Home Health DON

Culture Statement:
At Blue Mountain Hospital, we are committed to a culture of excellence, empowerment, accountability, and affirmative communication.

Value Statement:
Blue Mountain Hospital strives to exemplify values of Excellence, Integrity, Respect, Cultural Sensitivity, Compassion, Accountability, Stewardship and Collaboration.

Vision Statement:

Blue Mountain Hospital vision is to be the standard for rural hospitals.

Mission Statement:
Blue Mountain Hospital is committed to providing an atmosphere of excellence in healing, quality physician care and inspired employees.

Occupational Title: Director of Nursing (DON)

Department: Home Health and Hospice

Reports To: Administrator

Facility Location: Blue Mountain Hospital Cedar Mesa

Position: Full-time

Authority: The Director of Nursing has the authority to implement and enforce clinical policies, supervise and evaluate clinical staff, recommend disciplinary actions, remove staff from patient care if safety is compromised and recommend staffing adjustments to meet regulatory requirements.

Description:

The Director of Nursing (DON) is responsible for the overall direction, supervision, and coordination of clinical services for both the Home Health and Hospice programs. The DON ensures that care is delivered safely, effectively, and in compliance with CMS Conditions of Participation (42 CFR Parts 484 and 418), Utah state regulations, and agency policies as well as joint commission accreditation standards.

The DON ensures 24-hour nursing availability, oversees interdisciplinary coordination, leads Quality Assurance and Performance Improvement (QAPI) activities and maintains continuous survey readiness.

Key Performance Indicators:

Overall Clinical Oversight (Both Programs)

Direct and supervise all clinical services

Ensure care is delivered in accordance with physician orders and individualized plans of care

Oversee clinical documentation compliance

Ensure patient safety and regulatory adherence

Maintain clear lines of clinical authority

Home Health-Specific Oversight (42 CFR Part 484)

Ensure appropriate supervision of home health clinical staff

Oversee OASIS accuracy and timely submission

Ensure home health aide supervisory visits occur per regulation

Ensure timely initiation of care

Monitor hospitalization and outcome data

Hospice-Specific Oversight (42 CFR Part 418)

Ensure nursing services are available 24 hours per day, 7 days a week

Oversee symptom management and crisis response processes

Ensure RN supervisory visits for hospice aides occur at least every 14 days

Participate in and oversee the Interdisciplinary Group (IDG)

Ensure comprehensive assessment updates at least every 15 days

Quality Assurance and Performance Improvement (QAPI)

Lead QAPI programs for both Home Health and Hospice

Monitor quality indicators such as:

Hospital readmissions
Pain and symptom management effectiveness
Infection rates
Falls

Analyze trends and implement corrective actions

Prepare reports for governing body review

Staffing and Supervision

Participate in hiring and orientation of clinical staff

Ensure competency validation at hire and annually

Conduct performance evaluations

Ensure adequate staffing levels for both programs

Provide clinical coaching and mentorship

Regulatory Compliance & Survey Readiness

Maintain ongoing compliance with CMS and Utah regulations

Participate in state and federal surveys

Develop and implement plans of correction as needed

Ensure policies and procedures are current and implemented

After-Hours & Emergency Oversight

Ensure effective 24/7 on-call systems

Monitor response times for both programs

Oversee documentation of after-hours calls

Participate in emergency preparedness planning and annual review

Infection Prevention & Control

Oversee infection control programs for both services

Monitor trends and outbreaks

Ensure staff training and compliance

Working Conditions

Combination of office and field responsibilities

Travel to patient homes

Participation in on-call rotation as needed

Physical Requirements

Ability to perform nursing assessments

Ability to lift up to 25 pounds

Ability to travel within service area

Requirements

Experience, Training, and Qualifications needed to perform the job:

Current, active Registered Nurse (RN) licensure in Utah
Bachelor’s degree in Nursing preferred
Minimum:

Two (2) years RN experience
One (1) year supervisory/management experience
Home health and /or hospice experience

Current CPR certification
Valid driver’s license and reliable transportation
Current BLS Certification
Knowledge of CMS Home Health and Hospice Conditions of Participation (CoPs)
Minimum of 30 words per minute
Knowledge of EMR’s
Competent in Google Systems (Sheets, Calendar, Document, Slideshows, etc)

General Requirements:

In addition to the specific duties listed above, the Employee is required to do the following:

Any tasks, projects, or actions that are reasonably within the scope of the Employee’s position or employment, which the Employee’s supervisor, any member of BMH’s management, or BMH’s administration team—asks of the Employee. Tasks, projects, or actions are “reasonably within the scope” of the Employee’s employment or position unless the same are so far removed therefrom that no legitimate argument can be made that such tasks, projects, or actions are in any way related to BMH or the Employee’s employment or position within BMH.
Act as professionally as should normally be required in a medical organization. This shall include giving all appropriate respect and deference to licensed medical providers and behavioral health providers (hereafter jointly referred to as “Providers”). Providers include, but may not be limited to physician assistants, nurse practitioners (or similar), and Physician Assistants.
Keep all BMH business and patient information strictly confidential and to adhere to all other BMH confidentiality policies and procedures, as well as all laws affecting confidentiality.
Refrain—whatsoever—from intentionally, purposely, knowingly, or negligently engaging in any conduct, actions, or speech that may cause concern, apprehension, confusion, or annoyance on the part of any BMH patient toward BMH as an organization or any BMH employee.
Work congenially and cooperatively at all times with all other BMH employees. This includes maintaining a pleasant demeanor and attitude and executing position duties and administration’s/management’s other requests in a timely manner, diligently, and with a positive attitude. This requirement further includes refraining from personally degrading any other person or BMH employee. As part of this requirement, the Employee must refrain from engaging in gossip about any BMH employees and/or patients.
Communicate complaints about BMH, its policies, procedures, managers, administrators, and/or other employees—only to and through the appropriate BMH channels, which are limited to BMH’s management chain of command. No complaints, judgments, or degrading comments about BMH, its policies, procedures, managers, administrators, and/or other employees—should be shared with anyone other than the appropriate persons within BMH’s management chain of command who have the ability to work to remedy any related problems. Unless the Employee’s direct supervisor is part of the problem or complaint—problems and complaints should first be voiced to the Employee’s direct supervisor and upward therefrom through BMH’s internal management chain of command as appropriate and necessary. It is an absolute dereliction of this duty by the Employee if the Employee ever—directly or indirectly (in conjunction or planning with others)—makes complaints or problems publicly known to anyone other than BMH’s management team or administrative team (neither include BMH Board Members).
If applicable (having access to), check the Employee’s BMH email no less frequently than once daily.
Absolutely refrain from communicating or releasing any “Private BMH Information” to the media and/or non-BMH persons or entities—without formal approval to do the same by BMH’s CEO. “Private BMH Information”, for purposes of this requirement, includes: (1) all information that requires confidentiality pursuant to any BMH policies or procedures; (2) all information that is protected by HIPAA or other applicable laws; (3) all information relating to BMH’s internal business workings, strategies, or plans; and (4) all information relating to any BMH employee or contractor. This requirement remains applicable and shall stand regardless of whether the information being requested is of a private or public nature—if the information sought fits any of the above listed types. Finally, this requirement remains applicable at all times, including when the Employee is off duty or away from BMH’s premises.
We offer the opportunity to work with a dynamic team providing care to medically underserved communities. BMH hires in accordance with NPEA standards.