Description: Job Summary: The Executive Nursing Administrator, playing the roles of alternate administrator and nursing director, is a pivotal leader at ATN Healthcare, serving as a liaison between the Owners/Officers, staff, and the community. This role oversees daily operations, clinical services, human resources, marketing, sales, billing, and business development, ensuring high-quality, service-oriented patient care in compliance with federal, state, and local regulations, agency policies, and Medicare/Medicaid standards. The incumbent performs administrative tasks, human resources duties (including recruiting, interviewing, hiring, and training practical nurses, certified nurse assistants, patient care assistants, and home health aides), skilled and non-skilled nursing tasks, operational duties, and drives agency growth through strategic marketing, sales, and business development initiatives as necessary. The role demands strong leadership to achieve organizational objectives, foster interdepartmental collaboration, manage billing processes, drive performance improvement, and maintain a positive work environment.
Qualifications/Educational Requirements: To comply with Colorado Department of Public Health and Environment (CDPHE) regulations for Class A home health agencies (6 CCR 1011-1, Chapter 26), the candidate must meet the following:
- Nursing Qualifications :
- Be a Registered Nurse (R.N.) with a current, active license in the state of Colorado, issued by the Colorado Board of Nursing.
- Have at least one year of nursing experience as an R.N., with demonstrated proficiency in home health care, including OASIS documentation and patient care coordination.
- Demonstrate knowledge and skills to provide care primarily to the geriatric population, and to a lesser degree, pediatric and adult populations, per CDPHE standards.
- Health Administration Qualifications :
- Be at least 21 years of age.
- Hold an undergraduate degree (preferred) or have equivalent training and experience in health service administration, as approved by CDPHE.
- Have at least two years of supervisory or administrative experience in home health care or related health programs (e.g., hospital, nursing facility, or hospice), with documented evidence of leadership in health care settings.
- Complete a minimum of twelve (12) clock hours per year of continuing education in subjects related to home health administration, as required by CDPHE.
- Additional Qualifications :
- Excellent oral and written communication and presentation skills for effective stakeholder engagement, including marketing and sales activities.
- Professional demeanor and appearance suitable for community and client interactions.
- Proficient skills in client relations, customer service, and business development to support agency growth.
- Strong organizational, time management, and people management skills, including expertise in recruitment, training, and employee development.
- Ability to work positively with patients, families, staff, and referral sources.
- Two years of experience in healthcare marketing or sales preferred to support marketing and business development tasks.
Responsibilities/Essential Functions: The person in this position must be able to perform the following essential job functions with or without reasonable accommodation:
- Administrative and Operational Leadership:
- Develop and implement company goals, policies, and performance improvement priorities aligned with business and financial objectives.
- Manage, control, and coordinate fiscal activities, including budget development, patient care revenue generation, and contract negotiation.
- Participate in strategic, short-range, and long-range planning for patient care, revenue, and community relations programs.
- Promote interdepartmental cooperation, mediate staff disputes, and ensure compliance with federal, state, and local laws, professional standards, and agency policies.
- Monitor record and statistical reporting systems for accurate documentation, planning, and evaluation.
- Ensure accuracy of public information materials and oversee special department activities (e.g., conferences, workshops).
- Complete a minimum of twelve (12) clock hours per year of continuing education related to administrative duties.
- Human Resources Management:
- Oversee recruitment, interviewing, hiring, and orientation of all personnel, including Licensed Practical Nurses (LPNs), Certified Nurse Assistants (CNAs), Patient Care Assistants (PCAs), and Home Health Aides (HHAs).
- Develop and deliver training programs to ensure staff competency in clinical and non-clinical tasks, including in-service education and ongoing skill development.
- Conduct new-employee orientations, provide counseling, outplacement counseling, and exit interviewing.
- Implement and update compensation programs, rewrite job descriptions as necessary, and conduct annual salary surveys to develop merit pools.
- Monitor and revise performance evaluation programs, ensuring staff are evaluated for areas of deficiency and excellence.
- Administer benefits, including claims resolution, change reporting, and annual policy re-evaluation for cost-effectiveness.
- Recommend and implement personnel policies and procedures, maintaining an updated employee handbook.
- Ensure compliance with federal, state, and local employment legislation, acting as the agency expert on industry trends.
- Clinical Oversight and Supervision:
- Assume primary responsibility for clinical services, ensuring care delivery meets patient needs and follows professional practice standards.
- Supervise all clinical activities and staff, including nursing, therapy, and home health aides, ensuring coordination of care across disciplines.
- Ensure sufficient personnel are available to implement plans of care, meeting medical, nursing, and rehabilitative needs.
- Monitor compliance with patient plans of care, patient rights, and applicable regulations, including Medicare/Medicaid Conditions of Participation.
- Conduct employee performance evaluations, counsel staff on deficiencies and excellence, and develop job standards as needed.
- Ensure reassessments are performed by appropriate professionals when there is a significant change in patient condition, at physician request, or post-hospital discharge.
- Develop, implement, review, and revise policies and procedures to guide care delivery.
- Skilled Nursing Duties:
- Perform initial home care patient visits, re-evaluate patient needs, and initiate plans of care under physician orders.
- Conduct admission, transfer, re-certification, resumption of care, and discharge using OASIS documentation.
- Observe, assess, document symptoms, monitor patient reactions, and report changes in condition to physicians and other personnel (e.g., Therapist, Case Manager).
- Educate patients and caregivers on disease processes, medications, plans of care, and home health care techniques.
- Coordinate patient services, supervise LPNs and HHAs, and ensure clinical records are updated per policy.
- Discharge patients from skilled nursing services when discharge criteria are met.
- Perform skills outlined in the agency's approved policy and procedure manual.
- Non-Skilled and Operational Tasks:
- Assist with non-skilled tasks, such as patient scheduling, complaint resolution, and community outreach, as needed.
- Provide guidance and support to field and office staff, ensuring service satisfaction through client visits and other measures.
- Investigate and resolve agency complaints related to nursing or other departments, as required.
- Work with other agencies and promote good community relations through involvement in community events.
- Support operational tasks, such as referral tracking, chart audits, and compliance with flu shot documentation, as noted in agency protocols.
- Marketing, Sales, Billing, and Business Development:
- Develop and implement a sales and marketing plan to meet or exceed census goals and financial objectives, targeting referral sources such as physicians, hospitals, and insurance case managers.
- Drive census development through external and internal marketing programs, maintaining relationships with existing accounts and cultivating new ones.
- Conduct regular sales calls with key physicians, healthcare representatives, and referral sources to increase market share and educate them on agency services.
- Maintain up-to-date competitor information (e.g., pricing, census, services, marketing strategies) to inform strategic planning.
- Oversee billing processes, ensuring accurate and timely submission of claims to Medicare, Medicaid, and private insurers, and resolving billing disputes.
- Monitor payer eligibility and coordinate with billing staff to ensure compliance with insurance verification requirements.
- Identify and recommend new service offerings, niche markets, or enhancements to existing services to support business growth.
- Participate in community events to promote the agency and build partnerships with other healthcare providers.
- Ensure accurate documentation of referral source interactions, including contact history and referral trends, to support business development efforts.
- Professional Development and Compliance:
- Remain informed of home health regulations, standards, and management issues, including state, federal, and accreditation requirements (e.g., CDPHE, ACHC).
- Update knowledge and skills by attending in-service programs, continuing education, seminars, and self-study programs annually.
- Adhere to Medicare and Medicaid regulations and ensure agency compliance with all applicable laws and standards.
Work Environment and Physical Requirements: The work environment and physical demands described here are representative of those required to perform the essential functions of this job with or without reasonable accommodations.
Physical Elements: - Sufficient clarity of speech and hearing, with or without reasonable accommodation, to communicate effectively with staff, patients, and referral sources.
- Sufficient vision, with or without reasonable accommodation, to review a wide variety of materials in electronic or hard copy form, including billing and clinical records.
- Sufficient manual dexterity, with or without reasonable accommodation, to operate a personal computer, telephone, and related equipment.
- Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, to safely lift, move, or maneuver as necessary to perform job duties.
- Sufficient personal mobility and physical reflexes, with or without reasonable accommodation, to function efficiently in a general office environment and travel to various field sites, including patient homes and community events.
Environmental Elements: - The employee works in an office environment with moderate noise levels, controlled temperature conditions, and no direct exposure to hazardous physical substances.
- The employee may travel to patient homes, where conditions vary (e.g., clean and comfortable or cluttered and uncomfortable). Exposure to hazardous substances may occur in patient homes.
- The employee may interact with upset staff, patients, or public/private representatives while interpreting and enforcing departmental policies and procedures or conducting marketing and sales activities.
Acknowledgment: The above list reflects the essential functions and other job functions considered necessary for the identified job and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is a guide only and not inclusive of all responsibilities and job duties.
