Administrator

Administrator:

Keene, NH

POSITION SUMMARY:

Create an environment where staff members are highly engaged and are focused on

providing the highest level of clinical care and compassion to patients, residents and

families. Responsible for assuring that the center operates in full compliance with

Federal and State regulations while "Doing the Right Things", which will result in high

levels of performance in each of the Genesis Strategic Focus Areas. The Center

Executive Director is responsible for planning and is accountable for all activities and

departments of the Center subject to rules and regulations promulgated by government

agencies to ensure proper health care services to residents. The Center Executive

Director administers, directs, and coordinates all activities of the Center to assure that

the highest degree of quality of care is consistently provided to residents. In the state of

Florida the Center Executive Director serves as the center's Risk Manager. ESSENTIAL

FUNCTIONS Business Excellence

1. Assures that the QAPI Process is understood and utilized by all members of the

Center Leadership Team to continually improve all aspects of Center performance as

measured by the Center Performance Scorecard.

1. Oversees and assures an efficient Refer to Admit Process which maximizes Center

occupancy.

1. Develops an annual business plan and budget which will serve as a roadmap to

maximize the overall performance of the Center as measured by the Center

Performance Scorecard.

1. Assures all aspects of the Center physical plant and environment are maintained at a

high level.

1. Conducts all relevant committee meetings as required.

2. Follows company Administrative Policies (see Administrative Policy Manual).

3. Performs other duties as assigned.

Staff Excellence

1. Responsible for assuring that Genesis Core Values and Promises become a

reality in all dealings with Center staff members.

1. Develops and implements annual People Plans that improved the quality of work life

for all staff members and creates a high level of employee engagement.

1. Works in close collaboration with the Center Nurse Executive and department heads

to assure professional development and career goals are met.

1. Assures compliance and consistent application of all Personnel Policies and

Practices.

Clinical Excellence

1. Is highly visible throughout the Center on all shifts and days of the week to develop

positive relationships with residents, patients, family members and staff to assure that

the needs of all are being met.

1. Works in close collaboration with the Center Nurse Executive, Medical Director and

Director of Rehab to assure high quality clinical outcomes, appropriate level of hospital

readmissions, acceptable survey results and the best possible 5 Star rating.

1. Assures that staffing levels in all departments are appropriate to meet the needs of all

patients and residents.

1. Confers with consultants to various departments concerning problem areas and

utilizes the Q.A.P.I. Process to improve performance.

1. Creates an environment that is focused on patient and staff safety. Conducts

required fire and disaster drills and maintains compliance with legal, safety, health, fire

and sanitation codes.

Customer Excellence

1. Create a culture of Service Excellence which focuses on the patient experience, and

is responsive to patients/families concerns and grievances.

1. Utilizes feedback received from the Short-Stay Patient Satisfaction Survey and

Friends and Family Survey in the Q.A.P.I. Process to achieve the highest possible level of

customer Satisfaction.

Compliance

1. Center Executive acts as Civil Rights Coordinator and promotes compliance with

Sec.1557 of the Patient Protection and Affordable Care Act (ACA) and associated laws

and regulations that prohibit discrimination. Investigates grievances alleging non-

compliance with Section 1557.

1. Complies with and promotes adherence to applicable legal requirements,

standards, policies and procedures including but not limited to those within the

Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act

and HIPAA.

1. As the center Compliance Liaison, provides leadership and support for the

Compliance and Ethics Program within management area.

1. Attempts to resolve any compliance issues brought to his/her attention, and reports

all significant compliance issues to the Compliance Officer, and assists in their

resolution in any way necessary.

1. Ensures timely and accurate reporting and responses to compliance and HIPAA-

related 6 issues and monitors the implementation of corrective action plans related to

such issues.

1. Ensures that staff participates in orientation and training programs including but not

limited to all required compliance courses and relevant policies and procedures, and

that such training is properly documented. Participates in compliance and other

required training programs.

1. Provides open lines of communication regarding compliance issues within

management area and access to the Integrity Line, and ensures that retaliation against

staff who report suspected incidences of non-compliance does not occur. Promptly

reports concerns and suspected incidences of non-compliance to supervisor,

Compliance Liaison and/or to the Compliance Officer.

1. Participates in education, monitoring and auditing activities and investigations, and

implementing quality assurance and performance improvement processes, asrequired.

1. Completes performance reviews and determines compensation and promotions

based on the accomplishment of established standards that promote adherence to

compliance and quality standards.

1. Acts as business location Privacy Officer.

2. Prepares compliance reports, as required.

Center Risk Manager Activities – Florida Center's

1. Responsible for implementation and oversight of the facility's risk management and

quality assurance program and committee.

1. Develops appropriate measures to minimize the risk of adverse incidents to

residents.

1. Overall administration of center's internal risk management and quality assurance

program, to assess resident care practices; review facility quality indicators, facility

incident reports, deficiencies cited by the agency, and resident grievances; and develop

plans of action to correct and respond quickly to identify quality deficiencies.

1. Oversight and administration of policies and procedures to implement the internal

risk management and quality assurance program.

1. Other duties as assigned to ensure compliance and consistent application of all

internal risk management and quality assurance program policies and practices.

SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:

1. Center Executive Director must be licensed according to state regulations and must

attend continuing education as required.

1. This position requires that the employee is able to read, write, speak and understand

the spoken English language to ensure the safety and wellbeing of our patients and

visitors at the work site when responding to their medical and physical needs.