Job Responsibilities
Qualified candidates must possess:
?? Current State Nursing Home Administrator license
?? Proven leadership ability with a minimum 2 years experience as
a NHA in Long Term Care and sub-acute
?? Demonstrated skills related to management, planning, budgeting,
marketing, human resources and quality improvement
?? Strong emphasis on the delivery of patient-centered, outcome-
oriented care
?? Dynamic employee relations skills with the ability to channel
motivation for peak performance and lead for commitment. In
recognition of the hard work and dedication needed to be a
successful Administrator
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Job Requirements
QUALIFICATION 1: Age requirement for licensure.
POLICY
An applicant shall be deemed in fulfillment of Licensure
Qualification 1 upon presentation of satisfactory documentation
to the Board establishing that he or she is 21 years of age or
older.
STANDARDS
Satisfactory documentation to establish an applicant??s age shall
include, but not be limited to, a birth certificate, driver??s
license or passport.
QUALIFICATION 2: Moral character and suitability requirement for
licensure.
POLICY
An applicant shall be deemed in fulfillment of Licensure
Qualification 2 when, in the opinion of the Board, there is no
information available regarding the applicant??s background which
may affect his or her ability to carry out the responsibilities
of a nursing home administrator in a professional, competent and
ethical manner.
STANDARDS
An assessment of an applicant??s character and suitability shall
be based upon a review of his or her responses and related
documentation pertaining to the questions contained in
the "Character and Suitability Information" section, Section F,
of the licensure application. Additionally, any other information
that may become available to the Board shall be considered in the
assessment of an applicant??s character and suitability.
QUALIFICATION 3: Educational requirement for licensure.
POLICY
An applicant shall be deemed in fulfillment of Licensure
Qualification 3 upon receipt of a Baccalaureate or higher level
degree from an accredited educational institution including, or
supplemented by, 15 credit hours of required coursework in long-
term care/health care, gerontology and personnel management.
STANDARDS
Accredited Educational Institutions
An accredited educational institution is one that is listed in
the directory of "Accredited Institutions of Postsecondary
Education," published for the Commission on Recognition of
Postsecondary Accreditation by the American Council on Education,
as having its degree program accredited by one of the following
accrediting bodies:
Middle States Association of Colleges and Schools (MSA);
New England Association of Schools and Colleges, Inc./Commission
on Institutions of Higher Education (NEASC-CIHE);
North Central Association of Colleges and Schools (NCA);
The Northwest Association of Schools and Colleges (NASC);
Southern Association of Colleges and Schools/Commission on
Colleges (SACS-CC);
Western Association of Schools and Colleges/Accrediting
Commission for Senior Colleges and Universities (WASC-Sr.); and
Association of Advanced Rabbinical and Talmudic Schools (AARTS).
Required Course Work (15 credit hours)
Successful completion of course work in the following five areas
at an accredited educational institution. Each course must be at
least three credit hours in duration. Subject areas identified
with an asterisk [*] must be completed, at a minimum, at the 300
level and may NOT be an introductory or entry level course in the
required subject area. Individualized contract learning course
work is NOT acceptable. The applicant is encouraged to ensure
that course work undertaken to meet this licensure qualification
will be acceptable to the Board prior to enrollment for the
course. To be acceptable, the course outline and syllabus must
demonstrate a substantial relationship to issues pertaining to
inpatient health care and the nursing home administrator domains
of practice.
?? Health Care Facility Administration*
?? Health Care Financing*
?? Legal Issues in Health Care
?? Gerontology
?? Personnel Management
* minimum at the 300 level course
Note: A course in "Nursing Home Administration" may be
substituted for "Health Care Facility Administration" to fulfill
Qualification 5 (see Licensure Qualification 5 guidelines).
Alternatives to Required Course Work
Following are the Board-approved alternatives that may be
substituted for the required course work:
Possession of a Baccalaureate or Masters level degree in health
facility administration, health services administration, or
health care administration where the degree program completed is
under the auspices of the College??s or University??s School of
Business and is currently, or at the time of the applicant??s
attendance:
a full Undergraduate Member of the Association of University
Programs in Health Administration for a Baccalaureate level
degree program; or
accredited by the American Assembly of Collegiate Schools of
Business at the undergraduate level for a Baccalaureate level
degree program; or
accredited by the American Assembly of Collegiate Schools of
Business at the graduate level for a Master??s level degree
program; or
accredited by the Accrediting Commission on Education for Health
Services Administration for a Master??s?? level degree program; or
approved through the National Association of State Boards of
Examiners of Long Term Care Administration Academic Program
Approval; or
the degree program was approved by the Board.
Possession of three or more years of qualifying field experience
within the five-year period preceding approval of the licensure
application; or
Possession of two or more years experience as the full-time
Administrator-of-Record (AOR) of an out-of-state nursing facility
within the five-year period preceding approval of the licensure
application.
QUALIFICATION 4: Experience requirement for licensure.
POLICY
An applicant shall be deemed in fulfillment of Licensure
Qualification 4 upon successful completion of one of the
following:
12-month Board-approved Administrator-In-Training (AIT) Program;
or
24 months of qualifying field experience as determined by the
Board; or
24 months of service as Administrator-of-Record (AOR) in an out-
of-state nursing facility.
STANDARDS
Board-Approved AIT Program
Twelve-month Board-approved internship conducted in a qualifying
nursing facility under the supervision of a qualified preceptor
and completed within the 10-year period preceding approval of the
licensure application. AIT Internships begun prior to receipt of
the Board's written approval are undertaken at the applicant's
own risk. Prior to participating in the AIT Program, applicants
must have a current licensure application on file with the Board,
have fulfilled Licensure Qualifications 1 and 2, and have
completed at least the following three courses toward fulfillment
of Licensure Qualification 3: Health Care Facility Administration
(or Nursing Home Administration), Health Care Financing, and
Legal Issues in Health Care.
Board-Approved Internship Alternatives
Internship conducted at a qualifying nursing facility under the
auspices of another state licensure board as a requirement for
nursing home administrator licensure in that state. The applicant
must have been granted a nursing home administrator license in
that state and provide satisfactory documentation establishing
that the internship was successfully completed and was equivalent
in length and content to the internship requirement of the New
York State Board of Examiners of Nursing Home Administrators?? AIT
Program.
Internship conducted at a qualifying nursing facility under the
auspices of an accredited educational institution as part of a
degree requirement. The applicant must graduate from the
respective degree program and provide satisfactory documentation
establishing that the internship was successfully completed and
was equivalent in length and content to the internship
requirement of the New York State Board of Examiners of Nursing
Home Administrators AIT Program.
Qualifying Field Experience
Experience gained through full-time service on the staff of a
qualifying health care facility in an administrative position
above the department-head level but not above the AOR, requiring
the incumbent to actively participate in the administration,
direction and operation of the facility. The position must
include substantial supervisory responsibilities for resident
care, and be compensated at a salary commensurate with the level
of responsibility claimed. Only experience accrued within the 10-
year period prior to approval of the licensure application is
applicable toward fulfillment of Qualification 4.
Experience / Education Credit
Board-approved internships and qualifying field experience may be
reduced in length based upon an applicant??s experience and/or
educational background as detailed below:
EXPERIENCE INTERNSHIP
CREDIT EXPERIENCE
CREDIT
Three or more years of full-time service as a Director of Nursing
Services at a qualifying health care facility, 6 months 12 months
OR
Five or more years of full-time service in a Department Head
level position at a qualifying health care facility. 3 months 6
months
EDUCATION
Possession of a Baccalaureate degree in Health Facility
Administration, 6 months 12 months
OR
Possession of a Masters degree in any field which fulfills the
requirements of Licensure Qualification 3. 6 months 12 months
NOTE: An applicant must either complete a Board-approved
internship or possess the required amount of qualifying field
experience. An applicant is not required to do both.
QUALIFICATION 5: Course of study requirement for licensure.
POLICY
An applicant shall be deemed in fulfillment of Licensure
Qualification 5 upon successful completion of a Board-approved
100-hour pre-licensure course in nursing home administration or
completion of a Board-approved 3-credit-hour course in Nursing
Home Administration given at an accredited educational
institution, completed at or above the 300 level.
STANDARDS
Board-Approved 100-Hour Course
Pre-licensure course in nursing home administration offered by an
approved sponsor, consisting of a minimum of 100 contact-hours of
study in areas as defined in 10 NYCRR 96.8 and completed within
the five-year period preceding approval of the licensure
application.
Course in Nursing Home Administration
A 3-credit-hour (minimum) course in Nursing Home Administration
at or above the 300 level, given at an accredited educational
institution which covers all of the areas as defined in 10 NYCRR.
Board-Approved Alternatives
Two or more years experience, within the 5-year period preceding
approval of the licensure application, as the Administrator-of-
Record (AOR) of a nursing facility located outside of New York
State.
Possession of a current 5-year certification from the American
College of Health Care Administrators (ACHCA).
QUALIFICATION 6: Examination requirement for licensure.
POLICY
An applicant shall be deemed in fulfillment of Licensure
Qualification 6 upon attaining a passing score on the examination
in nursing home administration approved by the Board. Applicants
must fulfill Licensure Qualifications 1 through 5 prior to
sitting for the licensure examination.
STANDARDS
Board-Approved Licensure Examination
The Nursing Home Administrator Licensure Examination that was
jointly developed by the Professional Examination Service (PES)
and the National Association of Boards of Examiners of Nursing
Home Administrators (NAB) has been approved by the NYS Board in
October 1982 as the only approved examination for licensure as a
nursing home administrator in New York State.
Determination of Passing Score
A scale score of 113, as calculated by PES, is the passing grade
accepted by the Board for licensure examinations offered on or
after January 1, 1990.
Out-of-State Licenses
If an applicant has been granted a Nursing Home Administrator
license in another state, the Board may waive the requirement
that an applicant sit for the licensure examination offered in
New York State. In order to be granted a waiver, the applicant
must have taken the jointly developed PES/NAB licensure
examination (PES examination prior to October 1982) in another
state and attained a score which meets or exceeds the passing
grade established in New York State on the same form of the
examination.
DEFINITIONS
Accredited Educational Institution ?? Institution listed in the
directory of "Accredited Institutions of Postsecondary
Education", published for the Commission on Recognition of
Postsecondary Accreditation by the American Council on Education,
as having its degree program accredited by one of the accrediting
bodies listed in the Standards section of Licensure Qualification
3.
Active Participation in the Administration, Direction and
Operation of a Qualifying Health Care Facility ?? Daily
participation in management decisions that affect multiple (2 or
more) major departments or service areas (as defined below)
within the facility and directly impacts the provision of care
and services to the patients in the facility.
Administrator-of-Record (AOR) ?? Single individual who is charged
with the general administration of a nursing home and who carries
out his or her responsibilities under the authority of a valid
and currently registered nursing home administrator license
issued by the state or jurisdiction in which the facility is
located.
Board ?? New York State Board of Examiners of Nursing Home
Administrators [BENHA].
Director of Nursing Services ?? registered professional nurse
designated to serve as director of nursing on a full-time basis
in a qualifying health care facility.
Full Time Service ?? Minimum of thirty-five (35) hours per week on-
site.
Major Departments and Service Areas with no direct impact on the
provision of resident care or services:
Fiscal
Personnel/Human Services
Support and Safety Services (including all of housekeeping,
laundry, maintenance, and safety)
Major Departments and Service Areas with direct impact on the
provision of resident care or services:
Food Services
Nursing
Rehabilitation (including all of PT, OT, Recreation, and
Speech/Audio)
Social Services
Position at the Department Head Level ?? Position requiring the
incumbent to be responsible for, and to supervise on a daily
basis, a major department or service area (as defined above) of a
qualifying health care facility. Department head level experience
is NOT considered Qualifying Field Experience. This experience
may be considered by the Board toward reducing the experience
requirement for licensure (see "Experience/Education Credit"
chart under Qualification 4 in the Licensure Guidelines).
Position Above the Department Head Level ?? Position at or below
the AOR (administrator)/CEO level with substantial supervisory
responsibilities requiring the incumbent to supervise, on a daily
basis, the department heads of multiple (2 or more) major
departments or service areas (as defined above) of a qualifying
health care facility. At least one major department or service
area must directly impact on the provision of resident care or
services. The Board may consider positions above the Department
Head level as Qualifying Field Experience.
Qualifying Field Experience ?? Experience gained through full-time
service on the staff of a qualifying health care facility in an
administrative position above the department head level but not
above the AOR, requiring the incumbent to actively participate in
the administration, direction, and operation of the facility. The
position must include substantial supervisory responsibilities
for resident care and facility staff and be compensated at a
salary commensurate with the level of responsibility claimed.
Qualifying Health Care Facility ?? Nursing Home or Hospital as
defined in Article 28 of the New York State Public Health Law and
Regulations promulgated thereunder, Psychiatric Hospitals as
defined in Article 31 of the New York State Mental Hygiene Law
and Regulations promulgated thereunder, or comparable facilities
recognized under similar statutes of other states or
jurisdictions.
Qualifying Nursing Facility ?? Nursing Home as defined in Article
28 of the New York State Public Health Law and Regulations
promulgated thereunder, or comparable facilities recognized under
similar statutes of other states or jurisdictions.
Substantial Supervisory Responsibilities ?? Daily direct
supervision of department heads of 2 or more major departments or
service areas (as defined above) and of other high level
administrative positions.
Unethical Conduct - Unethical Conduct as identified in Section
2897 of New York State Public Health Law and defined in New York
State Rules and Regulations, 10 NYCRR Section 96.1(m).
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Uppers
Working with individuals who have a drive to help other people, supporting them
and in-turn working with the Best.
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Downers
The position of a Nursing Home Administrator is not a 9 to 5
job. You will come in on weekends, holidays, and all hours of
the night to support your staff and residents. Not really a
downer.
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Lifestyle
You dress as a Professional and act like one as well. You will work with other
professionals from your local hospital, physician offices and market them as well
as your facility.
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Compensation
You can expect approximately $50,000 - 65,000 start with bonus
ranging from $10,000 to 25,000 depending on the company and the
goals that have been set by the employor.
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Advice to Jobseekers
Take the time to visit a Nursing Home and speak to a seasoned
Administrator/Executive Director. Ask to shadow him/her for
about a week to get a real feel for the experiences that you
would gain.
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