MDS Resource Nurse

• Registered nurse with active licensure in the state practicing.

• Three (3) years of experience in nursing administration as Director of Nursing and/or supervision in a health facility.

• Five (5) years of experience working in long-term care facilities or an equivalent combination of education and experience.

• Three (5) years of experience working in leadership for healthcare, preferred.

Responsibilities

• Conducts facility reviews including mock survey visits, to assess compliance with local, state and federal regulations and company standards.

• Creates systems and process redesign, implementation of evidence-based and industry best practices throughout the organization; quality improvement and performance management, facilitation, consulting, and problem- solving, along with project management and enhancement of individual and team leadership behavior.

• Translates broad strategies into specific objectives and initiatives, creates structures processes and systems to support strategic priorities and integrates efforts across organizational functions; obtains and allocates resources as needed; assigns clear authority and accountability for performance management and improvement efforts.

• In collaboration with key clinical leaders, evaluates the organization's strategic efforts and determines the strategic initiatives to achieve clinical effectiveness and patient safety; collaborates with clinical and administrative leadership to improve quality and safety and assists with deployment of the relevant strategic initiatives.

• Facilitates and assists with patient safety activities in accordance with accreditation, regulatory, and licensing requirements, including facilitation of multidisciplinary improvement teams; summarizing process and outcome data from multiple sources into meaningful, manageable information upon which to make decisions about improvement of performance.

• Contributes to the development of policy and processes for clinical and organizational areas related to quality improvement and performance management.

• Provides oversight and direction of the joint commission readiness for the centers and serves as the organization's liaison with external regulatory, accrediting, community, and national organizations related to quality improvement and organizational performance management. Develops and leads mock survey activity within the organization. Ensures that the centers are compliant with all accreditation and CMS requirements and is survey ready at all times.

• Collaborates with senior management team and clinical leadership to define key performance issues, outcomes, set priorities, determine methods for improvement, and implement monitoring and measurement tools related to quality improvement and patient safety.

• Identifies performance management improvement opportunities and priorities and develops solutions and process changes to resolve problems and improve performance; coaches department leaders on individual performance related to the desired "Culture of Quality" and safety expectation and its impact on overall organizational outcomes.

• Maintains professional affiliations as appropriate and participates in professional activities to keep abreast of developments in quality improvement and performance management, especially as related to "best practices" and will

• Provides education, implements process, evaluates performance and audits PCC/POC compliance. • Performs checks or residents’ records, reviews transcriptions of physicians’ orders to resident charts with medication and treatment sheets to assure that they are accurate.

• Other duties, responsibilities and activities may change or assigned at any time with or without notice.