NYC Health + Hospitals/At Home reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Job Description

PURPOSE OF POSITION
The Assistant Director of Nursing (ADN) - Service Delivery will be responsible for providing oversight to a clinical
team in the coordination and rendering of care delivery in the Certified Home Health Agency. This team will include
Registered Nurse but may extend to other members of the interdisciplinary care team. The Assistant Director of
Nursing- Service Delivery is a part of the leadership team that will focus on ensuring the assigned clinicians strive to
achieve the quality patient care outcomes that are steeped in evidence-based care and practices. In addition, the
Assistant Director of Nursing- Service Delivery will engage in efficient advisement, coaching and mentoring
strategies to the members of the care team in order to meet clinical and professional goals. The Assistant Director of
Nursing- Service Delivery will stay abreast of industry trends and regulatory guidelines that govern the home health
care team and clinical practice.

Duties & Responsibilities

SUMMARY OF DUTIES AND AREAS OF RESPONSIBILITIES
1. Directs, coordinates, and evaluates the delivery of Home Health services.
2. Monitors nursing staff assignments, caseloads, service utilization, and team productivity.
3. Provides direct supervision to field staff, including on-site supervisory visits.
4. Ensures all documentation is timely and accurate, including OASIS, plans of care and daily visit documentation.
5. Participates and provide training and continuing education as necessary.
6. Participates in nursing orientation where indicated.
7. Evaluates and ensures competency requirements including semi-annual to annual field evaluations are met for all clinical staff.
8. Performs field visits for the purpose of evaluating community health nurses and/or other disciplines participating in family conferences and may be asked to perform nursing visits in times of increased demands or scheduling issues.
9. Identifies appropriate staffing patterns and needs of assigned staff based on productivity and team census.
10. Provides updates on census, staffing, team productivity and other reports as requested.
11. Responsible for performance evaluations and disciplinary action of all assigned staff.
12. Coordinates appropriate communication and documentation between patients, agency, medical professionals, and referral sources.
13. Evaluates and suggest revisions to clinical documentation system.
14. Evaluates nursing documentation.
15. Performs case conferences and case load reviews for assigned staff as needed but minimally every two weeks.
16. Assists with assigned performance improvement data collection.
17. Implements performance improvement (PI) and Quality Assurance Performance Improvement (QAPI) plan as directed.
18. Ensures compliance with state and federal home health regulations as well as NYC H & H Home Care Policies and Procedures.
19. Participates in bimonthly to monthly QI meetings/Quality Committee meetings and clinical record review when needed
20. Participates in state or regulatory body surveys as needed
21. Provides direct field supervision to staff as well as in office staff in charge of care management and coordination.
22. Demonstrates sound judgment by taking appropriate actions regarding suspected violation of corporate compliance regulations.
23. Reports all suspected compliance issues to AED/DON, Compliance Officer or Compliance Hotline
24. Leads and participates in case conferences, utilization review and utilization management of admitted cases.
25. Conducts case load reviews and chart audits on a weekly to bi-weekly basis for all clinicians assigned to their team and develops interventions to correct identified deficiencies.
26. Ensure care delivery is rendered using the nursing process, and based on DOH/CMS and billing guidelines.
27. Monitors key metrics on the clinical and operational dashboard in EMR and performs data collection activities and related data analysis of the home care program.
28. Follows through on complaints and grievances as per agency policy and conducts chart reviews as needed to ensure issues are addressed timely and thoroughly.
29. Continuously analyzes work processes and makes suggestions for improvement.
30. Assigns staff to Interdisciplinary Team as needed to review care delivery and promote interdisciplinary management of patients admitted to the home care department.
31. Works with other members of the Interdisciplinary Team and other Directors/Assistant Directors (Social Work and Rehabilitation) to develop appropriate interventions in order to achieve clinical and functional goals.
32. Liaises with schedulers, TCNs to coordinate patient referrals, patient care and patient assignments and assists in determining the patient's eligibility for home care.
33. Assures the formulation, implementation and updating of an individualized care plan for each patient admitted to the CHHA.
34. Provides ongoing assessment of admitted patients to ensure patient safety while on the home care program
35. Provides coverage for weekend ADN as needed and when requested.
36. Performs other duties as assigned

Minimum Qualifications

MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES REQUIREMENTS
1. Incorporates knowledge of cultural differences through effective instructional interactions.
2. Comprehends principles of adult learning and incorporates them in formal and informal educational activities.
3. Engage in efficient advisement, coaching and mentoring strategies to help clinicians meet professional goals.
4. Remain aware of current issues/trends in healthcare and translates them to the clinical team.
5. Maintain and model ICARE values (Integrity, Compassion, Accountability, Respect and Excellence)
6. Maintains "state of the art" management/professional knowledge, credentials and skillset.
7. Functions in a way characterized by and conforming to technical and ethical standards
8. Exhibits a courteous, conscientious and businesslike manner when interacting with all stakeholders
9. Shows commitment to professionalism and excellence.
10. Provides leadership by satisfactorily managing relationships with and among customers (patients/clients, medical staff, volunteers, vendors, colleagues)
11. Demonstrates a capacity for accountability
12. Is able to render decisions fairly and equitably; in a timely manner.
13. Articulates the organization's vision in understandable terms and is able to model the organization's vision
14. Supports all appropriate hospital programs, including mandatories
15. Develops goals, and objective and establishes plan to accomplish responsibilities
16. Prioritizes activities, follows through, and meets deadlines
17. Supports all appropriate hospital programs, including mandatories
18. Develops goals, and objective and establishes plan to accomplish responsibilities
19. Prioritizes activities, follows through, and meets deadlines
20. Embraces cultural competence and incorporates the same in the daily team activities
21. Determines sources of conflict and responds timely to achieving a resolution
22. Skillfully and even handedly administers the human resources process (hiring, training, evaluating, developing, coaching and discipline) as related to the agency's policies and procedures.
23. Provides educational opportunities for staff.

Additional Qualifications

QUALIFICATIONS FOR THE JOB - CERTIFICATION(S)/LICENSE(S) REQUIREMENTS:
Current New York State Registered Nurse License COS-C Certification strongly recommended to be obtained within 1 year
EDUCATIONAL LEVEL AND EXPERIENCE REQUIREMENT:
Bachelor's Degree in Nursing required, Master's Degree in Nursing/Nurse Education preferred. AND- meet at least Four (4) of the following criteria:
• At least One (1) to two (2) years home health care experience in a Certified Home Health Agency in a leadership role
• Demonstrated knowledge of the Home Health Conditions of Participation, DOH/CMS and Joint Commission Regulations.
• One (1) to two (2) years acute care experience
• One (1) to two (2) years acute care experience AND
• One (1) to two (2) years experience as a CHHA nurse, CHHA Case Manager or CHHA Coordinator of Care AND
• One (1) to two (2) years demonstrated experience in the role of Health Care Administrator in a home health care agency.
KNOWLEDGEABLE IN:
A satisfactory equivalent of education and experience. However, all candidates must be licensed and currently registered to practice as a Professional
Nurse in New York State. Demonstrated knowledge regarding Federal, State and local regulations and JCAHO standards for Home Care.
Excellent verbal, written, organizational and analytical

Additional Qualifications

EQUIPMENT/MACHINES OPERATED:
Smart phone, Laptop Computer, Desktop Computer, Multifunction Copier

COMPUTER PROGRAMS/SOFTWARE OPERATED
Epic H2O Hyperspace, Epic H2O Remote Client, Microsoft Office (Outlook, Word, Excel, PowerPoint, Visio, OneNote)

YEARS OF EXPERIENCE:
Minimum two (2) years of experience in a Certified Home Health Agency
Minimum of 2 years of Public/Community Health and 2 years medical/surgical experience required. MRDD experience preferred.
Previous experience in PI, i.e., knowledge of PI applications, tools and techniques and knowledge of the development, coordination and facilitation of PI programs.
Previous experience using various computer software applications: i.e., Word, Excel, Access, etc.

If you wish to apply for this position, please apply online by clicking the "Apply Now" button or forward your resume to CommunityCareCareers@nychhc.org noting the above Job ID #.93223

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs