Director of Nursing
Monarca Home Health, Inc. - San Antonio, TX

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POSITION SUMMARY: The Director of Nursing/Alternate Administrator coordinates all aspects of patient care, assures compliance with regulatory and quality standards, supervises the nursing team members, and oversees and participates in quality patient care.

1. Graduate of accredited school of nursing; ADN/BSN, BSN preferred
2. One (1) year minimum recent nursing experience
3. Excellent verbal and written communication skills, sound knowledge of patient health, expert technical skills in the care of patients with complex medical needs; strong patient teaching skills with the ability to effectively teach family members and patients; ability to facilitate the coordination of care in the home setting.
4. RN with valid licensure in the State of Texas
5. Valid drivers license in the State of Texas, with available and dependable transportation and proof of current automobile liability insurance.
6. Ability to meet minimum agency hiring standards which includes evidence of current cardiopulmonary resuscitation (CPR) certificate, and willingness to perform such procedures in the home setting.

Supervising Nurse must be available at all times.
Assumes responsibility for the development of qualifications and assignment of personnel.
Provides skilled nursing care, including advanced assessment and interventions, in the patient’s home as ordered by the attending physician(s) in conjunction with the plan of care.
Supervises staff working with patients, and provides input for performance evaluations.
Complies with agency policies and procedures; develops, promotes and maintains an agency environment that is in compliance with federal, state and local regulations.
Communicates information effectively to physicians, supervisors, and others as needed and submits clear and appropriate documentation in a timely manner.
Leads case conferences and nursing in-services regarding patient care.
Assures a reassessment of client’s needs is performed when there is a change in clients condition, physician request, and/or post hospitalization.
Manages the utilization of supplies and equipment to enhance productivity and maximize cost controls.
Serves as a clinical resource person and role model for patient care.
Knowledge of Prior Authorization Documents with various HMO/Medicaid, especially private duty nursing.
Ability to travel for conferences and branch site visits

Must be able to meet the physical demands that include standing, walking, bending, lifting, and transferring.
Must be able to utilize good judgment, demonstrate patience, and maintain a professional demeanor.
Must be able to work in a busy and stressful environment.

1. The RN will prepare, submit and maintain documentation as required by Monarca Home Health, DADS
2. Assure verbal orders obtained from the physician are accurately transcribed for implementation.
3. Direct and participate in Quality Assessment and Improvement Activities as assigned.