The ADON/Case Manager position assists with the day-to-day management of the nursing department by collaborating with the Director of Nursing to plan, organize and direct the Nursing Service of Colonial Manor Nursing Home. The ADON/Case Manager works under the general supervision of the Director of Nursing, assumes responsibility for the Nursing Department in the absence of the Director of Nursing and, at times, serves as the charge nurse, the RN on-call, or the person in charge of Colonial Manor. Is prepared by virtue of education and experience to plan, direct and/or give nursing care to assigned residents. Evaluates and promotes total resident care (physical, emotional, psychological, social and spiritual). Participates with all other departments in planning and implementing the nursing component of care and assists in the evaluation processes. Endorses the team concept of providing care through the various disciplines and assumes 24-hour accountability for the function of the unit including the delivery of nursing care, and for the nursing actions of employees: RN's, LPN's, TMA's and CNA's.
Skills/Qualifications:
- Graduate of RN Nursing Program approved by State Board of Nursing. Has current RN licensure in
Minnesota.
- Demonstrates leadership ability.
- Is skilled in oral and written communication.
- Possesses the ability to collaborate effectively with other health professionals, including community health
care agencies.
- Capable of working closely with other departments within Colonial Manor in furthering the team concept of
Long-Term Care.
- Possesses ability to communicate effectively with family members of residents and promotes a homelike
atmosphere throughout the facility.
- Possesses strong communication, time management, and prioritizing skills.
- Demonstrate ability to assess the physical, emotional, spiritual and psychosocial status of the residents
and to plan/implement nursing care.
- Has teaching skills and is willing to teach and promote education.
- Keeps up to date on new developments in geriatrics and gerontological nursing through continuing
education and readings.
- Knowledge of state and federal regulations regarding Long Term Care or the ability to learn state and federal
regulations.
- Knowledge of insurance or the ability to learn the variety of insurances used in Long Term Care, such as
Medicare and the guidelines of qualifications
- Must possess leadership skills, have the ability to make sound decisions and work under pressure.
- Self-driven and detail-oriented to complete daily tasks.
Functions (Accountabilities):
The ADON/Case Manager directs and provides professional nursing care consistent with the philosophy, policies and
procedures of Colonial Manor Nursing Home, and with the Standards of Gerontological Nursing Practice. Does
performance appraisals of Nursing Staff when needed, in collaboration with and supervision by the Director of
Nursing. Assists with developing and maintaining resident care plans. Participates in Infection Control, Quality
Assurance, Pharmacy, Resident Care, Nursing Services, Policy/Procedure, Admissions/Discharge, and other
responsibilities as assigned.
Tasks Performed:
- Helps to develop and implement care plans through collaboration with residents, family and nursing team.
- Update Care Plan as needed and communicate to appropriate team members.
- Assures that nursing personnel caring for residents under her/his case management are following the
resident's care plan. Does teaching of staff of correct procedures.
- Collaborate with Charge Nurse daily; Utilize nursing process to assess residents' status with a change of
condition or concern identified.
- Implement a plan of action based on assessment criteria as needed and communicate with resident
physician via fax or phone as needed.
- When needed, investigate/implements resident fall and incident reports efficiently and thoroughly to
prevent more occurrences.
- Collaborates with Director of Nursing and Administrator on resident incidents bringing concerns/issues to
the following meetings, IDT, QA, QAPI, Falls to assure that all incidents/safety needs are met within the
facility.
- In absences of MDS coordinator, or when assigned, will be responsible for attending Care Conferences.
- In absences, may have to fill in as Charge Nurse, CNA, TMA to meet resident needs.
- Review/Change/Implement new policies and procedures, in collaboration with the Director of Nursing.
- Assist with Quality Assurance, QAPI, GDR Review, and Falls Program/Meetings within the facility.
- Responsible for initiating nursing staff discipline and/or education by following the chain of command;
confers with Director of Nursing regarding problems.
- Participates in education plans for nursing services. Communicate with Education Coordinator any/all
education/re-education of nursing staff persons.
- Collaborate with Director of Nursing to evaluate staff performance. Recognizes staff strengths and works
toward improving their weaknesses.
- Follows standards of nursing practice. Lead by example with the staff he/she works with.
- Motivates staff to provide quality care for the residents which reflects the mission and core values of
Colonial Manor.
- Provides input to Director of Nursing concerning supplies, equipment, and may order supplies as needed or
as requested by Director of Nursing.
- Ensure state and federal guidelines are being met within the facility.
- Assists with weekly and intermittent lab draws, documenting in resident's' chart and communicating results
with physicians when appropriate.
- Thoroughly review pharmacy consult reports assuring recommendations are completed before the next visit
from pharmacy consultant.
- Assists with completion of resident assessments and implementation of interventions as required or
delegated. (IE: MDS required assessments; change of condition, etc.)
- Collaborates with facility's infection Preventionist and Director of Nursing to monitor, evaluate, revise, and
collect and interpret data for the facility's Infection Control Program.
- Assists with monthly diabetic fingernail and toenail care and podiatry rounds when needed.
- Destroys narcotic medications with pharmacy consultant monthly.
- Assists with expired/unused medication destruction at the facility.
- Assist with Minnesota Department of Health while in facility during survey.
- Assist Director of Nursing and Administrator with any regulatory survey that visits Colonial Manor.
- Will participate in the plan of corrections, education and training as it relates to survey results.
- Aware of good customer service and demonstrates the use of it.
- Uses quality management skills and leadership skills to fulfill the mission of Colonial Manor Nursing Home.
- Participates in department head meetings and communicates all pertinent information regarding resident
care to other departments as each resident's health status/condition changes.
- Attend IDT stand-up daily - follow up on clinical concerns - bring resolutions to the IDT
- Assist with physician rounds at facility by scheduling visits, completing pre-visit paperwork, rounding with
physician, completing any orders, obtaining progress notes, and documenting in the resident's chart.
- Complete weekly wound rounding and documentation, in collaboration with the Wound Care Team.
(Certified Wound Nurse, Case Manager and Charge Nurse). Maintain accurate records of wounds (e.g.
charting, measurements, physician notifications etc.) Update Matrix with treatment changes.
- Complete rounding with psychiatric physician on monthly psych rounds, prepare resident medical record
for monthly psych rounds, and may also complete follow-up documentation of psychotropic medication
with new admits, increases and decreases and retrieve consent from resident/representative for new or
increased psychotropic medications.
- Adhere to Colonial Manor's Mission and Core Values
- Attend and participate in all required scheduled training, orientations, and education.
- Will participate in quality improvement processes
- Perform other related duties as assigned by DON, Administrator or another leader.
Admits:
o Thoroughly review potential resident medical information received from hospital for possibility of meeting
residents' needs timely
o Ability to call the referring hospital to gather further information on resident status. (Wounds, IV's, tube
feeding, behaviors, etc.)
o Facilitate admission from beginning to end.
o Assure that the resident room is ready, obtain any equipment as needed.
o Fax physician for admission orders, standing orders, Medicare certification, and any changes.
o Input resident information and orders into EMR and resident chart.
Discharge:
o Participate in discharge planning meetings.
o Facilitate discharge from beginning to end.
o Request discharge orders from appropriate physician.
o Prepare and review discharge instructions with resident/representative, including list of current
medications and any orders.
o Order resident discharge medications from pharmacy of choice.
o Assure resident signs discharge record.
o Order any medical supplies requested by resident from medical supply store of resident choice.
OTHER RESPONSIBILITIES
Colonial Manor employees which are engaged in care or providing services in the facility who have
knowledge of abuse or neglect of a vulnerable adult, has, reasonable cause to believe that a vulnerable
adult has sustained a physical injury which is not reasonably explained by the history of injuries provided by
the caretaker or caretakers of the vulnerable adult shall immediately report this information to the
supervisor, the department head, social worker, DON or administrator. Practices and promotes facility
safety - uses proper lifting and bending techniques.
PROFESSIONAL CHARACTER - Exhibit and maintain professional character through positive attitude,
motivation, responsibility, and accountability.
- Display a consistent interest and enthusiasm for work and conduct self in a professional manner.
- Promote an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm
environment throughout the unit and shift.
- Promote good public relations.
- Maintain a willingness and ability to adapt to a changing work environment and seek out new methods and
principles to incorporate into existing practices.
- Maintain a responsive and professional manner in dealing with requests, complaints, and problems.
- Uses extra time reading educational materials and departmental upkeep.
- Act as resident and family advocate.
- Be accountable for your own feelings and actions.
- Arrive promptly for work. Is not habitually late or absent.
- Give adequate notice to the appropriate person when absence is necessary and follow guidelines for use of
personal leave time.
Physical Requirements:
- Lift, push, pull and carry a minimum weight of approximately 40 lbs.
- Be able to move intermittently throughout the day
- Tolerate exposure to dust and cleaning chemicals
- Eye-hand coordination, arm, hand, and finger dexterity, including ability to grasp; visual ability to use a
computer keyboard, and operate equipment
- Assist in the evacuation of residents
Working Environment:
- Moderate noise level
- Is subject to frequent interruptions-telephone, staff, and emergencies
- Works well beyond normal working hours and on weekends and holidays when necessary.
- Being responsive and available to team
- Is subject to call=back during emergency conditions (e.g., severe weather, evacuations, post-disaster, etc.)
- Attends and participates in continuing educational programs.
- Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and
Hepatitis B viruses; COVID