- Location
- PACS, United States of America
- Type
- Full-time
- Department
- Healthcare
- Seniority
- Director
- Source
- Workday
Description
General Purpose
This position provides support and education for nursing clinical programs
Essential Duties
1. Develop, implement, educate, and monitor clinical programs that meet Professional Nursing Standard of
Care and Nursing Standard of Practice per the applicable State Board of Nursing and the American Nurses
Association.
2. Ensure that facilities follow all State and Federal Survey Regulations for Medicare and Medicaid
Licensure Certification.
3. Assist the Administrator and/or DON in writing plan of corrections (POC) and Allegation of Compliance
(AOC) for any state and federal survey deficiencies cited. Approve all POC and AOC submitted to the
Office of Inspector General (OIG).
4. Monitor facility compliance with all POC submitted to OIG for recertification of Medicare and Medicaid
License.
5. Oversee all reportable events that are submitted to OIG which includes: reviewing and approving all
reportable documents sent to OIG and assisting facility in correction of all issues identified.
6. Provide training to facility Administration and/or staff as needed to meet Professional Nursing Standard
of Care and Nursing Standard of Practice per the applicable State Board of Nursing and the American
Nurses Association, and State and Federal Survey Regulations for Medicare and Medicaid Licensure
Certification.
7. Assist Administrator with hiring, training, and disciplinary actions for the Director of Nursing (DON).
8. Conduct monthly Regional DON meetings for clinical program training and DON development.
9. Create and establish Regional clinical, MDS, dietary, social services and regulatory policies; And educate
and provide these policies to facilities.
10. Assist DON in staffing structure and nursing PPD.
11. Conduct visits to the facility to assess, train, and monitor Administrative staff. Create action plans as
needed to facilitate growth and development.
12. Attend Regional Operations meetings and give clinical insight as requested by the Director of
Operations (DOP).
13. Attend all Regional meetings requested by the Director of Operations.
14. Provide oversight and direction to the MDS department. In states with case-mix reimbursement, provide
education and training for Medicare and Medicaid utilization and reimbursement. Monitor Myers and
Stauffer reports and assist in case-mix index (CMI) development.
15. Conduct Regional monthly MDS meetings for training and CMI development. Monitor and assist as
needed, RAC audits received from Insurance, State or CMS.
16. Assist facilities with any Human Resource issues as needed.
17. Develop Regional tracking and trending reports for clinical metrics regarding CMS 5-star rating. Assist
facilities in achieving 5-star rating in all categories.
18. Develop Regional Clinical reports monitoring high risk liability areas and assist facilities in areas of
concern to alleviate liability risk.
19. Work with Liability Insurance company visits, POC and high-risk areas of concern.
20. Assist Regional and or company defense attorneys as needed with any lawsuits, depositions, reports, and
document production.
21. Review all record requests for appropriate documents for release. Notify DOP and company attorney
with adverse events or liability concerns.
22. Review and audit medical record as requested by attorney and write preliminary report or risk analysis.
23. May be required to act as an onsite Interim DON.
Supervisory Requirements
This position will have supervision responsibilities and clinical oversight.
Qualification
Education and/or Experience
Bachelor’s Degree in Nursing (BSN) or equivalent Accredited Nursing Program Degree Master’s Degree in Nursing preferred 20+ years of Clinical and Management experience preferred. Preferred experience: MDS certified,
Legal Nurse Consultant or Risk Management experience; previous Regional or Corporate Nurse experience; experience with CMS/OIG surveys including Jeopardy citations. PCC knowledge
Language Skills
Ability to read, analyze, and interpret general business periodicals,
professional journals, technical procedures, or governmental
regulations. Ability to write reports, business correspondence, and
procedure manuals. Ability to effectively present information and
respond to questions from managers and employees
Mathematical Skills
Ability to apply concepts such as fractions, percentages, ratios and
proportions to practical situations.
Reasoning Ability
Ability to solve practical problems and deal with a variety of
concrete variables in situations where only limited standardization
exists. Ability to interpret a variety of instructions furnished in
written, oral, diagram, or schedule form.
Certificates, Licenses, Registrations
To perform this job successfully, an individual should have above
average knowledge/skills in Microsoft Office Suite, payroll systems
and human resource systems.
Professional in Human Resources (PHR), or SHRM Certified
Professional (SHRM-CP) preferred.
Physical Demands
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The employee must occasionally lift and/or move up to 25 pounds. Prolonged use of a desktop or laptop computer. While performing the duties of this job, the employee is regularly required to sit, stand, walk, and talk, read or hear. Frequent use of all office related equipment to include copier/scanner/fax,
telephone, and calculator. Travel by auto or airline will be required minimum of 25% of the time
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions.The noise level in the work environment is usually low to moderate.
Additional Information
Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above.
They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position
Join PACS: Elevate Healthcare with Us!
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!
Join Our Team and Thrive!
At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.
Our Comprehensive Benefits Include
Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
Join us at PACS and take advantage of a workplace that truly values you!
We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.