Overview
**Description**
**THE ROLE**
The Director of Nursing – Long Term Care coordinates the functions of the nursing department within the nursing center, including, but not limited to planning, staffing, evaluating, and budgeting for the nursing department. Promotes a team approach and an environment of learning and professional growth within the nursing department. Cultivates innovation and supports person-centered approaches to providing services. Is responsible for ensuring the delivery of quality care in a manner which supports the team concept, caring and respect reflecting the mission and philosophy of PCC and the Providence Health and Services.
Patient Population Served in this Intermediate Care Facility: Pediatrics, Adult, Geriatric
Must be competent in the interpretation of a patient’s self-report or behavior, and this information must be interpreted with an understanding of the cognitive, physical, emotional/psychosocial and chronological maturation process. The treatment of patients should be individualized and should reflect an understanding of the developmental needs and range of treatment needs for each patient.
**ESSENTIAL FUNCTIONS**
+ Manages Manager RN LTC, MDS coordinator, nurse educator, RN/LPN and RCMS caregivers which includes hiring, coaching, training, evaluating, disciplinary action and discharge as necessary.
+ Keeps current of resident condition, including significant changes which could warrant nursing or medical intervention.
+ Ensures licensed nursing staff have valid, current licenses in Oregon, and practice within the limits of nursing practice rules.
+ Along with Manager RN LTC, works collaboratively with the RCMs, RNs and the interdisciplinary staff to ensure quality care.
+ Interprets and maintains standards of nursing care, both statutory and current professional practice.
+ Prepares and monitors nursing department budget.
+ Acts as preceptor for new RCMs, core leaders, and caregivers.
+ Maintains current knowledge of regulatory requirements. Manages the maintenance of the regulatory required documentation.
+ Actively participate in interdisciplinary and leadership team meetings.
+ LEADERSHIP:
+ Provides leadership helping every team member to understand and achieve resident centered care model in the long term care setting.
+ Role models, mentors and teaches staff to utilize every aspect of the environment to promote quality of care, quality of life and a sense of belonging.
+ Employs leadership principles to anticipate and influence change.
+ Determines resources and actions needed to accomplish objectives.
+ Sets priorities and manages time effectively.
+ Identify potential problems and opportunities planning for contingent action.
+ Develop new and unique ideas to improve existing systems or operations including adding new organizational approaches as needed.
+ Encourage innovative efforts in others.
+ Seek creative methods to resolve conflict.
+ Maintains awareness of accident prevention practices to provide a safe working environment.
+ Fosters a positive working / learning relationship with other Providence Alaska region and Providence system groups, State and Federal agencies and other stakeholders to meet department needs.
+ Works with State and Federal agencies during the survey process and responds to the State or Federal reports in an appropriate, and timely manner.
+ Supervises the maintenance of resident records in compliance with regulatory and legal standards in collaboration with medical records and interdisciplinary team.
+ COMMUNICATION:
+ Demonstrates professional interpersonal and verbal skills when communicating with a wide variety of people from differing literacy levels, languages and cultures.
+ Communicates effectively in a compassionate manner to residents, families, visitors, community members and other caregivers.
+ Communicates regularly with caregivers and core leaders through rounding and other modalities.
+ Exhibits the necessary written skills for effective communication and documentation.
+ Regularly collaborates with the Medical Director(s) in regard to policies and procedures and medical staff issues, also communicates regularly with the Executive Director.
+ Responds to requests and suggestions from resident and family councils.
+ HUMAN RESOURCES:
+ Uses judgment, effectively recommending and/or taking action related to interviewing, hiring, transferring promotions, evaluating performance, overstaff, layoffs, disciplinary action and caregiver complaints and concerns.
+ Conduct and document employee performance on an annual basis and as needed.
+ Uses appropriate interpersonal skills to guide others to accomplish objectives, facilitates team work, participation and cooperation.
+ Delegates work so core leaders and caregivers have the necessary direction, authority and skills to complete assignments.
+ Provides opportunity for core leader / caregiver growth as appropriate.
+ QUALITY IMPROVEMENT:
+ Assists in the annual development and implementation of the facility Quality Assurance Performance Improvement (QAPI) plan, Facility Assessments, QAPI self-assessments, and Performance Improvement Projects (PIPs).
+ Addressing all aspects of clinical and business objectives and strategic plan in collaboration with the core leaders and the Quality Assurance team.
+ In long-term care, directs the initiation and updates of a Quality Management program.
+ Direct all LTC Clinical Teams through Annual Program Evaluations.
+ Identify indicators and improvement processes utilizing the PDSA structures.
+ Strives for and consistently achieves excellence in care provided to residents/patients in collaboration with multidisciplinary team.
+ Seeks input from various customer groups in order to develop and maintain quality.
+ Reports to the appropriate committees and boards are required.
+ EXCELLENENT SERVICE:
+ Models time management conscientiousness, dedication, self-discipline, accountability and responsibility.
+ Collaborates with all appropriate departments using high reliability focus to promote optimal resident / patient centered care and customer service.
+ Supports and promotes high reliability using tones, tools and behaviors.
+ Supports and fosters an environment to promote caregiver, resident / patient and family survey participation.
+ Reviews survey results from caregivers, residents and families, directing the development of action plans using input in collaboration with core leaders.
+ Implements, monitors and adjusts action plans to achieve caregivers, residents and family satisfaction.
+ PROFESSIONAL STANDARDS:
+ Maintains positive core leader /medical staff/core leader relationships sustaining an organizational climate resulting in the integration of physicians with the multidisciplinary team supporting positive outcomes.
+ Represents PCC to the community in an appropriate manner.
+ Directs the development, modification and implementation of resident / patient centered care standards, policies, procedures and protocols.
+ Establishes clear clinical practice expectations for providing evidence-based care.
+ Demonstrates leadership principles fostering change in a culture of safety / high reliability using tones, tools and behaviors.
+ TEAMWORK:
+ Role models collaboration and partnership with physicians, caregivers, patients, residents, families and other departments.
+ Exhibits the necessary skills to build effective teams by coaching, building trust, and training care givers to work collaboratively and cohesively with other caregivers in a variety of settings.
+ Encourages positive interaction and if necessary, guides caregivers to work directly with other team members when resolving issues.
+ Monitors key processes to identify and define the team’s effectiveness.
+ Support new caregivers in learning department routines.
+ Fostering change and teamwork to ensure resident / patient centered care delivery, constructive team relationships, high reliability and growth.
+ DEVELOPMENT AND ORGANIZING:
+ Leads the multidisciplinary team core leaders to develop and implement work schedules /assignments fairly, equally, and in a manner which is consistent with caregiver learning, growth and development plans.
+ Directs the development, implementation and maintenance of departmental policies and procedures in accordance with Federal, State and County requirements to ensure safe and effective services.
+ Participates in personnel functions including hiring, evaluations, disciplinary actions and terminations.
+ Anticipates and prioritizes workflow and adjusts work assignments to prevent delays and meet workflow demands.
+ Utilizes available resources to recognize errors/problems and takes corrective action and assists with problem resolutions.
+ Seeks opportunities to promote PCC.
+ Reviews and approves multidisciplinary input of referrals for admission to the long-term care.
+ Ensure a list of potential residents through Social Work core leader with the goal to maintain a full census.
+ Direct care/services that recognize age/diversity specific needs/issues of customers served.
+ BUDGET AND FINANCIAL RESOURCE:
+ Assist in the completion and regularly monitoring the departmental operating and capital budgets under guidance of the Sr. Financial Manager or designee. Anticipates and adjusts operating plans to meet facility goals.
+ Involves core leaders and caregivers in budget planning.
+ Coordinates and collects statistical and other information to support and develop current and/or new services while insuring cost effective processes and development plans are in place.
+ Oversees service agreements and equipment purchases to support the departmental, facility and community needs.
+ Ensures the financial strength of the facility by assisting in the development, monitoring and achievement of the facility’s annual and long term financial operating and capital budgets, to achieve cost effectiveness, productivity and revenue maximization.
+ Provides leadership and works collaboratively with core leaders and caregivers to evaluate new opportunities and to develop programs and services that improve the organization’s market position and meet community needs.
+ PURCHASING:
+ Submit invoices for approval and processing, reconciles P-card and receipts, submitting in a timely manner.
+ COMPLIANCE:
+ Leads multidisciplinary team to ensure high quality, cost effective resident / patient centered care services, which meet or surpass survey standards.
+ Maintain and guide the implementation of organization policies and procedure in compliance with State, Federal and other regulatory guidelines.
+ Participates in mock surveys, develops plans of correction for deficient areas.
+ Assure adequate preparation for and participate in regulatory and other compliance surveys.
+ PROFESSIONAL DEVELOPMENT:
+ Assumes responsibility for obtaining information and expanding job knowledge and competency that reflects current practice.
+ Role models personal development and education.
+ Evaluates own practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.
+ PATIENT/RESIDENT CARE:
+ Recognizes age and diversity specific needs and issues of our residents /patients and promotes appropriate response.
+ Participates in after hour call to support of the nursing facility and after hour’s emergencies as they arise.
+ Makes sure that the resident / patient is receiving only those services that are effective and safe.
+ ENSURING QUALITY OF CARE:
+ Coordinates with the multidisciplinary team to establish and monitor each resident’s overall plan of care including discharge planning.
+ Promotes input from all personnel, departments, and services to plan individualized care.
+ Adheres to the philosophy of Resident’s Rights and ascertains needs for additional or modified services.
+ Oversees and reviews the completion of the Minimum Data Set (MDS) and the Quality Management Data for Long-term care.
+ INFECTION CONTROL:
+ Infection prevention oversight to ensure compliance with CDC and OSHA standards; State and Federal Regulations.
+ Ensures the Infection Prevention Specialist coordinates staff education related to infection control practices, performs surveillance of infections, initiates and conducts epidemiology investigations of unusual trends or outbreaks of communicable diseases.
+ Participates in environmental rounds.
+ MDS/RAI:
+ Ensures that MDS/RAI, Care Area Assessment, care plan process in support of MDS Coordinator to meet State, Federal and quality requirements.
+ Supervise and collaborates with MDS Coordinator to ensure nurses complete nursing assessments a timely for MDS.
+ Understands MDS criteria.
+ Ensure nursing coverage to complete resident MDS/RAI process completion in accordance to prescribed times.
+ INVESTIGATIONS:
+ Assists in investigation of resident, family, and caregiver concern such as but not limited to Unusual Occurrence Reports (UORs), Employee Injury Reports (EIRs), resident concerns or 1:1 meetings.
+ Identifies root cause and develops correct action plans.
+ Prepares and submits necessary and/or required facility and/or state reports according to state regulations on reporting or department guidelines.
+ Works with Administrator, Risk, and legal.
+ Directs and supports the implementation of evidence based care/services that recognize age/diversity specific needs/issues of customers served. Demonstrates awareness of resident / patient rights in all aspects of care, treating each resident, patient and co-worker with respect and dignity. Respects the rights of patients, residents and caregivers; provides privacy and maintains confidentiality.
+ Leads collaboratively with Executive Leadership team, Department managers /core leaders and caregivers to maintain a safe and resident centered environment for each resident. Maintains awareness of accident prevention practices and provides a safe environment for all.
+ Completes Competency Plan for assigned job and department.
+ Reviews unusual occurrence reports and nursing department employee incidents and ensures appropriate investigation and follow up.
+ Provides oversight for employee health issues such as vaccinations and TB skin testing.
+ Assists with the admission process in determining appropriate patient/resident placement when appropriate.
+ Acts as a resource for family members, clarifying and interpreting center policies and sharing information pertinent to the treatment of their family member in a supportive professional manner.
**QUALIFICATIONS**
+ Bachelor’s Degree in Nursing, within 8 months of hire
+ Master’s Degree in In related field (preferred)
+ Upon hire: Oregon Registered Nurse License (Vendor Managed)
+ 1 year of management responsibility
+ Experience in long term care (preferred)
+ Ability to provide leadership and guidance in promoting the highest level of quality off nursing through evidence-based practice.
+ Knowledge of and ability to apply pertinent regulations, health care trends, and administrative policies and procedures.
+ Demonstrated ability to effectively mentoring, train and develop caregivers for new clinical and leadership responsibilities.
+ Ability to recognize urgent situations and respond appropriately.
+ Ability to provide a variety of complex services using good organizing, prioritizing, and time management techniques.
+ Basic knowledge of Human Resources practices and processes needed to manage staff.
+ Demonstrated ability to think independently, exercise sound judgment, and make appropriate decisions.
+ Demonstrated ability to establish and maintain effective working relationships with caregivers, management, and the public.
+ Proficient using computer with Microsoft applications including Outlook, Word, Excel, PowerPoint, and electronic health records.
**About Providence**
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
**Requsition ID:** 239822
**Company:** Providence Jobs
**Job Category:** Nursing-Patient Facing
**Job Function:** Nursing
**Job Schedule:** Full time
**Job Shift:** Day
**Career Track:** Leadership
**Department:** 5004 PCC NURSING ADMIN
**Address:** OR Portland 830 NE 47th Ave
**Work Location:** Providence Child Ctr-Portland
**Pay Range:** $74.22 – $119.48
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
