DEPARTMENT OF PUBLIC HEALTH

Laguna Honda Hospital Assistant Nursing Home Administrator (ANHA), Care Experience
0941 Manager VI


Under the direction of the Chief Executive Officer/Nursing Home Administrator, the Assistant Nursing Home Administrator (ANHA), Care Experience’s primary goal is to provide a home-like environment for our residents and to protect and promote their resident rights. This position functions as an executive for the distinct part skilled nursing facility (D/P SNF) at the Laguna Honda Hospital and Rehabilitation Center (LHH) and is responsible and held accountable for all functions and activities for their respective departments. This is a senior executive-level position and will report to the LHH’s Chief Executive Officer/Nursing Home Administrator. They lead, guide, and direct the operations of the D/P SNF healthcare facility in accordance with local, state, and federal regulations, standards and established facility policies and procedures to provide appropriate care and services to residents.

The ANHA also provides leadership and direction in developing new programs and establishing organizational policies, priorities, and objectives; directs and coordinates the implementation of program changes; and performs related duties as required. The ANHA makes decisions which directly impact the facility including the health and welfare of the residents cared for, staff employed and the community served. This position exercises supervision exercises supervision over departments that include, but are not limited to: Activity Therapy, Equity and Culture, Salon Services, Care Experience, Spiritual Care, Vocational Rehabilitation, Ombudsman Liaison and Volunteer Services. In addition, the ANHA will oversee the resident grievance program and resident council.


ESSENTIAL DUTIES

The LHH Assistant Nursing Home Administrator (ANHA), Care Experience (0941 Manager VI) will:

  1. Plan, develop, organize, implement, evaluate, and direct the overall operations of the Activity Therapy, Equity and Culture, Salon Services, Care Experience, Spiritual Care, Vocational Rehabilitation, Ombudsman Liaison, Volunteer Services departments of the facility as well as its programs and activities, in accordance with current state and federal laws and regulations.

  2. Oversee the resident grievance program and resident council.

  3. Plan, develop, organize, implement, evaluate, and direct the facility’s programs and activities in accordance with guidelines issued by the governing body.

  4. Identify, in conjunction with selected leadership team members, the facility’s key performance indicators. Establishes an ongoing system to monitor these key indicators via the Quality Assurance and Performance Improvement process.

  5. Evaluate key performance indicator outcomes with the leadership team to determine the need for action from leadership and creation of effective action plans based on the LHH performance improvement process.

  6. Know and understand general skilled nursing facility practices and procedures, OBRA regulations, Code of Federal Regulations, State Regulations (Title 22), Appendix PP State Operations Manual, Life Safety Code regulations, applicable labor relations laws, and all other regulatory entities that may apply.

  7. Oversee, promote, and ensure a strong resident grievance process so concerns are addressed with a sense of immediacy.

  8. Develop and implement processes and systems in conjunction with the Chief Financial Officer that maintains the fiscal health of the facility.

  9. Develop and execute a census and occupancy management strategy that results in improved census and improved fiscal health for the facility.

  10. Serve as the facility representative and spokesperson to the public as well as in the professional arenas. In so doing, must periodically successfully deliver a confident, concise, message on a variety of topics that is understood by a wide range of persons with diverse backgrounds and levels of education.

  11. Lead, coordinate, and/or partner in daily, weekly, bi-monthly, or monthly management team meetings to discuss priorities and develop solutions with facility leaders regarding topics that may include census, clinical health, survey readiness, customer service satisfaction, activity participation, etc.

  12. Develop and maintain positive relationships with residents, employees, and family members through scheduled, deliberate positive interactions with them using face to face, phone, or other means of communication.

  13. Evaluate work performance of department heads and maintains accountability across all departments in concert with Human Resources for expected performance outcomes in each respective department.

  14. Facilitate, serve, attend, or participate in various committees of the facility as necessary.

  15. Understand, continue to learn, and teach others about new CMS program initiatives such as value-based purchasing programs like SNF-VBP, SNF-QRP, Quality Measures, Nursing Home Compare, Payroll Based Journal reporting, etc.

  16. Ensure delivery of compassionate quality care and services across an interdisciplinary team approach as evidenced by adequate, and competent facility staff, employee turnover, general cleanliness, physical plant condition, and optimal resident functioning-physically and psychosocially.

  17. Identify and collaborate with members of the interdisciplinary team, physicians, consultants, and community agencies to identify opportunities for enhanced services to the residents and/or resolve issues.

  18. Recruit talented, qualified individuals in conjunction with Human Resources to fill department head positions as a key factor in building and maintaining a strong and capable team.

  19. Perform rounds to engage with residents and the care environment to ensure overall needs are being met and that a homelike environment is maintained. Makes themselves available to employees at all levels by practicing an open-door policy.

  20. Makes themselves available periodically on a routine, scheduled basis across all three shifts to engage staff.

  21. Conduct periodic observations of in-service education to ensure staff members delivering the education are competent with the knowledge and skill set required to accomplish employee learning.

  22. Promote teamwork, mutual respect, and effective communication. Promotes positivity and active daily problem solving.

  23. Lead, in conjunction with the Chief Financial Officer, weekly or bi-monthly budget compliance meetings to ensure financial goals are met.

  24. Review and interpret monthly financial statements and provide relevant information to the governing board.

  25. Make written and oral reports/recommendations to the governing board concerning the operation of the facility.

  26. Prepare, guide, and direct facility readiness for respective departments related to health inspection surveys, Occupational Safety and Health Administration (OSHA) surveys, and any other regulatory entity or requirement.

  27. Ensure follow up is completed with any “mock” survey or similar process used where issues are identified in preparation for health surveys, OSHA surveys, and any other regulatory requirements.

  28. Ensure the facility’s plan of correction response to any regulatory, inspection survey is completed, adequate, implemented, and timely for each supervised department.

  29. Communicate directly with residents, medical and nursing staff, family members, leadership team and members of the interdisciplinary team to coordinate care and services. Responds and resolves complaints and concerns when necessary.

  30. Manage and minimizes facility risk through a team approach to achieve desired outcomes in customer service, key performance indicators, employee retention and other areas as identified.

  31. Read and stay informed regarding regulatory, business practices, standards of care and other changes influencing facility outcomes; thereby, facilitating continued success for all.

  32. Engages in community-related events and associations such as the California Association of Healthcare Facilities (CAHF).

  33. Ensure resident incidents and concerns that rise to a reportable event such as alleged abuse, neglect, mistreatment, misappropriation, etc. are reported to the correct entity within the stated regulatory requirement.

  34. Promote and encourage an environment of trust among all employees related to the overarching goal of resident safety and abuse prevention.

  35. Promote safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness.

  36. Delegate administrative authority, responsibility, and accountability to other staff personnel as necessary.

  37. Perform other duties as required or assigned.

Minimum Qualifications


  1. LICENSE:

Possession of a current, valid, unrestricted license as a Nursing Home Administrator issued by the California Department of Public Health,

OR

Eligibility to sit for and pass the Nursing Home Administrator State and National Examinations per regulations (see Health and Safety Code Section 1416.55(d)) within twelve months of hire,

AND

  1. EXPERIENCE:

Five (5) years of verifiable, full-time experience managing in a long-term care environment, all of which must include supervision of professionals.

Desirable Qualifications

The stated desirable qualifications may be used to identify job finalists at the end of the selection process when candidates are referred for hiring. 

  • Active member of the California Association of Health Facilities (CAHF) and/or American College of Healthcare Executives (ACHE)

  • Completion of ACHE or CAHF Leadership Training or equivalent training

  • Success in contributing to the certification or recertification in a management role within a Long-term Care facility

  • Successful management and leadership experience in a licensed long-term care facility managed by federal (such as VA), state, or local government


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