Director of Nursing, Laguna Honda Hospital (0943 Manager VIII)

This position functions as one of two top nursing executives for Laguna Honda Hospital and Rehabilitation Center (LHH). The two Director's of Nursing are responsible and held accountable for all nursing functions and activities of LHH. This is a senior executive-level position and will report directly to the Chief Executive Officer/Nursing Home Administrator (NHA). This person will have indirect reporting to the San Francisco Health Network Chief Nursing Officer. This person will lead, guide, and direct the clinical operations of the healthcare facility in accordance with local, state, and federal regulations, industry standards of nursing care, and established facility policies and procedures to provide appropriate care and services to residents. 

This person will also provide leadership and direction in conjunction with the annual Facility Assessment by developing new clinical programs and establishing organizational policies, priorities, and objectives; directs and coordinates the implementation of program changes; maintaining state and federal regulatory compliance; and performs related duties as required. This person will make decisions which directly impact the entire facility. This position exercises supervision over LHH related functional areas. Every effort has been made to identify the essential function of this position. However, it in no way states or implies that these are the only duties required to be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Specifically, under general direction from the LHH Chief Executive Officer/Nursing Home Administrator (NHA), the Director of Nursing (DON) will: 

• Plan, organize, direct, supervise and evaluate all nursing services provided in the facility

• Ensure nursing department compliance with federal, state and local regulations and implementation of facility nursing core programs

• Actively participates in the development of the Facility Assessment and recommends updates as necessary

• Manage the nursing department to maintain quality standards of care, and advise medical staff, department heads, and NHA in matters related to nursing service

• Review daily work assignments to ensure they meet regulatory compliance and provide consistent staffing whenever possible

• Assist in the development of and oversees the process for care planning for the individual residents including rehabilitative and restorative activities, instruction in self-help aids, and utilization of available therapeutic services (PT, OT, ST), promotes individual resident care as related to their physical, emotional, spiritual, psychological, and social needs, and assure that the plan is reviewed and modified as necessary

• Ensure each resident’s Resident Assessment Instrument (RAI) / Minimum Data Set (MDS) process is carried out on a timely basis

• Oversee the monthly management of the Quality Assurance and Performance Improvement (QAPI) process to ensure Quality Assurance assignments and meeting presentations occur

• Creates a culture of safety through the overall monitoring of compliance to the facilitation of the clinical unit based QAPI subcommittees

• Make facility rounds assessing the care of the patients, cleanliness, order and safety of the environment, equipment function, maintenance of a homelike environment and any other observations and report any issues or concerns to the responsible department and/or NHA

• Assist the Pharmacy department in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies

• Evaluate and implement recommendations from established committees as they may pertain to nursing services

• Work closely with the Infection Preventionist to ensure Infection Control practices are implemented and enforced such: as ensuring nursing personnel are following established safety regulations proper PPE use, isolation techniques and proper hand hygiene

• Participate in the planning, conducting, and/or scheduling of timely in-service training classes to ensure a well-trained and competent nursing service department

• Supervise and delegate the planning and direct delivery of nursing care, services, treatment procedures and other services that ensure each resident’s needs are met and that the physician’s orders are implemented

• Provides review, preparation, and defense of budgets related to LHH nursing; maintains responsibility for analyzing the current billing and financial systems that support and sustain LHH nursing

• Interprets business data for the purpose of identifying patterns, trends, and variances across LHH Nursing Operations

• Mentor and build training programs that help nursing staff meet goals that improve the overall performance, improve staff engagement, and outcomes of the facility

The Director of Nursing Services, Laguna Honda Hospital and Rehabilitation Center (0943) performs other duties as assigned and required.