Regional Director of Clinical Services

General Purpose

This position provides support and education for nursing clinical programs with an emphasis on Infection Control and Disease Prevention.

Essential Duties
• Develop, implement, educate and monitor clinical programs that are intended to meet Professional
• Nursing Standard of Care and Nursing Standard of Practice per the applicable State Board of Nursing and the American Nurses Association.
• Advise and support facilities in their efforts to comply with State and Federal Survey Regulations for
• Medicare and Medicaid Licensure and Certification, with special focus on Infection Prevention, Control & Immunization.
• Assist facilities in response to endemic, epidemic, & pandemic disease outbreaks.
• 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.

Review POC and AOC documents prior to submission.
• Monitor facilities compliance with POC's submitted to State Health Department (HD) for recertification of Medicare and Medicaid License.
• Provide oversight for reportable events that are submitted to HD which includes: reviewing and approving reportable documents sent to HD and assisting facility in correction of issues identified.
• Provide training to facility Administration and/or staff as needed to help them 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.
• Assist Administrator with hiring, training and disciplinary actions for the Director of Nursing (DON).
• Conduct monthly Regional DON meetings for clinical program training and DON development.
• Assist facilities with their clinical, MDS, dietary, social services and regulatory policies and related education.
• Assist DON in determining appropriate staffing structure and nursing PPD.
• Conduct visits to the facility to assess and train clinical staff.

Create action plans as needed to facilitate growth and development.
• Attend regional meetings and give clinical insight as requested by the RDO.
• Provide oversight and direction to the MDS department.
• Conduct Regional monthly MDS meetings for training and CMI development.

Monitor and assist as needed, RAC audits received from Insurance, State or CMS.
• Develop Regional tracking and trending reports for clinical metrics regarding CMS 5-star rating.

Assist facilities in improving 5-star rating in all categories.
• Assist facilities in their clinical risk management efforts.
• Assist facility defense attorneys as needed with lawsuits, depositions, reports and document production as requested.
• Review record requests for appropriate documents for release.
• May be required to act as an onsite Interim DON Supervisory Requirements
This position will have supervision responsibilit...