ASSISTANT NURSING HOME ADMINISTRATOR (0941 Manager VI)

Application Opening - Friday, January 27, 2023

**Interested applicants are encouraged to apply immediately as this recruitment may close at any time but no sooner than Friday, February 10, 2023 .**

This is aPermanentExempt (PEX) recruitmentconducted in accordance with City Charter Section 10.104 and is exempt from Civil Service.

The San Francisco Department of Public Health is accepting applications for a permanent exempt AssistantNursing Home Administrator (0941 Manager VI), Laguna Honda Hospital.

TheMission of the San Francisco Department of Public Health (SFDPH)is to protect and promote the health of all San Franciscans.

The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

Diversity, Equity, and Inclusion:

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the diversity of its workforce. All employees are required to participate in the Department of Public Health's work to advance equity, inclusion, and diversity through:

• Commitment to providing exceptional care and services to all residents of the City and County of San Francisco service population, with heightened awareness of responsiveness to racially, ethnically, and culturally diverse members of the service population and the DPH workforce.
• Desire and commitment to lead and participate in anti-racism, racial justice, and equity work that improves quality of patient care and employee experiences; along with the commitment and fortitude to drive change in these areas.
• Desire to work with, relate to, serve, and support a diverse service population and workforce.
• Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.

Under the direction of the Chief Executive Officer/Nursing Home Administrator, the Assistant Nursing Home Administrators' (ANHA) primary goal is to provide a home-like environment for our residents and to protect and promote their resident rights. These positions function as executives for the distinct part skilled nursing facility (D/P SNF) at the Laguna Honda Hospital and Rehabilitation Center (LHH) and is responsible and accountable for all functions and activities for their respective departments. These are senior executive-level positions and report to the LHH's Chief Executive Officer/Nursing Home Administrator. They lead, guide, and direct the operations of the D/P SNF healthcare facility in accordance with local, state, and federal regulations, standards and established facility policies and procedures to provide appropriate care and services to residents.

The ANHAs also provide leadership and direction in developing new programs and establishing organizational policies, priorities, and objectives; direct and coordinate the implementation of program changes; and perform related duties as required.

There are two (2) Assistant Nursing Home Administrator positions open at this time. For complete job descriptions, please .

This position exercises supervision that includes, but is not limited to, the following LHH related functional areas: Activity Therapy, Equity and Culture, Salon Services, Care Experience, Spiritual Care, Vocational Rehabilitation, Ombudsman Liaison and Volunteer Services. The ANHA will oversee the resident grievance program and resident council.

ESSENTIAL DUTIES

The LHH Assistant Nursing Home Administrator (ANHA), Care Experience (0941 Manager VI) will:

1. Plan, develop, organize, implement, evaluate, and direct the overall operations of the Activity Therapy, Equity and Culture, Salon Services, Care Experience, Spiritual Care, Vocational Rehabilitation, Ombudsman Liaison, Volunteer Services departments of the facility as well as its programs and activities, in accordance with current state and federal laws and regulations.
2. Oversee the resident grievance program and resident council.
3. Know and understand general skilled nursing facility practices and procedures, OBRA regulations, Code of Federal Regulations, State Regulations (Title 22), Appendix PP State Operations Manual, Life Safety Code regulations, applicable labor relations laws, and all other regulatory entities thatapply.
4. Review and interpret monthly financial statements and provide relevant information to the governing board and lead, in conjunction with the Chief Financial Officer, weekly or bi-monthly budget compliance meetings to ensure financial goals are met.
5. Evaluate work performance of department heads and maintains accountability across all departments in concert with Human Resources for expected performance outcomes in eachdepartment.
6. Understand, continue to learn, and teach others about new CMS program initiatives such as value-based purchasing programs like SNF-VBP, SNF-QRP, Quality Measures, Nursing Home Compare, Payroll Based Journal reporting, etc.
7. Ensure delivery of compassionate quality care and services throughan interdisciplinary team approach as evidenced by adequate, and competent facility staff, employee turnover, general cleanliness, physical plant condition, and optimal resident functioning physically and psychosocially.
8. Perform rounds to engage with residents and the care environment to ensure overall needs are being met and that a homelike environment is maintained;practices management by walking around.Makes themselvesavailable to employees at all levels and all shiftsby practicing an open-door policy.
9. Conduct periodic observations of in-service education to ensure staff members delivering the education are competent with the knowledge and skill set required to accomplish employee learning.
10. Prepare, guide, and direct facility readiness for respective departments related to health inspection surveys, Occupational Safety and Health Administration (OSHA) surveys, and any other regulatory entity or requirement.
11. Ensure follow up is completed with any "mock" survey or similar process used where issues are identified in preparation for health surveys, OSHA surveys, and any other regulatory requirements.
12. Ensure the facility's plan of correction response to any regulatory, inspection survey is completed, adequate, implemented, and timely for each supervised department.
13. Communicate directly with residents, medical and nursing staff, family members, leadership team and members of the interdisciplinary team to coordinate care and services; respondand resolvecomplaints and concerns with empathy and timeliness.
14. Ensure resident incidents and concerns that rise to a reportable event such as alleged abuse, neglect, mistreatment, misappropriation, etc. are reported to the correct entity within the stated regulatory time frames.

This position exercises supervision over related functional areas including but not limited to: Environmental Services, Food and Nutrition Services, and Clinical Nutrition. This position also coordinates closely with the SFDPH centralized services ofSecurity, and Materials Management and Biomedical Engineering.

ESSENTIAL DUTIES

The LHH Assistant Nursing Home Administrator (ANHA), Support Services (0941 Manager VI) will:

1. Plan, develop, organize, implement, evaluate, and direct the overall operations of the Environmental Services, Food and Nutrition Services, Clinical Nutrition, Security and Materials Management and Biomedical Engineering departments of the facility andits programs and activities, in accordance with current state and federal laws and regulations.
2. Promote and ensure a strong resident grievance process so concerns are addressed with a sense of immediacy.
3. Identify, in conjunction with selected leadership team members, the facility's key performance indicators and establishan ongoing system to monitor these key indicators viathe Quality Assurance and Performance Improvement process.
4. Evaluate key performance indicator outcomes with the leadership team to determine the need for action from leadership/management and creation of effective action plans based on the performance improvement process.
5. Review and interpret monthly financial statements and provide relevant information to the governing board and lead, in conjunction with the Chief Financial Officer, weekly or bi-monthly budget compliance meetings to ensure financial goals are met.
6. Evaluate work performance of department heads and maintains accountability across all departments in concert with Human Resources for expected performance outcomes in eachdepartment.
7. Understand, continue to learn, and teach others about new CMS program initiatives such as value-based purchasing programs like SNF-VBP, SNF-QRP, Quality Measures, Nursing Home Compare, Payroll Based Journal reporting, etc.
8. Ensure delivery of compassionate quality care and services throughan interdisciplinary team approach as evidenced by adequate, and competent facility staff, employee turnover, general cleanliness, physical plant condition, and optimal resident functioning-physically and psychosocially.
9. Perform rounds to engage with residents and the care environment to ensure overall needs are being met and that a safe, homelike environment is maintained. Makes themselvesavailable to employees at all levels on all shifts by practicing an open-door policy.
10. Prepare, guide, and direct facility readiness for respective departments related to health inspection surveys, Occupational Safety and Health Administration (OSHA) surveys, and any other regulatory entity or requirement.
11. Ensure follow up is completed with any "mock" survey or similar process used where issues are identified in preparation for health surveys, OSHA surveys, and any other regulatory requirements.
12. Ensure the facility's plan of correction response to any regulatory, inspection survey is completed, adequate, implemented, and timely for each supervised department.
13. Communicate directly with residents, medical and nursing staff, family members, leadership team and members of the interdisciplinary team to coordinate care and services; respondand resolvecomplaints and concerns with empathy and timeliness.
14. Ensure resident incidents and concerns that rise to a reportable event such as alleged abuse, neglect, mistreatment, misappropriation, etc. are reported to the correct entity within the stated regulatory requirement.

The Assistant Nursing Home Administrator (0941 Manager VI) performs other duties as required or assigned.

Required Minimum Qualifications

1. LICENSE:

Possession of a current, valid, unrestricted license as a Nursing Home Administrator issued by the California Department of Public Health,

OR

Eligibility to sit for and pass the Nursing Home Administrator State and National Examinations per regulations (see Health and Safety Code Section and ) within twelve months of hire;

AND

2. EXPERIENCE:

Five (5) years of verifiable, full-time experience managing in a long-term care environment, all of which must include supervision of professionals.

Applicants must meet the minimum qualification requirements by the final filing date unless otherwise noted.

Note:One year of full-time employment is equivalent to 2,000 hours of qualifying work experience (one year if performed full-time at 40 hours per week). Any overtime hours that were worked above 40 hours per week are not included in the calculation to determine qualifying hours worked.

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at

For more information on verifying applicableexperience, please see

Note: Falsifying one's education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

Desirable Qualifications

The stated desirable qualifications may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.

• Active member of the California Association of Health Facilities (CAHF) and/or American College of Healthcare Executives (ACHE)
• Completion of ACHE or CAHF Leadership Training or equivalent training
• Success in contributing to thecertification or recertification in a management role withina Long-Term Care facility
• Successfulmanagement and leadership experience in a licensed long-term care facility managed by federal (such as VA), state, or local government

Confidentiality:All personalinformation will be kept confidential according to EEO guidelines.

Additional Information Regarding Employment with the City and County of San Francisco:

Exam Analyst

Beata Chapman

beata.chapman@sfdph.org

628-271-6701

#1 01153647, #2 01125554

We may use text messaging to communicate with you if you include a mobile number in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT: All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine.Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.