LPN NOC SHIFT

Department	Nursing
Reports to	Director of Nursing, Assistant Director of Nursing
Reporting to this position	Clinical Nurses, Certified Nursing Assistants, Unit Clerks and Support Staff
Job Classification	Administrative/Management
Position Purpose	Assists the Director of Nursing; plans, develops, organizes, and coordinates day to day functions of the unit.

Major Duties and Responsibilities - Wage based on years of experience

Keep the Director of Nursing Services informed regarding problems, concerns, and needs within the department.

• Work as a team with other facility departments.
• Responsible for the overall coordination of the Care Center, including:
• Supervise Med Nurses and NAC documentation
• Resident Assessments.
• Care Plans including the Functional Maintenance Section
• Overseeing/completing admissions and discharges
• Coordinate physician Medicare Part A certifications and appointments. *Leading Triple checks weekly, PDPM meetings, and QA meetings.
• Functional maintenance programs for residents on the unit
• Managed Care Plans
• May have to cover for Charge nurses and team leaders when needed.
• Utilizes the current RAI Manual as a resource during the assessment coding process.
• Schedules the Assessment Reference Dates (ARDs) for payment assessments in a manner that accurately captures each resident’s clinical characteristics for payment classification purposes.
• Schedules the ARDs for all OBRA (Omnibus Budget Reconciliation Act) assessments daily, monthly, and as needed.
• Provides a schedule of ARDs and assessment types weekly and as needed to the interdisciplinary team (IDT) in order to facilitate the timely completion of MDS sections and CAAs (Care Area Assessments) by each discipline.
• Communicates with members of the IDT as needed for timely completion of assessments. Expected to report any issues with timeliness to the Administrator and DNS/ADON.
• Transmits assessments in accordance with current regulations. To facilitate timely receipt of validation reports, will transmit as frequently(daily) as necessary to obtain timely validation of MD acceptance into the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) System data base.
• Confirms transmission files by review and printing of initial and final validation reports.
• Corrects any fatal errors immediately and retransmits the assessment until an accepted validation report is received.
• Addresses non-fatal errors using the QIES ASAP System MDS 3.0 Provider User’s Guide.
• Ensures the Business Office designee receives the initial and final validation report that
• acknowledges the acceptance of the MDS into the QIES ASAP.
• Facilitates the completion and updating of resident care plans with the IDT to reflect each resident’s current needs.
• Communicates with the IDT to identify residents in need of a Significant Change in Status assessment, based on criteria in the current RAI manual.
• Participates in all resource utilization and/or triple check meetings prior to billing of claims associated with payment assessments.
• Assists with admission, discharge, or care of residents as needed.
• Attends or participates in continuing education related to the RAI process and related programs.
• Completes all assigned training and skills competency, as determined by the facility assessment and facility training plans.
• Performs administrative duties as assigned, including but not limited to QAPI activities and participation in department or committee meetings.

4. Initiate Care Plan updates on an ongoing basis to ensure continuous accuracy.
5. Maintain Care Conference schedule and coordinate documentation flow.
*Obtain resident signatures on necessary documents.
* Obtaining MOU when appropriate.

* Obtain signatures from appropriate DSHS caseworkers.

6. Keeps abreast of government and Home requirements.
7. Implements and enforces these requirements.
8. Must be able to lead and work as a member of the health care team.
9. Must have basic computer skills, including data entry and word processing.
10. Acts as a liaison between the family members and the Home.
11. Other duties as necessary or assigned.

Additional Assigned Tasks

1. Treats all residents with dignity and respect. Promotes and protects all residents’ rights.
2. Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines.
3. Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
4. Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
5. Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.
6. Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse, and cooperates with all investigations.
7. Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
8. Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan.
9. Reports work-related injuries and illnesses immediately to supervisor.
10. Follows established infection control policies and procedures.
11. As a condition of employment, completes all assigned training and skills competency.
12. Completes assigned portions of MDS. Attends care-plan meetings of assigned residents.
13. Participates in QAPI or facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee
14. Accepts licensed nurse assignments, as staffing needs require. Performs licensed nurse duties as assigned, in accordance with facility policies and procedures.
15. Uses proper lifting and body mechanics while delivering care to residents.

Personal Skills and Traits Desired/Physical Requirements/Working Conditions

1. Ability to read, write, speak and understand the English language.
2. Must be a supportive team member, contribute to and be an example of team work.
3. Ability to make independent decisions when circumstances warrant such action.
4. Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
5. Must have patience, tact, and willingness to deal with difficult residents, family and staff.
6. Must be able to relay information concerning a resident’s condition.
7. Must not pose a threat to the health and safety of other individuals in the workplace.
8. Must be able to move intermittently throughout the workday.
9. Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases.
10. Ability to work beyond normal working hours and on weekends and holidays when necessary.
11. Ability to assist in evacuation of residents during emergency situations.
12. Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
13. May be subject to falls, burns from equipment, and/or odors throughout the day; encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants.
14. Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis.
15. May be subject to hostile or emotional residents, family members, visitors or personnel.
16. Must possess leadership and supervisory ability and be willing to work harmoniously with and supervise other personnel.
17. Ability to work beyond normal working hours and on weekends/holidays when necessary.
18. Ability to work independently, and to organize, plan, and manage time effectively to complete assignments.
19. Effective verbal and written communication skills.
20. Strong listening skills and ability to deal with conflict with professionalism and courtesy.
21. Basic computer skills, including ability to navigate electronic medical record systems.
22. Positive interpersonal relationship skills, including with persons of all ages and cultures.
23. Communicates with medical staff, nursing personnel, and other department heads.
24. Subject to call back for emergency situations.
25. Subject to work beyond scheduled working hours and on weekends and holidays as needed.
26. Dexterity of hands and fingers to perform resident care.

Compliance as a Condition of Employment and Performance Appraisal

Agreement to abide by all standards, policies, and procedures of the facility, including the facility’s compliance and ethics program, is a condition of employment. Compliance will be a factor in evaluating job performance. Violations, including failure to report violations, will result in disciplinary action, up to and including termination.

This job description is intended to convey the general scope of the major duties and responsibilities inherent in this position. Other tasks not listed here may be assigned if the tasks are similar or related to the essential duties of the position. Periodic revision may be necessary to reflect changes in expectations placed on the long-term care industry by various governmental agencies. This job description will be reviewed and/or revised annually and as needed.

Individual performance will be evaluated using the following scale:

1. Unsatisfactory: Achieves results that are far less than the standards identified for the performance factors rated.
2. Needs Improvement: Achieves results that are less than the standards identified for the performance factors rated. Exhibits the potential to become a competent performer. May be new to job or need skill development.
3. Meets Standards: Achieves results that meet the standards identified for the performance factors rated. This rating is the expected level of performance.
4. Exceeds Standards: Achieves results that usually exceed the standards identified for the performance factors rated.

Reasonable Accommodation Statement

Consistent with the Americans with Disabilities Act (ADA) and Washington state civil rights law, it is the policy of The Washington Odd Fellows Home to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Human Resources at (509) 526-6866.

Qualifications

Required Qualifications

Minimum requirements include the following:

1. A nursing degree from an accredited college or university,
2. Minimum two (2) years of experience providing direct care in long-term care, restorative or geriatric setting as an LPN/RN.
3. Minimum (1) year of experience in nursing management.
4. Current CPR Certification.

Must also meet state requirements for relevant licensures or certifications and have no disciplinary action in effect against professional license.

Salary Range

$30.00 - $36.00 Hourly