Assistant 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.
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