Nova Skilled Home Health, Inc.

Employment Opportunities

Employment Opportunities

Pursuant to Title VI of the Civil Rights Act of 1964, (42 U.S.C s2000 (d0 et seq.) The Rehabilitation Act of 1973 as amended, (29 U.S.C. s 794) and 45 C.F.R. Part 91, the agency adheres to equal opportunity policy for all persons seeking admission or seeking employment, and for all persons employed by the agency. Heritage Home Health, Inc. does not discriminate because of age, race, color, religion, military status, gender preference, sex, national origin or disability.

Job Title/Position:

Certified Home Health Aide Reports To: Clinical Supervisor/Nursing Supervisor or Case Manager

JOB DESCRIPTION SUMMARY

Responsible for performing various services for a patient as necessary to meet the patient’s personal needs and to promote comfort, and responsible for observing the patient, reporting these observations and documenting observations and care performed.

Essential Job Functions/Responsibilities

  • Performs personal care needs after given a patient’s assignment and attends to his/her requests promptly, if unable to perform a certain task, reports to the Case Manager immediately
  • Meets safety needs of patient and uses equipment safely and properly (foot stools, side rails, O2, etc.)
  • Gives personal care including baths, back rubs, oral hygiene, shampoos and changes bed linen as often as assigned
  • Assists in dressing and undressing patients as assigned
  • Plans and prepares nutritious meals, including shopping as assigned
  • Assists in feeding the patient as assigned
  • Takes and records oral, rectal and axillary temperatures, pulse, respiration and blood pressure when ordered with appropriate completed/demonstrated skills competency
  • Provides proper care and observation of patient’s skin to prevent breakdown of tissue over bony prominence
  • Reports on patient’s condition and significant changes to the Case Manager, also aware of the caregiver or other individuals living with the patient and interpersonal issues
  • Assists in ambulation and exercises as instructed by the hospice nurse or therapist
  • Offers and assists with bedpans and urinals
  • Provides assistance as assigned with light laundry needs
  • Performs range of motion and other simple procedures as an extensional therapy service as ordered with appropriate completed/demonstrated skills competency
  • Provides respite for patient/family/caregiver when on-site as appropriate
  • Keeps patient’s living area clean and orderly as assigned
  • Adheres to the organization’s documentation and care procedures and standards of personal and professional conduct
  • Participates in quality assessment performance improvement teams and activities
  • Respectful of patient/family/caregiver environment and patient's personal needs

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

Position Qualifications

  • Meets the training requirements of the state
  • Effective August 14, 1990, a person who has successfully completed a state established or other training program that meets the requirements of S 484.36(a) and a competency evaluation program, or state licensure program that meets the requirements of S 484.36(b), or a competency evaluation program or state licensure program that meets the requirements of S 484.36(b)
  • At least eighteen (18) years of age
  • Ability to read and follow written instructions and document care given
  • Understands hospice philosophy
  • Comfortable in providing specialized care to the terminally ill
  • Satisfactory references from previous employers
  • Self-directing with the ability to work with little direct supervision
  • Secure with issues of death/dying
  • Provides a calm manner when in a patient’s home
  • Empathy for the needs of the ill, injured, frail and the impaired
  • Possesses and maintains current CPR certification
  • Demonstrates tact, patience and good personal hygiene
  • Licensed driver with automobile that is insured in accordance with organization requirements and is in good working order

Job Limitations

  • The home health aide will not function in any manner viewed as the practice of nursing according to the Nurse Practice Act.
  • The hospice aide will not administer medications, take physician’s orders or perform procedures requiring the training, knowledge and skill of a licensed nurse, such as sterile techniques.

Skills Required

  • Good oral and written communications
  • Good organizational skills

Working Conditions

  • Community home environment
  • Exposure to infectious diseases
  • In and out of automobile
Apply Job
Title: Licensed Vocational Nurse Reports To: Clinical Supervisor

QUALIFICATIONS

  • Current California License for Vocational Nurse issued by the California Board of Vocational Nurse and Psychiatric Technician Examiners.
  • Minimum one year experience as a professional nurse. Community/home health or medical/surgical experience is preferred.
  • Has excellent clinical judgment, knowledge of current nursing practices, observation, and communication skills.
  • Current CPR Certification.
  • Current and satisfactory report on pre-employment physical examination including Mantoux TB Test or chest X-ray as required by Agency policies and procedures.
  • Able to walk, bend, stoop, and lift objects weighing up to 25 lbs.
  • Is fluent in English.
  • Is self-directed and able to work with little supervision and has good organizational skills.
  • Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.
  • Is able to use professional judgment in reporting and seeking assistance from both peers and supervisors.

POSITION SUMMARY

The Licensed Vocational Nurse provides skilled nursing care to patients following a plan of care established by a physician in consultation with the Case Manager/RN and the interdisciplinary team members.

ESSENTIAL DUTIES AND RESPONSIBILITIES

    The following is representation of the major duties and responsibilities of this position. The Agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

  • Contributes to the development of a plan of nursing action based on existing problems, expected patient response, and the Plan of Care.
  • Performs duties consistent with the Vocational Nursing Practice Act.
  • Implements safe, therapeutic care of patients with overt needs in supervised/controlled situations as initiated in the Plan of Care by the physician in consultation with the Case Manager/RN and interdisciplinary team.
  • Utilizes resources ( patient, family, staff outside personnel, agencies/organizations) to contribute to the Plan of Care.
  • Maintains current knowledge and skills for documenting care to meet Regulatory and third party payer requirements. Prepares documentation and clinical/progress notes. Documents clearly and concisely, using proper notation and Agency abbreviations. Submits all documentation within the timelines established by the Agency.
  • Explains test, procedures, disease process, and provides other health education to patient, family, and/or caregiver. Documents patient/family/caregiver response to care and teaching.
  • Notifies the patient’s attending physician, dentist or podiatrist and other professional persons and responsible staff of significant changes in the patient’s condition. “Significant changes” include those changes that suggest the need to modify or develop a plan of treatment or plan of care.
  • May teach basic patient care to ancillary personnel and CHHA’s.
  • Participates in coordination of home health services, appropriately reporting the need for other disciplines to the case manager and/or clinical supervisor.
  • Reports on the patient’s condition and changing patient status to the Case Manager and/or clinical supervisor.
  • Regularly attends and participates in scheduled case conferences, staff meetings and Agency in-services.
  • Attends and/or participates in Clinical Record Reviews and other Quality Improvement functions as directed by the Supervisor.
  • Prevents spread of infection and disease by proper disposal of contaminated materials and by adhering to Standard Precautions.
  • Maintains/conserves confidentiality of patient and Agency information at all times.
  • Regularly assesses own nursing skills and educational needs to meet the nursing care requirements of patients assigned for care. Upgrades professional skills and attends in-services and continuing educational classes as needed.
  • Provides those services requiring nursing skills in accordance with the plan of treatment of plan of care.
  • Educates and instructs the patient, patient’s family, or staff as required. Teaching patient information is limited to that which is outlined in and consistent with the Licensed Vocational Nurse Practice Act.
  • Assists the patient in learning appropriate self-care techniques.
  • Assist the physician and registered nurse in performing specialized procedures. Prepares equipment and materials for treatments observing aseptic technique as required.
  • Conforms to all agency policies and procedures.
Apply Job
Job Description Title: Registered Nurse/Case Manager Reports To: Clinical Supervisor

QUALIFICATIONS

  • Is currently a licensed Registered Nurse in the state.
  • Has at least one-year experience as a professional nurse.
  • Has excellent clinical judgment, knowledge of current nursing practices, observation, and communication skills.
  • Current CPR Certification.
  • Current and satisfactory report on pre-employment physical examination including Mantoux TB Test or chest X-ray as required by Agency policies and procedures.
  • Able to walk, bend, stoop, and lift objects weighing up to 25 lbs.
  • Is fluent in English.
  • Is self-directed and able to work with little supervision and has good organizational skills.
  • Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.
  • Is able to use professional judgment in reporting and seeking assistance from both peers and supervisors.

POSITION SUMMARY

The Case Manager will use the nursing process to assess and manage the medical needs of the patient. The Case Manager identifies other disciplines needed to maximize the patient’s progress toward goals. The Case Manager will be the patient’s advocate and will be in communication with the primary MD and the Clinical Supervisor, as the patient’s condition requires.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following is representation of the major duties and responsibilities of this position. The Agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

  • Assesses all patients initially, choosing appropriate parameters for measurement and observation related to the patient’s medical history/disease process, nursing assessment, functional limitations and the Plan of Care.
  • Initiates the Plan of Care.
  • Provides the ongoing periodic assessment of the patient, monitors patients for all important parameters for each visit; utilizes monitored information to progress therapy/intervention toward goals and revises the Plan of Care as needed.
  • Notifies the patient’s attending physician, dentist or podiatrist and other professional persons and responsible staff of all significant changes in a patient’s condition and needs. “Significant change” includes those changes that suggest the need to modify or develop a plan of treatment or plan of care.
  • Carries out the physician’s orders as directed; clarifies orders.
  • Regularly re-evaluates the patient’s nursing needs.
  • Follows current standards of clinical nursing practice with appropriate adaptations for delivering care in the home environment.
  • Gives clear and precise explanations to the patient and family caregiver about services the Agency provides, their rights and how to exercise them while receiving services. Informs patient/PCG of the reasons for treatment and any responsibilities they may have following the treatment. Promotes participation in developing the Plan of Care to the extent they are willing and able to participate.
  • Counsels the patient and family in meeting nursing and related needs.
  • Assists in coordinating all services provided.
  • Educates and instructs the patient, patient’s family, or staff as required.
  • Identifies problems for which nursing services are to be provided and selects those that can be addressed within the scope of services offered by the Agency and focuses on goals that are realistic, obtainable, measurable and patient-centered.
  • Begins planning for discharge when treatment goals are being attained or when no longer attainable. Prepares the patient/PCG for discharge by clearly instructing them on the continuing treatment and health care behaviors that need to be followed after skilled services have been discontinued.
  • Coordinates patient care and discharge planning with the physician, other members of the health care team and with community services, including referrals for continued services as needed.
  • Provides instruction to the patient and/or caregiver regarding but not limited to medications, disease process, treatment, safety interventions, and ADL/IADL care. Incorporates patient’s knowledge deficits into the teaching plan. Promotes self care and treatment independence in a positive manner that allows the patient control over aspects of his/her life that have been changed by acute and chronic illness.
  • Maintains current knowledge and skills for documenting care meeting Regulatory and third party payer requirements. Prepares documentation and clinical/progress notes. Documents clearly and concisely, using proper notation and Agency abbreviations. Submits all documentation (notes, change of orders, progress summaries, recertifications, transfer/discharge, etc.) within the timelines established by the Agency.
  • Collects and completes the Outcome Assessment Information Sets developed and mandated by HCFA. Submits data sets within the guidelines established by HCFA.
  • Reports all events/occurrences that pose an actual or potential risk to patients or Agency personnel and completes an Incident/Accident Report as required by Agency policy when necessary.
  • Reports/submits all other quality indicator data as required by Agency policy (i.e. glucometer logs, patient grievances, patient/employee infections, etc.)
  • Manages all hazardous materials and wastes in a prudent and cautious manner according to Agency policy
  • Establishes a supportive relationship with patient and caregiver that promotes a climate for caring and for mobilizing the patient’s own resources.
  • Utilizes additional community services appropriately. Incorporates advocacy into the Care Plan by providing information or direct advocacy to obtain medical care, other health care services, equipment and supplies when necessary.
  • Respects the patient and family’s rights and property as defined by the federal and state laws. Keeps all patient information confidential.
  • Regularly attends and participates in scheduled case conferences, staff meetings and Agency inservices.
  • Supervises Home Health Aides every 14 days in the home or as required. Supervises LVNs as required. Teaches other nursing personnel.
  • Regularly assesses own nursing skills and educational needs to meet the nursing care requirements of patients assigned for care. Upgrades professional skills and attends in-services and continuing education classes as needed.
  • Provides those services requiring substantial and specialized nursing skills in accordance with the plan of treatment or plan of care.
  • Will perform duties consistent with the Nursing Practice Act including the Standards of Competent Performance, title 1, Chapter 14, 1443.5 of the California Code of Regulation.
  • Conforms to all agency policies and procedures.
Apply Job

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