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Director of Nursing

Posted: 10/11/2020

Summary/Objective
Evaluates nursing practices and procedures to help maximize efficiency and optimize care for the individuals receiving services. Monitors and ensures that appropriate individual health care is provided. Examine various reports to look for trends and make adjustments to nursing processes for improvement. Maintain a small caseload to conduct monthly medical reviews and physical assessments. Provide random RN audits to review work of other nursing staff. Provide trainings and track Med Level I and nursing delegations.  
Assist ISP Team in obtaining medical care and provide palliative care, within nursing license guidelines, and home health care services. Coordinate discharges from hospital stays for serious illnesses (or unusual to the person) or injury.  Evaluate client needs, help in the development of Person-Centered Support plans and supervise the care provided by direct support staff.  Teach other direct support staff and/or family members’ simple nursing tasks and conduct Med Level I trainings as needed. Provide RN duties outlined by the Missouri Department of Mental Health.
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Assist with organization’s nursing compliance with standards and regulations related to clinical care;
  • Supervises the nursing staff to ensure timely monthly directives;
  • Monitors and evaluate medical care activities of all nursing staff to identify trends and opportunities for improvement;
  • Develop and monitor the nurse delegation process and make notifications as needed to ensure program staff are trained;
  • Monitor monthly nursing  and medical care trends from the Department of Mental and provide recommended changes for improvement;
  • Indentifies training needs to meet quality and compliance standards and work with Training Department to conduct trainings;
  • Participates in planning, implementing and monitor the continuous quality improvement program;
  • Monitors medical services as outlined in Person-Centered Plans that include doctor’s orders, labs, dental, vision, hearing, seizure activity, etc to identify trends and opportunities for improvement;
  • Provides a monthly review all medical records through documentation for a specific caseload;
  • Monitors acute and chronic health conditions and provides treatment within state nursing license guidelines;
  • Ensure that Physician’s Orders accurately reflect the medications on hand for each person;
  • Prepares a health review prior to the PCP meetings and participates in meetings as time allows or is directed;
  • Completes Community RN requirements as outlined by the Missouri Department of Mental Health;
  • Provide training to staff and residents regarding medications and medical conditions;
  • Consult on cases that are medically sensitive and offer suggestions to non-medical staff;
  • Provide training in Level I Medication Administration and all other nursing delegations as required by the Missouri Department of Mental Health;
  • Communicate with others including agency staff, state and county personnel regarding medical conditions;
  • Provide ancillary medical services as needed;
  • Be the point of contact for hospice agency during times when end-of-life care is needed;
  • Is on-call for medical advice and direction.
 
Competencies
  • Communication Proficiency
  • Flexibility
  • Person Centered focused
  • Has sufficient field experience to meet state guidelines and ability to pass training courses in medication administration, First Aid and CPR
  • Sufficient experience in individualized program development
  • Ability to read, write, speak, understand, and type in English
 
Supervisory Responsibility
Directly supervises nursing staff
Work Environment
This job operates in a professional office environment as well as operate in either a group home or Independent Supported Living (ISL) setting. This role will also be exposed to high levels of noise, human elements such as (blood, urine, etc.); frequent interruptions and fast paced working conditions.  In this role standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines are routinely used.

 
Physical Demands
The employee is occasionally required to sit, stoop, kneel, climb or bend.  The employee must constantly lift and/or move up to 10 pounds, frequently lift and/or move 20 pounds and occasionally lift and/or move up to 50 pounds.  Also requires stepping up into commercial passenger vans as needed.
Positon Type/Expected Hours of Work
This is a full-time position with core hours of work varied depending on home location. Some evenings and weekends may be required.
Travel
Driving throughout the metropolitan area daily or as needed using your personal vehicle or agency vehicle.
Required Education and/or Experience
Licensed RN in the State of Missouri.

Job Type: Full Time

Salary Range: $75,000 - 99,999