DELEGATION OF AUTHORITY

As Administrator you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

EDUCATION

• A Bachelor’s Degree is required. A degree in Public Health Administration or Business Administration, or a health related degree is preferred.

EXPERIENCE

• Must have, as a minimum, two (2) years experience in a supervisory capacity in a hospital or nursing Facility.
• Must possess a current. unencumbered Nursing Home Administrator’s license or meet the licensure requirements of this State.

SPECIFIC REQUIREMENTS

• Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must have a thorough knowledge of OBRA regulations, the survey process, survey tag numbers, and quality measures.
• Must be knowledgeable of reimbursement regulations and nursing practices and procedures, as well as laws, regulations. and guidelines pertaining to nursing facility administration.
• Must possess the ability to work harmoniously with and supervise other personnel.
• Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care and maintaining a sound operation.
• Must be thoroughly familiar with laws, regulations, and guidelines governing personnel administration.
• Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.
• Must be able to maintain good personnel relations and employee morale. Must be able to read and interpret financial records, reports, etc.
• Must be knowledgeable of computer systems, system applications, and other office equipment.
• Mustbeabletocommunicatepolicies,procedures,regulations.reports.etc..topersonnel.residents.familymembers, visitors, and government agencies and personnel.

Administrative Functions

• Plan, develop, organize, implement, evaluate, and direct the Facility’s programs and activities in accordance with guidelines issued by the VP of Operations.
• Develop and maintain written policies and procedures and professional standards of practice that govern the operation of the Facility.
• Assist the HR Delegate and department directors in developing written job descriptions and performance-based job evaluations for each staff position.
• Establish rapport in and among departments so that each can realize the importance of teamwork.
• Assist department directors in the development, use, and implementation of departmental policies and procedures and professional standards of practice.
• Review the Facility’s policies and procedures at least annually and make changes as necessary to assure continued compliance with current regulations.
• Interpret the Facility’s policies and procedures to employees, residents, family members, visitors, government agencies, etc,, as necessary.
• Work with the Facility’s legal counsel to ensure that public information (policy manuals, brochures, website data, etc.) describing the services provided by the Facility is accurate and fully descriptive.
• Ensure that all employees, residents, visitors, and the general public for the Facility’s established policies and procedures.
• Represent the Facility at and participate in top-level meetings.
• Represent the Facility in dealings with outside agencies, including governmental agencies and third party payers, or provide an authorized representative of the Facility when unable to attend such meetings.
• Make written and oral reports and recommendations to the VP of Operations concerning the operation of the Facility.
• Assist the Infection Control Coordinator, and/or Committee, in identifying, evaluating, and classifying routine and job related functions to ensure that tasks involving potential exposure to blood and body fluids are properly identified and recorded.
• Participate in state and federal surveys of the Facility.
• Assign appropriate Facility personnel to accompany survey agency personnel during inspections of the Facility.
• Assist in providing survey team members with additional information during the survey that may aid in preventing deficiency citations.
• Conduct daily meetings with appropriate staff during Facility inspections to discuss survey findings and formulation of plans of action and correction.
• Review deficiencies during the exit conference. Provide additional information that may aid in removal of the deficiency or lower the scope and severity level of a cited deficiency.
• Assist in developing plans of correction for cited deficiencies. Ensure such plans incorporate timetables and methods of monitoring that such deficiencies do not recur.
• Provide VP of Operations with information relative to survey findings, plans of correction. monitoring guidelines. and follow-up survey results.
• Maintain an adequate liaison with families and residents.
• Maintain a good public relations program that serves the best interest of the Facility and community alike.
• Conduct community awareness programs as necessary to keep the community informed of the Facility’s programs. services, activities, etc.
• Delegate a responsible staff member to act in your behalf when you are absent from the Facility.
• Ensure that appropriate Facility policies and procedures are followed when conducting background checks and when providing information to the Nurse Aide Registry.
• Assist in the development and implementation of policies and procedures governing the management and control of protected health information (e.g., assignment and use of passwords. unauthorized use and release of protected health information. etc.).
• Ensure that all personnel who have access to protected health information receive appropriate and timely training of the Facility’s policies and procedures governing the management and control of such information.
• Ensure that all suspected or known incidents of unauthorized use or release of protected health information are thoroughly investigated and reported to appropriate personnel and agencies as outlined in the Facility’s established policies.
• Periodically, review the Facility·s OSCAR and Quality Measures data posted on the nursing home compare website to determine the accuracy of such public information. Report discrepancies to appropriate slate agencies. Monitor to ensure such discrepancies arc corrected.
• Work with the Facility’s insurance carrier. legal counsel, and other designated personnel in developing and implementing a risk management program.
• Assume the administrative authority, responsibility, and accountability of directing the activities and programs of the Facility

PURPOSE OF YOUR JOB POSITION

The primary purpose of your position is to direct the day-to-day functions of the Facility in accordance with current federal, state and local standards guidelines, and regulations that govern nursing facilities to assure that the highest degree of quality care can be provided to our residents at all times.

DUTIES AND RESPONSIBILITIES

Administrative Functions

• Plan, develop, organize, implement, evaluate, and direct the Facility’s programs and activities in accordance with guidelines issued by the VP of Operations.
• Develop and maintain written policies and procedures and professional standards of practice that govern the operation of the Facility.
• Assist the HR Delegate and department directors in developing written job descriptions and performance-based job evaluations for each staff position.
• Establish rapport in and among departments so that each can realize the importance of teamwork.
• Assist department directors in the development, use, and implementation of departmental policies and procedures and professional standards of practice.
• Review the Facility’s policies and procedures at least annually and make changes as necessary to assure continued compliance with current regulations.
• Interpret the Facility’s policies and procedures to employees, residents, family members, visitors, government agencies, etc,, as necessary.
• Work with the Facility’s legal counsel to ensure that public information (policy manuals, brochures, website data, etc.) describing the services provided by the Facility is accurate and fully descriptive.
• Ensure that all employees, residents, visitors, and the general public for the Facility’s established policies and procedures.
• Represent the Facility at and participate in top-level meetings.
• Represent the Facility in dealings with outside agencies, including governmental agencies and third party payers, or provide an authorized representative of the Facility when unable to attend such meetings.
• Make written and oral reports and recommendations to the VP of Operations concerning the operation of the Facility.
• Assist the Infection Control Coordinator, and/or Committee, in identifying, evaluating, and classifying routine and job related functions to ensure that tasks involving potential exposure to blood and body fluids are properly identified and recorded.
• Participate in state and federal surveys of the Facility.
• Assign appropriate Facility personnel to accompany survey agency personnel during inspections of the Facility.
• Assist in providing survey team members with additional information during the survey that may aid in preventing deficiency citations.
• Conduct daily meetings with appropriate staff during Facility inspections to discuss survey findings and formulation of plans of action and correction.
• Review deficiencies during the exit conference. Provide additional information that may aid in removal of the deficiency or lower the scope and severity level of a cited deficiency.
• Assist in developing plans of correction for cited deficiencies. Ensure such plans incorporate timetables and methods of monitoring that such deficiencies do not recur.
• Provide VP of Operations with information relative to survey findings, plans of correction. monitoring guidelines. and follow-up survey results.
• Maintain an adequate liaison with families and residents.
• Maintain a good public relations program that serves the best interest of the Facility and community alike.
• Conduct community awareness programs as necessary to keep the community informed of the Facility’s programs. services, activities, etc.
• Delegate a responsible staff member to act in your behalf when you are absent from the Facility.
• Ensure that appropriate Facility policies and procedures are followed when conducting background checks and when providing information to the Nurse Aide Registry.
• Assist in the development and implementation of policies and procedures governing the management and control of protected health information (e.g., assignment and use of passwords. unauthorized use and release of protected health information. etc.).
• Ensure that all personnel who have access to protected health information receive appropriate and timely training of the Facility’s policies and procedures governing the management and control of such information.
• Ensure that all suspected or known incidents of unauthorized use or release of protected health information are thoroughly investigated and reported to appropriate personnel and agencies as outlined in the Facility’s established policies.
• Periodically, review the Facility·s OSCAR and Quality Measures data posted on the nursing home compare website to determine the accuracy of such public information. Report discrepancies to appropriate slate agencies. Monitor to ensure such discrepancies arc corrected.
• Work with the Facility’s insurance carrier. legal counsel, and other designated personnel in developing and implementing a risk management program.
• Assume the administrative authority, responsibility, and accountability of directing the activities and programs of the Facility.