POSITION SUMMARY:

This position works with the Certified Wound Ostomy Continence Nurse Specialist II providing consultation to clinical staff regarding wound management and ostomy care regarding patients on care with home health and hospice. This person acts as a consultant in a hospital setting in accordance with state licensure requirements, accreditation guidelines, Title 22 regulations, and the organization’s policies and procedures.

QUALIFICATIONS/REQUIREMENTS:

• Current RN license for the state of California.
• Certified Wound Ostomy Nurse (CWON)
• Two years experience in home healthcare or acute care in this specialty.
• Basic Life Support Certification.

ESSENTIAL JOB FUNCTIONS:

• Manages Wound Advisor, verifies that each wound type and protocols are appropriate and current. Initiates revisions to plan of treatment as necessary.
• Using Wound Advisor, a software program that allows photographs of patients’ wounds to be uploaded to the e-record, is able to provide consultation to clinicians and physicians regarding wound care.
• Manages Wound Advisor protocols and makes changes as appropriate.
• Mentors staff in use of Wound Advisor.
• Provides educational classes for the staff as needed in coordination with the Director of Education.
• Provides education and instruction to patients and their families.
• Participates and instructs in specialty related inservices for the organization and external professional organizations/associations as appropriate/required.
• Participates in QI process related to specialty services.
• Demonstrates knowledge of OASIS documents, performs OASIS visits as needed on appropriate patients (ostomy or difficult wounds).
• Interacts with insurance coordinator and DME provides as appropriate.
• Acts as a liaison for the agency with hospitals and other referral sources and provides them with specialty (CWON) information and instruction.
• In collaboration with Team Coordinators and Case Manager ensures prior authorizations are completed in accordance with policy.
• Proactively ensures patients have correct supplies.
• Attends and participates in weekly case conferences.
• Identifies health and safety risks and implements risk reduction strategies for self and others according to organization’s policies and procedures.
• Communicates regularly with supervisor about department issues.
• Demonstrates flexible and efficient time management and ability to prioritize workload.
• Monitors case communication follow up notes, e-mail and mailbox and takes appropriate action in a timely fashion.
• Accurately and timely records and reports hours worked as required by state regulations.
• Demonstrates assertiveness, leadership and good interpersonal skills with physicians and clinicians. Maintains good internal and external customer satisfaction.
• Maintains a positive and respectful professional attitude.
• Acts as a positive role model within and outside the agency.
• Performs other related duties as assigned.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Assists patients to achieve maximum self-reliance. 
• Assists patients with personal hygiene, physical comfort, nutritional needs, and household activities to ensure a safe and clean environment. 
• Ensures patients’ rights, including ethics and confidentiality of care. 
• Utilizes proper techniques for positioning and body alignment using safe body mechanics. 
• Understands rationale and principles related to maintenance of skin integrity and need for infection control. 
• Participates in care planning with the interdisciplinary team members. 
• Checks equipment and supplies for proper function and maintenance. 
• Responds appropriately to emergencies. 
• Submits timely and accurate documentation for billing and payroll purposes. 
• May assist patients with self-administered medications. 
• Works independently, including prioritizing the daily schedule of visits, with minimum supervision. 
• Provides proof of participation – a minimum of 12 hours of in-service training during each 12-month period. 
• Participates in QI process as assigned. 
• Works weekends and holidays as required. 
• Participates in process to maintain internal and external customer satisfaction. 
• Meets LMVNA daily productivity standard. 
• Performs other related duties as assigned. 
• Maintains a positive, professional, and respectful attitude. 

POSITION SUMMARY:

The Home Care Aide is responsible for providing services to clients at home needing care and assistance during the day and/or night under the direction of Livingston CareGivers policies, protocols and procedures.

QUALIFICATIONS & REQUIREMENTS: 

• Current CPR certification
• CA Home Care Aide Registration ID
• Minimum age of 18 years required
• Good verbal, written and reading skills in English
• Be able to drive yourself to and from your assignments
• Previous experience applicable to position

EDUCATION

• High School Diploma or equivalent
• Current CPR credential

ESSENTIAL JOB FUNCTIONS:

• Assists clients with personal hygiene, physical comfort, nutritional needs, and household activities to ensure a safe and clean environment.
• Communicates effectively and efficiently with the client, family, and/or caregiver regarding client’s needs and the services provided.
• Utilizes techniques of positioning, body mechanics and body alignment.
• Understands rationale and principles related to maintenance of skin integrity and need for infection control.
• Ensures client’s rights, including confidentiality of care.
• Conducts services in a caring, professional and ethical manner at all times.
• Assists with performance of procedures to ensure the physical well being and comfort of the client.
• Responds appropriately to emergencies.
• Participates with office schedulers and the Livingston CareGivers Director in a plan for client services and scheduled home visits.
• Submits legible, timely and accurate documentation for billing and payroll purposes.
• Able to work independently including prioritizing schedule of visits with minimum supervision.
• Must be able to work weekend requirements and variable shifts as needed.
• Must be dependable and able to report to assignments on time.
• Communicates in a timely manner with office staff regarding delayed arrivals or absences from assignments.
• Maintains a positive, respectful and professional attitude.
• Participates in process to maintain internal and external customer satisfaction.
• Performs all tasks according to policies regarding Infection Control and Universal Precautions.
• Performs other duties as assigned.

POSITION SUMMARY:

This position assists in the assignment and quality of all care provided to clients of the Livingston CareGivers program.

QUALIFICATIONS & REQUIREMENTS: 

• High school graduate with additional experience in business or health care related field.

• Knowledge of computer, proficient with Microsoft Word and Excel.

• Exceptional interpersonal, verbal and written communication skills.

• Bilingual/Spanish speaking and comprehension preferred.

• Able to work independently, take ownership and responsibility of tasks.

• Strong professional ethics, discretion and judgment.

• Good organizational skills.

ESSENTIAL JOB FUNCTIONS:

• Works with the Director/Office Manager in scheduling caregiver assignments.

• Ensures that non-scheduling matters are relayed to Director/Office Manager.

• Enters schedules into the computer and makes changes and substitutions as needed.

• Maintains caregiver availability information through regular contact with all caregivers and records this on scheduling document.

• Accepts and facilitates client referrals for care including completion of service inquiry (initial client information).

• Enters client information and care plan into database. Creates client electronic record.

• Provides education with regard to home care to clients as needed.

• Ensures accurate, appropriate and timely completion of all documentation.

• Performs office support duties including answering telephone, documenting phone messages, greeting/receiving clients and vendors, preparing documents, computer use, sending faxes and receiving faxes.

• Maintains a positive and respectful professional attitude.

• Shares “on-call” duties regularly.

• Performs other duties as assigned.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

• Valid California Registered Nurse license.
• One year prior professional nursing.
• Valid Basic Life Support Certification
• Valid Driver License and auto insurance
• Certified Hospice and Palliative Nurse (CHPN) preferred.
• Knowledge of computer, proficient with Microsoft Word and Excel.
• Good verbal and written communication skills.
• High level of attention to details.
• Able to work independently, take ownership and responsibility of tasks.
• Strong professional ethics, discretion and judgment.
• Good organizational skills.

ESSENTIAL JOB FUNCTIONS:

• Conducts and documents comprehensive nursing assessments.
• Accurately collects required data (OASIS) as part of the assessment at Start of Care (SOC), Resumption of Care (ROC), transfer, discharge, when there is a significant change in the patient’s condition and every sixty days.
• Determines program eligibility, needed services, and verifies payer sources.
• Reviews patient’s medications at every visit, maintains a list of current medications and reconciles the Home Health medication list with medication lists from other providers; e.g. inpatient discharge.
• Develops and maintains an individualized patient centered plan of care using critical thinking skills. Evaluates the patient’s response to care, updates the care plan and makes referrals to internal and external resources to meet patient’s needs.
• Develops and implements an individualized teaching plan for the patient and family/ caregiver with a goal of assisting the patient in symptom management to maintain the highest level of independence possible, for as long as possible and then assists with transitioning to hospice care when appropriate.
• Timely obtains physician orders for necessary care and services.
• Case manages assigned patients ensuring continuity of care and efficient and effective utilization of resources to ensure patient goals and desired outcomes are met.
• Communicates timely and effectively with physicians, Case Managers, Directors, Supervisors and appropriate members of the interdisciplinary team regarding changes in the patient’s condition, plan of care, needs and goals.
• Ensures clinical documentation is complete, accurate, professional and submitted to Livingston within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Performs all clinical skills as the Home Health Nurse including line care, blood draws, wound care, etc.
• Presents assigned patients at case conferences.
• Proactively ensures patients have correct supplies.
• Supervises LVNs and CHHAs. Ensures a current CHHA plan of care is on record and available to the CHHA. Makes CHHA supervisory visits at least every two weeks.
• Collaborates with LVNs on patient care and concerns as related to patients the RN case manages.
• Ensures that all required notices are provided to the patient or patient’s legal representative timely and in compliance with regulations. These include, but are not limited to: Home Health Advance Benefit Notices (HHABN) and Notices of Medicare Non-Coverage (NOMNC).
• Monitors case communication follow up notes, e-mails and work basket items and takes appropriate action in a timely fashion.
• Works weekends and holidays as assigned.
• Accurately and timely records and reports hours worked and mileage, as required by state regulations.
• Identifies health and safety risks and implements risk reduction strategies for self and others according to Livingston policy and procedure.
• Actively participates in quality improvement, in-services and other activities as requested or required.
• May serve as Preceptor to RNs and/or LVNs.
• Communicates regularly with supervisor about department issues.
• Demonstrates flexible and efficient time management and ability to prioritize workload.
• Performs other duties as assigned and complies with all policies of the organization.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

• Valid California Registered Nurse license. 
• Minimum four (4) years professional nursing experience. 
• Valid Basic Life Support certification. 
• Bachelors of Science in Nursing preferred. 
• Valid Driver License and auto insurance. 
• Knowledge of computers, proficiency with Microsoft Word and Excel. 
• Good verbal and written communication skills.  
• Must be able to collaborate cooperatively with other team members, staff, and volunteers.  
• High level of attention to details. 
• Able to work independently, take ownership and responsibility of tasks. 
• Strong professional ethics, discretion, and judgment.  
• Good organizational skills. 

ESSENTIAL JOB FUNCTIONS:

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

• Valid California Registered Nurse license

• Bachelor of Science in Nursing preferred

• Valid Basic Life Support Certification

• Valid Driver License and auto insurance

• One year prior professional nursing.

• Demonstrates flexible and efficient time management and ability to prioritize workload.

• Knowledge of computer, proficient with Microsoft Word and Excel.

• Good verbal and written communication skills.

• High level of attention to details.

• Able to work independently, take ownership and responsibility of tasks.

• Strong professional ethics, discretion and judgment.

• Good organizational skills.

ESSENTIAL JOB FUNCTIONS:

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

• Valid California Registered Nurse License 
• Current Basic Life Support Certification 
• One year professional nursing experience 
• Valid Driver License and auto insurance. 
• Knowledge of computer, proficient with Microsoft Word and Excel. 
• Good verbal and written communication skills. 
• High level of attention to details. 
• Able to work independently, take ownership and responsibility of tasks. 
• Strong professional ethics, discretion and judgment. 
• Good organizational skills. 

ESSENTIAL JOB FUNCTIONS:

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Performs occupational therapy assessment and treatment as prescribed by the referring physician and in accordance with the Livingston procedure manual and revises treatment plan as indicated. 
• May act as patient case manager. 
• Instructs, monitors and progresses patient in the use of therapeutic and self-care activities to improve function and increase independence. 
• Instructs family members, caregivers and other Livingston personnel in the treatment program by encouraging them to follow through with those procedures that they can perform safely or supervise. 
• Communicates with physician on a regular basis to keep him/her aware of patient’s plan of care, responses and status and ensures physician’s orders are followed. 
• Communicates, coordinates and consults with other interdisciplinary team members regarding the patient’s plan of care, responses and status, including case conferences and HHA supervision. 
• Accurately collects required data (OASIS) as part of the assessment at Start of Care (SOC), Resumption of Care (ROC), transfer, discharge, when there is a significant change in the patient’s condition and every sixty days. 
• Reviews patient’s medication list, maintains a list of current medications, and reconciles the Home Health medication list with medication lists from other providers; e.g. inpatient discharge. 
• Develops and maintains an individualized patient centered plan of care using critical thinking skills. Evaluates the patient’s response to care, updates the care plan and makes referrals to internal and external resources to meet patient’s needs. 
• Demonstrates understanding of Livingston and third party payor or treatment guidelines and documentation required for payment. 
• Instructs Livingston personnel as needed. 
• Provides communication to Occupational Therapy Assistant (COTA) regarding patient’s care plan, supervises care provided by COTA, performs COTA field evaluation 
• Attends case conference meetings and prepares clinical and progress notes as required, submitting documentation in a timely manner. 
• Participates in Quality Improvement process as assigned. 
• Understands and adheres to all licensing and certification regulations pertinent to job. 
• Participates in a process to maintain good internal and external customer satisfaction. 
• Responsible for maintaining integrity of the medical record for each patient whose care they are managing. 
• Documents skilled care and other patient-related forms accurately, timely and appropriately for reimbursement, regulatory and compliance mandates. 
• Performs other related duties as assigned. 

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Performs speech/language/cognition assessment and treatment as prescribed by the physician and in accordance with Livingston procedure manual, reviews, and revises the treatment plan as indicated. 
• Instructs, supervises, monitors and progresses clients in techniques and exercises to improve independence in function and intelligibility. 
• May act as patient case manager. 
• Instructs family members, caregivers and Livingston personnel involving them in the treatment process to assist the patient. 
• Communicates with the patient’s physician on a regular basis to keep him/her apprised of the patient’s plan of care, responses and status and ensures physicians’ orders are followed. 
• Communicates, coordinates and consults with other interdisciplinary team members regarding the patient’s plan of care, responses and status, including case conferences and HHA supervision. 
• Accurately collects required data (OASIS) as part of the assessment at Start of Care (SOC), Resumption of Care (ROC), transfer, discharge, when there is a significant change in the patient’s condition and every sixty days. 
• Reviews patient’s medication list, maintains a list of current medications, and reconciles the Home Health medication list with medication lists from other providers; e.g. inpatient discharge. 
• Develops and maintains an individualized patient centered plan of care using critical thinking skills. Evaluates the patient’s response to care, updates the care plan and makes referrals to internal and external resources to meet patient’s needs. 
• Demonstrates understanding of Livingston and third party payor or treatment guidelines and documentation required for payment. 
• Instructs agency personnel as needed. 
• Attends case conference meetings and prepares clinical and progress notes as required, submitting documentation in a timely manner. 
• Participates in the Quality Improvement process as assigned. 
• Understands and adheres to all licensing and certification regulations pertinent to job. 
• Participates in the process to maintain good customer internal and external customer satisfaction. 
• Responsible for maintaining integrity of the medical record for each patient whose care they are managing. 
• Legibly documents skilled care and other patient-related forms accurately, timely and appropriately for reimbursement and compliance mandates.  
• Performs other duties as assigned.