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Advantage Living Center Harper Woods Director of Nursing Services in Harper Woods, Michigan


The Director of Nursing is responsible to oversee the nursing department in the coordination of care, quality of interventions and outcomes, and financial management of clinical services. The role interacts with each department with in the facility and requires a leader who can lead, motivate, educate and mentor licensed and certified staff.


  • Must have graduated from an accredited school of nursing. Bachelor Degree or higher preferred.

  • Must have a current state license to practice as a registered nurse (RN). Current CPR certification desired.

  • Minimum two years experience in long term care management. Prefer long term care experience as a floor nurse or like position. .

  • Excellent understanding of state and federal regulations governing skilled nursing facilities.

  • Ability to lead, motivate, educate and evaluate others.

  • Must have excellent assessment, planning, organization, communication and interpersonal skills with an understanding of person centered care.

  • Ability to work flexible shifts including periodic weekends, holidays and off shifts.

  • Ability to work well with an interdisciplinary team and health care providers.

  • Ability to establish and maintain rapport with team members and external stakeholders.

  • Ability to read, analyze and interpret, professional journals, technical procedures or governmental regulations. Ability to communicate orally and through written reports and other documents relating to resident, staff and others. Ability to effectively present information and respond to questions from groups of executives, managers, clients, customers, and the public.

  • Ability to define and solve problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical journals and deal with several abstract and concrete variables.

Essential Functions and Responsibilities

Advantage Living Centers expects their employees to promote an atmosphere of teamwork, exemplify the values of CARING (Compassion, Accountability, Respect, Integrity, Nimbleness and Generosity and uphold the pursuit of creating a person-centered culture for Residents and Team Members. To perform this job successfully, an individual must also be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.

Supervisory Responsibilities

  • Supervises nursing care provided by registered nursed, licensed vocational/practical nurses and others for whom they are administratively or professionally responsible.

  • Carries out supervisory responsibilities in accordance with the organizational policies and applicable laws.

  • Supervisory responsibilities include:

  • Interviews, hires and trains employees.

  • Plans, assigns and directs work.

  • Oversees work assignments, taking into consideration Resident safety, the educational preparation, experience, knowledge and ability of the persons to whom the assignments are made.

  • Assures staffing levels are met to meet the safety needs of residents.

  • Transfers employees among units as needed.

  • Prepares performance evaluations with the understanding that such evaluations impact tenure of probationary employees and wage increases of non-probationary employees.

  • Meaningfully rewards and disciplines employees with the understanding that such discipline results in termination of employment through progressive steps.

  • Schedules and adjusts lunch and rest breaks.

  • Approves the correction of errors in time cards or other timekeeping records.

  • Authorizes overtime as necessary.

  • Receives and resolves employee complaints.

  • Promotes primary assignments to support primary nursing care.

  • Monitors and corrects job performance of employees.

  • Is in charge of facility in absence of higher-ranking management officials.

  • Uses independent judgment and discretion on behalf of the organization in the performance of these duties.

Care and Services

  • Responsible for the overall direction, coordination and evaluation of the nursing department.

  • Assures that adequate strategies are in place to verify the current licensure and credentials of nursing employees.

  • Conducts rounds at least daily to gain a global view of nursing care. Participates in weekly grand rounds on each unit to gain an in depth understanding of patient care and needs and assist the team to identify potential declines in resident conditions.

  • Participates in morning stand up meetings and evaluates and directs the interdisciplinary team changes in condition.

  • Maintains administrative authority, responsibility and accountability for

  • Proper charting and documentation of care and of medications and treatments.

  • Investigations of falls and allegations of abuse

  • Resident outcomes within established benchmarks

  • Implementation of nursing services philosophy and objectives.

  • Adherence to standards of practice and organization policies and procedures.

Recommends to the administrator the number and levels of nursing personnel to be employed. Develops and implements the written staffing plan and nursing schedule that reflects the needs of the Resident population. Participates in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets. Maintains current knowledge of applicable managed care, Medicare and state Medicaid regulations, reimbursement systems and methodology and if appropriate, JCAHO standards for long term care. Makes assignments to others taking into consideration Resident safety and that assignments are commensurate with the educational preparation, experience, knowledge and ability of the persons to whom the assignments are made. Participates in studies under the Quality Assurance and Process Improvement program, utilizing root cause analysis to address process issues. Ensures nursing staff:

  • Performs nursing assessments regarding the health status of the Resident.

  • Utilize the programs and systems put into place to minimize resident risk of decline and prevent re-hospitalization.

  • Contributes to the Resident’s assessment (MDS/RAPs) and the development of a plan of care.

  • Makes nursing diagnoses, which serve as the basis of the strategy for care.

  • Develops a plan of care based on assessment, implementing nursing care.

  • Evaluates the Resident’s responses to nursing interventions.

  • Selects and institutes appropriate nursing intervention, which might be required to stabilize a Resident’s condition and /or prevent complications.

  • Consults with physician or licensed independent practitioner.

  • Clarifies any order or treatment regimen believed to be inaccurate, non-effective or contraindicated by consulting with appropriate licensed practitioner and notifying the ordering practitioner when making the decision not to administer medication or treatment.

  • Knows the rational for the effect of medications and treatments and correctly administer same.

  • Accurately reports and documents the Resident’s symptoms, responses and status.

  • Demonstrates measures to promote a safe environment of Resident and others.

  • Designs, promotes and organizes Resident education and counseling based on health needs.

  • Collaborates with the Resident, members of the healthcare team and, when appropriate, the healthcare resources to provide continuity of care.

  • Demonstrates excellent interpersonal skills to interact with facility staff, Administration, residents, families, vendors and government agencies.

  • Fulfill role according to Emergency Preparedness Manual

  • Demonstrates respect for co-workers and responds to needs of residents by complying with facility policies.

  • Demonstrates ability to prioritize tasks/responsibilities and complete duties within allotted time.

  • Attends and participate in departmental/facility and corporate meetings, as required.

  • Promotes optimal communication among program staff members, facility staff, referrals sources, physicians and patients.

  • Demonstrates flexibility in adjusting to change, resident needs and customer expectations; meets company standards relating to deadlines and attendance.

  • Performs other duties or functions as directed.

Resident Rights: Promotes and protects resident’s rights; supports the resident in the exercise of his or her rights. assists residents to make informed decisions; treats residents with dignity and respect; protects resident’s personal belongings; reports suspected abuse neglect, exploitation or misappropriation of property; avoids the need for physical restraints in accordance with current professional standards; supports independent expression, choice and decision-making consistent with applicable law and regulation.

Leadership: Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognizes priorities; challenges others to learn; keeps current and integrates new information; communicates and models organization values; fosters high performance.

Process Improvement: Applies process improvement methods and techniques and identifies processes for improvement in daily work.

Environment of Care and Safety: Assures resident environment is safe and takes necessary steps to intervene if an unsafe situation is identified; demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment.

Infection Control

Applies hand washing principles during daily work, demonstrates understanding of isolation precautions recognizes signs and symptoms of infection and complies with the employee health program, demonstrates understanding of the process for identifying and handling infectious waste, maintains personal hygiene, complies with OSHA standards in the work place and demonstrates understanding of cross-contamination.

Information Management

Enters of records data timely and accurately, protects confidentiality of Resident information, protects data against loss or destruction, logs onto the system using own password, logs off the system when leaving the work station, reports suspected violation of security/confidentiality issues, reviews data and identifies trends and deletes passwords of employees no longer needing access to software programs.

Interpersonal Skills: Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect, seeks feedback, sets clear standards for performance, evaluates job performance and provides effective feedback, establishes systems to measure effectiveness, efficiency and service and creates and maintains reporting mechanisms.

Continuing Education: Attends in-service and education programs and attends continuing education required for maintenance of professional certification or licensure.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee is occasionally required to sit, climb or balance and stoop or kneel. The employee on occasion will assist to lift and/or transfer Residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision.

Work Environment: The work environment characteristics described are representative of those an employee encounters while performing the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to blood or other body fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate.