Regional Director of Clinical Services

General Purpose

This position provides support and education for nursing clinical programs

Essential Duties

1.

Develop, implement, educate, and monitor clinical programs that meet Professional Nursing Standard of

Care and Nursing Standard of Practice per the applicable State Board of Nursing and the American Nurses

Association.

2.

Ensure that facilities follow all State and Federal Survey Regulations for Medicare and Medicaid

Licensure Certification.

3.

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.

Approve all POC and AOC submitted to the

Office of Inspector General (OIG).

4.

Monitor facility compliance with all POC submitted to OIG for recertification of Medicare and Medicaid

License.

5.

Oversee all reportable events that are submitted to OIG which includes: reviewing and approving all

reportable documents sent to OIG and assisting facility in correction of all issues identified.

6.

Provide training to facility Administration and/or staff as needed to 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.

7.

Assist Administrator with hiring, training, and disciplinary actions for the Director of Nursing (DON).

8.

Conduct monthly Regional DON meetings for clinical program training and DON development.

9.

Create and establish Regional clinical, MDS, dietary, social services and regulatory policies; And educate

and provide these policies to facilities.

10.

Assist DON in staffing structure and nursing PPD.

11.

Conduct visits to the facility to assess, train, and monitor Administrative staff.

Create action plans as

needed to facilitate growth and development.

12.

Attend Regional Operations meetings and give clinical insight as requested by the Director of

Operations (DOP).

13.

Attend all Regional meetings requested by the Director of Operations.

14.

Provide oversight and direction to the MDS department.

In states with case-mix reimbursement, provide

education and training for Medicare and Medicaid utilization and reimbursement.

Monitor Myers and

Stauffer reports and assist in case-mix index (CMI) development.

15.

Conduct Regional monthly MDS meetings for training and CMI development.

Monitor and assist as

needed, RAC audits received from Insurance, State or CMS.

16.

Assist facilities with any Human Resource issues as needed.

17.

Develop Regional tracking and trending reports for clinical metrics regarding CMS 5-star rating.

Assist

facilities in achieving 5-star rating in all categories.

18.

Develop Regional Clinical reports monitoring high risk liability areas and assist facilities in areas of

concern to alleviate liability risk.

19.

Work with Liability Insurance company visits, POC and high-risk areas of co...