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:

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:

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. 

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Performs physical therapy treatment as prescribed by the referring physician under the supervision of a Physical Therapist, and in accordance with the Livingston procedure manual and reviews treatment plan as indicated. 
• Monitors and progresses patients in use of therapeutic and self-care activities to improve function and increase independence, and reports these findings to the supervising physical therapist. 
• Instructs family members, caregivers, and Livingston personnel involving them in the treatment program by encouraging them to follow through with those procedures that they can safely perform or supervise. 
• Communicates with the patient’s physician and the Physical Therapist to keep him/her apprised of the patient’s plan of care, responses, and status and ensures physicians’ orders are followed according to Livingston policy. 
• Communicates, coordinates, and consults with other interdisciplinary team members regarding the patient’s plan of care and status, including case conferences. 
• Assists in maintaining a list of current medications. 
• Demonstrates understanding of Livingston and third party payor or treatment guidelines and documentation required for payment. 
• 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 a process to maintain good internal and external customer satisfaction. 
• Meets daily average productivity standard set by Livingston (if full-time employee). 
• 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

• Responsible for providing skilled nursing intervention and support care via the telephone in accordance with the home health interdisciplinary plan of care for each patient. Assesses the needs of patient and family, determine if a home visit is needed. If a visit is needed, obtains orders and notifies the appropriate Skilled Nurse.
• Initiates referrals from physician orders to start care. Writes supplemental orders for patients that require continuing care. Utilizes intake staff to perform intake duties when they are present. Communicates with physician either directly or indirectly by having nurses telephone the physician.
• Communicates new orders and patient concerns to appropriate departments, i.e., home health and hospice so that orders can be carried out and cases assigned and scheduled.
• Coordinates clinical services to promote clinical practices that meet established VNA nursing care standards.
• Reviews lab results, informs physician of critical abnormal values and documents to Case Manager and Director of Patient Care Services.
• Assists to ensure physicians’ orders are followed accurately
• Ensures compliance with state and federal home care regulations and accreditation requirements.
• Performs scheduling functions as needed and records this information for the Patient Care Coordinators. Asks for direction of the supervisor on call, as needed.
• Provides a report to the triage nurse, schedulers, case managers, and supervisor, by means of writing, voice mail, and/or e-mail
• Reports unresolvable problems and concerns to supervisor on call and carries out supervisor’s plan if asked
• Ability to appropriately and effectively use all components of the team leader manual.
• Initiates the Unusual Occurrence Report for avoidable or potentially avoidable events.
• Acts as resource for injured employee ensuring that LMVNA protocol for injury on the job is followed
• Responds to medical or emotional crisis and/or death of patient by giving instructions over the telephone and assessing if a home visit is needed to provide direct care.
• Provides support and instruction regarding LMVNA protocol to staff and families when a death of a patient has occurred at home.Communicates daily activity summary (call log) to the appropriate supervisor by the morning of the following day.
• Communicates new orders/assignments to home health/hospice staff on weekend schedule.
• Assists staff in appropriate procurement of supplies, patient data, and LMVNA protocol.
• Acts as resource for CHHAs serving home health/hospice patients. Takes report regarding change in condition.
• Responsible for setting alarm systems and securing the building upon entry and exit.
• Performs related duties as assigned.

Physical Demands Required to Perform Essential Job Functions:

The conditions herein are representative of those that must be met by an employee to successfully perform the physical demands of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Environment:  Work is performed primarily in a standard office environment.

Physical:  primary functions require sufficient physical ability and mobility to work in an office setting.

Occasionally = 1 – 33%           Frequently = 34 – 66%           Constantly = 67 – 100% of the time

• Must be able to learn and comprehend basic instructions and orientation to the job.
• Must have strong attention to detail and ability to independently problem solve with interruptions.
• Must be able to communicate clearly and exchange information with other staff and the public.
• Must be able to work with constant interruptions.
• Must be able to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard constantly.
• Must be able to work constantly with computers.
• Must be able to sit constantly.
• Must be able to stand frequently.
• Must be able to stoop, bend, reach, twist, crouch, and kneel frequently.
• Must be able to lift an object up to 11-24 lbs. raising or lowering it from one level to another occasionally.
• Must be able to transport an object up to 11-24 lbs. usually holding it in the hands or arms for 100 ft. occasionally.
• Must be able to level lift an object up to 10 lbs. occasionally.
• Must be able to lift overhead an object up to 11-24 lbs. occasionally.
• Must be able to push/pull an object up to 11-24 lbs. occasionally.
• Must be able to drive auto equipment occasionally.
• Must be able to work irregular shifts (shifts not between 8:00am and 5:00pm) occasionally.
• Must be able to maintain body equilibrium to prevent falling when walking, standing, and crouching.
• Must be able to have hand exposure to the public and staff frequently.
• Must be able to frequently work in a fast pace environment with constant interruptions and meeting deadlines.
• Must be able to see in the normal visual range with or without correction doing close eye work.
• Must be able to hear in the normal audio range with or without correction.
• Hands – repetitive motion occasionally
• Hands – fine manipulation occasionally
• Hands – gross manipulation occasionally
• Grasping: Right – simple grasp frequently; Left – simple grasp frequently; Right – firm grasp frequently; Left – firm grasp frequently

Simple grasp = under 50 lbs.  Firm Grasp = over 50 lbs.