Director of Nursing

ArchCareCity of Mount Vernon, NY
Onsite

About The Position

The Director of Nursing provides overall leadership and direction for all nursing services within the skilled nursing facility. This role maintains accountability for the quality, safety, and effectiveness of resident care, and provides clinical oversight and consultation to the Adult Day Health Care Center nursing staff and programming. The Director of Nursing ensures resident-centered care is delivered according to evidence-based practices and promotes a culture of dignity, compassion, and person-centered care. This position also ensures compliance with all applicable regulations, leads quality assurance and performance improvement initiatives, manages staffing and workforce, oversees clinical operations, provides clinical oversight for the Adult Day Health Care Center, fosters positive resident and family experiences, manages the nursing department budget, participates in emergency preparedness, and collaborates with the Executive Leadership Team.

Requirements

  • Graduate of an accredited School of Nursing; BSN required.
  • Current, unencumbered license as a Registered Professional Nurse (RN) in the State of New York.
  • Minimum of five (5) years of progressive nursing leadership experience.
  • At least three (3) years of experience in assisted living, long-term care, or a related geriatric healthcare setting.
  • Thorough knowledge of NYSDOH Assisted Living, Enhanced ALR, and Special Needs ALR regulations.
  • Strong clinical assessment and care planning skills, with expertise in geriatric and dementia care.
  • Exceptional leadership, organizational, and problem-solving skills.
  • Effective communication skills with staff, residents, families, and regulatory agencies.
  • Proficiency in electronic health records and Microsoft Office applications.

Nice To Haves

  • MSN preferred.
  • Experience managing memory care or dementia-specific programs strongly preferred.

Responsibilities

  • Provide overall leadership and direction for all nursing services within the skilled nursing facility.
  • Maintain accountability for the quality, safety, and effectiveness of resident care.
  • Provide clinical oversight and consultation to the Adult Day Health Care Center nursing staff and programming.
  • Ensure resident-centered care is delivered according to evidence-based practices.
  • Promote a culture of dignity, compassion, and person-centered care.
  • Ensure compliance with all applicable CMS, New York State Department of Health, OSHA, CDC, and organizational regulations and standards.
  • Lead preparation for annual surveys, complaint investigations, and regulatory inspections.
  • Develop and implement Plans of Correction as necessary.
  • Monitor compliance with infection prevention, medication management, documentation, resident rights, and quality measures.
  • Lead the Nursing Quality Assurance Performance Improvement (QAPI) program.
  • Monitor clinical outcomes including: Falls, Pressure injuries, Weight management, Infections, Hospital readmissions, Medication errors, Behavioral health outcomes.
  • Analyze quality metrics and implement corrective actions.
  • Conduct regular audits of documentation and clinical practices.
  • Develop staffing plans that meet regulatory requirements and resident acuity.
  • Maintain required staffing levels, including achievement of target nursing hours per resident day.
  • Recruit, hire, orient, coach, evaluate, and retain nursing personnel.
  • Conduct annual performance evaluations and competency assessments.
  • Promote employee engagement, accountability, and professional development.
  • Monitor overtime, agency utilization, absenteeism, and labor productivity.
  • Oversee: Nursing assessments, Care planning, Medication administration, Treatment services, Wound management, Infection prevention, Behavioral health interventions, Restorative nursing.
  • Ensure timely and accurate clinical documentation.
  • Collaborate with rehabilitation, social work, dietary, pharmacy, and medical providers to coordinate care.
  • Provide clinical leadership and oversight of nursing services within the Adult Day Health Care Center.
  • Ensure compliance with all Adult Day Health Care regulations.
  • Review participant clinical status and care plans.
  • Collaborate with the ADHC leadership team regarding participant safety, clinical programming, and quality outcomes.
  • Support survey readiness and quality improvement initiatives for the program.
  • Foster positive relationships with residents, participants, families, physicians, and community partners.
  • Address concerns promptly and professionally.
  • Promote resident and participant satisfaction through responsive leadership and continuous improvement.
  • Manage the nursing department budget.
  • Monitor labor expenses, supply utilization, and operational efficiencies.
  • Participate in annual budget development.
  • Identify opportunities to improve quality while managing costs responsibly.
  • Participate in emergency preparedness planning.
  • Lead nursing response during emergencies.
  • Ensure staff competency in emergency procedures and disaster preparedness.
  • Participate as a member of the Executive Leadership Team.
  • Support organizational strategic initiatives.
  • Foster interdisciplinary collaboration.
  • Serve as Administrator-on-Call as assigned.
  • Lead departmental meetings and clinical committees.
  • Other duties as assigned.
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