Nurse Administrator Clinical Operations and Skilled Services

Act for Health•Aiken, SC

14d

About The Position

The Nurse Administrator directs senior case managers, case managers, RNs, LPNs, home health aides, and personal attendants in providing care in accordance with Agency policy, state-specific nurse practice acts, and regulatory requirements. The role collaborates with the Regional Director and other personnel to manage services, address issues, improve service quality, and ensure regulatory and policy compliance. The Nurse Administrator plans, implements, and evaluates care; coordinates client care conferences; provides local clinical support; and works with staffing coordinators on appropriate staffing and scheduling. The Nurse Administrator, or a similarly qualified alternate, must be available during operating hours and participate in activities relevant to professional services, including personnel qualifications and assignments. The role also leads growth and expansion of skilled nursing services. This includes identifying clients who may qualify for medically necessary skilled care, building relationships with referral partners, educating partners and clinical staff about skilled nursing services and criteria, and monitoring referral, admission, census, utilization, and quality measures. The Nurse Administrator reviews assessments and care plans, supports evaluating nurses, and collaborates with regional, clinical, and business development leadership on market-specific growth initiatives. The position may also involve personnel selection and evaluation, training and competency validation, clinical documentation review, quality improvement, data collection, equipment and supply oversight, fiscal affairs, contracts, public information, employee evaluations, and marketing activities. Performs other duties as requested or deemed necessary.

Requirements

Graduate of a state-approved school of professional registered nursing.
Current, unrestricted RN license in the state(s) of practice.
At least two years of nursing experience, including one year in home care or a closely related field.
Current CPR certification.
Licensed driver with a clean driving record and insurance in accordance with state and/or Agency requirements.

Nice To Haves

BSN preferred.
One year of supervisory and/or case management experience preferred.

Responsibilities

Direct senior case managers, case managers, RNs, LPNs, home health aides, and personal attendants in providing care consistent with Agency policies, applicable nurse practice acts, and regulations.
Collaborate with the Regional Director and other personnel to manage services, identify and correct issues, and improve services.
Ensure compliance with state regulations and Agency policies, including credentialing of employees and contractors as required by applicable practice acts.
Plan, implement, and evaluate care; participate in, coordinate, and manage client care conferences as needed.
Serve as a local on-site clinical resource and support the fulfillment of clients’ home care needs.
Collaborate with Staffing Coordinators to ensure staffing and scheduling are appropriate to scope of practice, competencies, client needs, and case complexity.
Adhere to nursing delegation guidelines and ensure Agency policies and procedures are accessible to employees and contractors during operating hours.
Participate in interviewing, selection, and ongoing evaluation of clinical personnel as requested by the Regional Director.
Support personnel training, education, and competency validation.
Review and evaluate clinical documentation and charts for accuracy and completeness.
Participate in Agency performance and quality improvement initiatives, including quarterly medical record reviews.
Collect, document, and submit data on infections, occurrences, complaints, grievances, and performance improvement activities.
Review nurse shift reports for policy adherence and performance improvement opportunities; monitor home chart completeness and timeliness of staffing cases after referral.
Track equipment and ensure supplies and equipment are available and in working order.
Oversee and manage fiscal affairs, implement state-specific regulations, maintain current compliant contracts, and ensure public information is accurate.
Assist with annual employee evaluations and marketing activities, including client or physician visits about Agency programs, as requested.
Be available during operating hours and participate in activities relevant to professional services, including developing personnel qualifications and assigning personnel.
Identify opportunities to increase skilled nursing services when medically necessary and evaluate existing home care clients for changes in condition, medical necessity, or additional treatment needs.
Collaborate with case managers, nursing staff, physicians, hospitals, and referral partners to identify clients who may need skilled nursing services.
Establish and maintain productive relationships with physicians, hospitals, discharge planners, and other referral sources.
Serve as a clinical liaison by educating referral partners about Agency skilled nursing services, admission criteria, clinical programs, and patient outcomes.
Participate in community outreach, networking events, and professional meetings to promote Agency services and strengthen referral partnerships.
Monitor referral trends, admission conversion rates, skilled census growth, utilization, and quality metrics; recommend and initiate performance improvement plans when thresholds are not met.
Educate, mentor, and support evaluating nurses and clinical staff on identifying skilled needs, medical necessity, documentation standards, and admission criteria.
Ensure evaluating nurses assess skilled service opportunities during client evaluations, reassessments, and supervisory visits.
Review clinical assessments and care plans for appropriate skilled nursing service utilization and accurate identification of client acuity levels.
Collaborate with the Regional Director, clinical leadership, and business development teams to develop market-specific skilled nursing growth initiatives.
Perform additional duties and responsibilities as deemed necessary.