Human Resources
Job Descriptions
ASSISTANT DIRECTOR OF NURSING OPERATIONS/
OPERATIONS SPECIALIST
Assistant Director of Nursing Operations (ADON)/Operations Specialist
REPORTS TO:
Director or Nursing Operations (DON)
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TITLE:
EXEMPT POSITION
QUALIFICATIONS
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Registered Nurse licensed in the state of Oklahoma with preferably five (5) years home
healthcare experience or Hospice experience at Executive Level for twenty-four (24) consecutive
months full time within the last three (3) years or
Bachelors Degree in nursing or healthcare with preferably four (4) years home healthcare
experience or Hospice experience at Executive Level for eighteen (18) consecutive months full
time within the last three (3) years or at Management Level for thirty (30) consecutive months full
time within the last four (4) years.
Systems oriented individual.
Complies with accepted professional standards and practice.
Able to travel statewide weekly and more often as necessary.
Has satisfactory references from current employers and/or professional peers.
Is self-directed with the ability to work with minimal supervision.
Is flexible and cooperative in fulfilling all obligations.
Demonstrates an ability to supervise and direct professional and administrative personnel.
COMPETENCY REQUIREMENTS
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Workable knowledge of Medicare conditions of participation and standards, DHS licensing
requirements related to home based-care, JCAHO standards, managed care, local, state, and
federal regulatory requirements in order to ensure that all regulations are met.
Demonstrated capability of handling an on-site survey.
Understanding of medical delivery through managed care and case management.
Skilled competencies and experience in strategic planning, education and staff development,
financial acumen.
Demonstrated competencies in leadership, motivation and vision casting.
Excellent problem identification and resolution skills utilizing strategic, conceptual and analytical
thought processes.
Ability to communicate and interact effectively with internal and external customers.
Excellent public relations skills in the community and local market to network with other
healthcare providers.
Proven problem identification and resolution skills.
Demonstrated record of accomplishment of successes in documenting and trending utilization and
quality statistics for outcomes research and PI. Able to present data in professional report form.
A workable knowledge of Federal and state labor laws and Worker’s Compensation.
Licensed driver with automobile that is in good working order and insured in accordance with the
Agency requirements; have proof of insurance.
Computer literate with working knowledge of Windows/MS Office applications. Able to type at
least 25 words per minute.
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SUMMARY OF JOB RESPONSIBILITIES
The Assistant DON provides leadership and direction for the effective and efficient management of
the total Clinical operations and delivery of multi-service home health agency services, strategic
planning, development and attainment of organizational goals and objectives.
Effective
03/2000
Reviewed
05/2011
Revised
06/2011
14
Human Resources
Job Descriptions
The Assistant DON reports directly to the organization’s President and works closely with members of
the medical and professional staff, is aware of home health activities in the community, and remains
current in all clinical matters.
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The Assistant DON provides a vision for the full complement of services offered (Medicare, private
insurance, and private pay) beneficiaries, maintains that vision and articulates it in all program
development and evaluation activities. He/she applies problem identification and resolution skills that
encompass the larger dynamics in planning and problem solving.
BEHAVIORAL STANDARDS
Professionalism
Integrity
Role Model
Teamwork
Problem Solving
Time Management
Policies and Procedures
Creativity to Enhance Job Performance
Communication Skills
Job Proficiency
Confidentiality
Response to Change
Customer Service
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The Assistant DON creates a structure that best meets the needs of the organization, particularly as it
relates to the supervision and assignment of staff. He/she also has a keen awareness of market
related activities which includes knowledge of the activities of other providers, the needs of the local
players, and the political climate as it relates to home health care.
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STANDARDS OF PERFORMANCE
Assist DON when necessary.
Becomes the Acting DON in the absence of the Director of Nursing Operations.
Performs mock audits to prepare staff for surveys and ensure compliance with agency and
regulatory policies and procedures.
4. Provides a vision for the full complement of services offered to clients.
5. Implements and maintains a statewide network and clinical services in order to meet the daily
and continuing stability and growth in the market share for increased reimbursement.
6. Provides the necessary proactive leadership to establish and implement a strategic planning
process to perform management functions: plan, organize, direct, control and problem solve.
7. Participates in establishing and managing an annual operating budget.
8. Ensures that the performance and clinical operations of the Agency are in compliance with all
regulatory requirements including Medicare conditions of participation, DHS and JCAHO
standards and all other local, state, and federal regulations related to home based care.
9. Assures recruitment and retention of clinical staff adequate to meet client needs and guarantee
prompt and timely admissions of all referrals. Participates in hiring, orientation, development and
supervision of Clinical Coordinators and Case Manager staff.
10. Establishes and maintains adequate levels of current clinical competency with the delivery of
quality client care and excellent customer service.
11. Makes provision for evaluation of all Clinical Staff in compliance with the organization’s policy.
Participates in the evaluation of Clinical Coordinators, Supervisors and Regional Administrative
Assistants.
12. Ensures the provision of orientation, in-service education and staff development for clinical
operations staff and office support staff.
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Effective
03/2000
Reviewed
05/2011
Revised
06/2011
15
Human Resources
Job Descriptions
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13. Demonstrates and ensures proper and complete handling of satisfactory on-site surveys by all
regulatory bodies as pertains to home health.
14. Participates in the development of the company-wide Performance Improvement Plan in
consultation with Executive Team and Clinical Coordinators.
15. Demonstrates good human resource skills evidenced by minimal lawsuits and charges of unfair
labor practices, low employee turnover, satisfactory employee performance, minimal office
management errors, quality clinical services and customer satisfaction.
16. Develops, reviews and directs the implementation of Clinical Operations policies and procedures.
17. Establishes a clear channel of communication between Executive Team, Clinical Coordinators
and staff to keep them informed and promotes professional working relationships with all
departments and agencies.
18. Manages safety/risk management issues in Clinical Operations, realizing that quality and risk
management is tied to all other areas of responsibility.
19. Makes provision for the delivery of Infection Control Services to both clients and Clinical Staff.
20. Meets with and provides leadership and direction to Clinical Coordinators.
21. Articulates clinical principles relevant to the services offered by the Agency. Maintains current
awareness of needs existing in the client population and assures that the clinical operations
program meets these needs.
22. Maintains a statewide system of staffing which is based on client needs and which defines the
number and mix of Clinical Staff and office support staff needed.
23. Demonstrates understanding of the principles of human resources, applicable laws, policies and
procedures.
24. Provides or makes provision for Clinical input into the admission process for all levels of care.
25. Ensures that an effective client -medical record system is established and maintained in that
meets all regulatory requirements and reimbursement.
26. Sits on and participates in at least the following clinical operations committees: Executive Team,
Infection Control, Performance Improvement, Utilization Review/Clinical Pathways, Safety/Risk
Management, Management of Information (forms) and Education.
27. Consults with the Medical Director and Clinical Coordinators. Reports Clinical Staff activities to
the President on a regular basis and to the Professional Advisory Board at least annually.
28. Exercises authority through channels to ensure delegation and empowerment of staff.
29. Serves as Assistant Director on all Professional Advisory Board meetings.
30. May be called upon to perform additional functions by the President/CEO of the Agency.
CONTINUING EDUCATION REQUIREMENTS
Personnel are expected to participate in appropriate continuing education as may be requested and/or
required by their immediate supervisor. In addition, personnel are expected to accept personal
responsibility for other educational activities to enhance job-related skills and abilities. All personnel
must attend mandatory educational programs.
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COMMUNICATIONS POLICY ACKNOWLEDGEMENT
I voluntarily consent to and acknowledge being monitored while using the company’s e-mail,
computers, facsimile and all other telecommunications equipment and services as described in the
Communications Policy & Procedure.
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STATEMENT OF UNDERSTANDING
I have read the above job description and essential functions. I understand and agree to carry out
these responsibilities as assigned. I understand and acknowledge that nothing contained in this job
description may be construed as limiting the employer’s right to discipline or terminate my
employment at any time for failure to perform satisfactorily.
Date _____ / _____ / _____
Employee Signature
Effective
03/2000
Reviewed
05/2011
Revised
06/2011
16