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Director of Nursing

4 months ago

Shoreline, United States CRISTA Ministries Full time

This is a Full Time position at CRISTA Senior living in Shoreline.

Compensation: between $98,000 to $120,000 per year, DOE

$5,000 New Hire Incentive Bonus

Benefits: Competitive package including medical, dental, vision, up to 85% King's school discount for dependent child(ren) (K-12) and 4-weeks of paid parental leave.

COMPANY OVERVIEW

CRISTA Ministries ("CRISTA") is a Christian church community that exists to exercise and express its Christian beliefs. At the core of our Christian church community is the belief that as Christians, we are part of the priesthood of all believers, set forth in I Peter 2. We believe this priesthood calling rests upon all Christians and is a foundational, spiritual practice of our CRISTA community. This priesthood calling evokes within us the response to view our work as our ministry. We believe that all representatives of our community are ministers of the gospel and play equally important roles in exercising, expressing and teaching our beliefs (I Corinthians 12: 17-23).

CRISTA exists to make known the love of Jesus Christ through demonstrated works of service and ministry. We use every method available so that the people of the world may hear the Gospel, accept Christ as their Savior, and grow in their faith. We are a united family of Biblical Ministries inspired by a shared vision to serve and impact the young through the elderly, all cultures and backgrounds, in our own backyard and around the world through excellence in our service and operations. By leading a healthy and sustainable organization, CRISTA empowers its ministries to serve the needs of the world and share the Gospel, making disciples. Our commitment is to glorify, honor and obey the Lord in all we do through a workforce of ministers: our staff and volunteers who are called, committed, and faithful Christians.

CRISTA leads five distinct ministries in alignment with our calling to draw people into a transforming relationship with Christ. From World Concern's relief and development efforts around the globe; from CRISTA Media's stations that broadcast uplifting messages and music through your radio dials to the fireside songs that bring joy to campers year-round at CRISTA Camps; from the young minds equipped with knowledge at King's Schools to the seniors receiving exceptional care at CRISTA Senior Living. Whether traversing the globe or right in our backyard, the CRISTA family of ministries is empowered to meet the needs of those we serve with the Gospel of Jesus Christ.

CRISTA MINISTRIES MISSION & VISION STATEMENTS

* Mission Statement: CRISTA is a family of Ministries empowered to serve the needs of the World with the Gospel of Jesus Christ.
* Vision Statement: To transform lives with the Gospel of Jesus Christ through sustainable, Biblical Christian ministries.

CRISTA MINISTRIES CORE VALUES

* Christ-Centered: We approach our work by faith, prayerfully believing God will do the miraculous.
* Servanthood: We serve our world by meeting needs practically and spiritually.
* Uncompromising Integrity: We are honest, transparent, and trustworthy - reflecting Jesus in all we do.
* Holy Stewardship: We honor and maximize the potential of the resources, assets, and people God has entrusted to us.
* Unified Team: We are One CRISTA, united in the vision to transform lives with the Gospel of Jesus Christ.
* Excellence: We serve with excellence knowing that we represent God in our work, words, and actions.

SENIOR LIVING MISSION & VISION STATEMENTS

* Mission Statement: To spread the gospel through service to seniors - cultivating safe and thriving communities where our residents experience grace, encounter Christ's love and discover renewed purpose.
* Vision Statement: To transform the lives of those we serve by meeting their physical, emotional and spiritual needs with innovative and personalized solutions, working with mission-driven partners and empowered by a heart of service and the gospel of Jesus Christ.

POSITION SUMMARY

The Director of Nursing Services (DNS) is responsible for providing oversight of all health-related services and supervision of health services and clinical staff, which includes participating in and directing staff development program scheduling and execution and monitoring expenses and daily staffing levels to comply with department budgets. The position has 24-hour accountability for management of clinical services and staff and requires flexible work hours and shifts to operate in accordance with current State and Federal regulations, local standards, guidelines, CRISTA policies and procedures, and as directed by the Executive Director to ensure the highest quality of wellness and health care is maintained at all times for our residents.

The DNS position includes assessment and care planning of prospective residents, initiation and oversight for the Nurse Delegation program. This position implements and supervises the medical delivery system and ensures each resident receives the prescribed or requested services as outlined in the Negotiated Service Agreement. The DNS takes prompt, appropriate action in cases of injury, illness, fire or other emergencies and is responsible for implementing effective and current infection control standards, according to State and Federal guidelines.

ESSENTIAL FUNCTIONS

(General overview and may not include all details of responsibilities)

DUTIES

Clinical Services and Resident Care

* Provide leadership and oversight to all aspects of clinical services for residents in Assisted Living, including teaching and supervision of the direct care staff.
* Assist in the planning, development, organization, implementation, evaluation and direction of all resident services and health services policies and standards to ensure the delivery of high-quality care to our residents.
* Review complaints and grievances from residents and their families, as well as staff and respond/follow up accordingly. Listen to residents, family or physician concerns and initiate corrective action in a timely manner. Report to the Executive Director to be sure they are fully aware at all times of any potential issues, so they can be addressed proactively.
* Develop and maintain positive relationships with other departments and ministries within CRISTA as well as residents, families, physicians, consultants, and vendors to ensure resident services and activities can be properly maintained to meet the needs of the residents.
* Accurately and completely perform pre-admission assessments, functional assessments and focused assessments as needed and ensure "stable and predictable" status for assisted living residents. Ensure CRISTA's ability to meet the needs of the prospective resident. Determine the appropriate level of care for enriched care services and communicate to the necessary departments.
* Utilize and complete the "Admission Checklist" for each new resident to ensure that all documents have been obtained and completed.
* Participate in planned care conferences according to CRISTA policy and communicate services and costs to residents, families and the billing department. Make decisions and provide input.
* Provide wound care as ordered by the provider and maintain accurate and timely wound monitoring documentation.
* Prepare, administer and document medications and treatments as ordered by the physician in accordance with State and Federal regulations.
* Maintain medications at adequate levels at all times. Order and receive medications from the pharmacy. Receive and document verbal orders accurately. Ensure the Medication Administration Record (MAR) is accurate and updated.
* Transcribe or activate orders on the MAR accurately and confirm follow-up understanding of medication assistant staff. Monitor, mentor and audit medication assistance to ensure the quality and safety of the medication delivery system.
* Supervise the accuracy of controlled medication documentation and dispose of discontinued medications according to pharmacy policy and procedure.
* Complete routine evaluations and documentation of all residents managing their medications independently.
* Assure the medication rooms and health services areas are maintained in a clean and safe manner, and supplies are available for staff to perform resident care.
* Assist in scheduling Pharmacy in-services and routine audits of medication carts and record reviews.
* Conduct the "every shift", "daily", and "1-2 x per week" medication checklist review for PCC to ensure all orders are active and to identify any problem areas. Address problems immediately and consult with the pharmacy as needed.
* Conduct an MAR review that verifies current physician orders and obtain an MD signature semi-annually to ensure medication accuracy for each resident.
* Plan, communicate and ensure coordination of care with all outside agency providers.
* Make necessary arrangements for consultants, laboratory services, x-rays and provider appointments as needed.
* Responsible for the clinical record of each resident, checking for thorough, accurate, and timely charting of pertinent information.
* Responsible for skin observations and monitoring for healing vs breakdown.
* Ensure each resident is treated with dignity and respect by all staff and visitors.
* Implement and review alert charting and provide follow-up when needed.
* Review 24-hour communication book on each neighborhood daily and assist with documentation and workflow when needed.
* Perform according to the Standards of Practice related in Infection control and has a working knowledge of blood borne pathogens and utilizes universal precautions when handling or exposed to body fluids.
* Manage the TB screening program. Assure appropriate documentation of testing exists in employee files. Counsel and makes referrals as needed.
* Maintain excellent resident relations. Establish practices that ensure resident confidentiality and resident rights are maintained. Understand and comply with HIPAA regulations.

Financial Management

* Develop financial and clinical strategies in response to the changing health care environment and needs of the resident population.

People Management and Development

* Participate in hiring and verification of credentials, training and necessary pre-requisites for care staff employment.
* Complete annual performance reviews for staff in accordance with facility policies.
* Document disciplinary actions and termination of assigned staff.
* Work with the staffing coordinator to ensure licensed staff are in the facility 24/7 and fill in to support staff as needed. Provide 24/7 consultation by phone with facility staff to answer questions and provide direction and documentation.
* Ensure staff maintain current professional licensing.
* Develop and participate in the planning, conducting and scheduling of health-related in-service training classes for all departments as needed.

Quality Control and Compliance

* Possess a working knowledge and understanding of current State and Federal regulations and provides leadership for maintaining compliance in all areas related to healthcare.
* Attend and participate in professional association activities and programs to ensure knowledge of current regulations, guidelines and professional standards. Make recommendations regarding policy and procedures to the Executive Director.
* Oversee and coordinate participation in the Nurse Delegation program in accordance with State and Federal standards. Ensure clinical staff have appropriate re-requisite education completed prior to acceptance for training to perform nurse delegated duties. Maintain accurate and current records for the nurse delegation program.
* Assist the Executive Director to establish and maintain the disaster, fire and safety program. Assure proper handling and emergency care of residents, staff and visitors involved in accidents while on the job or in the building.

Leadership

* Provide support as acting Executive Director as needed or required.
* Provide leadership and training to nursing staff and medication assistants in the area of medication delivery, storage, physician orders and MAR accuracy.
* Attend daily stand-up meetings and participates in devotional activities.
* Meet with the Executive Director regularly to jointly address plans, problems and needs in Assisted Living.
* Summarize in an end-of-shift report all pertinent interactions, decisions and planning to ensure clear communication with supervisors, other managers and involved co-workers.
* Perform other duties as assigned.
* Work collaboratively and cooperatively with supervisor, Senior Living health care leadership, administration, staff, coworkers, physicians, community agencies, families, residents and consultants.

Conduct that reflects well on CRISTA Ministries and aligns with its mission, vision, Statement of Faith and Christian Community Representative Commitment (CCC).

SUPERVISORY RESPONSIBILITIES

* All clinical staff

ESSENTIAL QUALIFICATIONS

CHRIST CENTERED

* Belief that Jesus Christ is Lord and Savior
* Is a committed Christian who is dedicated to continued spiritual growth and development as evidenced through a growing personal walk with God (e.g. daily spiritual rhythms of prayer, fellowship, Bible study, etc).
* Prayerfully seeks God's will in their own lives and in their ministry at CRISTA.
* Engages our ministry including staff and colleagues through prayer, participation in spiritual practices, leading devotionals and other spiritual practices.
* Affirms, aligns with and supports CRISTA's Statement of Faith and Christian Community Representative Statement (CCC).
* Conducts themselves in a manner which reflects well on CRISTA Ministries and aligns with its mission, vision, Statement of Faith and Christian Community Representative Commitment (CCC).
* Demonstrates the values of a CRISTA leader.

EDUCATION

* BS or BA in Nursing from an accredited college or university recognized by the United States Department of Education or equivalent.

EXPERIENCE

* Five years of strong management experience, including supervision of clinical staff, policy & procedure development and budget management.
* Seven years of recent long-term care experience in a SNF or assisted living setting.
* Knowledge of DSHS regulations as they relate to long term care and assisted living.
* Experience in the care of geriatric residents as evidenced by completed courses and clinical practice, or Nurse Manager with current geriatric clinical skills.

LICENSURE / CERTIFICATION

* Registered Nurse - Licensed in Washington State Current CPR, HIV Training Certificate

SOFTWARE / EQUIPMENT KNOWLEDGE

* Microsoft Office

OTHER CONSIDERATIONS

* Healthcare provider required to comply with the federal law (HIPAA) that addresses privacy and security of protected health information. HIPAA training required. This job has access to resident health information. Flexible work hours; some evening or weekend hours may be necessary to meet residents' needs.

PREFERRED QUALIFICATIONS

LICENSURE / CERTIFICATION

* Fundamentals of Care Giving Certificate, Mental Health and Dementia Training Certificate

SOFTWARE / EQUIPMENT KNOWLEDGE

* Point Click Care, Relias, OnShift, Jobvite

STATEMENT OF NONDISCRIMINTATION

CRISTA is a Christian, religious organization that lives out its faith-based mission through five ministries: CRISTA Camps, CRISTA Media, CRISTA Senior Living, King's Schools, and World Concern. As permitted by Title VII of the Civil Rights Act of 1964, CRISTA reserves the right to prefer employees of a particular religion and to require its employees to hold certain religious beliefs, engage in certain religious observances, and engage in or refrain from engaging in certain behavior, based on CRISTA's religious beliefs. CRISTA's employees must agree with and support without reservation CRISTA's Statement of Faith and must conduct themselves in accordance with the religious beliefs and practices that flow from that Statement of Faith and CRISTA's Christian Community Policy.

Among those employees and employment applicants who agree with and support without reservation and abide by the Statement of Faith and CRISTA's Christian Community Policy, CRISTA does not unlawfully discriminate on the basis of race, color, national origin, age, sex, disability, genetic information, or any other protected characteristic. Based on its religious beliefs, CRISTA values and respects the dignity of all persons and appreciates the diversity of God's creation.