Director of Nursing RN

Loretto•Town of De Witt, NY

4d•$120,000 - $135,000

About The Position

The Director of Nursing provides oversight of all clinical services delivered by professional and paraprofessional staff. This role plans, develops, organizes, implements, evaluates, and directs the day-to-day functions of the nursing department in accordance with current rules, regulations, and guidelines, ensuring the highest degree of quality resident care. The Director oversees clinical practice, resident care planning, medication systems, documentation, regulatory compliance, quality improvement, staffing, education, budgets, and survey readiness. The position works closely with facility leadership and the interdisciplinary team, supports residents and families, and directs resident care policies in the Administrator’s absence.

Requirements

At least 10 years of experience in an acute care, long-term care, eldercare, or similar facility.
At least 5 years of experience in nursing management or leadership.
Graduate of an accredited School of Nursing.
Bachelor of Science in Nursing or a related field required.
Current New York State RN license and registration in good standing.
Current knowledge of nursing best practices and the care planning process.
Proven patient assessment and clinical skills.
Knowledge of applicable laws, guidelines, and New York DOH regulations.
Ability to manage, guide, and motivate staff while performing RN duties.
Ability and knowledge to respond in emergency situations.
Outstanding interpersonal skills and ability to communicate effectively with patients, residents, and families from diverse backgrounds, including people with physical, sensory, and mental impairments.
Strategic planning capabilities.
Proven decision-making, organizational, and time-management skills.
Ability to analyze problems, plan resolution strategies, implement solutions, and evaluate outcomes.
Effective conflict-resolution skills.
Ability to be available 24/7 for on-call responsibilities.
Proficiency in computer programs and ability to learn new software rapidly.
An equivalent combination of education and experience that provides proficiency in the listed areas of responsibility may substitute for the stated education and experience requirements.

Nice To Haves

Master’s degree in Health, Nursing, or a related field desired.

Responsibilities

Direct nursing practices to ensure safe, effective, and efficient care and services.
Oversee resident care planning processes, meetings, updates, and changes.
Develop methods to coordinate an interdisciplinary approach to residents’ total care and participate as an integral member of the Interdisciplinary Team.
Round on all floors daily; oversee Nurse Administration and clinical practice managers; delegate responsibilities; and provide direct nursing care or supervision when necessary.
Support residents and families as needed.
Oversee medication management and delivery systems.
Collaborate with the Administrator, nursing team, and medical director to maintain or improve standards of practice and implement process improvements.
Ensure compliance with DOH and other applicable regulations, taking corrective action when needed.
Interpret policies and regulations for staff, ensure understanding and compliance, and promptly address non-compliance.
Maintain the Nursing Service Procedures Manual and communicate updates related to DOH, CMS, and other regulatory changes.
Coordinate and ensure timely completion of PRI and MDS assessments.
Direct processes to ensure accurate and complete documentation.
Lead the nursing service department’s QAPI program, develop and monitor quality measures and best-practice standards, and serve on the QAPI Committee.
Oversee accurate recording, investigation, tracking, and required reporting of incidents, including submission to the Department of Health and follow-up on correction plans.
Oversee regulatory reporting of adverse resident outcomes.
Ensure prompt investigation and resolution of complaints from clients, families, physicians, contractors, DOH, and employees.
Participate in utilization reviews and corrective action.
Prepare for government agency surveys through mock facility surveys and support DOH during annual surveys and other third-party audits.
Write plans of correction for DOH surveys when indicated and organize education plans within regulatory timeframes.
Determine nursing department staffing needs and monitor performance standards to maintain adequate staffing.
Oversee the Nurse Educator’s development and delivery of staff education, including orientation, supervision, reorientation, competency testing, and ongoing education.
Maintain and promote current nursing best practices; participate in and encourage participation in professional associations, conferences, and in-services as appropriate or required.
Compile and present annual written program evaluations as needed.
Partner with the interdisciplinary team and Safety Officer to develop nursing department safety standards.
Participate in strategic planning and development of the skilled nursing facility’s business plan.
Collaborate with Admissions and Marketing staff to ensure admissions are appropriate and meet regulatory requirements; train staff in efficient admission and discharge services.
Monitor and manage budget lines, take remedial action as needed, oversee nursing staff scheduling, use agency staff prudently, work within budget constraints without unnecessary overtime, and participate in budget development.
In the Administrator’s absence, direct the resident care policies established by the facility.