Assistant Director of Nursing (ADON)

INNOVATIVE LIFE HEALTHCARE LLC

5d•Onsite

About The Position

Description Employment Type: Full Time (Exempt) Reports To: Director of Healthcare Services Supervises: RN Supervisors, RN Consultants, LPN Coordinators, LPN Nurses, LPN Consultants, TME Staff, and CMT Staff Performance Reviews 90-Day Probationary Review Annual reviews thereafter Additional reviews as needed ESSENTIAL RESPONSIBILITIES Clinical Oversight & Nursing Operations Assist the DON in overseeing daily nursing operations and clinical service delivery Ensure services align with person-centered planning and Individual Service Plans (ISPs) Ensure services support active treatment standards and are not custodial in nature Monitor nursing documentation, assessments, and care plans for compliance Assist nurse supervisors/case managers in care decisions Coordinate educational training for the nursing department Participate in hiring, evaluations, and corrective actions Oversee improvements based on evaluations and DOH guidelines Coordinate quality assurance activities via interviews and record reviews Assist in budget development and oversee medical supply procurement Communicate with residents, families, staff, and IDT to coordinate care Assist DON with acuity preparation and submission Assist DON with annual Medicaid recertification Develop and implement policies and documentation procedures Review infection control reports and implement prevention strategies Develop and publish nursing schedules aligned with ratios and budgets Provide supervision and mentoring schedules for nursing staff Oversee TME training and follow-up competency validation Assist DON with departmental meetings and documentation Perform other duties as assigned Regulatory Compliance & Survey Readiness Ensure compliance with 42 CFR Part 483 Subpart I (ICF/IDD federal regulations) Ensure adherence to DC DDS Provider Standards and DOH regulations Maintain continuous survey readiness for unannounced inspections Participate in surveys, audits, and Plans of Correction (POCs) Conduct mock surveys, record reviews, and staff interviews Quality Assurance & Infection Control Participate in QAPI initiatives Review infection control surveillance and implement corrective actions Ensure compliance with DOH infection control standards Medication & Clinical Compliance Ensure compliance with medication administration standards (TME/CMT oversight) Monitor MAR documentation accuracy Ensure proper delegation and oversight of nursing tasks Ensure compliance with incident reporting and follow-up procedures Interdisciplinary Coordination Collaborate with QIDPs, physicians, and therapists Ensure integration of medical services into ISPs Promote interdisciplinary participation in care planning Administrative & Operational Support Assist with Medicaid recertification and acuity submissions Support policy development and implementation Maintain staffing ratios per regulatory requirements

Requirements

Strong clinical leadership
Ability to manage in regulated environments
Strong communication skills
High attention to detail
BSN required
Strong written and verbal communication skills
5+ years of IDD nursing experience
Active RN License
BLS (Required)
Crisis Prevention/Intervention
DDS, DOH required training
5-day in-person training required
Statewide and National Criminal Background Investigation
DMV Record Review
Ability to work in regulated residential healthcare setting
Ability to travel within DC required
Ability to respond to urgent clinical needs

Nice To Haves

Master’s preferred
ICF/IDD experience preferred
DDNA preferred

Responsibilities

Assist the DON in overseeing daily nursing operations and clinical service delivery
Ensure services align with person-centered planning and Individual Service Plans (ISPs)
Ensure services support active treatment standards and are not custodial in nature
Monitor nursing documentation, assessments, and care plans for compliance
Assist nurse supervisors/case managers in care decisions
Coordinate educational training for the nursing department
Participate in hiring, evaluations, and corrective actions
Oversee improvements based on evaluations and DOH guidelines
Coordinate quality assurance activities via interviews and record reviews
Assist in budget development and oversee medical supply procurement
Communicate with residents, families, staff, and IDT to coordinate care
Assist DON with acuity preparation and submission
Assist DON with annual Medicaid recertification
Develop and implement policies and documentation procedures
Review infection control reports and implement prevention strategies
Develop and publish nursing schedules aligned with ratios and budgets
Provide supervision and mentoring schedules for nursing staff
Oversee TME training and follow-up competency validation
Assist DON with departmental meetings and documentation
Perform other duties as assigned
Ensure compliance with 42 CFR Part 483 Subpart I (ICF/IDD federal regulations)
Ensure adherence to DC DDS Provider Standards and DOH regulations
Maintain continuous survey readiness for unannounced inspections
Participate in surveys, audits, and Plans of Correction (POCs)
Conduct mock surveys, record reviews, and staff interviews
Participate in QAPI initiatives
Review infection control surveillance and implement corrective actions
Ensure compliance with DOH infection control standards
Ensure compliance with medication administration standards (TME/CMT oversight)
Monitor MAR documentation accuracy
Ensure proper delegation and oversight of nursing tasks
Ensure compliance with incident reporting and follow-up procedures
Collaborate with QIDPs, physicians, and therapists
Ensure integration of medical services into ISPs
Promote interdisciplinary participation in care planning
Assist with Medicaid recertification and acuity submissions
Support policy development and implementation
Maintain staffing ratios per regulatory requirements