Special Projects RN- Interim DON- Rural
Signature HealthCARE LLC. - Tennessee

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Are you seeking to join an organization that has Revolutionary Ideas that are transforming the long-term care industry?

If so, Signature HealthCARE LLC. is the place for you! Signature is opposing the status quo and bringing about a radical transformation in attitude, quality care and quality of life. We are taking a stand and restoring dignity, compassion and trust.

We are currently recruiting for an experienced Special Projects - Interim Director of Nursing (DON) - for our Rural Segment. This position will normally cover our SHC central TN buildings, but on occasion will be required to assist as needed throughout the rural segment within other states SHC operates in. This position has extensive travel required as a road warrior.

Below are some additional information regarding this position -

Manage the overall operations of the Nursing Department during absence of a facility Director of Nursing in accordance with Company policies, standards of nursing practices, Reimbursement compliance and governmental regulations, in order to maintain excellent care of all residents’ needs. Responsible for responding to situations where additional resources or oversight is required in facilities, with special emphasis on process, systems validation and correction. Assist with development and implementation of job skills training, in-service education as required by state/federal regulations for the nursing department.

Work at the Home Office will be performed primarily indoors and on carpeted and/or tiled floors. Work will also be performed routinely around other co-workers, healthcare staff, and guests.

Work may also be performed primarily indoors at one of our long-term healthcare facilities, throughout all areas, including in resident rooms, and on carpeted and/or tiled floors. Work will be performed there routinely around other co-workers, healthcare staff, residents, and guests. Due to the nature of facility’s business, worker may be exposed to occasional slippery floors, object on floors, chemicals, sharp objects, hazardous materials and waste (including human), blood¬ borne pathogens, and communicable diseases, as well as high-stress medical and/or life threatening situations.

Essential Duties & Responsibilities:
  • Meet physical and sensory requirements stated below, and be able to work in the described environment.
  • Identify and participate in process improvement initiatives that improve the customer experience, enhance work flow, and/or improve the work environment.
  • Management duties including, but not limited to, hiring, training and developing, coaching and counseling, and terminating department staff, as deemed necessary.
  • Ensure that all employment practices are administered fairly and without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or veteran status in accordance with applicable federal, state and local laws.
  • Participate in facility surveys conducted by authorized governmental agencies.
  • Assume leadership role of facilities assigned, in the absence of the Administrator and Assistant Administrator (if applicable).
  • Oversee the employee health program in cooperation with the Medical Director and Staff Development Coordinator.
  • Monitor the Weekly Level of Care Report, Dietary Consultant Report, and Pharmacy Consultant Report and take appropriate actions.
  • Plan, develop, organize, implement, evaluate and direct the nursing services department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
  • Assume administrative authority, responsibility and accountability for all functions, activities, and training of the nursing department.
  • Organize, develop, and direct the administration and resident care of the nursing service department.
  • Participate in Department Supervisor Meetings, Resident Care Plan Meetings, Budget Committee Meetings, Safety Committee Meetings, Quality Assessment and Assurance Committee Meetings, In-service Education, Family Council and any other meeting as directed by the Administrator.
  • Meet monthly with staff on each shift.
  • Meet daily with Director of Admissions/Marketing, Business Office Manager, and Administrator regarding admission and placement of proposed residents.
  • Evaluate prospective residents in terms of the nursing service they need and the capability of the facility to supply the needed service.
  • Participate in coordination of resident services through departmental and appropriate staff committee meetings.
  • Meet monthly with nursing staff regarding Chart Audit and Physician’s orders. Review audit with Medical Records prior to submitting to Administration.
  • Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties.
  • Make daily rounds of the nursing department to verify that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
  • Coordinate with the ADON to determine staffing requirements based on current needs and State and Federal guidelines.
  • Provide appropriate departmental in-service education programs in compliance with Corporate, State and Federal guidelines.
  • Work closely with Administrator in resolving grievances with nursing staff, family members, and residents.
  • Perform nursing services and deliver resident care services in compliance with corporate policies and State and Federal regulations.
  • Inform state of any reportable incidents within appropriate time frames. Complete investigative analysis as required.
  • Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
  • Greet newly admitted residents upon admission and escort to room, as necessary.
  • Make rounds with physicians and schedule physician visits, as necessary.
  • Schedule daily rounds to observe residents and to determine if nursing needs are being met in accordance with the president’s request.
  • Monitor medication passes and treatment schedules to verify that medications are being administered as ordered and that treatments are provided, as scheduled.
  • Provide direct nursing care, as necessary.
  • Regularly inspect the facility and nursing practices for compliance with federal, state, and local standards and regulations.
  • Study Infection Control Reports, Medication Incident Reports and Resident Incident Reports for corrective action.
  • Keep Administrator informed on a daily basis of nursing department functions, recommending changes in techniques or procedures for a more efficient operation.
  • Promote favorable working conditions and relationships with administration, medical staff, consultants, other departments, residents, family members, volunteers, agencies, and any other individual or group affiliated with the facility.
  • Review discharge summaries on a timely basis.
  • Monitor nursing service personnel to verify that they are following established safety regulations in the use of equipment and supplies.
  • Provide that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes.
  • Be on call for emergencies that supervisory personnel cannot handle.
  • Ensure proper handling and emergency care of residents, personnel, and visitors while on the job or in the building.
  • Ensure residents a comfortable, clean, orderly and safe environment.
  • Comply with, support and enforce Company policies involving all safety and infection control procedures to include the proper use of mechanical lifts and gait belts.
  • Monitor stock level of medications, medical supplies, equipment, etc., to verify they are maintained on premises at all times to adequately meet the needs of the resident.
  • Create and implement procedures for department equipment to be operated only by trained, authorized personnel in a safe manner.
  • Develop and implement procedures for nursing supplies to be used in an efficient manner to avoid waste.
  • Work closely with Central Supply to confirm that changes are made on a timely basis and that inventory is current and medical-nursing supplies are adequate on the nursing stations.
  • Verify that medical and nursing care is administered in accordance with the resident’s wishes, including the implementation of advance directives.
  • Assist with development of and approve final version of the Interdisciplinary Plan of Care for each resident in coordination with the physician, Medical Director, nursing staff, and outside consultants (i.e., nursing, dietary, pharmacy, therapists, etc.) and in accordance with corporate, state and federal guidelines.
  • Confirm accurate completion of forms/reports for the admission, transfer and/or discharge of each resident including, but not limited to, the nursing portion of the PAE, Initial Nursing Assessment, Minimum Data Set (MDS), Resident Care Plan, and the Annual MDS.
  • Review and verify that documentation procedures for nursing are met according to corporate, state and federal guidelines.
  • Review nurses notes to confirm that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes.
  • Assist in preparing and planning the nursing service department’s budget and submit to the Administrator for his/her review, recommendations, and/or approval.
  • Recommend to the Administrator the equipment and supply needs of the nursing department.
  • Be conscious of cost and attempt to provide quality staff for the nursing department within budgetary constraints.
  • Assist facility staff with development and follow-up of a plan of action to correct any identified issues.
  • May assist by conducting survey and interim visits, pre and post conference with facilities in a clear and concise manner.
  • Complete written reports, as requested.
  • Assist with orientation and on-boarding of facility Director of Nursing.
  • Conduct clinical compliance review, as directed by the Chief Nursing Executive.
  • Other special projects and duties, as assigned.
Job Requirements:
  • Active RN License and currently registered in state employed.
  • Minimum of five (5) years related experience; supervisory experience preferred.
  • Experienced in physical and functional adult patient assessment.
  • Possess working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods.
  • Effective verbal and written English communication skills.
  • Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
  • Highest level of professionalism with the ability to maintain confidentiality.
  • Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
  • Customer service oriented with the ability to work well under pressure.
  • Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
  • Strong analytical and problem solving skills.
  • Ability to work with minimal supervision, take initiative and make independent decisions.
  • Ability to deal with new tasks without the benefit of written procedures.
  • Approachable, flexible and adaptable to change.
  • Extensive travel required.
  • Function independently, and have flexibility, personal integrity, and the ability to work effectively with stakeholders and vendors.
Physical and Sensory Requirements:
  • Moderate physical activity:
o Requires handling of average-weight objects up to twenty five (25) pounds.
o Sitting for more than two (2) hours at a time.
o Requires consistent computer work with repetitive typing and concentrating on computer screen.
o Travel, including flying and/or driving, for more than one (1) hour at a time.

Our Mission
We are founded on the belief that enhancing the quality of life for the aging of America is essential. Humanity and dignity are achievable, and the nation’s elderly population deserves the attention and commitment of dedicated, compassionate care providers.

Our Vision Statement
We want a revolution that will radically change the long-term care landscape forever.

The Revolution
We find ourselves in a time in which there are many hurdles to overcome to simply stay in business, much less to accomplish our goal of unsurpassed resident care. If we choose the path of least resistance, we shall surely meet the same demise as many of our peers and predecessors. Society has systems in place that can work to our disadvantage, and there are those whose purpose is to see us fail. We must face these adversities with resolve, we must overcome obstacles with creativity; we must make our decision with our hearts as well as our minds. Perseverance is required if we are to win the battle of restoring dignity and profitability to the honorable service of caring for others.

Care Redefined

Please call or email me with any questions you may have. I look forward to hearing from you soon!

Cara Solitario, Clinical Recruiter
Signature Consulting Services, LLC
888.364.8013 Toll Free
502-259-0163 Fax


Our Signature – Our Promise


Signature Healthcare is a long-term healthcare provider that is committed to providing an environment of wellness, healing, and independence for its residents.


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