Assistant Director of Wellness

Job Description

Job Description

The Assistant Director of Wellness will assure compliance with company policy and the State Health Department’s regulatory requirements for the admission and discharge procedure as well as appropriate documentation requirements. Additional responsibilities include in-service education on health/wellness related topics and on the spot training to address identified performance concerns and/or improvements.

As a member of a multi-disciplinary team, the Assistant Director of Wellness assists the Director of Wellness in the development of the Resident’s service plan through collaboration with the Resident, the Resident’s family or Representative, the Resident’s primary care physician, the property Management Team, and any appropriate third-party providers. The Assistant Director of Wellness provides primary Resident supervision and acts as support to Residents, oversees admissions and discharges processes; provides orientation, social/emotional support, arranging for needed services; provides off-site visits and evaluations to residents in hospital and rehabilitation centers, and maintains Wellness/Reflections nursing notes as per company policy.

DUTIES AND KEY RESPONSIBILITIES :

1. Administrative Services:
   1. Responsible for overall supervision of the Resident Services Department in the absence of the Director of Wellness
      1. The Assistant Director of Wellness will cross cover responsibility for the overall supervision of Wellness and Reflections
   2. Must be familiar with and able to implement emergency procedures as outlined in the Emergency and Disaster Plan.
   3. Responds to all requests for information and all other activities as directed by the Executive Director, Director of Wellness, and/or the Vice President of Clinical Services.
   4. Responsible for the 24-hour, 7 days a week operation of the Wellness / Reflections Unit when the Director of Wellness is absent/unavailable:
      1. Monitor proper scheduling and assignment of staff for Wellness and Reflections Program in accordance with company policy and State Health Department regulations
      2. Work collaboratively to find adequate coverage as needed in Wellness and Reflections

• Available and responsive to staff and/or Management and/or Resident’s families/providers for immediate consultation 24/7

1. Maintains on-going infection control surveillance, OSHA standards, universal precautions and basic sanitation and safety in Wellness Office and the Reflections Unit inclusive of the Resident’s apartments.
2. Assures the accuracy of Resident records and documentation in adherence with company policies as well as regulations of the State Department of Health.
3. Reviews electronic health records dashboard throughout shift to ensure compliance with company policies.
4. Assures the medication management system adheres to State and local Department of Health laws and regulations and company policies, as well as Memory Care requirements:
   1. Assures thorough reviews of Medication Administration Records to include “chart to cart” audits and monitoring of electronic record dashboard.
   2. Addresses all findings as a result of the review and develops appropriate training strategies to address such findings
5. Follows the company policies and procedures related to incident reporting and notifications as well as State Department of Health Regulations including informing Director of Wellness and Executive Director of incidents.
6. Maintain active community and professional relationships to support positive promotion of the company.
   1. Develop contacts with community agencies serving senior citizens and clergy and refers residents where/when appropriate.
   2. Maintain a liaison with facility and the community nursing homes, hospitals and assisted living facilities.
7. Conducts daily observational walk-through of the Main Dining Room/Reflections Dining Room to assure Residents are appropriately groomed and dressed
8. Performs other duties as assigned by the Director of Wellness, the Executive Director, and Vice President of Clinical Services.
9. Monitor and maintain documentation on the Emergency Response System to ensure compliance, reporting findings to the ED as required

1. Resident Supervision :
   1. Acts as Resident advocate
      1. Visits with Residents to evaluate their concerns
      2. Refers all Resident complaints and/or concerns to the Director of Wellness and/or Executive Director for immediate investigation and resolution
   2. Provides oversight to the admission process of the Resident to include:
      1. Conducts pre move in evaluations
      2. Reviews appropriateness and accuracy of the Resident’s physician evaluation for sign off on same

• Conducts (or delegates as appropriate) Initial Level of Care Evaluation of Resident prior to admission into the community and follow-up evaluation as per company policy and State Department of Health regulations.

1. Provide initial and ongoing orientation to facility for new Residents.
2. Acclimate Resident and introduces them to other Residents.
3. Encourage Residents to participate in social activities.

1. Inform ED, Director of Wellness and Department Heads of the general well-being or Residents as well as their ability to live in the Assisted Living setting.
2. If delegated by ED or Director of Wellness, communicates change in Resident status to the Resident’s Representative and appropriate Administrative/Home Office Business Staff.
3. Monitor the Wellness and Reflections Communication Logs daily for any unusual occurrences or changes in resident’s status and records and insures interventional strategies appropriately.
4. Ensure all corporate policies and procedures and State Department of Health Regulations for Assisted Living Residences, Special Needs Program are followed and maintained.
5. Supervise Wellness and Reflections Unit staff to ensure that Residents receive appropriate care and services.
6. Coordinate care with the Department Heads, Resident’s physician, and other third-party providers:
   1. Collaborate with the Director of Wellness and Director of Case Management to assist residents with referrals to pertinent agencies when needed; i.e., Long Term Care insurance forms, nursing homes, social services agencies, Able Ride, etc.
   2. Assist with hospital, skilled nursing facility, rehab centers, et al, with transfers and discharges and liaises external staff and discharge planner to determine suitability of Resident to return to facility:
      • Conduct off site visits as indicated/requested by ED/ Director of Wellness.

• Act as a liaison with Resident’s personal physician and other healthcare providers.

1. Refer Resident service problems to the appropriate Department Managers and Director of Wellness and Administration as necessary.

1. Develop and keep accurate Resident records in compliance with company policy and regulatory rule:
   1. Collaborate in the development of the Resident service/care plans with multidisciplinary team, healthcare providers, third party providers (particularly home health) and the Resident’s family/Legal Representative.
   2. Review and revise resident service plans every six months and when a change in resident status warrants.

• Document necessary social, recreational, physical, emotional, mental / behavioral health findings, needed and ordered interventions, and eventual outcomes

1. Review visiting and outside physician and provider notes and implement any changes in prescribed management as ordered by physician,

1. Assure annual physician evaluations are completed.
2. Oversee and document review of Residents who are self-administering medications to ensure continued competency and report all findings to ED, Director of Wellness, Resident’s physicians and Representatives – follow up as needed and indicated;
3. Conduct skin observations on Residents, documenting findings to maintain compliance, and report findings for follow up.

1. Staff Education, Development, Supervision and Evaluation:
   1. At the request of the ED and/or Director of Wellness:
      1. Interview, recommend for hire and promotion, train, supervise, evaluate, coach, discipline, and refer to ED and Director of Wellness for termination:
      2. Supervise care staff

• Conduct and/or schedule staff in-services to improve the quality of care to respond to both individual and global staff identified needs

1. Follow company in-service schedules to meet State Department of Health requirements as well as company policy
2. Assure in-service training, competency observations
3. Assure Medication Aides are in compliance with all State Department of Health training and ongoing in-services requirements

1. Conduct periodic health seminars for the Residents and/or Residents’ families in collaboration and coordination with the Director of Recreation.
2. Provide oversight of the staff audit process as delegated by the Director of Wellness
   1. Conduct and monitor staff completion of audits including but not limited to: ERS, Controlled Substances, Medication Administration Records, Medication Carts, Resident medical files and Resident care
   2. Report findings of the audits to the Director of Wellness

• Assist ED and Director of Wellness with plans of corrections based on findings; follow ups as required to ensure staff and findings are in compliance

1. Follow all workplace injury procedures, including completion of reports for timely reporting and issuing corrective action when necessary.
2. Adhere to and uphold company policies and procedures.

QUALIFICATIONS :

• Minimum of three (3) years’ experience working with a senior population.
• Experience managing staff.
• NY communities: Licensed Practical Nurse at a minimum, Registered Professional Nurse, preferred.
• NJ communities: Registered Professional Nurse required.
• Working knowledge of medical and nursing terminology.
• Level of proficiency with Microsoft Office including email.
• Experience in use of electronic health records/data base management systems.
• Ability to speak clearly and comfortably to and deal courteously, compassionately, and efficiently with Residents, Residents families, physicians, property personnel, and others.
• Ability to use discretion in handling confidential information.
• Ability and flexibility to tolerate frequent work interruptions, organize work and re-set priorities in order to complete work responsibilities in a timely manner.
• Must be emotionally, mentally and physically able, with or without reasonable accommodations, to provide required services to residents, including verbally communicating with residents.
• Must be able to speak, read, and write in English, which is the predominant language of a majority of our residents.
• Excellent communications skills both verbal and written.
• Must be able to listen attentively to residents' requests and preferences, ensuring exceptional customer service.
• Knowledge and demonstrated performance of in-service procedures.

WORKING CONDITIONS & PHYSICAL REQUIREMENTS :

• Responsible for the 24-hour, 7-day a week operation of the Wellness/Reflections departments in conjunction with Director of Wellness
• Responsible to be a resource to departmental staff and available for off shift, on site visits to building when necessary.
• Shift changes may be required depending on the needs of the Wellness Department and/or Reflections Unit
• Exposure to blood borne pathogens and body fluids.
• Communication with Residents, Residents Families, physicians, and other licensed providers
• Acute sense of smell and intuitive nature
• Listening for falls, cries, choking, door alarm, etc., 100%
• Bending, squatting, kneeling, and lifting occasionally.
• Climbing stairs occasionally
• Driving to off-site facilities/locations
• Standing 10%
• Walking 20%
• Sitting 30%
• Talking 30%
• Driving 10%