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The County of DuPage
Wheaton, Illinois

Job Details for 4126 - Sub Acute Head Nurse

Job Description

FLSA STATUS: Exempt
GRADE: 313

POSITION SUMMARY
Under general direction; performs work of considerable difficulty supervising assigned staff and overseeing the clinical nursing management on the Sub Acute unit; serves as a member of the DPCC nursing management team; performs related duties as assigned.

DISTINGUISHING FEATURES OF THE CLASS
The employee in this class is responsible for managing the daily operations of the Sub Acute unit to ensure quality clinical care, patient satisfaction, and staff compliance with organizational policies and procedures. This position is distinguished from other Nursing management positions in that work involves regular consultation with all members of the interdisciplinary team involved with patient care on a specialized care unit providing short-term sub-acute rehabilitative care. Work is performed in accordance with established rules, regulations and standard practices of the profession including Public Health regulations and JCAHO standards. A substantial amount of time is spent supervising the work of subordinate professional and administrative staff. General direction is received from Nursing Administration and professional instruction from attending physicians, in addition, supervision is directly provided f0r approximately twenty-seven employees involved in providing and coordinating care for Sub Acute patients.

ESSENTIAL DUTIES AND RESPONSIBILITIES
The list of duties and responsibilities is illustrative only, and is not a comprehensive listing of all the duties and responsibilities performed by positions in this class.

• Coordinates daily operations on the unit to ensure quality clinical care and patient satisfaction
• Maintains quality care by reviewing the daily census, staffing, and pending admissions/discharges, and adjusts assignments accordingly;
• Consults with the nursing staff concerning the implementation of patient’s plans of care;
• Reviews doctor’s orders and receives all new orders to coordinate appropriate changes or services;
• Attends and/or leads meetings with Nursing staff, Nursing Administration, and/or physicians;
• Evaluates subordinate professional and sub-professional nursing personnel;
• Identifies and implements staff development needs;
• Identifies and resolves obstacles associated with unit processes and procedures;
• Updates Nursing Administration regarding sub-acute operations;
• Coordinates room changes with families and Admitting;
• Completes patient review with MDS nurse;
• Discusses patient needs with other departments, such as Physical Therapy or Recreation, and coordinates multiple services needed for patient care; coordinates contract therapies such as Occupational Therapy, Physical Therapy and Speech therapy;
• Provides professional nursing care by determining the kind and amount of nursing care required;
• Oversees the admissions and discharge processes to ensure a smooth transition for all patients;
• Makes periodic rounds to check quality of nursing care and to observe acutely ill patients;
• Contacts families of residents regarding issues that may arise such as medical or behavioral problems;
• Informs physicians of any important medical changes and conditions;
• Participates in the process of interviewing and hiring new personnel, and disciplines or effectively recommends such action for assigned staff including the MDS Coordinators and Administrative Staff;
• Functions as nursing representative on the unit during any licensing or accreditation survey;
• Keeps current with related professional developments, regulations and/or operational procedures impacting unit operations;
• Participates in facility-wide quality improvement initiatives and projects including but not limited to Quality First
• Maintains regular attendance and punctuality.

NON-ESSENTIAL DUTIES AND RESPONSIBILITIES
• Adjusts work assignments and schedules in the event of an emergency to participate in emergency preparedness, response, and recovery activities as assigned.
• Depending on assignment may maintain required emergency management training, licensure and/or certifications.
• Performs related duties as required or assigned within job classification.

QUALIFICATIONS
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 essential functions.

Knowledge of:
• Nursing techniques, routines and methods as applied in health care institutions;
• Sub-acute operations, Omnibus Budget Reconciliation Act (OBRA), Medicare, Illinois Department of Public Health (IDPH), Joint Commission on Accreditation of Health Care Organizations (JCAHO) and other regulatory agency standards and practices
• Current office practices, procedures and equipment
• County policies and procedures
• Applicable federal, state, and local laws, rules, regulations, codes, and/or statutes
• Management and leadership principles

Skill in:
• Supervising the nursing care of patients and the implementation of physician’s orders
• Identifying and resolving operational issues
• Preparing and supervising the preparation of accurate and detailed clinical, medical and other records and reports
• Managing multiple priorities
• Using computer hardware and software including word processing, spreadsheets, databases, email, etc
• Applying an acquired knowledge of procedures, rules, regulations and services applicable to the assigned office
• Planning, scheduling and supervising the work of others

Ability to:
• Plan, organize, manage and evaluate the work of the division to ensure efficient, timely and cost-effective services
• Prioritize and assigning work
• Manage projects and multiple priorities simultaneously
• Analyze problems, identify alternative solutions, project consequences of proposed actions, and implement recommendations in support of goals
• Plan, analyze and evaluate programs and services, operational needs and fiscal constraints
• Establish and maintain effective working relationships with department and division staff, other departments and others, such as vendors
• Communicate and use interpersonal skills to interact with coworkers, supervisor, the general public, etc. to sufficiently exchange or convey information and to receive work direction
• Ensure compliance with applicable federal, state, and local
• Monitor and evaluate employees
• Prioritize and assign work
• Analyze problems, identify alternative solutions, project consequences of proposed actions, and implement recommendations in support of goals
• Plan, organize, manage and evaluate the work of the division to ensure efficient, timely and cost-effective services
• Plan, analyze, and evaluate programs and services, operational needs, and fiscal constraints
• Provide leadership to effectively resolve issues

SUPERVISORY RESPONSIBILITIES
Exercises supervision of personnel in related area of responsibility.

EDUCATION and/or EXPERIENCE
Completion of a Bachelor’s degree in Nursing and five years Medical/Surgical or hospital nursing experience that included three years in a supervisory role; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job such as those listed above.

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

Heavy Work: Exerting up to 50 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Heavy work involves reaching, pushing and/or pulling with hands and/or arms to provide personal care. Use fingers and both hands for fine motor control. Standing, crouching and/or stooping.

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.

The work environment for this position regularly includes working with residents and attending to their daily needs. The noise level in the work environment is moderate to quiet.

CERTIFICATES, LICENSES, REGISTRATIONS
This position requires possession of a current Illinois Registered Nurse license.