The Director of Wellness is responsible for the management and organization of the wellness department. This responsibility includes the management of staff, budgets, services, documentation, resident care, clinical protocols, monitoring labs, quality assurance and regulatory compliance. Nurses will perform only those tasks within the state regulations for assist living and within the scope of their applicable board of nursing. The Director of Wellness ensures that policies and procedures established by QSL Management/The Blake are implemented and maintained consistently.
Scope & Status: Exempt
The Director of Wellness reports directly to the Executive Director. The Director of Wellness participates in the daily morning leadership meeting and acts as a manager-on-duty when needed and may be delegated to act as the temporary Executive Director during his/her absence.
Supervision of staff and coordination with individuals includes the following:
a. Key management staff, department leaders and direct care staff
b. Consultants and/or Vendors
c. Physicians, Nurses and Health Care Providers
d. Residents, family members, support groups and referral sources
e. Federal, County, State and City officials
To perform this job successfully, an individual must be able to perform and complete each essential duty satisfactorily, have excellent communication and language skills which promote positive interaction and effective communication with residents, health care providers, responsible parties, family members, and community personnel, and must have and maintain a high level of confidentiality. Employees must meet all specific state and federal regulations for assuming the position of a Nursing Supervisor at a congregate assisted living facility. In addition, the individual must have adequate experience in business management and leadership in health care. Experience working with the Geriatric population is required, as well as an on-going formal training program. The following certifications, registration and training are required for this position: valid licensure as a licensed practical nurse and/or a registered nurse; current CPR, First Aid and Standard Precautions Certification; high school diploma; graduate of an accredited nursing college or university. The nurse must be in good-standing with the Board of Nursing.
The Director of Wellness models the values and core purpose of QSL Management/The Blake.
Areas of Responsibility:
a. Assists the Executive Director in developing the annual budget as it relates to the Wellness Department. Maintains expenses according to budget and census.
b. Assists in the development and implementation of policies and procedures as they relate to the wellness department, risk management and resident care.
c. Promotes a positive, respectful, and supportive environment for all residents, co-workers, families and guests. Models effective communication with other team members and residents.
d. Assists in the welcome, assessment(s) and orientation of new residents. Performs re-assessments as delegated by the Executive Director.
c. Wears an identification badge with licensure credential while on duty.
d. Practices excellent time management skills and completes tasks according to physician orders within company established time frames. Supervises and provides training to nurses and personal assistants.
e. Participates and represents the wellness department during daily staffing meetings. Ensures effective communication occurs between wellness employees assigned to different shifts. Assist with the coordination and implementation of staffing schedules. Responds to employee “call-offs” and problem solves to ensure that adequate staff are present to provide care according to state and company required staff-to-resident ratios and according to the level of acuity. Effectively manages wellness labor hours.
f. Maintains state and federal regulations and actively participates during regulatory surveys and reviews. Reports any deficient practice immediately to the Executive Director and VP of Wellness. Provides immediate corrective action strategies that promote regulatory compliance and promotes resident well-being.
g. Responds to state requests for information within the state required time frames. Immediately notifies the Executive Director regarding any federal, state or local agency request(s) for information.
h. Adheres to the Resident Bill of Rights and promotes dignity and respect among all residents and care givers.
i. Attends in-service and monthly staff meetings. Provides training as requested by the Director of Wellness. Develops and implements performance improvement plans for wellness employees.
j. Maintains current valid license to practice nursing.
k. Maintains working knowledge of fire and disaster plans and has working knowledge of their own responsibilities under emergency conditions.
l. Reports to work according to schedule and company policies, including severe weather situations. Assists with ensuring staff schedules are maintained and adequate staff are present to perform all necessary tasks to ensure resident safety and well-being.
m. Expands personal development, skills and critical thinking in nursing as it relates to the supervising and management of care to older adults in a long-term care setting.
n. Ensures clinical files are maintained according to state regulations and company policy.
o. Coordinates purchasing of medical supplies and durable medical equipment.
2. Resident Services and Continuity of Care
a. Provides organizational structure and ensures effective and efficient daily operations.
b. Accomplishes duties observing all appropriate safety practices and policies. Models professionalism and compassion for other team members and guests.
b. Delegates authority and tasks to qualified staff according to state law and regulations.
c. Recognizes changes in residents’ conditions, reports changes promptly to the Executive Director and VP of Wellness and communicates changes and action taken to the family as appropriate and notifies physician according to company policy and procedures.
d. Utilizes wellness department systems to review lab results, document resident care and monitor resident health status. Ensures that current medical information is promptly communicated to other team members. Ensures that all wellness employees are actively and effectively participating in shift change meetings, case conferences and care updates.
e. Obtains and records accurate vital signs. Ensures that vital signs are obtained by other staff members and that related documentation is current and accurate in the clinical record.
f. Utilizes progress notes and communication forms effectively and in a timely manner. Provides spontaneous and planned training to other nursing staff.
h. Assists residents with activities of daily living as needed.
i. Administers medications according to physician orders. Performs documentation according to the state Board of Nursing and company policy and procedures.
j. Obtains and documents resident weight according to the service plan, state regulations and physician orders.
k. Obtains vital signs prior to administering blood pressure and cardiac medications according to physician’s orders.
l. Provides treatments, including but not limited to wound care, Accu-Cheks, injections, eye drops, ear drops, and general respiratory treatments according to physician’s orders and within the scope of the state board of nursing and the MS Department of Public Health for Assisted Living Facilities.
m. Consults with the VP of Wellness and/or the Executive Director to determine whether specific treatments require the use of external resources, such as home health care, outpatient rehabilitation, hospice, DME or if discharge to an institution providing a higher level of care is necessary.
n. Observes for any signs of resident abuse, neglect or exploitation. Reports and responds to any suspected, alleged and/or actual abuse according to company policy and state regulations.
o. Reports, documents and responds to incidents and urgent situations according to company policy. Implements corrective action immediately to promote resident safety and wellness.
p. Provides follow-up, intervention and supervision for residents who have had a recent change in condition. Communicates effectively and documents all actions taken.
q. Promotes resident safety and implements fall prevention programs.
r. Promotes and assists residents participating in memory enhancement and performance improvement programs.
s. Assists with activities as requested by the Executive Director or the VP of Wellness.
t. Implements and performs duties necessary to maintain a clean environment that promotes well- being.
u. Implements effective and efficient tracking systems for physicians’ orders and service delivery; including but not limited to: scheduling and tracking mechanisms for labs for medication monitoring according to physician’s orders and best practice (anti-coagulants; neuro; cardiac; etc.), activities of daily living (hygiene/grooming; incontinence; supervisory); assessments and evaluations; therapies; reorder of medications; med cart reviews; ancillary health care services.
v. Maintains an efficient and organized filing system.
w. Responds to state requests for information within the state required time frames. Immediately notifies administrator regarding any federal, state or local agency request(s) for information.
x. Utilizes company clinical software system effectively to update assessments and monitor resident care.
y. Notifies Executive Director, VP of Wellness, Regional Director of Operations and Chief Operations Officer promptly when a state or federal inspection or survey is in progress.
a. Hires qualified staff and provides training to new hires. Training may include, but not limited to, conducting skill competency tests. Supervises, evaluates and ensures fair treatment to all staff. Schedules in-person training and in-services on topics that enhance the delivery of care.
b. Is available for emergencies (including a severe inclement weather event) as they arise and ensures on-call 24/7 nurse coverage for the community.
c. Provides training, counseling, coaching and performance improvement plans as necessary and according to company policy and procedures.
d. Develops staffing schedules to ensure that residents’ needs are met, that staffing levels remain above the state requirements, and staffing levels meet budget and census requirements. Utilizes the company software programs (OnShift and Payroll reports) to effectively develop staffing schedules and encourage retention of staff.
e. Responds promptly to calls regarding staffing shortages and ensures adequate trained staff are on-site to provide resident care according to the current census and level of acuity.
4. Critical Success Factors
a. Models teamwork and consistently demonstrates professional and compassionate care. Ensures adherence to the resident bill of rights.
b. Ensures that appropriate follow-up is performed and documented for incident reports and changes of conditions in residents’ health status. Reports any significant changes to the Executive Director, Regional Director of Operations, and family members.
c. Participates and directs staff during fire safety and elopement drills according to company policy and governmental regulations.
d. Maintains current consultant relationships and service contracts as required.
e. Performs daily rounds to monitor staff performance and resident care.
f. Directs, supervises, documents and enforces resident care according to physician’s orders.
g. Utilizes progress notes effectively to show coordination of care.
h. Implements a quality assurance program designed to improve resident care and documentation. Utilizes the community alert call software system daily to monitor employee response to resident needs.
i. Performs comprehensive initial assessments and takes the lead role during the admission process as it relates to resident care, safety and well-being. Ensures level of care is according to actual delivery of service and resident needs.
j. Recommends to the Executive Director matters and issues requiring policy decisions and/or changes. Recommendations may include, but are not limited to, resident acceptance.
k. Ensures that annual physician health assessments, nursing evaluations and quarterly service
plans are current with the correct signatures according to company policy and state regulations.
a. Assumes overall leadership and administrative responsibilities for the wellness department and assumes the role as a temporary Executive Director during his/her absence.
b. Delegate responsibilities in accordance with short-term and long-term objectives.
c. Develops positive working relationships with staff, residents, resident representatives, health care providers and volunteers. Conducts family meetings related to resident care and well- being.
d. Actively advocates for superior care and promotes service excellence.
e. Schedules quarterly staff development training meetings for nursing staff.
f. Participates in marketing events and provides tours as requested by the Administrator.
g. Models the company’s core values: Joy, Compassion, Excellence, Safety, Integrity, Leadership and
Respect. Models the company’s credo: We serve others.
6. Regulation and Policy Compliance
a. Ensures that all Blake policies and procedures are followed.
b. Maintains Federal, State, County and City regulations.
c. Schedules and coordinates Resident Advocacy Meetings and IDT meetings according to policy.
d. Promptly notifies the Executive Director and Regional Director of Operations when a regulatory
agency conducts a site visit.
Physical, Sensory & Mental Requirements:
Primary Physical Requirements:
1. Lift up to 10 lbs.: Frequently required to lift medical charts, supplies, and residents’ personal items, i.e., clothing and food items.
2. Lift 11 to 25 lbs.: Occasionally may be required when dealing with boxes, files or medical equipment.
3. Lift 26 to 50lbs.: Occasionally required when assisting with resident care.
4. Lift over 50 lbs.: Required when transferring a non-ambulatory resident weighing over 100 pounds. Two aids are typically utilized when resident is unusually heavy or combative. Employee must follow specific protocols related to individual resident’s care and transfer procedures.
5. Reach above shoulder height: Occasionally occurs when reaching for medical records, supplies, and linens located on shelves.
6. Reach at shoulder height: May be required when assisting residents in eating, when changing bed linens, when taking vital signs, providing treatments and when assisting with certain activities of daily living.
7. Reach below shoulder height: Occasionally occurs while providing treatments, taking vital signs and/or assisting with activities of daily living.
8. Push/Pull: Frequently required when assisting a resident in a wheelchair: which rolls easily across tile or carpeted floor.
1. Grasping: Frequently grasping while working with files, answering the phone, assisting during resident care and/or completing documentation.
2. Handling: Assisting with residents’ personal items, blood pressure gauge, thermometer, and other equipment related to activities of daily living.
3. Supplies and Equipment: Blood pressure gauge, thermometer, wound care supplies, diabetic supplies, syringes and other nursing care items.
Other Physical Consideration:
1. Twisting: Occasionally may occur while transferring resident.
2. Bending: Frequently occurs while taking vital signs, assisting residents in activities of daily living.
3. Squatting: Occasionally may occur while communicating with a resident in a wheelchair and/or when assisting with certain activities of daily living.
4. Kneeling: Occasionally may occur while assisting with resident care.
5. Stair Climbing: Occasional. Elevators are available.
6. Sit-to-Stand: Frequent.
7. Sitting: Frequent for long periods, occasionally up to 2 to 3 hours at a time.
1.Varies from carpeting, vinyl to tile. When seated, typically an office-type chair.
Cognitive and Sensory Requirements:
1. Talking: Necessary for communicating with residents, family members, other aides, and other members of the community. Must be able to speak English fluently.
2. Hearing: Necessary for taking instruction from physicians and requests from residents. Must be able to understand English fluently.
3. Sight: Necessary for doing job correctly and effectively. Must be able to write and read English fluently.
4. Smelling: Smelling is required for accurate maintenance and detection of wounds, urinary tract problems, etc.
5. Reading and writing: Necessary for written communication and following written instructions
Summary of Occupational Exposure: Category I – Job classification in which employee has occupational exposure to blood-borne pathogens.
I acknowledge that I have received a copy of the job description, read and understand the duties and expectations for the position of Director of Wellness. I agree to perform the duties outlined and to comply with all standards established in the performance of this job.
Employee Signature Date
Supervisor Signature and Title Date
Director of Wellness Annual Appraisal
Hire Date: Review Date:
Evaluation Period: to
Section I – General
Reports to work on time. NI S E
Maintains company dress code and professional image. NI S E
Demonstrates effective communication skills NI S E
Follows company phone etiquette policy. NI S E
Manager on Duty responsibilities are achieved. NI S E
Section II – Organizational Responsibilities
Develops and implements efficient staffing schedules that promote
resident well-being and are above state required levels. NI S E
Maintains an efficient and well-organized system for monitoring
resident care, labs, treatments, medication administration and medical
appointments. NI S E
Appropriately responds to regulatory requests for information. NI S E
Utilizes company clinical software system to effectively update
assessments, organize services and monitor resident care. NI S E
Ensures that expenses are within budget according to census levels. NI S E
Notifies Executive Director of over-budget expenses. NI S E
Actively participates in the budget development process as it relates
to the department of wellness NI S E
Section III - Staffing
Hires qualified staff to provide resident care. NI S E
Is available for emergency and/or urgent staffing situations. NI S E
Provides training and/or counseling to staff members as needed. NI S E
Ensures residents receive care according to their needs, service plan
and physician’s orders. NI S E
Ensures resident care is documented according to company policy and
standard nursing practice. NI S E
Models teamwork and enforces the resident bill of rights. NI S E
Performs daily rounds to monitor staff performance and resident care. NI S E
Utilizes community alert call software system daily to monitor resident
care. NI S E
Meets with resident family members to resolve care issues. NI S E
Annual and quarterly assessments address the residents’ needs and
are completed within company mandated time frames. NI S E
Health care and medical services are coordinated and documented to
ensure continuity of care. NI S E
Takes a leading role in the admission process to ensure a smooth
move-in for the resident, personal care assistants and nursing staff. NI S E
Files are organized, current and maintained according to all regulatory
agencies. NI S E
Section V - Leadership
Actively participates in daily leadership meetings. [M-F] NI S E
Addresses employee problems efficiently and effectively. NI S E
Provides opportunities for training and staff development. NI S E
Ensures initial training is provided to all wellness employees. NI S E
Ensures nursing staff maintain current licensure and registration. NI S E
Demonstrates and models teamwork on a daily basis. NI S E
Ensures state and federal regulations and rules are met. NI S E
Participates in monthly all-staff meetings for training
and information sharing. NI S E
Utilizes performance improvement programs as needed. NI S E
Key: NI = Needs Improvement S = Meets minimal requirements of job description
E = Excellent; Employee work reflects the values and mission of The Blake
Director of Wellness Recommended First Interview Questions
What led you to apply for this position?
Has the candidate completed their research? What is their motivation/expectations? Current job position? Attitude?
How would you define or describe assisted living? How do you think nursing and care are different from a SNF environment? From an IL environment?
Is the candidate’s definition aligned with QSL Management? Does the candidate have a good working definition?
Tell me about your experience and how it has prepared you to be an effective Director of Wellness for a senior housing community.
Does the candidate have valid, practical and consistent experience? Does the candidate’s education enhance the applicant’s qualifications?
What would you identify as the most important characteristic or skill required to be successful in this position?
Does the candidate list effective communication as an important skill and/or an uncompromising desire for excellence?
Tell me about a challenge you have had in your previous work history and how you overcame it?
Is the candidate able to express challenging work situations in a candid and honest manner? Does the candidate discuss positive problem solving abilities?
Give me an example of a great idea that you implemented that was not as successful as you hoped it would be.
Is the candidate willing to implement challenging ideas and programs that are designed to improve and meet standards of excellence? Is the candidate afraid of failure?
How do you motivate employees to excel in their jobs?
Does the candidate discuss teamwork? What are some concrete/tangible methods for meeting goals and expectations?
Describe some innovative employee recruiting and retention techniques you have used in the past to develop a stable and strong team. How have you utilized staffing scheduled to reduce call-out and increase retention?
Can the candidate identify challenges associated with recruiting and retaining employees at all levels? What incentive programs has the candidate utilized in the past that have been both successful and unsuccessful?
How would you describe your ideal supervisor?
Our Credo is We Serve Others. What does that mean to you?
Does the candidate’s work and leadership philosophy match QSL Management? Is the ideal supervisor realistic?
How would you monitor resident care and ensure that residents are receiving both competent and compassionate care?
Is the candidate willing to take strong and practical action to ensure residents receive compassionate and quality care?
What strategies would you implement to hold your nurses accountable?
Can the candidate list tangible solutions for ensuring nursing interventions remain consistent and effective? Will the candidate require specific reporting mechanisms? Are the following mentioned: MAR audits, shift change reports, rounding, QA checks, resident and family meetings
Describe some “team building” strategies you have utilized in the past. How would you develop loyalty and teamwork among the various shifts?
What is the candidate’s leadership style? Motivational? Encourager? Democratic? Autocratic? Or a mixture of several styles? Does the candidate mention routine nurse meetings? Does the candidate plan to mentor and work with the team on the floor as an example? Does the candidate have any hesitancy “working the medication cart” or working a shift?
How would you address a situation in which a nurse was not meeting his or her job description and/or your expectations?
How does the candidate address personnel problems promptly? Does the candidate discuss risk management issues related to termination and/or disciplinary actions?
How would you address an employee that has a difficult, strong or challenging personality?
Can the candidate work with a variety of personalities? How does the candidate define a “strong” or “difficult” personality?
What software programs can you utilize efficiently? How would you use these programs if offered the position?
Is the candidate equipped to work with a variety of computer and/or software programs? Does the applicant have experience in clinical charting or medical based software programs.
Describe any experience you have with regulatory inspections and/or quality assurance inspections? Describe how you have corrected deficient practices.
Is the candidate able to engage in an intelligent and informed discussion of regulatory compliance? Performance improvement strategies? Reactive/Proactive?
How would you determine if you are being successful at your job? -or- What would success “look like” if you were in the position of Director of Wellness
Does the applicant include resident response times, tangible measurements of quality; MAR reviews; hands-on observation of care givers; resident satisfaction; compliance?
If you were offered the job, what would a typical day look like for you?
Does the applicant include rounding, mentoring and scheduling of key tasks.
If you were conducting an initial assessment; what would you want to know about the resident to prepare a solid care plan?
Medications give you the best indicator of diagnoses, chronic conditions; as well as pointing to special precautions. History of falls? Behavior? Hospitalizations?
What are some medications that would lead you to ask further questions and/or schedule further steps in the care process?
Anticoagulants – require labs to verify therapeutic levels.
Digoxin – require labs to verify therapeutic levels.
Cardiac and blood pressure medications require assessments, vital signs prior to administration.
Combinations of cardiac and blood pressure medications can result in blood pressures that are too low; and add to fall risk.
Dementia related medications (Namenda, Aricept and Namenda) – dig deeper into safety, ability to self-administer, ask about elopements
Lasix – a diuretic can increase the risk of falls and deplete potassium.
Polypharmacy – a good nurse is concerned about over-medicating
Antidepressants – such as Zoloft – should lead a nurse to ask more psycho-social related questions
What are 2-3 key skills that you would want to ensure a personal assistant possesses prior to providing care independently?
Does the candidate want to ensure that the candidate understands the basics of a emergency response such as:
A resident exhibiting signs of respiratory distress; or an unresponsive resident
Knows how to respond to a fall
Knows what to do if a fire alarm sounds
Knows how to prevent or respond to an elopement
Knows to dial 911
What questions do you have concerning the application process, position and/or our company?
Does the applicant show genuine interest in the senior services industry and in the company? Does the applicant ask intelligent and probing questions regarding the position?
Internal Number: 05042020
About Blake by QSL Management
TIMELESS, DEEPLY-ROOTED PRINCIPLES.
At The Blake by QSL Management, our core values guide every decision and every action we take.
Key Words: Safety, Quality, Distinguished, Learning, Improving
For us, Excellence is an intentional way of operating and serving others which create the habits that allow us to realize our mission.
We are not striving to be the typical senior living option. We want to be “best in class” and will set the bar for the senior-living industry.
People instantly recognize that we are different when they walk through the front door. Our processes for daily operations are uniquely designed to create an environment of warmth, security, and trust.
We commit to delivering the highest quality and value in everything we do as we continually improve.
We strive to exceed expectations.
Key Words: Guidance, Influence, Servant, Humble
For us, Leadership begins with recruiting and hiring the right team members.
We understand that every team member has opportunities to lead, so we will provide an environment that fosters development, competency, and opportunities for growth.
As a team, we know that communication a...nd development are key, and we have adopted a “perpetual dissatisfaction”—which means that we are constantly seeking to improve and develop our team in order to be the industry leader and create a better life for our team, residents, and families
Key Words: Guidance, Influence, Servant, Humble
For us, Leadership begins with recruiting and hiring the right team members.
We understand that every team member has opportunities to lead, so we will provide an environment that fosters development, competency, and opportunities for growth.
As a team, we know that communication and development are key, and we have adopted a “perpetual dissatisfaction”—which means that we are constantly seeking to improve and develop our team in order to be the industry leader and create a better life for our team, residents, and families.
Key Words: Honest, Principled, Trustworthy, Transparent
For us, Integrity is doing the right thing in every situation, even when no one is looking.
We create trust-based relationships with our residents, families, partners, and team members.
Our words and actions must always align with our values, mission, and vision statements.
We promptly report any situation that appears to be in violation of a policy, procedure, regulation, or ethical standard.
We only do business with those who embrace and demonstrate high standards of ethical behavior.
We foster an environment of open communication, trust, and mutual respect. We never retaliate against those who bring forward a concern in good faith.
We avoid the appearance of or actual conflicts of interest.
Key Words: Consideration, Civility, Esteem, Honor
For us, Respect is demonstrated in all communication, which we believe will promote an environment of trust and appreciation every day without fail.
Treating others with respect is an absolute requirement for being a Blake team member.
Every team member has a responsibility to live our values actively and consistently to promote an environment that meets the residents’ needs and ensures that everyone feels welcome.
We respect the privacy of others.
Key Words: Well Being, Awareness, Teamwork, Focus
Safety is every team member’s responsibility.
Our welcoming and departure process, rounding procedures, routine inspections, and wellness standards are designed to ensure that our residents remain safe and our teams are constantly ready to respond to a resident’s needs.
Key Words: WOW, Surprise, Delight
For us, Joy is a “place that we create” by consistently exceeding the needs of our residents with urgency, competency, and compassion.
We reduce anxiety and create trust in everything we do and say. We do what we can to “WOW” residents, family members, guests, and fellow team members.
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