POSITION SUMMARY:

Under limited supervision provides and documents intermittent therapeutic, restorative skilled services in the patient’s place of residence. Patient problems range from simple to very complex. Provides services when ordered by a physician and in accordance with accreditation guidelines, Federal and State Rules and Regulations, accepted standards of nursing practice and LMVNA Policies and Procedures.

EDUCATION:

• Current State of California RN license.
• Current CPR certification.

EXPERIENCE:

• One year prior professional nursing.

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 reaching the highest level of independence possible.
• 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 LMVNA within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Presents assigned patients at weekly care 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.
• 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).
• In collaboration with Team Coordinators ensures prior authorizations and TARs are completed in accordance with policy
• Monitors case communication follow up notes, e-mail and mailbox and takes appropriate action in a timely fashion.
• Meets or exceeds LMVNA productivity expectations.
• Works weekends and holiday rotations as assigned.
• Accurately and timely records and reports hours worked as required by state regulations.
• Identifies health and safety risks and implements risk reduction strategies for self and others according to LMVNA 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.
• Acts as a role model within and outside the agency.
• Maintains a positive and respectful professional attitude.
• 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:

This position assists in directing all aspects of the organization’s Hospice patient care services. This position interacts with the Compliance Officer, Quality Improvement Director, external community entities, and regulatory agencies to ensure compliance with licensing and accreditation requirements – Medicare Conditions of Participation, California Hospice Standards as well as maintains LMVNA’s policies and procedures in accordance with regulations and quality standards of patient care and support processes.

EDUCATION/EXPERIENCE:

• Current California RN license
• Current BLS certification.
• One year prior professional nursing.
• Hospice/Home Health experience preferred

ESSENTIAL JOB FUNCTIONS:

• Assumes responsibility for the supervision and accountability of all aspects of hospice patient care services provided by CHHA staff.
• Will assume the responsibilities of the Hospice Director in their absence.
• Admits patients to all levels of Hospice Care: GIP, Facilities and Residential. Provides as needed visits to hospice patients and completes all documentation necessary.
• Hospice office triaging of patient needs, assisting clinicians in the field and performing office duties; arrange for DME and medication delivery. Manage and register all WISE pharmacy details.
• Educates potential patients/families/other caregivers about hospice services and their responsibility to participate in the plan of care.
• Educates hospital staff and community physicians regarding hospice services and criteria for admission to all levels of care.
• Coordinates with hospital discharge planners to ensure hospital information is provided to LMVNA’s intake department in a timely manner.
• Interacts with Director of Patient Care Services-Hospice, Palliative Care Manager, Patient Care Coordinators, Volunteer and Bereavement Coordinator, Chaplains and Music counselors to oversee delivery of patient services and compliance with agency policy and all applicable regulations.
• Reviews medical records assuring accuracy, completeness and compliance with licensing regulations, certification standards, legal and ethical standards.
• Coordinates resources in a cost-effective manner while ensuring quality outcomes and requirements for payment.
• Cooperates and collaborates with Compliance/Quality Improvement Department to obtain quality based outcomes in all areas of clinical performance. Assist with the development and implementation of quality improvement mechanisms that assure safe quality services to patients and their families.
• Participates in process to achieve, maintain and improve internal and external customer satisfaction.
• Assists in orientation and ongoing education to ensure adequate qualified staff to meet patient care needs and cooperates and collaborates with DOPCS-Hospice in planning, recruiting and hiring efforts.
• Exemplifies collaborative attitude and skills including ability to function as a consultant, demonstrate and models ability to problem solve with integrity and responsibility.
• Ensures compliance with state, federal, and accreditation regulations regarding hospice care.
• Manages departmental operations within budgetary constraints.
• Effectively uses interpersonal skills for building and developing positive relationships.
• Able to express ideas well in oral as well as written communication.
• Performs other related duties as assigned.
• Performs other related duties as assigned

POSITION SUMMARY:

Provides and documents intermittent therapeutic, palliative, end of life skilled services in the patient’s place of residence. Patient problems range from simple to very complex. Provides services when ordered by a physician and in accordance with the Medicare Conditions of Participation, California Hospice Standards, standards of The Joint Commission and accepted standards of nursing practice and LMVNA Policies and Procedures.

EDUCATION/EXPERIENCE:

• Current California RN license
• Current BLS certification.
• One year prior professional nursing.
• Hospice/Home Health experience preferred

ESSENTIAL JOB FUNCTIONS:

• Conducts and documents the nursing component of the comprehensive assessment on admission, recertification (90, 60 days) and/or when the patient’s condition warrants.
• 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 Hospice medication list with medication lists from other providers; e.g. inpatient discharge.
• Collaborates with the interdisciplinary care group (IDG) in developing and maintaining an individualized patient centered plan of care. 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 and family in reaching a safe and comfortable death in accordance with the patient’s wishes.
• 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, Patient Care Coordinator(s), Senior Case Manager(s), Director(s), and appropriate members of the IDG regarding changes in the patient’s condition, plan of care, needs and goals.
• Ensures clinical documentation is complete, accurate, professional and submitted to LMVNA within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Presents assigned patients at weekly care 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.
• Ensures that all required notices are provided to the patient or patient’s legal representative timely and in compliance with regulations.
• In collaboration with designated office staff ensures prior authorization requests are completed in accordance with policy

POSITION SUMMARY:

Under limited supervision provides and documents intermittent therapeutic, Palliative services in the patient’s place of residence. Provides services when ordered by a physician and in accordance with accreditation guidelines, Federal and State Rules and Regulations, accepted standards of nursing practice and LMVNA Policies and Procedures.

QUALIFICATIONS/REQUIREMENTS:

• Current California RN license
• Current BLS certification
• One year prior professional nursing
• Hospice/Home Health experience preferred

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 reaching the highest level of independence possible.
• 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 LMVNA within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Supervises LVNs and CHHAs. Ensures a current CHHA plan of are is on record and available to the CHHA. Makes CHHA supervisory visits at least every two weeks.
• 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).
• In collaboration with Team Coordinators ensures prior authorizations and TARs are completed in accordance with policy.

POSITION SUMMARY:

Livingston is looking for full time, part time and per diem LVN’s to work with our Home Health patients. This position provides skilled nursing care to patients at home in accordance with state licensure requirements, Joint Commission guidelines, Title 22 regulations, nursing protocol and the organization’s policies and procedures.

QUALIFICATIONS/REQUIREMENTS:

• Current California LVN license
• Current BLS certification.
• One year of home health and/or acute care experience required

ESSENTIAL JOB FUNCTIONS:

• Provides skilled nursing care as required by the plan of care for the patient.
• Prepares clinical notes and progress notes as required, and submits documentation within 48 hours.
• Documents skilled nursing care appropriate for billing and is aware of reimbursement issues.
• Attends and participates in interdisciplinary team meetings.
• Informs the nursing supervisor, physician and other interdisciplinary team members of changes in the patient’s condition and needs.
• Provides education and information to the patient and family in meeting nursing and related needs.
• Participates in educational programs to maintain skills and knowledge of current nursing practices; in case conference meetings to provide continuity of patient care; and in weekend work as needed.
• 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.