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Assistant Director of Nursing
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JOB
TITLE: Assistant Director
of Nursing
SALARIED/EXEMPT:
Yes
REPORTS TO: Executive
Director/Director of Nursing
SUPERVISES: Registered
Nurse, Licensed Practical Nurse, •certified Nursing Assistant, •social Worker,
*chaplain
TRAVEL:
None
LOCATION:
Phoenix
JOB SUMMARY:
The Assistant Director of Nursing (ADON) is responsible for
the supervision, management, and coordination of quality patient care within
their assigned team. The ADON is accountable to ensure that care and services
provided by the team are delivered in a fiscally responsible manner while
maintaining strict compliance with all standards of practice, Federal, State,
and local rules and regulations. This key position is responsible for the
coordination of the hospice Interdisciplinary Group care and services and
assumes responsibility for ensuring appropriate and quality services are
provided through the continuum of care.
MAJOR JOB FUNCTIONS:
•
Promote and practice the Desert Valley Hospice
philosophy and mission.
•
Assumes primary responsibility for maintaining
quality hospice patient care in accordance
with the Company's objectives and
policies through planning, coordinating, implementing, and evaluating the
services provided to patients, families, and customers
•
Coordinates clinical care and collaborates with
members of the Interdisciplinary Group
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(IDG),
attending physicians, facility staff in all care settings
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Interprets
operational indicators and takes a proactive approach to maintain per patient
day costs within budget related to pharmacy, medical supplies, durable medical
equipment, salaries, and mileage
Receives and
reviews patient referrals, as needed
•
Oversees payor verification and
pre-certification requirements of new referrals
•
Communicates with payors and their
representatives with updates and responds to requests for
information on
new referrals
•
Assigns admission evaluations to the appropriate
staff members and ensures timely in-person
assessments for
all referrals and admissions to hospice services
•
Completes intake and admission assessments as
necessary to meet program needs
•
Reviews all available patient information
related to referrals
•
Ensures the hospice physician and attending
provider are consulted before admission or determination of non-admission is
rendered
•
Assists the clinical team in review and
evaluation of eligibility for hospice care by conducting home visits,
conferences, record reviews, and observing the services provided by clinicians
to ensure the accuracy and clarity of documented assessments
•
Provides feedback and guidance to clinicians to
promote effective performance and delivery of quality hospice services
•
Evaluates all team activities, patient
assignments, staffing patterns, and schedules to ensure patient and family
needs are met in a timely and cost-effective manner
•
Ensures workflow tasks are completed promptly
within the EMR system
•
Works closely with the Quality Assurance manager
to utilize workflow tasks as an opportunity to conduct a thorough review of
medical record documentation
•
Assesses, evaluates, and monitors clinical
documentation to ensure accuracy, completeness, and compliance with licensing
regulations, certification standards, and standards of practice
•
Ensures documentation is completed by all team
members promptly and in accordance with professional standards and Company
policy
•
Promptly addresses missing, inaccurate, and/or
incomplete documentation issues with assigned team members and communicates
findings and recommendations to Executive Director and other leadership
•
Assists clinicians in establishing immediate and
long-term patient goals, setting priorities, and developing an individualized,
patient-centered Plan of Care (POC)
•
Ensures that care is being provided in
accordance with the patients' plans of care and updated as patients' needs for
care change
•
Responsible to ensure timely supervision of the
team's clinicians in accordance with State, Federal, and ACHC or CHAP rules and
regulations
•
Oversees clinical staff to ensure timely
communication of changes in the patient condition to the physician and receipt
of necessary changes in orders and ensures communication of changes in the plan
of care to the appropriate staff
•
Ensures safe and coordinated care transitions
including appropriate changes in levels of care, transfers to other care
providers (i.e., home health, palliative care, etc.), and timely and thorough
discharge planning
•
Leads Interdisciplinary Group (IDG) meetings and
promotes coordination and communication of information relevant to the care of
the patient to ensure quality of care
•
Ensures patients are appropriately reviewed for
continued eligibility during each IDG meeting and that IDG documentation is
completed accurately and in a timely manner at least every 15 days for all
active patients
•
Participates in QAPI process by ensuring
all data related to high-risk problem-prone areas (i.e., infections, falls,
wounds, etc.) are reported and analyzed, participating in quarterly QAPI
meetings, and Performance Improvement Projects (PIPs) as directed by supervisor
•
Investigates and responds promptly to patient,
family, and customer complaints to ensure a resolution that is satisfactory to
all parties involved - takes remedial action as needed in collaboration with
supervisor to address the need for improvement and notifies/collaborates with
appropriate department leaders (i.e., Human Resources, Compliance, etc.) as
appropriate
•
Assumes direct patient care responsibilities as
needed including patient/family visits, on-site supervision, and evaluation of
care to facilitate teamwork within the organization
•
Demonstrates proficiency in appropriate complex
clinical skills and teaches, guides, and supports team as needed
•
Demonstrates integrity and commitment to the
hospice team, being available to respond promptly to team members, patients,
families, facility staff, and other customers during work hours and assigned
on-call periods
•
Participates in on-call rotation as needed
•
Acts as Administrator On-call as scheduled and
promptly answers all after-hours calls
•
Participates in the interview and hiring process
by participating in the interview, screening, and hiring of potential
applicants
•
Plays a key role in the development of clinical
staff by planning and initiating orientation of newly hired clinical staff
•
Educates, coaches, and supports clinical team
members on an ongoing basis
•
Holds team accountable for meeting job
requirements and compliance with Company policies and processes
•
Conducts written performance evaluations in accordance
with Company policy to improve performance - recognizes and rewards outstanding
performance
•
Demonstrates continued professional growth and
development through participation 111 educational programs and review of
current health care literature - recognizes own areas of need to promote
professional growth
•
Demonstrates loyalty to the Company by adhering
to and supporting the Company policies
•
Acts as a role model for the team, projecting a
positive attitude with a focus on quality patient care and ethical conduct
•
Participates in public relations and community
activities that promote the organization's role as an effective member of the
hospice and healthcare delivery system
•
Promotes customer service orientation to all
hospice personnel
•
Demonstrates professionalism by being prepared
for meetings and meets all required deadlines
•
Ensures census growth of the team and program
through building relationships, immediate service recovery, and direct coaching
and role modeling behaviors of clinicians related to customer relations
•
Holds self and others accountable, role models
ownership and urgency regarding patient care, customer relationships, and all
duties of this job description
•
In the absence of the Executive
Director/Director of Nursing, the Assistant Director of Nursing, may be asked
to act as and will be vested with the authority to act on behalf of the
Director of Nursing
•
Assumes other duties as developed and assigned
REQUIREMENTS:
•
Registered Nurse of an accredited school of
nursing with a current license to practice professional nursing in the state;
BSN preferred
•
Two (2) years of clinical management or
supervisory experience in hospice/home care setting preferred
•
Demonstrates the ability to clearly document
according to standards of practice and to accurately and efficiently audit the
documentation of others utilizing resources and tools provided
•
Demonstrates knowledge of State and Federal
regulations, and accrediting body standards
•
Knowledge of ACHC or CHAP standards preferred
•
Ability to learn and master the workflow in the
EMR
•
Ability to accurately perform workflow and
identify areas of non-compliance
•
Comprehensive knowledge of the principals and
practices of hospice care delivery and regulations including fraud, abuse, and
anti-kickback
•
Demonstrated record of accomplishment of
developing and managing successful teaching strategies improving quality of
patient care, compliance outcomes, and successfully following multi-
performance improvement initiatives and plans of correction
•
Demonstrate the skillset that includes
interpersonal, oral, and written communication to maintain a positive coaching
environment
•
Demonstrate strong communication skills,
relationship building, and consistently produce work that is detail-oriented
and accurate
•
Possess a professional and resourceful style;
having the ability to work independently and as a team player, to take
initiative, and manage multiple tasks and projects at the same time
•
Proficient in the Microsoft Office suite of
products and related computer skills
SKILLS/ABILITIES/ KNOWLEDGE:
•
Complies with acceptable professional standards
and practice
•
Demonstrates ability to supervise and direct
others
•
Complies with acceptable professional standards
and practice
•
Excellent observation, written, verbal and
communication skills with good nursing judgment
•
Understands Hospice philosophy as it relates to
end of life
•
Understands principles of pain/symptom
management
•
Must possess a valid driver's license
•
Must provide ongoing documentation of current
vehicle insurance
•
Complies and maintains current CPR
certifications