodation is approved.

The Davis Community is proud to be an equal-opportunity workplace. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on, age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. The Davis Community is dedicated to providing an accessible environment for all candidates during the application process and for employees during their employment. Please let us know if you need reasonable accommodation to apply for a job or participate in the application process. No question on this application is intended to secure information to be used for such discrimination. Proof of identity and work authorization will be required upon employment in accordance with federal regulations. This Company intends to check and hold you responsible for the accuracy of the statements you make on this application. This application will receive consideration for thirty (30) days. If you have not heard from the Company within thirty days and wish to receive further consideration for employment, it will be necessary to complete another application form.