Career Opportunities

Job Description:

The CNA provides personal care and related services in the home. They functions under the direction, instruction and supervision of the staff nurse and the Nursing Director and/or appropriate supervisor.

Organizational Relationship:

The CNA reports directly to the nurse manager

Risk Of Occupational Exposure to Blood Borne Pathogens:

A: High Exposure

Qualifications: (Preferred unless required by law)

• Completion of the 9th grade; prefer high school graduate, GED is acceptable
• Successful completed a MD/Board approved CNA course and competency and have received additional home care training (including communication skills, techniques of home client care, maintenance of clean, safe home environment, food & nutrition, infection control, caring for clients with special needs, caring for clients with terminal needs) and been skills competency tested.
• Experience as a CNA for at least 1 year within the past 3 years.
• Must have current CPR certification.
• If providing medication administration, is a MD Certified Medicine Aide.

Responsibilities:

• Take vital signs (temperature, blood pressure, pulse, and respiratory rate).
• Provide direct patient care such as assisting with bathing, eating, dressing, and walking patients.
• Turn and reposition bedridden patients to prevent breakdown of their skin.
• Change bed linens.
• Record amount of oral intake and measure urinary output.
• Transfer patient using Hoyer lift or assist patients in transferring from bed to chair, chair to chair or chair to bed as necessary.
• Assist patient in ambulation with/or without assistive devices such as walkers and canes
• Collect non-invasive specimens for tests.
• Position and empty bedpans and/or urinals as necessary.
• Interact with patients and family.
• Transport patients (if allowable) and equipment as needed per Agency policy.
• Keep a record of care given.
• Monitor patients and report any variances to normal to the nurse for further assessment.
• Follow universal precautions to prevent the spread of organisms.
• Carries out her assignment as instructed by the nurse or the paramedical team and reports to the nurse when she is unable to do so
• Works with personnel of other community agencies involved in the patient’s care as directed by the staff nurse
• Performs routine housekeeping tasks as related to a safe and comfortable environment for the patient, as instructed by the professional nurse
• Attends in service as required by state and federal regulations
• Confirms on a weekly basis, the scheduling of visits with the Supervisor/Director, to coordinate necessary visits with other personnel.
• Notifying the Agency of absences due to: illness, emergency leave, normal vacation periods, or special professional meetings, which will affect agreed service with the Agency. Notification must occur 3 hours or more prior to visit scheduled.
• Demonstrates patience, honesty, good health, and the willingness and ability to follow directions.
• If providing medication administration, is a certified Medicine aide providing only those services allowed under the certification.

Functional Abilities:

• Is able to lift, turn and transfer patients weighing up to 150 pounds.
• Is able to carry bundles upstairs weighing up to 10 pounds.
• Must be able to stoop and bend.
• Must be able to travel to prospective patient’s place of residence
• Must be able to hear and speak in a manner understood by most persons.

Job Description:

A Licensed Practical Nurse (LPN) provides practical nursing skills within the scope of nursing practice standards in collaboration with RN case managers/supervisors, teaches and educates clients and their families according to the established professional plan of care.

Organizational Relationship:

Reports directly to the assigned RN

Risk Of Occupational Exposure to Blood Borne Pathogens:

A: High Exposure

Qualifications:

• Graduate of an approved LPN nursing school
• Currently, licensed “in good standing” in MD
• A minimum of one (1) year of experience as a LPN, preferably in a home care setting
• Must have a criminal background check
• Must have current CPR certification

Responsibilities:

• Maintains the nursing frequency established by the supervising RN.
• Follows the plan of care established by the supervising RN.
• Prepares equipment & materials for treatments observing aseptic techniques as required.
• Performs home safety check and environmental check of the client’s home environment on all visits. Reports any unsafe or potentially unsafe condition to the supervising RN.
• Performs nursing visit and documents accordingly (Skilled Nursing Note etc.).
• Reviews and follows the supervising RN’s plan of care, communicating frequently with the supervising RN on any suggested changes necessary.
• Collaborates with the supervising RN on a weekly (or more frequent basis) to benchmark toward the established outcome goals.
• Reviews the client’s ADL and iADL abilities and therefore need of support services such as home health aide. Communicates any suggested changes to the supervising RN.
• Reinforces the Aide plan of care when Aide services are ordered.
• Communicates effectively with the supervising RN, scheduled visits planned and changes to the schedule on a weekly basis. Caseload is self-scheduled but communication of the clinician’s schedule to the RN Supervisor is essential.
• Communicates in case conferencing sessions. Effectively functioning as an involved team member to collaborate on best practices for the individual client’s needs.
• Submits accurate, complete paperwork at the end of every week so that all medical records are intact and up to date. Uses the drop box if the office is already closed for the weekend.
• Notifies the supervising RN with requests for re-authorization of “more visits needed” prior to third party insurers authorized number of visits expiring.
• Suggests Community Services that may be available to the client to assist in safe home care needs.
• Understands that the fiscal and clinical management of each case is directly linked to the success of his/her office.
• Participates in the PI/QA Committee process as requested.
• Participates in the staff meeting as part of the requirements of the position. Adjusts visits on the staff meeting day to accommodate this important function.
• Participates in the growth of the office by being a willing preceptor for newly hired, same discipline employees.
• Maintains LPN licensure and actively seeks out educational experiences to enhance the practice of home care nursing for her/him and the benefit of the clients serviced.
• Notifies the RSA of emergencies, sickness, and other imminent occurrences that may affect the client caseload as quickly as possible relative to the event’s occurrence.
• Submits written time requests 2 weeks or more in advance of planned time off.
• Confirming on a weekly basis, the scheduling of visits with the Supervisor, to coordinate necessary visits with other personnel
• Notifying the Agency of absences due to illness, emergency leave, normal vacation periods, or special professional meetings, which will affect agreed service with the Agency.

Functional Abilities:

• Is able to lift, turn and transfer clients weighting up to 150 pounds.
• Is able to carry bundles upstairs weighing up to 10 pounds.
• Must be able to stoop and bend.
• Must be able to travel to prospective client’s place of residence.
• Must be able to hear and communicate effectively in English.

Job Description:

A nurse currently licensed and registered who provides professional services within the scope of nursing practice standards in collaboration with primary care physicians, teaches and educates clients and their families.

Organizational Relationship:

Reports to the Nursing Director

Risk Of Occupational Exposure to Blood Borne Pathogens:

A: High Exposure

Qualifications:

• Graduate of an approved professional nursing program (RN)
• Currently, licensed “in good standing” in MD
• Minimum of one (1) year of experience as a professional nurse, preferably in home care.
• Must have a criminal background check.
• Must have current CPR certification.

Responsibilities:

• Receives the intake referral information and prepares paperwork/tools necessary for the visit.
• Performs assessments, including medical history from client, family or significant others, which includes client/family involvement.
• Performs home safety check and environmental assessment of the client’s home environment.
• Performs the socio-psychological evaluation of the support systems available to the client and documents necessary emergency contacts etc.
• Performs assessment visit and documents timely. (i.e. assessments/ Skilled Nursing Note etc.).
• Performs physical examination and review of all body systems and documents such accordingly.
• Develops an appropriate and effective Plan of Care (POC) to be submitted to the physician for approval and implementation.
• Determines necessity for other services that could enhance the positive outcome desirable for the case.
• Evaluated the client’s ADL and iADL abilities and therefore need of support services such as aides.
• Develops and implements the Aide plan of care when Aide services are ordered. Revises and signs the care plan.
• Supervises the Aides in accordance with state/federal requirements and documents the supervision without having to be directed to do so.
• Orders “other” professional services that are effective and is willing adjust frequency of these services as outcome progresses and the client’s condition warrants.
• Orders “other” professional services that are effective and is willing adjust frequency of these services as outcome progresses and the client’s condition warrants.
• Reviews billing processes with client and/or family advising client and/or family when co-pay or insurance is not likely to pay for services.
• Effectively communicates with client and family the POC and progression of such. Keeps the client informed ongoing.
• Effectively communicates with other disciplines in the case (case conferencing) to effectively and appropriately problem solve as situations arise.
• Communicates effectively with the Nursing Director/RN Supervisor scheduled visits planned and changes to the schedule on a weekly basis.
• Communication with the client’s physician (verbally and/or in writing) to obtain effective treatment modalities and/or rehabilitative therapy modalities to effect the best means to obtain the desired outcome for the specific medical problem that caused the case to open and/or recertify.
• Communicates in the case conferencing sessions to establish best practices for the individual client’s needs.
• Submits accurate, complete paperwork at the end of every week so that all medical records are intact and up to date. Uses the drop box if the office is already closed for the weekend.
• Submits ALL assessment documentation within 48 hours of the visit.
• Submits requests for more visits needed prior to third party insurers authorized number of visits expiring.
• Coordinates Community Services that may be available to the client to assist in safe home care needs.
• Understands that the fiscal and clinical management of each case is directly linked to the success of his/her office.
• Participates in the Performance Improvement Committee process as requested.
• Performs clinical record reviews (CRR) per RSA policy in collaboration with the RN Supervisor. Submits the CRR timely.
• Participates in the staff meetings as part of the requirements of the position. Adjusts visits on the staff meeting day to accommodate this important function.
• Participates in the growth of the RSA by being a willing preceptor for newly hired, same discipline employees.
• Participates in the planning, operation and evaluation of the nursing services of the organization.
• Maintains professional licensure and actively seeks out educational experiences to enhance the practice of home care nursing for her/him and the benefit of the clients serviced.
• Notifies the RSA of emergencies, sickness, and other imminent occurrences that may affect the client caseload as quickly as possible relative to the event’s occurrence.
• Submits written time requests 2 weeks or more in advance of planned time off.

Functional Abilities:

• Is able to lift, turn and transfer clients weighting up to 200 pounds.
• Is able to carry bundles upstairs weighing up to 10 pounds.
• Must be able to stoop and bend.
• Must be able to travel to prospective client’s place of residence.
• Must be able to hear and effectively communicate in English.

Job Description:

The Companion is a paraprofessional, providing services in the home for clients under the direct supervision of a qualified supervisor. Companion services include support, encouragement, companionship, respite breaks for family or caregivers, and provision of and instruction in reporting of changes in the client’s situation. The Companion is assigned to a client by the coordinator and follows a written plan of service.

Qualifications:

• High School graduate
• At least one (1) year of working as a companion or life experience working
• Effective interpersonal communication skills
• Use of an automobile with possession of liability insurance is desirable
• Must be able to read, write in English and follow instructions
• Selected on the basis of such factors as: an interest in people, tact, a history of emotional stability, dependability in employment, neatness in appearance and practices, good personal hygiene, and good judgment
• Must have a criminal background check
• Must have current CPR certification
• Responsibilities:
• Provide respite breaks for family or caregivers
• Provide assistance with reading and writing correspondence and publications
• Observation and feedback to the coordinator/ supervisor on client’s behavior, mood, and adjustment in the home
• Notifies superior of any safety issues
• Being supportive and encouragement during periods of loneliness, depressions, bereavement etc.
• Follows the plan of service for tasks
• Records observations and tasks and signs each entry on the appropriate form for each visit made
• Communicates on a weekly basis or more often as necessary with the supervisor
• Immediately reports emergency situations by phone to supervisor or office
• Keeps an accurate time and mileage report
• Follows assignments and regulations
• Follows specific office orders for each client
• Uses policy manual as guidelines
• Works within the organizational channel of authority and knows the area of responsibility of all other team members
• Wears appropriate clothing and ID badge when at work

Confirming on a weekly basis, the scheduling of visits with the Supervisor, to coordinate necessary visits with other personnel

Notifying the Agency of absences due to illness, emergency leave, normal vacation periods, or special professional meetings, which will affect agreed service with the Agency.