Home Health Director of Nursing (DON)

Job DetailsLevel: ExperiencedJob Location: Cuidado Casero Home Health of New Mexico - Anthony, NM 88021Position Type: Full TimeEducation Level: 4 Year DegreeJob Shift: DayJob Category: Health CareSummary

The Director of Nursing, assists with the planning, coordination, leading, controlling and evaluation of home health services. S/he is responsible for coordination and liaison with appropriate parent and affiliate departments and committees; implementation of policies and guidelines for, and obtaining input from, service personnel in addition to providing professional input to related administrative systems. S/he directs and supervises professional and paraprofessional personnel rendering client care services, fosters public relations for the company by consulting and planning with health care facilities regarding staffing needs, and communicates the concept of quality client care to the general community. S/he interprets service needs to the DOS and/or administrator and acts as a client services administrative liaison.

Responsibilities

Serves as the Supervising Nurse of the home health department and assesses appropriate staff supervision during all service hours.
Represents the Agency/Department in audits of regulatory agencies.
Oversees the implementation and evaluation of client care services inclusive of regulatory licensure and certification criteria and accreditation standards.
Supervises and manages the clinical operations of the home health as must be available at all times during operating hours as well as being available by phone for clinical support after hours and weekends, or have qualified alternate in writing.
Consults, plans and works with DOS/administrator in process formulation and implementation including assessing adequate and qualified staffing.
Coordinates with other program areas and senior management as appropriate according to the organizational structure.
Directs the implementation of service goals and objectives.
Directs staff in performance of their duties.
Keeps home health personnel up to date with clinical information and practices through staff development to include new hire orientation,yearly in-service educations, and continuing education.
Assures the field personnel adhere to federal, state, and/or accreditation regulation, and company policy and procedures.
Actively develops and pursues referral sources, as well as facilitates on-going relationships with various medical and health communities.
Responsible for implementing standards that ensure safe and effective services to patients and families to include:
timely admission of all referrals as per the conditions of participation and regulations of home health services

Ensure reassessment of a patient’s needs is performed and meets criteria for continued home health services by an appropriate health care professional when:
there is a significant health status change in the clients' condition
at the Physician's request
after hospitalization

Responsible for assuring all physician orders are implemented appropriately and timely.
Consults with physicians in matters relating to patient care services.
Responsible for reviewing and notification of appropriate lab results to physician and care team.
Responsible for meeting Hemoglobin A1C requirements.
Responsible for final review of OASIS Assessment and plan of care for accuracy and reimbursement purposes.
Ensures effective and efficient client care documentation system to support medical necessity and homebound status of patients.
Assists in the evaluation of community needs and plans programs and services to meet with identified needs.
Consults with supervisors and staff, individually or in groups, regarding patients and/or families.
Responsible for the timely completion and providing the field personnel a weekly schedule utilizing the EMR software to assure compliance with the physician ordered frequency.
Responsible for ordering and maintaining medical supplies within budget.
Responsible for extracting reports, analyzing those reports, and developing weekly actions for improving agency operations.
Supervises and evaluates the program, services, and field personnel.
Evaluates the performance of all clinical personnel to include:
Timely Performance evaluations with measurable goals: Initial, 90-days and yearly.
Quarterly clinical staff evaluations.
Competency evaluations: initial and yearly.
On-site yearly evaluations.

Acts as liaison with Staff Development for program areas.
Oversees the QAPI program to assure that all components are completed accurately and timely in accordance with QAPI Policy and Procedures manual.
Coordinates with continuous Quality Improvement Committee and implements corrective action plans and controls.
Assists in agency evaluation activities.
Participates with other health, civic, education and professional groups as directed by the DOS/Administrator.