Clinical Operations Executive Assistant; LPN) to Director of Nursing; DON

Job Title:

Clinical Operations Executive Assistant (LPN) to the Director of Nursing (DON) Position Summary

The Clinical Operations Executive Assistant (LPN) to the Director of Nursing (DON) provides advanced administrative, clinical coordination, and regulatory support within a long-term care facility. This role is integral to ensuring compliance with New York State Department of Health (NYS DOH) and Centers for Medicare & Medicaid Services (CMS) requirements, including adherence to federal regulations under 42 CFR §483 (Requirements for Participation for Long-Term Care Facilities).

Acting as an extension of the DON, this position supports clinical oversight, survey readiness, quality improvement initiatives, and interdisciplinary communication to promote safe, effective, and resident-centered care.

• Provide high-level administrative and clinical support to the DON, including calendar management, regulatory meeting coordination including spearheading meeting minutes, and prioritization of clinical issues.
• Prepare and maintain survey-ready documentation, reports, policies, and meeting materials in accordance with NYS DOH and CMS standards.
• Maintain strict confidentiality in compliance with HIPAA regulations.
• Other duties as assigned

• Assist in ensuring ongoing compliance with CMS Conditions of Participation (42 CFR §483) and NYS DOH regulations for skilled nursing facilities.
• Coordinate and participate in survey preparedness activities, mock surveys, and plan of correction (POC) development.
• Track and monitor Statements of Deficiencies (Form CMS-2567) and ensure timely submission of corrective actions.
• Maintain documentation for audits, including infection control, staffing, and quality metrics.
• Other duties as assigned

• Support daily nursing operations, including staffing coordination to meet minimum staffing requirements and acuity needs.
• Assist in clinical audits (e.g., documentation, medication administration, infection control practices).
• Collaborate with unit managers to ensure compliance with care standards and documentation protocols.
• Other duties as assigned

• Support the facility’s QAPI program in alignment with CMS and NYS DOH requirements.
• Collect, track, and analyze quality indicators, including falls, pressure injuries, infections, and hospital readmissions.
• Assist in developing performance improvement plans and monitoring outcomes.
• Other duties as assigned

• Assist the Infection Preventionist and DON in maintaining compliance with infection control regulations, including CDC and CMS guidance.
• Track and report infection surveillance data and support outbreak management protocols.
• Other duties as assigned

• Serve as a liaison between the DON, interdisciplinary team members, physicians, residents, families, and external agencies.
• Support communication related to regulatory updates, policy changes, and clinical initiatives.
• Other duties as assigned

• Maintain accurate and up-to-date clinical and regulatory records.
• Generate reports related to staffing (e.g., PBJ reporting), incidents, and quality measures.
• Support electronic health record (EHR) documentation compliance and audits.
• Other duties as assigned

• Active and unrestricted Licensed Practical Nurse (LPN) license in the State of New York (required).
• Associate’s degree or higher in Nursing or Healthcare Administration preferred.

• Minimum 3–5 years of clinical experience in a skilled nursing facility or long-term care setting.
• Prior experience with…