Compliance and Regulatory Specialist RN

3 days ago


Birmingham, Alabama, United States Distinctive Living Full time
Job Summary

This position provides professional registered nursing oversight and involvement when needed across the portfolio of the managing company. Key roles include: Registered Nursing clinical oversight, Registered Nursing delegation, clinical system support throughout Elder Mark Conversion, and assistance with clinical support to communities in need of additional clinical oversight and support from a compliance and regulatory perspective.

Essential Functions
  1. Delegates specific clinical tasks to community care staff guided and as required by the State Board of Nursing and the State Regulatory agency. These include all new medications and treatments that require an RN delegator's oversight. Also responsible for assessing all residents when they undergo changes in condition and for documenting those assessments and related delegated functions and tasks.
  2. Provides education to staff regarding regulatory compliance, quality and risk management initiatives.
  3. Assists with conducting investigations regarding potential compliance issues and assists with implementation of corrective action plans.
  4. In absence of DHW, performs a thorough health assessment on all residents within 30 days of move-in to the community or per State-specific regulations. Monitors the health status of current residents through periodic assessments and as required. Resident assessments and care plans will be signed and documented into the clinical management software if required. Monitors compliance with delegations by all staff. Participates in resident care conferences if requested.
  5. Required to respond to resident changes in condition with timely assessments in order to ensure that resident care needs are met through assessment, planning, interventions and follow up as outlined in the service plan.
  6. Responds to clinical issues and advises the staff of appropriate steps to take in caring for residents. Reports these contacts to the Director, Health and Wellness in a timely manner to ensure an appropriate response and follow-up with care issues.
  7. Supports the Executive Director/Director, Health and Wellness in maintaining compliance with all local, state, federal and licensing rules and regulations associated with the licensure of the community as they pertain to clinical and risk management activities. This includes HIPAA, OHSA, and State Survey issues, etc. that apply to the specific location of the property.
  8. Ensures all employees work in a safe manner and reports unsafe actions to the Director, Health and Wellness or Executive Director. Notifies the appropriate supervisor when residents require assistance. Compliant with Safety Committee standards. If workplace injuries occur, responsible for notifying the appropriate management team member of the injury and following specified procedures of documentation and medical assistance.
  9. Completes community audits with associated action plans and participates in compliance monitoring.
  10. Communicates to Chief Clinical Officer areas of non-compliance.
  11. Fosters teamwork with co-workers, shows initiative in overcoming obstacles, takes actions to assist others beyond job responsibilities, and has a positive impact on co-workers, residents and visitors.
  12. Competent in the functionality of ElderMark to the extent that they can train and support community staff on the program. Works closely with the Clinical Leadership Team to identify opportunities and obstacles with each conversion project and actively problem solve issues. Takes direction from the Chief Clinical Officer, VP of Clinical or Regional Director, Health and Wellness on the specific duties related to each Elder Mark conversion project.
  13. Participates and supports licensing/health department inspection surveys.
  14. Assists with hiring and onboarding new staff to clinical systems and processes. Oversees ongoing staff clinical training and competencies.
  15. Perform other duties as assigned or needed.
Education and Experience

Bachelor's Degree strongly preferred. Must have proven management experience and ability to manage staff. Minimum three years' experience in assisted living, Alzheimer's or Memory Loss care. Experience in Residential Care Management, Clinical Director, or Risk Management. Experience with Microsoft Word and Microsoft Excel.

Certifications, Licenses, and other Special Requirements

Registered Nurse. State specific accreditation or license required. Must meet all health requirements, including TB. Must have compassion for and desire to work with the elderly.

Essential Skills

Must be able to work with Executive Director, Director, Health and Wellness, and community management staff in organizing and implementing programs and training in clinical and risk management areas. Able to evaluate workers' performance, strong working knowledge of employment laws and company regulations. Demonstrates leadership through planning, directing, communicating and coaching. Strong written and verbal communication skills, strong personnel skills and positive community relations skills. Excellent grammar and punctuation. Self-motivated and has the ability to work independently, make decisions, and communicate with supervisors of work completed or needing to be completed. Excellent organizational skills, detail oriented. Pleasant, professional, and personable.

Physical Demands and Working Conditions

Professional office environment. Uses PC, telephones, word processing and other standard office equipment.

Management/Decision Making

Provides support to the Director, Health and Wellness, Executive Director, and community teams by giving direction on resident health and wellness status and with RN delegations to community staff when required by change of medications/treatments, physical or cognitive changes.



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