Regional Health and Wellness Director

PACS • Remote - Oregon, OR

16d • $145,000 - $155,000

About The Position

This position provides support and education for nursing clinical programs and has supervisory responsibilities and clinical oversight. The director develops, implements, educates, and monitors regional clinical programs and policies, ensuring that facilities meet professional nursing standards and applicable state and federal regulations for Medicare and Medicaid licensure and certification. The role supports facility administrators and Directors of Nursing with compliance, staffing, training, performance improvement, regulatory responses, MDS operations, risk management, and legal matters. The position may require serving onsite as an Interim Director of Nursing. The role requires travel by automobile or airline at least 25% of the time. The work environment typically has low to moderate noise. The pay range is $145,000–$155,000.

Requirements

• Bachelor's degree in Nursing (BSN) or equivalent from an accredited nursing program.
• Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, and governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals, and to present information effectively and respond to questions from managers and employees.
• Ability to apply fractions, percentages, ratios, and proportions to practical situations.
• Ability to solve practical problems, work with variables in situations with limited standardization, and interpret written, oral, diagrammatic, or schedule-based instructions.
• Above-average knowledge and skills in Microsoft Office Suite, payroll systems, and human resources systems.
• Ability to occasionally lift or move up to 25 pounds; use a desktop or laptop computer for prolonged periods; and regularly sit, stand, walk, talk, read, or hear.
• Ability to travel by automobile or airline at least 25% of the time.

Nice To Haves

• Master's degree in Nursing.
• 20 or more years of clinical and management experience.
• MDS certification.
• Legal Nurse Consultant or risk management experience.
• Previous regional or corporate nursing experience.
• Experience with CMS/OIG surveys, including jeopardy citations.
• PCC knowledge.
• Professional in Human Resources (PHR) certification or SHRM Certified Professional (SHRM-CP) certification.

Responsibilities

• Develop, implement, educate, and monitor clinical programs that meet applicable Professional Nursing Standards of Care and Standards of Practice.
• Ensure facilities comply with state and federal survey regulations for Medicare and Medicaid licensure and certification.
• Assist Administrators and Directors of Nursing with plans of correction and allegations of compliance for survey deficiencies; approve submissions to the Office of Inspector General (OIG).
• Monitor facility compliance with plans of correction submitted to OIG for Medicare and Medicaid recertification.
• Oversee reportable events submitted to OIG, review and approve related documents, and assist facilities in correcting identified issues.
• Train facility administrators and staff on nursing standards and applicable state and federal survey regulations.
• Assist Administrators with hiring, training, and disciplinary actions for Directors of Nursing.
• Conduct monthly regional Director of Nursing meetings for clinical training and professional development.
• Create regional clinical, MDS, dietary, social services, and regulatory policies; educate facilities about the policies and provide them to facilities.
• Assist Directors of Nursing with staffing structures and nursing PPD.
• Visit facilities to assess, train, and monitor administrative staff, and create action plans to support growth and development.
• Attend regional operations meetings and provide clinical insight as requested by the Director of Operations; attend other regional meetings requested by the Director of Operations.
• Provide oversight and direction to the MDS department; in states with case-mix reimbursement, train facilities on Medicare and Medicaid utilization and reimbursement, monitor Myers and Stauffer reports, and assist with case-mix index development.
• Conduct monthly regional MDS meetings for training and case-mix index development; monitor and assist with RAC audits from insurers, states, or CMS.
• Assist facilities with Human Resources issues as needed.
• Develop regional tracking and trending reports for clinical metrics related to CMS 5-star ratings and help facilities improve ratings in all categories.
• Develop regional clinical reports that monitor high-risk liability areas and assist facilities in reducing liability risk.
• Coordinate with liability insurance company visits, plans of correction, and high-risk concerns.
• Assist regional or company defense attorneys with lawsuits, depositions, reports, and document production.
• Review record requests to determine appropriate documents for release; notify the Director of Operations and company attorney of adverse events or liability concerns.
• Review and audit medical records at an attorney's request and prepare preliminary reports or risk analyses.
• Serve onsite as an Interim Director of Nursing when required.

What This Job Offers

• Job Type: Full-time
• Career Level: Director