Administrator
Purpose of Your Job Position
The primary purpose of your job position is to direct the day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations that govern long-term care facilities to assure that the highest degree of quality care can be provided to our residents at all times.
Delegation of Authority
As the Administrator, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Job Functions
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. 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.
Duties and Responsibilities
Administrative Functions
• Plan, develop, organize, implement, evaluate, and direct the facility's programs and activities.
• Develop and maintain written policies and procedures that govern the operation of the facility.
• Review job descriptions with Human Resources for each staff position in accordance with the Americans With Disabilities Act, OSHA, and other pertinent laws governing job positions.
• Assist Human Resources in the development and implementation of performance evaluations.
• Assist department directors in the development and use of departmental policies and procedures, and establish a rapport in and among departments so that each can realize the importance of team work.
• Review the facility's policies and procedures periodically, at least annually, and make changes as necessary to assure continued compliance with current regulations (e.g., ADA, ergonomics, air quality, etc.).
• Interpret the facility's policies and procedures to employees, residents, family members, visitors, government agencies, etc., as necessary.
• Ensure that public information (policy manuals, etc.) describing the services provided in the facility is accurate and fully descriptive.
• Ensure that all employees, residents, visitors, and the general public follow established policies and procedures.
• Assume the administrative authority, responsibility and accountability of directing the activities and programs of the facility.
• Represent the facility at and participate in top level meetings.
• Represent the facility in dealings with outside agencies, including governmental agencies and third party payers, or provide an authorized representative of the facility when unable to attend such meetings.
• Make written and oral reports/recommendations to the governing board concerning the operation of the facility.
• Assist the Infection Control Coordinator, and/or Committee, in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks involving potential exposure to blood/body fluids are properly identified and recorded.
• Make weekly inspections of the facility to assure that established policies and procedures are being implemented and followed.
• Participate in facility surveys (inspections) made by authorized government agencies.
• Review and develop a plan of correction for deficiencies noted during survey inspections and provide a written copy of such plan to the governing board and ombudsman representative as required.
• Maintain an adequate liaison with families and residents.
• Maintain a good public relations program that serves the best interest of the facility and community alike.
• Delegate a responsible staff member to act in your behalf when you are absent from the facility.
• Ensure that appropriate policies and procedures are followed when conducting background checks and when providing information to the Nurse Aide Registry.
Committee Functions
• Serve on various committees of the facility (i.e., Infection Control, Safetyt, etc.) and provide written/oral reports of such committee meetings to the governing board as directed or as may become necessary.
• Assist the CQI Committee in developing and implementing appropriate plans of action to correct identified quality deficiencies.
• Evaluate and implement recommendations from the facility's committees as necessary.
Personnel Functions
• Assist in the recruitment and selection of competent department directors, supervisors, consultants and other auxiliary personnel.
• Ensure that appropriate identification documents are presented prior to the employment of personnel and that appropriate documentation is filed in the employee's personnel record in accordance with current regulations mandating such documentation.
• Delegate administrative authority, responsibility, and accountability to other staff personnel as deemed necessary to perform their assigned duties.
• Consult with department directors concerning the operation of their departments to assist in eliminating/correcting problem areas, and/or improvement of services.
• Ensure that an adequate number of appropriately trained professional and auxiliary personnel are on duty at all times to meet the needs of the residents.
• Assist in standardizing the methods in which work will be accomplished.
• Review and check competence of work force and make necessary adjustments/corrections as required or that may become necessary.
• Counsel/discipline personnel as requested or as may become necessary.
• Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
• Terminate employment of personnel when necessary, documenting and coordinating such actions with the Human Resources Director.
• Schedule and participate in departmental meetings.
• Serve as liaison to the governing board, medical staff, and other professional and supervisory staff.
• Maintain an excellent working relationship with the medical profession and other health related facilities and organizations through formal working and transfer agreements.
Staff Development
• Assist department directors in the planning, conducting, and scheduling of in-service training classes, on-the-job training and orientation programs to assure that current material and programs are continuously provided.
• Meet with department directors on a regularly scheduled basis, and conduct/participate in in-service classes and supervisory level training programs.
• Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the long-term care field, as well as to maintain a professional status.
• Ensure that all personnel attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
• Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the facility.
Safety and Sanitation
• Ensure that all facility personnel, residents, visitors, etc., follow established safety regulations, to include fire protection/prevention, smoking regulations, infection control, etc.
• Ensure that the building and grounds are maintained in good repair.
• Review accident/incident reports and establish an effective accident prevention program.
• Ensure that all facility personnel follow established regulations governing the use of labels and MSDSs for hazardous chemicals.
• Ensure that facility procedure manuals identify safety precautions and equipment to use when performing tasks that could cause bodily injury.
• Ensure that facility personnel follow established ergonomics policies and procedures (e.g., a back brace and/or a mechanical lifter is used when lifting or moving heavy objects).
• Ensure that all facility personnel performing tasks that involve potential exposure to blood, body fluids, or hazardous chemicals participate in an in-service training program prior to performing such tasks.
• Assist the Maintenance Director in developing and implementing waste disposal policies and procedures.
• Ensure that personnel follow established policies governing the use/disposal of personal protective equipment and disposal of infectious wastes.
• Other(s) that may become necessary/appropriate to assure that the facility is maintained in a clean, safe and sanitary manner.
Equipment and Supply Functions
• Authorize the purchase of major equipment/supplies in accordance with established purchasing policies and procedures.
• Ensure that the facility is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services.
• Ensure that adequate supplies and equipment are on hand to meet the day-to-day operational needs of the facility and residents.
Budget and Planning Functions
• Prepare an annual operating budget for approval by the governing board and allocate the resources to carry out programs and activities of the facility.
• Assist in the establishment and maintenance of an adequate accounting system that reflects the operating cost of the facility.
• Review and interpret monthly financial statements and provide such information to the governing board.
• Ensure that adequate financial records and cost reports are submitted to authorized government agencies as required by current regulations.
• Keep abreast of the economic condition/situation and make adjustments as necessary to assure the continued ability to provide quality care.
Resident Rights
• Maintain confidentiality of all resident information.
• Ensure that the resident's rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints, are well established and maintained at all times.
• Review resident complaints and grievances and make written reports of action taken. Discuss with resident and family as appropriate.
• Assist in establishing and implementing a Resident/Group Council.
• Ensure that policies governing a timely notice for resident discharges and room or roommate changes are strictly followed by all personnel.
• Ensure that resident funds maintained by the facility are managed in accordance with current federal and state regulations and that appropriate accounting records are maintained.
Miscellaneous
• Ensure that all residents receive care in a manner and in an environment that maintains or enhances their quality of life without abridging the safety and rights of other residents.
• Ensure that each resident receives the necessary nursing, medical and psychosocial services to attain and maintain the highest possible mental and physical functional status, as defined by the comprehensive assessment and care plan.
• Assist the Director of Nursing Services in developing the Preadmission Screening and Annual Review of Mentally Ill and Mentally Retarded Individuals (PASARR) program as necessary.
Working Conditions
• Works in office areas as well as throughout the facility and its premises.
• Moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is involved with residents, family members, personnel, visitors, government agencies/personnel, etc., under all conditions/circumstances.
• Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
• Works beyond normal working hours and on weekends and holidays when necessary.
• Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)
• May be involved in community/civic health matters/projects.
• Attends and participates in continuing educational programs.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.
• Communicates with the medical staff, nursing personnel, and other department supervisors.
• Maintains a liaison with the residents, their families, support personnel, etc., to assure that the residents' needs are continually met.
Educational Requirements
• A Bachelor's Degree is necessary. A degree in Public Health Administration or Business Administration, or a health related degree is preferred but not required.
Experience
• Must have, as a minimum, __________ year(s) experience in a supervisory capacity in a hospital or long-term care facility.
• Must possess a current, unencumbered Nursing Home Administrator's license or meet the licensure requirements of this State.
Specific Requirements
• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
RHMLC
