Director of Nursing (Finance)

Job Summary
Manages the day-to-day clinical services of the community to verify that residents' activities of daily
living (ADLs) and healthcare needs are met. Verifies residents are treated with respect and dignity and
verifies residents are receiving quality care as their needs change. Supervises and provides leadership, as
well as coaching, to licensed nurses and other direct care staff within the community, while creating an
inclusive community culture that provides high quality resident experiences and care, and engages
residents, families, and associates.

The HWD level for each community is determined based on the total complexity of the role. Complexity
criteria include, but are not limited to, factors such as size, type of product lines, medication management
regulations, 90-day assessment requirements, multiple licensure requirements, state regulatory
complexity, and skilled services requiring an RN.

Essential Functions

1. Directly supervises community-based licensed, certified, and non-certified clinical
   associates.
2. Partners and collaborates with district team leaders to verify that day-to-day clinical
   services meet Company standards and applicable state regulations.
3. Leads care associates and community to gain a reputation for best in market ADL
   care.
4. Acts as a hands-on leader who supervises, directs, and motivates clinical associates.
   Attracts, develops, engages, and retains associates in accordance with Company
   policies. Recruits and hires high quality and engaged direct care staff while
   confirming they are appropriately trained and developed to meet the needs of
   residents.
5. Reviews promotions, development plans, disciplinary actions, and termination
   decisions ensuring consistency in the selection and retention of quality direct care
   staff. Encourages teamwork and collaboration, and cultivates an inclusive community
   culture, while maximizing labor productivity and efficiencies. Analyzes trends and
   implements strategies to reduce turnover and increase retention of direct care staff,
   appropriately minimizing premium labor.
6. Provides training and education to direct care staff on an ongoing basis with
   classroom in-services and situation-specific training.
7. Supervises the maintenance of resident charts and reviews documentation performed
   by clinical staff.
8. As described and allowed in the Nurse Practice Act and as required by state
   regulation, proactively manages care and services for each resident, evaluates
   effectiveness, and maximizes the resident's opportunity to remain in their
   environment. Participates in pre-admission screening of prospective new residents.
   Confirms that required documentation is completed prior to or upon resident
   admission.
9. Manages communication to residents and residents' responsible party regarding care
   needs and healthcare appointments.
10. Assesses potential new residents and educates referral sources on the community's
    care/acuity guidelines for admission. Engages with healthcare providers in care
    coordination for residents and to increase understanding and visibility of Brookdale's
    services in the local market.
11. Performs on-site evaluations of residents admitted to alternate care environments for
    treatment, and maintains contact with resident families with the intent of returning
    resident to Brookdale, as appropriate. Facilitates continuity of care for those residents
    receiving home health care, hospice services, and other third party healthcare-related
    services.
12. Evaluates residents, documents changes in condition, and notifies Executive Director,
    resident's physician, and resident's legally responsible party/family of resident's
    condition and reactions. Confirms in-house ancillary medical services (i.e., doctor
    visits, dental visits, psych visits, lab, X-ray, ambulance, etc.) are scheduled and
    completed as necessary.
13. Participates in or leads meetings relevant to resident care issues, such as Service Plan
    meetings, involving appropriate parties as needed.
14. Assists Executive Director with resident retention through participation in new
    resident welcome events, resident referral programs, Creating a Resident Experience
    (CARE) program, and collaborative care review process.
15. Participates in department quality improvement activities.
16. Routinely evaluates resident transfer and mobility needs, and verifies clinical staff
    are aware of any changes.
17. Shares on-call for clinical care concerns and manager on duty (MOD) responsibilities
    with other key department leaders as required.
18. Enforces current Company policies and procedures. Maintains applicable licenses in accordance with Company, Federal, State, and local requirements.

This job description represents an overview of the responsibilities for the above referenced position. It is
not intended to represent a comprehensive list of responsibilities. An associate should perform all duties
as assigned by their supervisor.

Education and Experience

1. Education as required to obtain state nursing license (LPN/LVN or RN).
2. Minimum of 3 years clinical leadership experience preferred.
3. Working knowledge of basic technology and electronic documentation.
4. Skilled nursing experience may be required.

Certifications, Licenses, and other Special Requirements
State nursing license (LPN/LVN or RN). Must have valid driver's license.

Physical Demands and Working Conditions

• Standing
• Walking
• Sitting
• Use hands and fingers to handle or feel
• Reach with hands and arms
• Climb or balance
• Stoop, kneel, crouch, or crawl
• Talk or hear
• Taste or smell
• Ability to lift: up to 50 pounds
• Vision
• Requires interaction with co-workers, residents or vendors
• Occasional weekend, evening or night work if needed to ensure shift coverage
• On-Call on an as needed basis
• Possible exposure to communicable diseases and infections
• Potential injury from transferring, repositioning, or lifting residents
• Exposure to latex
• Possible exposure to blood-borne pathogens
• Possible exposure to various drugs, chemical, infectious, or biological hazards
• Subject to injury from falls, burns, odors, or cuts from equipment
• Requires Travel: Occasionally

Management/Decision Making
Applies existing guidelines and procedures to make varied decisions within a department. Uses sound
judgment and experience to solve complex problems based on precedent, example, reasonableness, or a
combination of these. Demonstrates leadership skills to be responsible for the overall direction,
coordination, and evaluation of resident care. Carries out supervisory responsibilities in accordance with
the Company's policies and applicable laws.

Knowledge and Skills
Possesses extensive knowledge of necessary clinical skills. Effective written and oral communications
skills are essential. Familiarity with Microsoft software preferred. Ability to prioritize and effectively
manage multiple tasks is essential. Ability to delegate assignments to the appropriate individuals based on
their skills, roles, and interests. Demonstrates good judgment and strong problem solving and decision
making skills.