RESUMEN DE POSICIÓN:

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.

CALIFICACIONES/REQUISITOS:

• 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.

FUNCIONES ESENCIALES DEL TRABAJO:

• 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.
• Garantiza de forma proactiva que los pacientes tengan los suministros correctos.
• 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.
• Se comunica periódicamente con el supervisor sobre problemas del departamento.
• Demuestra una gestión del tiempo flexible y eficiente y capacidad para priorizar la carga de trabajo.
• Supervisa las notas de seguimiento de la comunicación del caso, el correo electrónico y el buzón de correo y toma las medidas adecuadas de manera oportuna.
• Registra e informa de manera precisa y oportuna las horas trabajadas según lo exigen las regulaciones estatales.
• Demonstrates assertiveness, leadership and good interpersonal skills with physicians and clinicians. Maintains good internal and external customer satisfaction.
• Mantiene una actitud profesional positiva y respetuosa.
• Acts as a positive role model within and outside the agency.
• Realiza otras tareas afines que le sean asignadas.

RESUMEN DE POSICIÓN:

CALIFICACIONES/REQUISITOS:

FUNCIONES ESENCIALES DEL TRABAJO:

RESUMEN DE POSICIÓN:

CALIFICACIONES/REQUISITOS:

• Valid California Registered Nurse License
• One year professional nursing experience
• Valid Basic Life Support Certification
• Valid Driver License and auto insurance
• Knowledge of computer, proficient with Microsoft Word and Excel.
• Buenas habilidades de comunicación verbal y escrita.
• Alto nivel de atención a los detalles.
• Capaz de trabajar de forma independiente, asumir la propiedad y la responsabilidad de las tareas.
• Fuerte ética profesional, discreción y criterio.
• Buenas habilidades organizativas.

FUNCIONES ESENCIALES DEL TRABAJO:

RESUMEN DE POSICIÓN:

CALIFICACIONES/REQUISITOS:

ESSENTIAL JOB FUNCTIONS

• Provide ongoing follow-up, basic motivational interviewing and goal setting with patients/families. 
• Responsible for establishing trusting relationships with patients and their families while providing support as outlined in the plan of care. 
• Follow up with patients via home visits and visits to other settings where patients can be found. 
• Help patients set personal health related goals and attend appointments. 
• Provide referrals for services to community agencies as appropriate. 
• Help patients connect with transportation and other resources necessary to meet healthcare appointments. 
• Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans. 
• Work collaboratively with other clinical personnel. 
• Act as a patient advocate and liaison between patient/family and community service agencies. 
• Record patient care management information in the EMR within 24 hours after direct patient contact. 
• Attend staff meetings, trainings, and other meetings, as requested. 
• Maintain HIPPA compliance at all times. 
• Realiza otras tareas que se le asignen. 

RESUMEN DE POSICIÓN:

CALIFICACIONES/REQUISITOS:

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. 
• Entiende los fundamentos y principios relacionados con el mantenimiento de la integridad de la piel y la necesidad de controlar las infecciones. 
• Participates in care planning with the interdisciplinary team members. 
• Checks equipment and supplies for proper function and maintenance. 
• Responde adecuadamente a las emergencias. 
• 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. 
• Participa en el proceso para mantener la satisfacción del cliente interno y externo. 
• Meets LMVNA daily productivity standard. 
• Realiza otras tareas afines que le sean asignadas. 
• Maintains a positive, professional, and respectful attitude. 

RESUMEN DE POSICIÓN:

El asistente de atención domiciliaria es responsable de brindar servicios a los clientes en el hogar que necesitan atención y asistencia durante el día y/o la noche bajo la dirección de las políticas, protocolos y procedimientos de Livingston CareGivers.

CALIFICACIONES Y REQUISITOS: 

• Certificación actual de RCP
• ID de registro de asistente de atención domiciliaria de CA
• Edad mínima requerida 18 años.
• Buenas habilidades verbales, escritas y de lectura en inglés.
• Ser capaz de conducir usted mismo hacia y desde sus tareas.
• Experiencia previa aplicable al puesto.

EDUCACIÓN

• Diploma de escuela secundaria o su equivalente
• Credencial de RCP vigente

FUNCIONES ESENCIALES DEL TRABAJO:

• Ayuda a los clientes con la higiene personal, la comodidad física, las necesidades nutricionales y las actividades del hogar para garantizar un ambiente seguro y limpio.
• Se comunica de manera efectiva y eficiente con el cliente, la familia y/o el cuidador con respecto a las necesidades del cliente y los servicios brindados.
• Utiliza técnicas de posicionamiento, mecánica corporal y alineación corporal.
• Entiende los fundamentos y principios relacionados con el mantenimiento de la integridad de la piel y la necesidad de controlar las infecciones.
• Garantiza los derechos del cliente, incluida la confidencialidad de la atención.
• Realiza servicios de manera atenta, profesional y ética en todo momento.
• Ayuda con la realización de procedimientos para garantizar el bienestar físico y la comodidad del cliente.
• Responde adecuadamente a las emergencias.
• Participa con los programadores de la oficina y el director de Livingston CareGivers en un plan de servicios al cliente y visitas domiciliarias programadas.
• Presenta documentación legible, oportuna y precisa para fines de facturación y nómina.
• Capaz de trabajar de forma independiente incluyendo priorizar el cronograma de visitas con supervisión mínima.
• Debe poder trabajar con requisitos de fin de semana y turnos variables según sea necesario.
• Debe ser confiable y capaz de presentarse a las tareas a tiempo.
• Se comunica de manera oportuna con el personal de la oficina sobre llegadas retrasadas o ausencias de las asignaciones.
• Mantiene una actitud positiva, respetuosa y profesional.
• Participa en el proceso para mantener la satisfacción del cliente interno y externo.
• Realiza todas las tareas de acuerdo con las políticas en materia de Control de Infecciones y Precauciones Universales.
• Realiza otras tareas que se le asignen.

RESUMEN DE POSICIÓN:

CALIFICACIONES/REQUISITOS:

• Valid California Registered Nurse license.
• Un año previo de enfermería profesional.
• 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.
• Buenas habilidades de comunicación verbal y escrita.
• Alto nivel de atención a los detalles.
• Capaz de trabajar de forma independiente, asumir la propiedad y la responsabilidad de las tareas.
• Fuerte ética profesional, discreción y criterio.
• Buenas habilidades organizativas.

FUNCIONES ESENCIALES DEL TRABAJO:

• Realiza y documenta evaluaciones integrales de enfermería.
• 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.
• Determina la elegibilidad del programa, los servicios necesarios y verifica las fuentes de los pagadores.
• 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.
• Obtiene oportunamente órdenes médicas para la atención y los servicios necesarios.
• Case gestiona a los pacientes asignados asegurando la continuidad de la atención y la utilización eficiente y eficaz de los recursos para garantizar que se cumplan los objetivos del paciente y los resultados deseados.
• 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.
• Garantiza de forma proactiva que los pacientes tengan los suministros correctos.
• Supervisa LVN y CHHA. Garantiza que un plan de atención actual de CHHA esté registrado y disponible para CHHA. Realiza visitas de supervisión de CHHA al menos cada dos semanas.
• 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.
• Participa activamente en la mejora de la calidad, los servicios internos y otras actividades según se solicite o requiera.
• Puede servir como Preceptor de RN y/o LVN.
• Se comunica periódicamente con el supervisor sobre problemas del departamento.
• Demuestra una gestión del tiempo flexible y eficiente y capacidad para priorizar la carga de trabajo.
• Performs other duties as assigned and complies with all policies of the organization.

RESUMEN DE POSICIÓN:

CALIFICACIONES/REQUISITOS:

• 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. 
• Buenas habilidades de comunicación verbal y escrita. 
• Alto nivel de atención a los detalles. 
• Capaz de trabajar de forma independiente, asumir la propiedad y la responsabilidad de las tareas. 
• Fuerte ética profesional, discreción y criterio. 
• Buenas habilidades organizativas. 

FUNCIONES ESENCIALES DEL TRABAJO:

• 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. 
• Realiza otras tareas afines que le sean asignadas. 

RESUMEN DE POSICIÓN:

CALIFICACIONES/REQUISITOS:

• Valid California Licensed Vocational Nurse license 

• Minimum one (1) year of recent acute care and/or home healthcare experience required. Home health care experience preferred. 

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

• Buenas habilidades de comunicación verbal y escrita.  

• Alto nivel de atención a los detalles. 

• Capaz de trabajar de forma independiente, asumir la propiedad y la responsabilidad de las tareas. 

• Fuerte ética profesional, discreción y criterio.  

• Buenas habilidades organizativas. 

FUNCIONES ESENCIALES DEL TRABAJO:

• Accepts referrals from appropriate sources, which includes, but is not limited to, hospital discharge planners, organization’s social workers, physicians, staff and the public and obtains physician order for care. 

• Reviews and accepts patients via portals per intake portal process.  

• Clinically review referral for skilled needs. Based on History and Physical, query referral source if additional services are needed. Verifies referral information, physician’s orders and establishes that LMVNA’s admission criteria are met. Enters referral orders for RN review and approval. 

• Able to articulate complex information into laymen terms to explain to patients and office staff as needed.  

• Works with support staff who verify insurance benefits, eligibility, and obtains authorizations (if applicable) for the insured patients. 

• Refers public to outside agencies and community resource as appropriate. 

• Interacts with other departments to ensure proper communication in the coordination of patient care. 

• Follows Medicare home health criteria for admission.  

• Knowledgeable and able to comply with intake guidelines. 

• Ability to prioritize duties and handle work assignments. 

• Writes supplemental orders for RN review and approval. 

• Obtains correct license, verify NPI-Natioanl Provider Identifier, telephone and fax numbers of new physicians. 

• Participates in orientation of new Intake staff. 

• Realiza otras tareas que se le asignen.