Regional Director of Clinic Services

1. Develop, implement, educate and monitor clinical programs that meet Professional Nursing Standard 
of Care and Nursing Standard of Practice per the applicable State Board of Nursing and the American 
Nurses Association.
2. Ensure that the facilities are in compliance with all State and Federal Survey Regulations for Medicare 
and Medicaid Licensure Certification.
3. Assist the Administrator and/or DON in writing plan of corrections (POC) and Allegation of Compliance 
(AOC) for any state and federal survey deficiencies cited. Approve all POC and AOC submitted to the 
Office of Inspector General (OIG).
4. Monitor facilities compliance with all POC submitted to OIG for recertification of Medicare and 
Medicaid License.
5. Oversee all reportable events that are submitted to OIG which includes: reviewing and approving all 
reportable documents sent to OIG and assisting facility in correction of all issues identified.
6. Provide training to facility Administration and/or staff as needed to meet Professional Nursing 
Standard of Care and Nursing Standard of Practice per the applicable State Board of Nursing and the 
American Nurses Association; and State and Federal Survey Regulations for Medicare and Medicaid 
Licensure Certification.
7. Assist Administrator with hiring, training and disciplinary actions for the Director of Nursing (DON).
8. Conduct monthly Regional DON meetings for clinical program training and DON development.
9. Create and establish Regional clinical, MDS, dietary, social services and regulatory policies; And 
educate and provide these policies to facilities.
10. Assist DON in staffing structure and nursing PPD.
11. Conduct visits to the facility to assess, train, and monitor Administrative staff. Create action plans as 
needed to facilitate growth and development.
12. Attend Regional Operations meetings and give clinical insight as requested by the Director of 
Operations (DOP).
13. Attend all Regional meetings requested by the Director of Operations.
14. Provide oversight and direction to the MDS department. In states with case-mix reimbursement, 
provide education and training for Medicare and Medicaid utilization and reimbursement. Monitor 

Myers and Stauffer reports and assist in case-mix index (CMI) development. 
15. Conduct Regional monthly MDS meetings for training and CMI development. Monitor and assist as 
needed, RAC audits received from Insurance, State or CMS. 
16. Assist facilities with any Human Resource issues as needed.
17. Develop Regional tracking and trending reports for clinical metrics regarding CMS 5-star rating. Assist 
facilities in achieving 5-star rating in all categories.
18. Develop Regional Clinical reports monitoring high risk liability areas and assist facilities in areas of 
concern to alleviate liability risk.
19. Work with Liability Insurance company visits, POC and high-risk areas of concern. 
20. Assist Regional and or company defense attorneys as needed with any lawsuits, depositions, reports 
and document production.
21. Review all record requests for appropriate documents for release. Notify DOP and company attorney 
with adverse events or liability concerns.
22. Review and audit medical record as requested by attorney and write preliminary report or risk analysis.

Education & Experience

Required - Bachelor’s Degree in Nursing (BSN) or equivalent 
Accredited Nursing Program Degree
Master’s Degree in Nursing preferred
20+ years of Clinical and Management experience preferred. 
Preferred experience: MDS certified, Legal Nurse Consultant or 
Risk Management experience; previous Regional or Corporate Nurse 
experience; experience with CMS/OIG surveys including Jeopardy 
citations. PCC knowledge