The Director of Nursing/Clinical Manager is a qualified person appointed by the Administrator with approval of the Governing Body to supervise or manage, directly or through qualified subordinates, all personnel who provide direct patient care. Job Responsibilities:
Ensures that nursing care is provided as ordered on the patients plan of care and within the scope of practice authorized by the license issued by the state of Florida for a registered or licensed practical nurse.
Participates in all activities relative to provision of professional services, including the development of qualifications and assignment of personnel.
Ensures that all staff providing care maintains professional standards of community nursing practice.
Maintains and adheres to the agency's procedure and patient care policy manuals.
Establishes service policies and procedures in compliance with state, and federal health statutes and administrative rules to include CDC guidelines, OSHA guidelines for employee safety, standard precautions, and infection control procedures.
Participates in the interview, selection, termination and evaluation processes of nursing personnel who deliver direct patient services.
Coordinates patient care services.
Provides case management as described in state and federal regulations.
Establishes and implements policies for, and keeps records of, criteria for admission to agency, case assignments and case management.
Informs staff about changes in home health statutes and administrative rules.
Provides written materials pertaining to the same and interprets materials as necessary.
Directs implementation of improved work methods and procedures to ensure achievement of objectives of the Agency.
Coordinates and integrates clinical phases of total Agency activities.
Interprets and transmits policies of the Agency to the staff.
Participates in preparation of the annual budget as requested.
Reports to the Administrator regarding changes that affect the Agency.
Attends and participates in patient care conferences.
Participates in National State and Local association organizations and meetings as requested.
Maintains confidentiality of Patient, Agency, and Employee matters.
Performs other duties as assigned by the Administrator.
Ensures that all staff is provided with adequate orientation to the Agency prior to patient contact.
Ensures that all personal care services are provided under a written agreement with a written assignment.
Ensures that appropriate continuing education is available for staff participation.
Remains available at all times during business hours or ensures that a qualified designated registered nurse is available in his/her absence.
Responsible for development of annual in-service/continuing education calendar for agency staff;
Submits required documentation in a timely manner.
Prepares and provides a certified daily report of the home health services provided by a specified direct employee or contracted staff member, on request from AHCA. Maintains reports by specified staff for specific time periods for easy access. The certified report shall be in the form of a written or typed document or computer printout and signed by the director of nursing/clinical manager.
Assists with development and establishment of policies and procedures to ensure that the agency is in compliance with Florida Biomedical Waste Rules regulating agencies that provide nursing and physical therapy services.
Makes field visits as required.
Establishes and conducts an ongoing quality assurance program that includes documentation of the review of the care and services of a sample of both active and closed clinical records for patients receiving skilled services at least quarterly. Review activities may be delegated however the DON/Clinical Manager assumes overall responsibility for the activities described in the quality assurance program.
Participates in on-call responsibilities as directed by the Administrator.
The Quality Assurance program must address the following areas of operations: (Applies to Florida regulations, various Accrediting entities may have additional requirements)
1. The home health agency accepts patients whose home health service needs can be met by the home health agency; 2. Case assignment and management is appropriate, adequate, and consistent with the plan of care, medical regimen and patient needs. Plans of care are individualized based on the patient's needs, strengths, limitations and goals; 3. Nursing and other services provided to the patient are coordinated, appropriate, adequate, and consistent with plans of care. 4. All services and outcomes are completely and legibly documented, dated and signed in the clinical service record; 5. The home health agency's policies and procedures are followed; 6. Confidentiality of patient data is maintained; and 7. Supporting documentation to demonstrate that findings of the quality assurance program are used to "improve services”.
Experience Minimum of three (3) years in a senior level clinical role. Minimum of three (3) years of supervisory experience as a registered nurse in a licensed home health agency. Over five (5) years of experience can be used in lieu of educational requirements
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