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 Clinical Manager’s key responsibilities are to plan, coordinate, manage and evaluate the activities of multidisciplinary teams to ensure the delivery of high-quality home care services to Palliative patients. This includes supervision of assigned Case Managers, Registered Nurses, Licensed Vocational Nurses, Physical Therapist, Occupational Therapist, Physical Therapy Assistant, Social Worker and Certified Home Health Aides for Palliative patients.  This position interacts with patients, caregivers, and their families, physicians, community organizations, and works collectively and collaboratively with LMVNA administrative personnel, Quality Improvement, Education, and Compliance Department to ensure safe, quality care for the patients. The Clinical Manager ensures high quality patient care in compliance with Title 22, Medicare, state licensure regulations, and the organization’s policies and procedures. 

QUALIFICATIONS/REQUIREMENTS:

• Valid California Registered Nurse License 
• Minimum four (4) years professional nursing experience 
• Minimum three (3) years Home Health experience. 
• Valid Basic Life Support Certification 
• 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:

• Supervises and oversees the planning, organizing, and directing of Palliative patient care services, ensuring consistent delivery of high-value quality care. 
• Establishe patient assignments, staff scheduling, and patient visit volume distributions, and assists in meeting financial targets by effectively managing utilization, productivity, personnel, and supplies.  
• Supports and educates staff in resolving operational issues/problems. 
• Assists in developing and implementing changes in policies, practices, and standardized procedures based upon input from staff and administration to remain congruent with current laws and regulatory standards while promoting optimal patient care. 
• Collaborates with others to coordinate services, streamline and standardize work flows and procedures, and/or drive positive outcomes. 
• Performs field supervision, evaluations and audits to ensure physician orders are followed by staff and visit documentation is done appropriately. 
• Responsible for review of the appropriate number of Palliative Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements. 
• Assesses staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed. 
• Oversees and coordinates the transition of patients from palliative care to hospice, ensuring timely evaluation, communication, and documentation to support safe continuity of care. Ensures the transition process is efficient, patientcentered, and compliant with regulatory and eligibility requirements. 
• Provides direct patient care on an infrequent basis as needed.  
• Manage referrals, assign patients to teams, oversee patient care plans. 
• Train, and evaluate clinical staff to ensure effective performance. 
• Participates in the Administrator On Call rotations.  
• Participates in the interviewing, hiring, training, and development of direct care clinicians.  
• Participates in case conferences and staff meeting. Supervises and coordinates the activities of the patient care team to ensure collaboration and coordination of care for the patients. 
• Participates in orientation of new staff and assignment of clinical preceptors. 
• Serves as clinical resource for team members including, but not limited to, responding to clinical questions, obtaining needed orders and/or facilitating interdisciplinary communication to ensure collaborative problem solving. 
• Demonstrates leadership skills that are aligned with the strategic plan in coordination with LMVNA leadership. 
• Demonstrates ability to handle sensitive issues and conflict among others and recognizes when to consult with the Director of Patient Care Services. 
• Responsible for the QA/PI activities. Works with Quality team relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs patient care assignments and staff management activities. 
• Assures, in collaboration with Case Manager, the accurate and compliant completion of all clinical documentation, including OASIS assessments, Plans of Care with clinically appropriate frequency and durations to meet the needs of the patient under the Conditions of Participation (CoPs). 
• Provides guidance and support to clinicians to ensure OASIS disciplinespecific accuracy, consistency, and timely completion. 
• Identifies documentation gaps or inconsistencies and works with clinicians to correct and strengthen clinical documentation in real time. 
• Provides guidance and support to clinicians to ensure OASIS discipline-specific accuracy, consistency, and timely completion. 
• Actively participates in agency committees and project teams as assigned. 
• 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:

• Bachelor of Science in Nursing or other healthcare related fields 
• Valid California Registered Nurse License 
• Valid Basic Life Support Certification 
• Minimum three (3) years current experience in a home health/hospice agency, primary care clinic, or health facility such as a hospital  
• Minimum one (1) year of which was in a supervisory or administrative capacity. 
• Current and demonstrated knowledge of Medicare, accreditation, and Title 22 regulations, and available standards of practice 
• Certified Hospice and Palliative Nurse (CPHN)preferred 
• 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. 

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.