Director of Nurses (Registered Nurse) - Shawnee, OK - Director of Nursing
Company: Mays Home Health
Location: Shawnee
Posted on: May 14, 2022
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Job Description:
Director of Nurses (Registered Nurse) - Shawnee, OK Director of
Nurses (Registered Nurse) REPORTS TO: AREA CLINICAL SUPERVISOR
MINIMUM QUALIFICATIONS EDUCATION/TRAINING/EXPERIENCE 1. Must be
currently licensed as an RN through the Board of Nursing in the
state of practice. 2. Must have at least an Associate---s Degree in
Nursing. 3. Must have a minimum of one year nursing experience
within the last 36 months. 4. Prefer at least one year experience
in home health. Must understand the issues related to the delivery
of home health services and be able to problem solve effectively.
Must possess knowledge of the Medicare guidelines governing home
health agencies or have experience/abilities that indicate with
training they would excel. 5. Prefer management experience
CHARACTERISTICS 1. Must be organized, detail oriented and possess
effective communication skills, both orally and in writing. The
ability to communicate with a diversity of individuals is required.
2. Must understand the issues related to the delivery of home
health care and be able to problem-solve effectively. 3. Must be
capable of prioritizing and handling multiple tasks of critical
importance simultaneously. 4. Must function well in atmosphere of
stress and interruption. 5. Must have good clinical judgment and
observation skills 6. Must have a positive attitude and be
self-directed. 7. Must be willing to comply with accepted
professional standards and principles. 8. Must be flexible and
cooperative in fulfilling role obligation. 9. Must have
satisfactory references from previous (or current) employers,
nursing school, and/or professional peers. MINIMUM REQUIREMENTS 1.
Must possess a valid state driver---s license and adhere to all
state laws while driving. 2. Must possess automobile liability
insurance. 3. Must have dependable transportation kept in good
working condition. 4. Must be able to drive an automobile in
various types of weather/road conditions. 5. Must possess
intermediate computer skills. SUMMARY OF JOB RESPONSIBILITIES The
Director of Nurses (DON) is a Registered Nurse supervises the
provision of therapeutic services provided from all disciplines and
is responsible for overall care and case management activities in
their assigned branch office(s). The DON directs all branch
operations and ensures that care/services, delivered by staff and
contract disciplines, meet the patient---s needs and are compliant
with Agency Policies, State and Federal Laws and Regulations. The
DON is expected to lead their branch office with excellence to
excel at quality care, quality documentation, growth, and financial
viability. RESPONSIBILITIES AND DUTIES 1. Supervises staff and the
day-to-day office/clinical/field operations. Ensures daily tasks
are completed even during staff absences. Monitors daily workload
and delegates responsibilities when required. 2. Provides a
positive work environment by consistently modeling in a positive
way, the agency philosophy, mission, values, and standards of care,
and providing a professional role model for other staff. 3. Reads
and adheres to all Agency Policies and Procedures. Adheres to all
State and Federal laws and regulations. 4. Adheres to HIPAA
regulations and follows agency protocol maintaining confidentiality
and does not improperly disclose patient information. 5. Makes
staffing priority to assure adequate supply of qualified staff.
Coordinates with the Recruiting Department to inform them of
staffing needs, promptly reviews applications and interviews
applicants who meet requirements, and communicates to recruiting
the desire to hire qualified applicant. 6. Assesses and ensures
initial competency of staff and assigns new clinical employees to
qualified preceptor from their office prior to classroom training,
and ensures all new employees view e-learning presentations and
attend classroom training as directed. 7. Participates in
orientating and terminating field and office staff. Ensures HR is
notified of employee change of status which includes position
change, termination, changes of address, etc. 8. Follows up on HR
deficiencies that have not been resolved. 9. Completes appraisal of
direct subordinates according to agency policies and procedures,
assisting subordinates with professional growth and development.
Handles staff complaints and incidents in a timely manner. Counsels
staff appropriately and timely concerning areas of deficiency.
Consistently facilitates positive interpersonal relations among
staff and provides positive feedback for excellent performance. 10.
Provides monthly in-services and general staff meetings. Attends
meetings and additional educational seminars as required by
Administration. 11. Works with the Director of Education in the
planning, implementation, and evaluation of in-service and
continuing education programs. Provides adequate opportunity for
education and assures that all staff meets training and in-service
requirements. 12. Is diligent in activities that ensure advanced
proficiency in Homecare Homebase (HCHB) Electronic Health Record
(EHR). Actively seeks out training and continuing education in
agency processes including participation in offered classroom
training, e-learning courses, and training materials within the
resource center in HCHB. 13. Generates quarterly On-Call Visit
Nurse schedule. Ensures patients coming out of the hospital,
evaluations, and routine visits to be done after hours or on the
weekend are scheduled on staff from their branch office prior to
the weekend. 14. Participates in Visit Nurse On-call rotation and
assumes on-call duties as assigned. Must be available 24 hours per
day when scheduled to be on-call. Must be reachable at all times
and comply with the On-Call Process. 15. Monitors reports and
ensures staff is completing duties accurately and timely as
indicated within their job descriptions to prevent any deficiencies
in their branch office. 16. Ensures productivity standards are met
by field staff. Reviews and approves bi-weekly payroll transmittal.
Runs reports as indicated in the DON workflow under client related
tasks and as indicated in the Administrative tasks to monitor
duration of visits, number of units, approve on-call activity, etc.
17. Communicates as appropriate with staff, physicians, referral
sources, community, patients, potential patients, caregivers, and
others involved in care. Ensures excellent customer service is
being provided to all patients, physicians and other affiliates.
18. Receives referrals with enthusiasm from physicians and staff.
Reviews available patient information related to case, including
disciplines required and anticipated home care needs, to determine
if patient needs can be met by your staff and/or contract
disciplines. Enters referral into the Electronic Health Record
(EHR) completing the sections indicated within
intake/authorizations, clearly identifying the referral source and
identifying team who will be managing patient care. 19. Follows up
timely on pending referrals and all non-Medicare referrals through
the admissions and billing process. 20. Provides onsite supervision
of Clinical Supervisors (CS) to ensure they are completing workflow
accurately and promptly. As necessary, assists the CS and
clinicians in establishing immediate, short and long-term
therapeutic goals, in setting priorities, and in developing plan of
care. 21. Ensures Physician Certification (F2F) is received or
completes the process of Delayed Physician Certification for Home
Health Services if the Certification was not received upon
referral. Review/edit/approve F2F Encounter Documentation to ensure
Medicare requirements for encounter documentation is met. Follow up
on unresolved F2F encounters when workflow is triggered as time
lapses. 22. Approves/denies paid time off (PDO) requested by staff
notifying Area Clinical Supervisor if position cannot be covered
prior to approving PDO. Communicate time-off with the Patient
Services Coordinator (PSC) so they can appropriately schedule.
Ensures the PSC is scheduling geographically and meeting the needs
of the patient, staff, and agency assuring productivity
expectations are being met. Ensures PSC is scheduling utilizing
buddy codes as appropriate. 23. Assures appropriate documentation
is completed for all patients transferred to an inpatient facility.
Assures hospital discharge planner is aware patient is on our
services and patient receives daily contact from the CS. 24.
Assures that the patient---s plan of care is executed as written
and reassessed by the appropriate health care professional upon
Start of Care (SOC)/Recert, when there is a significant health
status change (SCIC) in the patient---s condition, at the
physician---s request, and Resumption of Care (ROC) after hospital
discharge. 25. Participates in the Recert/DC decision to determine
if the patient has skilled need requiring ongoing home health
services or if all needs have been met and patient no longer meets
criteria to continue services. 26. Enters Transfers, Death at Home,
and Discharge at End of Episode (EOE) as necessary and completes
workflow as it appears under client related tasks, coordination
notes, and administrative tasks. 27. Edits/Locks OASIS once
documentation is complete, it has been reviewed by the CS, has been
reviewed by the Coding Specialist and updates have been made, and
claim codes have been reviewed. 28. Reviews and evaluates patient
care by reviewing the services provided by the CS and clinicians.
Performs review of clinical records to promote more effective
performance and delivery of quality home care services. Assures
service satisfaction through patient visits, phone conversations,
and other measures as appropriate. Staff receives and enters
patient complaints in the EHR which triggers workflow to the DON to
investigate and resolve the issue. 29. Completes tasks and workflow
accurately and timely as they escalate from the CS due to exceeding
time limits or tasks that go to both the DON and CS. 30. Performs
chart reviews to ensure patients on services meet criteria
established by their payer source such as medical necessity and
homebound status and ensure documentation clearly indicates the
criteria are met. Ensures assessing clinicians and ancillary staff
provides exceptional patient care by utilizing all elements of the
nursing process and/or agency standards of care. Ensures the level
of care and services provided coincide with the patients--- level
of acuity and meet their needs. Ensure assessing clinicians and
ancillary staff is providing care within their scope of practice
and submits quality documentation authenticating appropriate
assessment and intervention provided to the patient. 31. Ensures
appropriate action is taken on any suspected abuse and/or neglect
cases. 32. Functions in the capacity of Clinical Supervisor, Field
Nurse, or Aide when necessary. Completes workflow in client related
task, coordination notes, and administrative task for staff who are
absent or need additional assistance with completing their
workflow. 33. Coordinates with the Outcomes Supervisor to ensure
proper care and documentation when Potentially Avoidable Events are
detected and to ensure we are progressing towards improving
outcomes utilizing Process Quality Measures. 34. Ensure employees
complete incident reports when incidents occur as directed in
agency policy and procedure and document all follow up related to
the incident. Reviews QI reports such as Infection Control Logs to
control the spread of infection from staff to patients and
documents follow up related to infections; Reviews Occurrence Logs
and documents follow-up related to the occurrence; and Reviews
Medication Error Logs documenting all follow up related to the
error. Counseling/termination may be necessary depending on
severity of incident. 35. Ensures staff is compliant with the
monitoring of blood glucose machines to ensure proper calibration.
36. Completes clinical related tasks such as entering non-admits,
voiding orders, etc as necessary. Runs reports to track Missed
Visits and Declined Visits and investigates to ensure patient meets
homebound criteria and ensure employee is being compliant with
making visits as scheduled. 37. Participates enthusiastically in
short and long range planning for the branch and implements
specific measures for growth. Is always aware of hospitalizations,
discharges, census, and recent admissions. 38. Participates in
public relations and community activities that promote the
agency---s role as an effective member of the health care delivery
system. Participates during flu season making the community aware
of Influenza and preventative measures offering vaccinations to
provide protection to the public. Participates in educating
physicians and other community and referral sources. 39.
Participates on the peer review committee presenting patient case
studies for review. 40. Coordinates closely with immediate
supervisor to inform them of any issues within your branch office,
receive direction on unusual circumstances, notify them of staffing
requirements, include in plans for growth and financial viability,
report staff who are not meeting performance expectations, discuss
reports associated with EHR, etc. 41. Coordinates closely with
contract disciplines and therapy companies to ensure their delivery
of care meets all agency, state and federal laws and regulations.
Ensures the CS understands their responsibilities with care
oversight and is collaborating with therapy. Ensures therapist are
meeting care, timelines, and documentation expectations and holding
them accountable when expectations are not being met. Seeks to
contract with different therapy companies or therapists when
expectations cannot be met by current contracted companies. Is
responsible to ensure quality care is being provided by all staff
and contract employees/companies. 42. Responsible for complying
with all Agency Policies and Procedures, State and Federal Laws and
Regulations. Disclaimer: The above statements are intended to
describe the general nature and level of work being performed by
people assigned to this classification. They are not to be
construed as an exhaustive list of all responsibilities, duties,
and skills required of personnel so classified. All personnel may
be required to perform duties outside of their normal
responsibilities and will be directed by their Area Clinical
Supervisor as the need arises. WORKING CONDITIONS 1. General
office. 2. Work is moderate with a combination of sitting,
standing, and walking. 3. Travel to other branch offices,
designated facilities for training/meetings, and/or patient homes.
4. Community and client home environment. 5. Potential exposure to
blood and/or body fluids and infectious disease during the
performance of job duties. 6. Potential exposure to extreme
temperature and humidity when traveling. 7. Potential exposure to
dust, gas, fumes, and odors during traveling. 8. This position has
been designated as clinical management (see Infection/Exposure
Control Plan). Employees performing clinical management duties may
be involved in potential exposure to blood borne pathogens and
other potentially infectious materials. All clinical management
employees will be offered Hepatitis B vaccination at no expense to
the employee. PHYSICAL REQUIREMENTS 1. Visual and manual dexterity
is required 2. Good physical stamina and mental health is required.
Has completed the agency pre-employment health clearance. 3.
Ability to perform tasks involving physical activity, which may
include heavy lifting and extensive bending and standing. 4.
Ability to deal effectively with stress. 5. Ability to communicate
effectively with staff, patients, family, and physicians through
speaking and hearing. 6. Ability to operate office equipment
including, but not limited to, computers, printers, copiers, etc.
CONTINUING EDUCATION REQUIREMENTS The Director of Nurses (DON) must
meet the required continuing education hours for state
certification as a nurse in Texas as applicable. Agency personnel
are expected to participate in appropriate continuing education as
may be requested and/or required by their immediate supervisor. In
addition, agency personnel are expected to accept personal
responsibility for other educational activities to enhance job
related skills and abilities. All agency personnel must attend
mandatory educational programs.
Keywords: Mays Home Health, Norman , Director of Nurses (Registered Nurse) - Shawnee, OK - Director of Nursing, Executive , Shawnee, Oklahoma
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