RN Regional Nurse Specialist - Achieve Rehabilitation and Nursing Center

Summary:

To support in a consulting role the Nursing Department in accordance with Company policies, standards of nursing practices and governmental regulations to maintain excellent care of all residents’ needs.

Environment:

Work will be performed primarily indoors at one of our long-term healthcare facilities, throughout all areas, including in resident rooms, and on carpeted and/or tiled floors. Work will be performed there routinely around other co-workers, healthcare staff, residents, and guests. Due to the nature of facility’s business, worker may be exposed to occasional slippery floors, object on floors, chemicals, sharp objects, hazardous materials and waste (including human), blood­ borne pathogens, and communicable diseases, as well as high-stress medical and/or life-threatening situations.

Essential Duties & Responsibilities:

• Meet physical and sensory requirements stated below and be able to work in the described environment. 
• Extensive travel required.
• Monitoring clinical advancements within the industry
• Maintains clinical competencies of laws and regulations, keeping abreast of current changes that may affect our facilities.
• Completes assigned projects, and tasks in a timely and efficient manner
• Maintains confidentiality of all pertinent resident care information to assure resident rights are protected
• Supports the overall objectives of the company
• Ability to assist the facilities 24/7 via phone
• Leads by example, upholds, and promotes the culture, mission, and values of the company.
• Complies with all laws, regulations, and standards of ethical conduct
• Performs all job duties with a friendly positive and team- oriented approach
• Provide clinical guidance to ensure optimal quality of care is being delivered throughout the region
• Reviews reported issues, concerns, or questions relative to clinical matters. Provides consultative leadership support as appropriate
• Communicating effectively with staff, physicians, and corporate leadership, utilizing diplomacy and discretion
• Identify and participate in process improvement initiatives that improve the customer experience, enhance workflow, and/or improve the work environment.
• Duties including, but not limited to, training and developing nursing administrative staff, coaching and mentoring directors of nursing, review of clinical systems.

• Participate in facility surveys (inspections) made by authorized governmental agencies.
• Reviews and analyzes state survey and quality assurance along with Abaqis results to assist in the development of action plans.
• Assist with response to regulatory bodies as requested
• Work with RDO and RVP of clinical operations to execute company strategic plan and regional goals for improving quality and business objectives.
• Analyze and trend the weekly/monthly clinical reports, Dietary Consultant Reports, Pharmacy Consultant Reports and ensure appropriate actions are taken by center staff.

• Evaluate the company’s nursing services departments, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
• Ensure the center’s director of nursing has assumed administrative authority, responsibility and accountability for all functions, activities, and training of the nursing department.

• Participate in supervisor meetings, resident care plan meetings, Safety Committee Meetings, Quality Assessment and Assurance Committee Meetings, In-service Education, Family Council and any other meeting as directed by the RDO or RVP Clinical Services.
• Meet with nursing staff and center leadership, as needed.

• Provide guidance to center leadership regarding admission and placement of proposed residents, when needed. 
• Monitor the nursing services and their clinical capabilities, and competencies to deliver the needed services.
• Participate in coordination of resident services through departmental and appropriate staff committee meetings.
• Auditing facility documentation for accuracy, timeliness and applicability and make recommendations for improvement.
• Audit physician visits and documentation for timeliness and follow thru
• Audit compliance of clinical systems to promote regulatory compliance
• During routine visits conduct rounds of the nursing department to assess the knowledge, skills, techniques, procedure, and performance of the nursing staff in accordance with acceptable nursing standards.
• Provide appropriate departmental in-service education programs in compliance with Corporate, State and Federal guidelines. 

·       Work closely with Administrator and DON in resolving grievances with nursing staff, family members, and residents.

• Collaborate with facility leadership on all reportable incidents and review the completed investigation
• Collaborate with the DON and Administrator in developing, implementing, reviewing, and revising clinical performance improvement activities and goal setting
• Assist Administrators and DON’s in planning, organizing, evaluating and the maintenance of the Clinical department
• Consult with Administrator and DON to ensure the needed supplies and equipment are available to meet resident needs.
• Meet with Administrator and DON during visits to apprise them of any changes in clinical practices, policies or rule changes along with overview of your visit.
• Provide consultation to ensure facilities follow OSHA along with state and federal regulations
• Review on each visit the overall IC plan and antibiotic stewardship program and that all components of these programs are in place

• Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes.
• Review clinical Matrix (802) on each visit for accuracy.
• Review with DON on each visit QM’s via simple ltc and collaborate with CRC with training initiatives on any QM’s above thresholds.

• Review Quality Indicator reports with the DON monthly and assist with action plans as needed
• Review staffing patterns with DON

·       Participate in the facility assessment.

·       Understanding of the EMR system to ensure compliance

• Other special projects and duties, as assigned.

Job Requirements:

• Registered Nurse in good standing with required current state license.
• Minimum of five (5) years’ experience.
• 3 years management/supervisory experience required.
• Must have 2 years multi nursing facility management experience
• Must have a current/active CPR certification.
• Significant technical experience and demonstrated leadership/management skills
• Restorative care philosophy, excellent professional skills (both assessment and hands-on), and good communication and organizational skills.
• Working knowledge of long-term care regulations.
• Effective verbal and written English communication skills.
• Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
• Highest level of professionalism with the ability to maintain confidentiality.
• Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
• Customer service oriented with the ability to work well under pressure.
• Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
• Strong analytical and problem-solving skills.
• Ability to work with minimal supervision, take initiative and make independent decisions.
• Ability to deal with new tasks without the benefit of written procedures.
• Approachable, flexible and adaptable to change.
• Function independently, and have flexibility, personal integrity, and the ability to work effectively with employees and vendors.

Physical and Sensory Requirements:

• Moderate physical activity:
• Push, pull, move, and/or lift a minimum of fifty (50) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of fifty (50) feet.
• Standing and/or walking for more than four (4) hours per day.
• Bending and/or stooping for more than one (1) hour at a time.
• Sitting for more than two (2) hours at a time.
• Requires writing and/or computer work with repetitive typing and concentrating on computer screen and/or documents for more than two (2) hours at a time.