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:

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS:

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:

• 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 
• Valid Basic Life Support (BLS) certification 
• Minimum of two (2) years of Home Health or Hospice experience 
• Minimum one (1) year Supervisory experience  
• Minimum one (1) year Palliative Care experience 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:

• Assists the admitting clinician in getting the correct team members involved in the care and scheduling of visits. 
• Works with clinicians and the clinical supervisors to make recommendations for care plan, nursing frequency and duration, and order of other disciplines. 
• Provides education on the palliative needs of the patient and works collaboratively with all the team members at Livingston to best meet the patient’s needs.  
• Effectively communicates with patients, physicians, and family members.  
• Assists the team in problem solving “how to” and “when” it is appropriate to transition the patient to the Hospice team and how to make this happen as easily as possible for the patient, the patient’s family, and the Livingston Team. 
• Reviews clinical notes, physician orders, and Plans of Care for accuracy and then communicates with the individual staff members regarding discrepancies and/or errors.  
• Performs OASIS competency testing for all geographic team clinicians who perform OASIS assessments. 
• Reviews and assists with OASIS documentation completion and Plans of Care with assistance of other QI staff as needed and communicates with individual staff members regarding discrepancies and/or errors. 
• Assures compliance, accuracy in clinical documentation, and assisting the team with case management and utilization of visits. 
• Ensures all “orders” and completed in a timely manner. 
• Assists with staff development through ongoing education to clinicians on timely and quality documentation, case management, utilization of visits for the individual clinician, and the ordering of other team members. 
• Establishes and monitors a team-based Compliance Program focusing on issues such as fraud detection and prevention, adherence to federal and state regulations, The CHAP and applicable clinical practice standards, and Livingston policies and procedures. 
• Provides patient information and leads the weekly Palliative Case Conference and monthly Gold Coast Health Plan Case Conference. 
• May admit palliative care patients to palliative or hospice services.  
• Completes joint visits, field evaluations with members of the palliative team. 
• Communicate findings and issues regarding compliance, documentation, and clinical practice to the Quality Manager and the DPOCS’s. 
• Tracks infection control, hospitalizations and assist with medication reconciliation.  
• Responsible appropriate staff and the payroll processing of the palliative care team. 
• Performs other related duties as assigned. 

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Answers and triages phone calls in a timely, professional, and courteous manner. Takes messages when necessary. 
• Ability to explain all levels of care offered by our agency and direct patients as appropriate. 
• Creates and updates all patient encounters in EMR per department process. 
• Responsible for interpreting all types of insurance plans. 
• Knowledge of CMS guidelines related to home health agencies, specifically those related to PDGM, Face to Face, and homebound reimbursement requirements. 
• Verify patient’s insurance eligibility and benefit requirements. Resolve all insurance issues prior to admission. Enter all necessary documentation required for billing. 
• Communicates payer requirements and financial responsibility to patient. Completes patients Financial Responsibility form.  
• Obtains authorization timely and uploads/transcribes all required documentation for billing to EMR.  
• Upload all patient clinical and financial documentation to EMR. 
• Accesses referral portals and download patient information as needed 
• Enter new Medicare allowed practitioners to EMR with all required billing and contact information. Update all physician information in EMR as needed.  
• Coordinate patient referrals and admissions. Conduct patient interviews to verify demographics, eligibility, and skilled need. 
• Maintains strong customer relations skills. 
• Maintains a positive, professional, and respectful attitude. 
• Maintain confidentiality according to HIPAA regulations 
• Performs other duties as assigned.