Jeff,  In our building, we are working on adjusting some of the titles.     We no longer have department heads, they are called mentors and leaders.   We have even changed some of the front line worker titles.   Our charge nurses are now shift leaders, our medication nurses are called mediciation specialists, and our CNA's are called resident care specialists.   It has been difficult to transition to new titles.   We are all so stuck in the old medical model of care.   Hope this helps.