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Welcome to Choctaw Regional Medical Center

Long Term Care Administrator

Website Choctaw Nursing and Rehab Center

Purpose of Your Job Position
The primary purpose of your job position is to direct the day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations that govern nursing facilities to assure that the highest degree of quality care can be provided to our residents at all times. In addition, you are charged with the responsibility of ensuring that the facility follows all policies and procedures as directed by the corporate office, including but not limited to, both operational and financial.
Delegation of Authority
As Administrator, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Failure to carry out requests and tasks as requested can result in corrective action(s) up to and including termination.
Job Functions
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
Administrative Functions:
– Plan, develop, organize implement, evaluate, and direct the facility’s programs and activities in accordance with guidelines issued by the governing board.
– Adhere to all written policies and procedures and professional standards of practice that govern the operation of the facility.
– Review the facility’s policies and procedures at least annually and make changes as necessary to assure continued compliance with current regulations.
– Develop, maintain and verify that public information (policy manuals, brochures, website data, etc.) describing the services provided by the facility is accurate and fully descriptive.
– Make routine inspections of the facility to assure that established policies and procedures are being implemented and followed.
– Assist in providing survey team members with additional information during the survey that may aid in preventing deficiency citations.
– Conduct daily meetings with appropriate staff during facility inspections to discuss survey findings and formulation of plans of action/correction. Make sure all department heads check with you prior to leaving each day.
– Review deficiencies noted during the exit conference. Provide additional information that may aid in removal of the deficiency or lower the scope and severity level of a cited deficiency.
– Assist in developing plans of correction for cited deficiencies. Ensure such plans incorporate timetables and methods of monitoring to ensure that such deficiencies do not recur.
– Agree to not disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility’s information system.
– Maintain an adequate liaison with families and residents.
– Notify the corporate office of invoices received that do not match products received.
– Code invoices with appropriate chart of account number to assure that expenses are distributed to the correct expense account.
– Conduct community awareness programs as necessary to keep the community informed of the facility’s programs, services, activities, etc.
– Delegate a responsible staff member to act in your behalf when you are absent from the facility.
– Ensure that appropriate facility policies and procedures are followed when conducting background checks and when providing information to the Nurse Aide Registry.
– Ensure that all suspected or known incidents of unauthorized use or release of protected heath information are thoroughly investigated and reported to appropriate personnel/agencies as outlined in the facility’s established policies.
– Monthly review the facility’s OSCAR and Quality Measures data posted on the nursing home compare website to determine the accuracy of such public information. Report discrepancies to appropriate state agencies. Monitor to ensure such discrepancies are corrected.
– Complete all required reports and filing systems as directed by the corporate office.
– Assume responsibility of ensuring the pre-screen process is followed by all facility staff; this includes sending in complete and accurate information to the corporate office.
– Attend the UR Meetings of the facility and make sure the UR Logs are filled out completely and accurately. The UR Log must be sent to the corporate office PRIOR to 3 p.m. on the first Friday of each month.
– Make sure the Business Office Manager is collecting all required information to get all Medicaid Pending residents approved for Medicaid.
– Assist the corporate Billing Specialist in collecting all required information to get all Medicaid Pending residents approved for Medicaid.
– Assume the collection responsibility of all private pay residents in the facility. Coordinate all collection efforts with the corporate office and be sure to enter all data into the QI Equip system. All policies in relation to tracking, collecting, and writing off bad debt must be followed.

COMMITTEE FUNCTIONS:
– Assist in the recruitment and selection of competent directors, supervisors, facility non-licensed staff, consultants, etc.
– Attend all meetings of the various committees of the facility (I.e., Infection Control, Quality Assurance & Assessment, UR, etc.) and provide written/oral reports of such committee meetings to the governing board as directed or as may become necessary.
– Assist the Quality Assurant & Assessment Committee in developing and implementing appropriate plans of action to correct identified quality deficiencies.

PERSONNEL FUNCTIONS:
– Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
– Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.
– Ensure that appropriate employment identification and work documents are presented prior to the employment of personnel and that appropriate documentation is filed in the employee’s personnel record in accordance with current regulations mandating such documentation.
– Review each new hired employee’s file and sign it off as complete when all documents are in place. Make sure no employee works prior to having folder signed as complete.
– Consult with department directors concerning the operation of their departments to assist in eliminating/correcting problem area, and/or improvement of services.
– Ensure that appropriate staffing level information is posed on a daily basis.
– Ensure that an adequate number of appropriately trained licensed professional and non-licensed personnel are on duty at all times to meet the needs of the residents.
– Review and check competence of work force and make necessary adjustments/corrections as required or that may become necessary.
– Counsel/discipline personnel as requested or as may become necessary.
– Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
– Terminate employment of personnel when necessary, documenting and coordinating such actions with appropriate department heads and/or corporate office.
– Maintain an excellent working relationship with the medical working profession and other health related facilities and organizations through formal working and transfer agreements.
– Ensure that the physicians are in compliance with facility policies governing the admission, medical treatment, visit requirements, plan of care, orders, etc. Report problems area to the Medical Director.

RESIDENT RIGHTS:
– Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.
– Know and wait for a response prior to entering a resident’s room to visit with resident or their family.
– Ensure that the resident’s rights fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the rights to wage complaints, are well established and maintained at all times.
– Assist in establishing and implementing Resident/Group Council.
– Ensure that resident funds maintained by the facility are managed in accordance with current federal and state regulations and that appropriate accounting records are maintained.

MISCELLANEOUS FUNCTIONS:
– Coordinate and Develop facility mandatory in-service training programs as scheduled (e.g., OSHA, TB, HIPPA, Abuse Prevention, etc.).
– Follow established safety regulations, to include fire protection/ prevention, smoking regulations, infection control, etc.
– Follow established ergonomics policies and procedures governing lifting techniques, repetitive tasks, and the use of safety equipment and supplies to prevent work-related injuries and illnesses.
– Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the facility.

Working Conditions

Works in office areas as well as throughout the facility.
Moves intermittently during work hours.
Is subject to frequent interruptions.
Is involved with residents, family members, personnel, visitors, government agencies/personnel, etc., under all conditions/circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel and visitors.
Works beyond normal working hours, on weekends and holidays, and on other shifts when necessary.
Is subject to callback during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc. throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infections waste, diseases, conditions, etc. including TB and the AIDS and Hepatitis B viruses.
May be subject to the handling of and exposure to hazardous chemicals.
Communicates with the medical staff, nursing personnel, and other department directors.

Education
A Bachelor’s Degree is preferred. A degree in Public Health Administration or Business Administration, or a health related degree is preferred, but not required. Completion of a state approved Nursing Home Administrator program is mandatory.
Experience
A Bachelor’s Degree is preferred. A degree in Public Health Administration or Business Administration, or a health related degree is preferred, but not required. Completion of a state approved Nursing Home Administrator program is mandatory.
Specific Requirements
Must be able to read, write, speak and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Must possess the ability to work harmoniously with other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures, etc. that are necessary for providing sound accounting techniques.
Must be able to understand and carry out written and oral instructions.
Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents, staff, and visitors based on whatever maturity level at which they are currently functioning.
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing accounting practices.
Must be knowledgeable of computers, data entry/retrieval, output, etc.
Must possess the ability to examine and verify financial documents and reports.
Must be able to prepare financial and other records in a systematic neat and legible manner.
Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
Must be able to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move and/or carry such weight a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during emergency situations.

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