SUMMARY

The Vice President of Health Services is a key member of the senior leadership team of Edenwald. They are responsible for the strategic visioning of all healthcare services, keeping with the tradition of forwarding thinking and evolving the organization to meet the needs of future generations.
The Vice President of Health Services, in accordance with established policies and procedures, and/or specific instructions from the President, is responsible for assuring that all health care units comply with all COMAR, Federal and other relevant administrative regulations.
The Vice President of Health Services, along with being strategic in nature, will also require hands on management, monitoring and coaching. Will work collaboratively with all service lines to ensure a seamless delivery of services meeting the highest level of residential living.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned:
a. Supervises the facilities licensed Nursing Home Administrator and Assisted Living Manager(s) of record. Responsible for preparation, coordination and communication for the licensure surveys with relevant departments and the President. Ensure the submission of complete, accurate, and timely documentation to regulatory authorities.
b. Plans, organizes, and implements the administrative functions of all of the Healthcare Services (Hoerichs Hall, Southerly Place, Stroh Hall, Medical Suite).
c. Develops and implements policies, programs and services as stipulated in all Federal, Maryland and Baltimore County requirements. Implements and enforces all regulations and provisions under COMAR 10.07.02 -Comprehensive Care Facilities and Extended Care Facilities; COMAR 10.07.14 -Assisted Living Programming and COMAR 10.07.09 - Patient’s Bill of Rights Regulations.
d. Assumes responsibility for the overall conduct of the Healthcare units on a 24-hour basis.
e. Establishes effective communication in a direct, cordial, warm and energetic way with the residents, their agents and family members, physicians, staff, vendors and others.
f. Conducts regular team-rounding inspections of all Healthcare units to ensure that established policies and procedures are implemented and followed.
g. Manages and coordinates all risk management activities for the campus.
h. Promotes positive employee relations and develops a working environment with a focus on resident-centered services.
i. Develops and oversees an ongoing orientation and training program for all staff, with specific training in prevention and control of infections; fire and life safety; emergency preparedness; accident prevention; confidentiality of patient information; resident rights; psychophysical and psychosocial needs of the aged; and training on cognitive impairment and mental illness addressing the specific needs of the facility’s population.
j. Interviews, hires, and trains departmental staff. Executes or oversees completion of annual performance evaluations for employees on or before the due dates and to Edenwald’s standard, including a description of employee goals. Ensures participation and timely completion of required in-services and online training.
k. Follows appropriate safety precautions and oversees the emergency preparedness plans and is compliant with Edenwald’s policies/procedures regarding reports of employee accidents/incidents.
l. Attends assigned committee meetings; provides reports to support recommendations and ensures timely implementation of programs. This includes Leadership, Board, Strategic, Resident Health Services and others as requested.
m. Manages, directs and evaluates physician services provided to residents across the entire campus.
n. Works collaboratively and strategically with members of senior leadership to evaluate and implement new services lines.
o. Manages the Medical Suite and the Medical Suite staff for Independent Living. This includes the LPNs, Medical Office Coordinator, Director of Care Management, Social Services, and Memory Care Services Coordinator.
p. Develops and implements all policies, programs and services for independent living residents that ensure their optimum life experience.
q. Participates in various community-wide functions, including community relations events.
r. Functions as the Compliance Officer under the Health Insurance Portability and Accountability Act (HIPAA) (see attached job description).
i. Act as the designated point of contact for HIPAA Privacy and Breach matters.
ii. Develop, update and implement policies and procedures as required by the HIPAA privacy rule; and integrate them into conformance with other related state and federal regulations.
iii. Ensure that reasonable safeguards and security measures exist, as well as proper staff training, so that Protected Health Information (PHI) is maintained and is not improperly used or disclosed.
iv. Assures that the relationships with Business Associate Associates are managed in conformance with HIPAA regulations, including ensuring that up-to-date Business Associate Agreements (BAA) or other appropriate agreements are in place and that BAA tracking is maintained.
v. Oversee the internal complaint resolution process regarding HIPAA conformance.
vi. Ensure the workforce members receive regular privacy awareness training; and understand the policies that affect them.
vii. Along with the HIPAA Security HIPAA Officer, manage privacy incident response procedures and investigations, including those related to Breach of PHI.
viii. Along with the Security HIPAA Officer Conduct initial and periodic privacy risk assessment/audit and conduct related ongoing compliance monitoring activities; then routinely report the status to executive management.
ix. The Privacy Officer develops and proposes job descriptions for various types of Privacy Designees.
x. Oversee the implementation, distribution, and enforcement of many documents, tools, and procedures including Notice of Privacy Practices and Authorization for Disclosure of Protected Health Information.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily; the requirements listed below are representative of the knowledge, skill, and/or ability required; reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
Free from active reportable airborne communicable disease, and free from any impairment which would hinder the performance assigned responsibilities, as evidence by a physician’s statement.
No criminal convictions or other criminal history that indicates behavior that is potentially harmful to residents, documented through either a criminal history records check or a criminal background check.
Good moral character as evidenced by two references that attest to the character of the individual: Demonstration of a genuine interest in the well-being and welfare of the patients in the facility.
Sufficient skills, training, and experience to serve the residents in a manner that is consistent with the philosophy of long-term care.
Adequate knowledge and understanding of areas as required by the COMAR 10.07.02 and 10.07.14.

EDUCATION AND/OR EXPERIENCE

Bachelor’s Degree required. Major of business administration, health care, or a related field preferred. Five (5) years of progressive management experience in a health-related facility required, three of which shall be long-term care. Must have excellent working knowledge of theory, application, laws, regulations, and policies as they pertain to the following areas: 1) corporate financial systems; 2) nursing and medical practices and procedures; 3) health care services of a retirement community, including management and supervision, corporate compliance, budgeting and accounting, marketing, and labor/management relations; 4) quality improvement process; 5) Medicare, health insurance, including third party billing and managed care; and 6) licensing and certification requirements for assisted living and skilled nursing facilities.

LANGUAGE SKILLS

Ability to read and interpret documents such as security and safety rules, general instructions, and operations/procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively to and with residents, visitors, vendors, staff, management and community agencies.

Oversee and direct the entire Healthcare Services Team. This includes positions such as the Healthcare Administrator, Director of Care Management, Assisted Living Manager(s), Medical Director and their staff.