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Servicing LA & OC County

Career Opportunities

Registered Nurse/ RN Supervisor

QUALIFICATIONS

1. Is currently a licensed registered Nurse in the state.

2. Has one (1) year experience as a professional nurse.

3. Has excellent clinical judgment, knowledge of current nursing practices, observations, and communications skills.

4. Current CPR Certifications.

5. Current and Satisfactory report on pre-employment physical examination including Mantoux TB Test or Chest X-Ray as required by Agency policies and procedures.

6. Able to walk, bend, stop, and lift objects weighing up to 25 pounds.

7. Is fluent in English.

8. Is self-directed and able to work with little supervision and has good organizational skills.

9. 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.

10. Is able to use professional judgment in reporting and seeking assistance from both peer and supervisors.

POSITION SUMMARY

The RN/ 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 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.

1. 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.

2. Initiates the Plan of Care

3. Provides the ongoing periodic assessment of the patient, monitors patients for all important parameters on each visit; utilizes monitored information to progress therapy/ intervention toward goals and revises the Plan of Care as needed.

4. Notifies the patient’s attending physician, dentist, or podiatrist and other professional persons and responsible staff of all significant changes in the 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.

5. Carries out the physician’s orders as directed; clarifies orders.

6. Regularly re-evaluates the patient’s nursing needs.

7. Follows current standards of clinical nursing practice with appropriate adaptations for delivering care in the home environment.

8. Gives clear and precise explanations to the patient and family caregiver about the 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 the extent they are willing and able to participate.

9. Counsels the patient and family in meeting nursing and related needs.

10. Assists in coordinating all services provided.

11. Educates and instructs the patient, patient’s family, or staff as required.

12. 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.

13. 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 continuing treatment and health care behaviors that need to be followed after skilled services have been discontinued.

14. Coordinates patient care and discharge planning with the physician, other members of the health care team, and with the community services, including referrals for continued services as needed.

15. Provides instruction to the patient and/or caregiver regarding, but not limited to, medications, disease process, treatment, safety interventions, and ADL/LADL care. Incorporates patient’s knowledge of 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.

16. Maintains current knowledge and skills for documenting care meeting regulatory and third party payers’ requirements. Prepares documentation and clinical/ progress abbreviations. Submits all documentation (notes, change of orders, progress summaries, recertification, transfer/discharge, etc.) within the timelines established by the Agency.

17. Collects and completes the Outcomes Assessment Information Sets developed and mandated by HCFA. Submits data sets within the guidelines established by HCFA.

18. 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.

19. Reports/ submits all other quality indicator data as required by Agency policy (ie.glucometer logs, patient grievances, patient/employee infections, etc.)

20. Manages all hazardous materials and wastes in a prudent and cautious manner according to Agency policy.

21. Establishes a supportive relationship with patient and caregiver that promote a climate for caring and for mobilizing the patient’s own resources.

22. 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.

23. Respects the patient’s and family’s rights and property as defined by the federal and state laws. Keeps all patients’ information confidential.

24. Regularly attends and participates in scheduled case conferences, staff meetings, and Agency in-services.

25. Supervises Home Health Aides every 14 days in the home and/ or as required. Supervises LVNs as required. Teaches other nursing personnel.

26. 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.

27. Provides those services requiring substantial and specialized nursing skills in accordance with the Plan of Treatment or Plan of Care.

28. 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 Regulations.

29. Conforms to all Agency policies and procedures.

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Licensed Vocational Nurse (LVN)

QUALIFICATIONS

1. Current California License or Vocational Nurse issued by the California Board of Vocational Nurse and Psychiatric technician Examiners.

2. Minimum one (1) year experience as professional nurse. Community/home health or medical/ surgical experience is preferred.

3. Has excellent clinical judgment, knowledge of current nursing practices, observation, and communication skills.

4. Current CPR Certification.

5. Current and satisfactory report on pre-employment physical examination including Mantoux TB Test or chest X-Ray as required by Agency policy and procedures.

6. Able to walk, bend, stoop, lift objects weighing up to 25 pounds.

7. Is fluent in English.

8. Is self directed and able to work with little supervision and has good organizational skills.

9. 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.

10. Is able to use professional judgment in reporting and seeking assistance from both peers and supervisors.

POSITION SUMMARY

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

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 Sanctions.

1. Contributed to the development of a plan of nursing action based on existing problems, expected patient response, and Plan of Care.

2. Performs duties consistent with the Vocational Nursing Practice Act.

3. Implements safe therapeutic care of patients with other needs in supervised/ controlled situations as initiated in the Plan of Care by the physician in consultation with the Case Manager/ RN and other interdisciplinary team.

4. Utilizes resources (patient, family, staff, outside personnel, agencies/organizations) to contribute to the Plan of Care.

5. 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 consistently, using proper notation and agency abbreviations. Submits all documentation within the timelines established by the agency.

6. Explains test, procedures, disease process, and provides other health education to patient, family and/or caregiver. Documents patient/family and/or caregiver response to care and teaching.

7. 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.

8. May teach basic patient care to ancillary personnel and CHHAs.

9. Participates in coordination of Home Health Services, appropriately reporting the need for other disciplinarians to the Case Manager and/or Clinical Supervisor.

10. Reports on the patient’s condition and changing patient status to the Case Manager or Clinical Supervisor.

11. Regularly attends and participates in scheduled case conferences, staff meetings, and agency in-services.

12. Attends and/or participates in Clinical Records Reviews and other Quality Improvement functions as directed by the supervisor.

13. Prevents spread of infection and disease by proper disposal of contaminated materials and by adhering to Standard Precautions.

14. Maintains/ conserves confidentiality of patient and agency information at all times.

15. Regularly assesses on nursing skills and educational needs to meet the nursing care requirements of patients, assigned for care.

16. Provides those services requiring nursing skills in accordance with the Plan of Treatment or Plan of Care.

17. 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.

18. Assists the patient in learning appropriate self-care techniques.

19. Assists the physician and Registered Nurse in performing specialized procedures. Prepares equipment and materials for treatments observing aseptic technique as required.

20. Conforms to all agency policies and procedures.

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CERTIFIED HOME HEALTH AIDE (CHHA)

JOB DESCRIPTION

In accordance with the Plan of Care, the Home Health Aide is assigned to a particular patient, and provided written instructions for care by a Registered Nurse or therapist, as appropriate.

SUPERVISION

The Registered Nurse (RN) makes a supervisory visit to the patient’s residence at least every two weeks, either the aide is present to observe assistant, or when the aide is absent, to assess relationships and determine whether goals are being met. If a patient is receiving only skilled therapy and Home Health Aide Services, a skilled therapist may take the supervisory visit at least every two (2) weeks, in lieu of a RN.

DUTIES

1. Assists patient with personal hygiene such as skin, mouth, hair care, and bathing.

2. Assists patient in and out of bed with ambulation.

3. Assists with prescribed exercises which patients and appropriate health professionals have taught Home Health Aides.

4. Assists with or prepare meals, including therapeutic diets and assist patients with eating.

5. Assists Patient to the bathroom or in using commodes bedpans, or urinals.

6. Performs household services, which will facilitate the patient’s self care at home, and are necessary to prevent or postpone institutionalization.

7. Assists with medication that is ordinary self-administered (the Home Health Aide shall not administer medications of any kind).

8. Performs other activities identified on the assignment sheet and taught by a health professional for the specific patient. These may include such services as changing colostomy bags, changing of non-sterile dressing, taking of vital signs, and bowel and bladder hygiene care.

9. Report changes in the patient’s conditions and needs to the supervising nurse or therapist immediately.

10. Performs other duties, as instructed by therapists or skilled nursing staff.

QUALIFICATIONS

1. CPR Certification.

2. Twenty four (24) consecutive months as a Certified Home Health Aide in a licensed Home Health or a new graduate from state Certified Home Health Training Program. A minimum of one (1) year CHHA or CAN experiences preferable. Must pass the CHHA performance and written competency test for being independently assigned to care for a patient.

JOB REQUIREMENTS

1. Ability to communicate, cooperate with and effectively meet the needs of both internal and external patients/customers.

2. Verbal and written communication proficiency in English.

3. Transportation available to meet job requirements.

4. Current California Driver’s License where applicable.

5. Auto Insurance, where applicable, in the amount of $5,000.00 property damage and $15,000.00/ $30,000.00 bodily injury.

6. Physical examination, which indicates the employee, is able to meet the physical requirements of the job.

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Benefits:

Direct Deposit

Bi-Monthly Paychecks

3 sick days per calendar year (24 hours maximum)

401 – K Voya

AFLAC Insurance

Kaiser Medical Insurance for full-time eligible employees.

 

 

Interested candidates please submit your resume via fax to: (562) 799-1934

Or you can apply in person

Applications are accepted Monday – Friday from 9am – 2pm

No appointment needed