Flagship Group

responsibilities of the Case Manager/Delegating Nurse as defined in the COMAR. needs with FSD and environmental needs with the Maintenance. When requested by ED, will assist in counseling caregivers and medication technician.. Director, the Health/Wellness/ Delegating Nurse is. Hour Delegating Nurse Course within 60 days of employ.

health and wellness

Job Summary : Implementation, coordination and
supervision of all aspects of a comprehensive Health, Wellness and Clinical
Program which addresses the needs of all Assisted Living Residents in
accordance with Victory Housing, Inc. Policies and Procedures, COMAR 10.07.14
and Board of Nursing Regulations and Standards. Oversight includes :
Provide
nursing assessments, care planning, care oversight and quality assurance for
all residents. Maintain all charts to
include, progress notes, identification of nursing
interventions, treatments and assessments. Implement
a Wellness Program to include weekly
scheduled resident Health and Wellness
Check-ups, to assure
a proactive and preventative clinical approach. Oversight
and coordination of all third party
vendors to include but not limited to Podiatrists, Dentists, Lab, Pharmacy,
Home Health, Hospice etc. Fulfil the
role of Clinical Leader in the community as
an essential manager, resident advocate, case manager, delegating and
practicing RN. Reports to : Executive Director
of Assisted Living
Community Supervises : Supervision and implementation of health, wellness
and clinical programs Areas of Responsibilities :
Ensure that
the attainment of Victory Housing’s Mission Statement takes precedence over all
decisions and actions. Assume the
responsibilities of the Case Manager/Delegating Nurse as defined in the COMAR
10.07.14 Regulations. Responsible for all aspects of
Pharmacy and Medication Management. Responsible
for the monthly change-over of medication cards; accuracy of monthly medication
delivery from Order to MAR; training staff on new medications, parameters,
orders and special conditions; as well as updating the Emergency Sheet
(electronically and hard copy). Critical
areas of responsibility are to be delegated. In conjunction with the Assistant Director, responsibilities include interviewing, hiring, mentoring, training, evaluating and managing each Medication
Technician. Each Medication Technician is working under the license
of the Health/Wellness/Delegating RN.
Oversight and management of medication administration must be in adherence to the Nurse Practice Act as well as
Federal, State and local regulations. Writing in all orders from physicians into the POS/MAR
according to VHI policy. Making daily/weekly checks
of MAR (EMR/Hard Copy) to ensure proper administration and documentation. Maintain overall
quality of the resident care program in accordance with all local, state
and federal regulations and the highest standards of nursing practice. Work closely
with all staff as RN on issues. Proactively intervene whenever a status change is assessed. Implement a comprehensive
Health and Wellness Program designed to proactively address physical, psychosocial and rehabilitative needs of the residents. Include
quality assurance and outcome measures which monitor trends and
anticipate potential problem areas. Schedule weekly Check-ups with each resident to monitor all aspects of the resident’s condition
and intervene as indicated. Review Medications, Fall Risk, Vital Signs,
Weights, Nutritional Status,
Skin Assessments and as well as
overall Clinical, Psychological and Social Status Changes. Record information on Wellness Assessment
Forms, in Progress Notes (weekly) and Community Log (as needed). Maintain
regular communication with resident, family (in absence of ED) and physician on
individual health care issues. When a
status change is identified, be the primary
liaison with healthcare professional including pharmacy,
lab and Hospice etc. Actively
participate in monthly care planning
meetings, Quality Assurance Meetings, Family Clinical Reviews, and Hospice
meetings etc. Actively participate in RSD. Report all resident status
changes, follow-up actions and next steps. Educate
as needed. Participate in Monthly Staff Meetings and
provide In-service Training
as requested by ED. Coordinate (in conjunction with ED) dietary
needs with FSD and environmental needs with the Maintenance
Tech. Assist the ED/AD with identifying and resolving employee
concerns, complaints,
grievances and issues. Assists the ED in completing 90-day and annual performance reviews. When requested by ED, will assist in counseling caregivers and medication technician. Available 24/7 to support clinical
needs of the
Residents. Direct the
community programs for infection control, quality assurance, outcomes
monitoring and other oversight programs. Review all resident charts
on a regular basis, checking for content, clarity, completeness and
appropriateness of care. Responsible
for the quality of all resident charts, including compliance with applicable
regulations and the highest standards of nursing practice. Instruct caregiving staff
on clinical and nursing issues. Assess each prospective Resident prior to move-in. In partnership with ED, recommend appropriateness of placement
and level of care. On day of
move-in or within 24 hours, meet with the resident to discuss: baseline, start clinical chart and review/establish care needs and schedule in
coordination with ED/AD/RSD. Complete clinical components
and follow-up of resident individual
service plans with the Executive
Director and the caregiving staff. Complete
reassessments and service plans for residents
as needed. Responsible for completing all assessments as mandated
via COMAR Regulations. Coordinate
services of outside agencies providing health care or other assistance to
residents, including home health agencies, physical therapists, hospice,
laboratories, durable medical equipment suppliers and other professional
services. Review and
sign-off on Incident Reports with the Executive Director and Assistant
Director. Establish intervention and
documentation of follow-up. Attend classes,
seminars and meetings.
Maintain a high level of knowledge regarding current nursing theory, trends
and regulatory changes. Scheduled hours
are from 10:00
– 6:30 or 9:00 – 5:30 based
on community preference. The schedule must be set and adhered to
consistently. In the absence of Executive
Director and Assistant
Director, the Health/Wellness/ Delegating Nurse is
responsible for the day to day operations of the community. Other duties as assigned. Job
Qualifications :
Must be a
graduate of an accredited school of nursing with three years experience in
nursing, preferably in geriatric services. Must
hold a current Maryland license as a registered professional nurse. Baccalaureate degree in nursing or related health field with geriatric emphasis preferred. Must have successfully completed the 20
Hour Delegating Nurse Course within 60 days of employ.
Requirements:
Must be current on all vaccinations including COVID- 19 and
receive CDC recommended booster doses. #J-18808-Ljbffr

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