Walworth County Director of Nursing in Elkhorn, Wisconsin

This position is responsible for planning, supervising and implementing resident care services and programs to assure quality resident care and management of the Nursing Department.

SUPERVISION This position directly supervises two Nurse Mangers, two Assistant Nurse Managers, the MDS Coordinator, the LPN Medical Records Lead Worker, the LPN Medical Records, a Clerk IV (Medical Records) and is responsible for the overall direction, coordination and evaluation of the Nursing Department. The Director of Nursing carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. In collaboration with the Nursing Home Administrator, allocates department resources in an efficient and economic manner to enable each resident to attain or maintain the highest practical physical, mental, and psychosocial well-being.


Days: Monday - Friday (weekend rotation) Work Hours: 8:00 am - 5:00 pm Hours Per Shift: 8 Shifts Per Pay Period: 10 Position FTE: 1.00 FTE (Full-Time)

Applications are being accepted from Walworth County employees as well as members of the public.

Essential Duties and Responsibilities:

This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.

Monitor compliance of applicable federal and state laws and regulations and maintain standards of practice as outlined by the Wisconsin Nursing Practice Act.

Develop, maintain, and implement nursing policies and procedures that conform to current standards of nursing practice, facility philosophy, and operational policies while maintaining compliance with state and federal laws and regulations.

Communicate and interpret policies and procedures to nursing staff and monitor staff practice and implementation.

Ensure the delivery of compassionate quality care and nursing supervision, as evidenced by adequate services and staff coverage.

Identify needed resources and review the work of nursing staff while developing a budget and maintaining expenditures.

Review the 24-hour report from every unit daily to monitor and ensure timely, effective responses to significant changes in condition, transfers, discharges, use of restraints, unexplained injuries, falls, behavioral episodes, and medication errors.

Review missing/damaged items reports and call light response reports on a daily basis.

Demonstrate knowledge and application of Key Clinical Quality Indicators, MDS assessments, CMI scores and proactively monitor and implement systems to achieve success and maximize revenue.

Participate and supervise effective wound care rounds on no less than a weekly basis.

Exercise overall supervision of resident assessments and care plans.

Create individual, comprehensive training programs for new employees in the nursing department.

Ensure that systems are in place to provide for educational developmental needs and mentoring of nursing department staff. Evaluate, at least annually, the performance of nursing department employees.

Participate in State and Federal nursing home surveys and help to develop plans of correction for nursing service deficiencies as warranted and implement and monitor the plan of correction.

Monitor direct care contractual services pharmacy, x-ray, lab, therapy, etc. for compliance in meeting resident care needs.

Collaborate with resident care staff at all levels in the development, implementation and evaluation of resident care programs.

Participate in the admission process of prospective residents in terms of their nursing needs and appropriate placement.

Oversee nursing schedules to assure they meet residents' needs and regulatory and budgetary standards.

Assist in the identification and correction of problems in the nursing care delivery systems in coordination with the nursing management staff.

Oversee the investigation of alleged resident abuse, neglect or misappropriation and submit to the State as warranted.

Routinely perform rounds to observe care and to interview staff, residents and family members.

Coordinate a functioning Quality Assessment and Assurance Committee, whose responsibilities include the identification of quality issues and implementing corrective action as needed.

Supervise the implementation, and monitoring of the infection control program designed to provide a safe, sanitary, and comfortable environment designed to prevent the transmission of diseases and infection.

Review infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections.

Attend and participate in meetings and on committees in accordance with Walworth County Administrative Procedures.

Provide counseling and/or education for residents and family members in coordination with the Unit Supervisor and/or Nurse Manager as needed.

Participate in the recruitment and selection of nursing personnel and assure sufficient staff is hired.

Ensure that the duties of nursing personnel are clearly defined and assigned to staff members consistent with the level of education, preparation, experience and licensing of each.

Assist the Quality Operations Manager in the planning and coordinating of in-services and education classes for all facility staff including the yearly twelve (12) hours of federally mandated CNA training and four (4) hours of yearly CMA training and dementia/behavioral health training for all staff.

Coordinate with Gateway Technical College (GTC) the undergraduate and graduate nurse, Licensed Practical Nurse, CNA and CMA clinical experiences.

Participate and/or attend as required all in-services provided for employees as appropriate to the job classification.

Promote teamwork, mutual respect and effective communication.

Promote customer service and hospitality and respond to and adequately resolve complaints or concerns from residents or family members about nursing services.

Develop systems that support the individual needs of physicians and educate staff regarding these systems.

Monitor facility incidents and complaints daily to identify those defined as unusual occurrences by State policy and promptly report such occurrence to the Nursing Home Administrator.

Promote compliance with accident prevention procedures, safety rules, and safe work practices to prevent employee injury and illness and control worker's compensation costs.

Act in an administrative capacity in the absence of the Nursing Home Administrator.

Be on call at all times, or designate another registered nurse to be on clinical call.

Demonstrate a commitment to county safety and risk management efforts.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience Associate's degree in nursing with a minimum of three years of geriatric experience, preferably in long-term care and a supervisory position. Bachelor's degree preferred. Proven experience in ability to work with mathematical concepts such as probability and statistical inference, as well as ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.

Interactions and Communications Required to actively persuade and/or direct others toward the achievement of expected outcomes.

Certificates, Licenses, Registrations Current Wisconsin Registered Nurse license.

Decision Making This position has authority to make decisions by interpreting and applying department policies and practices with general managerial direction as needed. These decisions directly impact performance at the department wide level and decision making requires a close collaboration of all those involved in the decision making process.

Thinking and Problem Solving In relation to established procedures, protocols and policies of the County, challenges and problems occurring in this position must be addressed within broader, department-wide procedures and practices.

Tools & Equipment Used Telephone Various related medical devices Calculator Audio/Visual Equipment Copy Machine Dictaphone FAX Machine Cellular Phone Personal Computer/Printer

WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly exposed to fumes or airborne particles. The employee is frequently exposed to moving mechanical parts. The employee is occasionally exposed to wet and/or humid conditions, toxic or caustic chemicals, outside weather conditions, risk of electrical shock, and risk of radiation. The noise level in the work environment is usually moderate.

PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear. The employee frequently is required to walk, sit, reach with hands and arms, and taste or smell. The employee is occasionally required to stand; climb or balance; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move more than 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Selection Process:

TO INCLUDE: Formal Walworth County Electronic Application Education and Experience Review Verification of Licensure Oral Department Interview Reference Check Background Check Post Offer Physical Exam Drug Screen

Other job related tests may be required.

Job Code: 2016-00241

Job Title: Director of Nursing

Closing Date/Time: Thu. 11/03/16 5:00 PM Central Time

Salary: Depends on Qualifications

Job Type: Full-time

Location: Elkhorn, Wisconsin

Department: Lakeland Health Care Center