Director of Nursing (RN)

The Goodman Group, LLC•Portland, OR

About The Position

The Director of Nursing plans, organizes, develops, and directs the Nursing Services Department in accordance with applicable federal, state, and local standards and regulations, and as directed by the Executive Director. The role is responsible for maintaining the highest degree of quality care and providing responsive, competent, timely, and caring service to residents. It oversees nursing programs and activities, policies and procedures, quality assurance, staffing, resident care, clinical documentation, medication administration, and departmental safety and sanitation. The position works closely with the Executive Director, health care providers, residents and families, nursing personnel, and other members of the interdisciplinary team. It has direct reports and supervisory responsibilities. The role may involve exposure to blood, body fluids, infectious diseases, air contaminants, and hazardous chemicals; night and weekend work upon request, overtime as needed, and on-call work may be required.

Requirements

Meet all applicable state and federal requirements for the position.
Hold a current, unencumbered, active RN license in the state.
Have three or more years of nursing experience in home care, assisted living, or a long-term care facility.
Be able to make independent decisions and follow instructions.
Deal tactfully with personnel, prospects, residents, family members, visitors, government agencies and personnel, and the public.
Be capable of working with ill, disabled, elderly, and emotionally upset people.
Communicate effectively with supervisors, team members, prospects, residents, and families.
Have knowledge of or proficiency with Microsoft Office Suite.
Meet the physical demands of walking long distances, standing for extended periods, sustaining repetitive movement, working on one’s feet for 8–12 hours with minimal breaks, and lifting and pushing or pulling up to 50 pounds at times.
Be able to work nights and weekends upon request, work overtime as needed, and potentially work on-call.

Responsibilities

Plan, organize, implement, evaluate, and direct nursing services, programs, and activities in accordance with applicable regulations and guidelines.
Develop, maintain, communicate, and enforce nursing department policies and procedures, including the safety program, and maintain current written nursing reference materials.
Coordinate service schedules and work with other departments and interdisciplinary team members to maintain residents’ care regimens.
Develop, oversee, implement, and maintain continuous quality improvement and quality assurance programs for nursing services.
Recommend departmental equipment needs and participate with the Executive Director in preparing and planning the department budget.
Conduct nursing functions in accordance with applicable rules and regulations, and ensure nursing personnel follow department policies and procedures.
Admit, transfer, and discharge residents with documentation of care and services provided; participate in orienting new residents and family members.
Make rounds with health care providers; complete daily clinical and environmental rounds; assess resident care, respond to needs, and report significant events.
Assign nursing personnel according to residents’ care plans, wishes, and health care provider orders; address resident and family concerns and report significant issues to a supervisor.
Participate in facility inspections as requested and oversee clinical programs as assigned, such as dementia, wound care, quality assurance, infection control, or admissions.
Complete initial assessments and develop interim care plans; update, review, and transcribe care plans based on nursing needs and new orders.
Communicate with health care providers about treatment plans, orders, and progress notes; review medical records and arrange ordered diagnostic and therapeutic services.
Communicate department policies and procedures, resident condition changes, and shift activity through written and oral reports; complete accurate assessments and medical record documentation.
Identify and report discrepancies in orders, diet changes, charting, and other medical documentation; review interdisciplinary notes and report concerns to a supervisor.
Inform nursing personnel about new admissions and care needs, ensure rooms are ready, and notify attending practitioners and families of changes in residents’ conditions.
Coordinate shift services with support personnel and other departments, monitor assigned tasks, and assist with arranging resident transportation and third-party services.
Prepare and administer ordered medications; maintain adequate medication, supply, and equipment stocks; review medication administration records and dispose of drugs and narcotics according to procedures.
Determine and adjust staffing levels; assist with recruitment and selection; develop work assignments and schedules; supervise staff and ensure work meets standards.
Support staff development, monitor performance, coach and counsel personnel, address performance issues with the Executive Director, and participate in complaint investigations and resolutions.
Develop, conduct, and schedule required in-service and orientation training.
Provide protective equipment; maintain clean and sanitary nursing work areas, resident rooms, and treatment areas; maintain supplies and equipment; and ensure hazardous chemical information, labeling, storage, and training requirements are met.
Provide courteous, responsive, and quality service in accordance with the Platinum Service® program.
Follow company policies and procedures and perform other job-related duties as assigned.