POSITION SUMMARY:

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.

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:

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:

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:

Under limited supervision 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 Livingston policies and procedures.

QUALIFICATIONS/REQUIREMENTS:

• Valid California Registered Nurse License
• Current Basic Life Support Certification
• One year professional nursing experience
• 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:

• 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), 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 Livingston within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Presents assigned patients at weekly case conferences.
• Proactively ensures patients have correct supplies.
• Supervises LVNs and CHHAs. Ensure 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.
• Monitors case communication follow-up notes, e-mail and mailbox, and takes appropriate action in a timely fashion.
• Meets or exceeds productivity expectations.
• Work 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 Livingston policy and procedure.
• Actively participates in quality improvement, in-services, and other activities as requested or required.
• May serve as Preceptor to RN’s and LVNs.
• Communicates regularly with Director(s) about department issues.
• Demonstrates flexible and efficient time management and ability to prioritize workload.
• Performs other related duties as assigned.

POSITION SUMMARY:

This position is responsible for continuity of physical therapy treatment and instruction of home health care patients, under the direction of a Registered Physical Therapist, to detect, assess, prevent, correct, alleviate and limit physical disability, movement, dysfunction, bodily malfunction and pain from injury, disease and any other bodily conditions in accordance with accreditation requirements, Title 22, licensure regulations and the organization’s policies and procedures.

QUALIFICATIONS/REQUIREMENTS:

• Graduation from an accredited physical therapy assistant program with an Associate degree from an accredited college or university.
• Two years successful experience that involves use of modalities equipment and rehabilitation techniques.
• Current California Physical Therapy Assistant License.
• Current CPR certification

ESSENTIAL JOB FUNCTIONS:

• Performs physical therapy treatment as prescribed by the referring physician under the supervision of a Registered Physical Therapist, and in accordance with the LMVNA 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 LMVNA 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 Registered Physical Therapist 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 according to LMVNA policy.
• Communicates, coordinates and consults with other interdisciplinary team members regarding the patient’s plan of care and status, including case conferences.
• Demonstrates understanding of LMVNA 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 LMVNA (if full-time employee).
• Rotates on-call for weekends and holidays as assigned.
• 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, regulatory and compliance mandates.
• Performs other related duties as assigned by supervisor.

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:

The Director of Care Transitions, represents, promotes, markets, and expands Livingston Hospice services within our community. This position also manages Livingston’s participation in health fairs, presentations, and other community events that relate to Hospice and further Livingston goals.

QUALIFICATIONS/REQUIREMENTS:

• BS degree in Marketing or related field and/or licensed nurse preferred.
• Two years of experience in sales or public relations, preferably in a home health/hospice setting.
• Must have reliable car with valid California driver’s license and auto insurance as per agency’s policy.
• Proficient in all programs of Microsoft Office suite.
• Commitment to excellent customer service required.
• Bilingual and bi-cultural Spanish/English a plus.
• Client Relationship Management Software experience a plus.
• Must be personable, take initiative, and be well versed in the healthcare industry.
• Must be able to multi-task, meet deadlines, work independently, and respond to requests in a timely manner.
• Must have excellent organizational, written, and communication skills.
• Must understand the principles of business and program development, marketing and cost-effectiveness.
• Must be an innovative thinker, active listener, with the ability to work through and addresses all with respect and compassion

ESSENTIAL JOB FUNCTIONS:

• Develops new customer referral sources to increase Hospice census growth through consistent customer service visits to build rapport while providing support and education in accordance with LMVNA’s guidelines and strategies.
• Develops and maintains ongoing relationships within the health care community with a focus on hospitals, physician offices, skilled nursing facilities, residential care facilities, clinics, and various medical related organizations.
• Educates hospital staff, skilled nursing facility staff, and community physicians regarding hospice services and criteria for admission.
• Works collaboratively with Livingston Liaison Nurses to promote good communication and smooth transitions for Hospice patients coming onto care.
• May make visits to patients in hospitals and skilled nursing facilities to determine appropriateness for hospice.
• May educate potential patients/families/other caregivers about hospice services.
• Provides outreach, and support to current and potential referral sources regarding agency services, mission, and values.
• Collaborates with appropriate departments and team members to address issues and solve problems.
• Assists in developing Hospice marketing collateral and promotional materials.
• Participates in strategic planning as it relates to the growth and sustainability of Livingston services within Ventura County.
• Maintains a positive, professional, and respectful attitude.
• Performs other duties as assigned.

POSITION SUMMARY:

This position is responsible for coordinating referrals between assigned facilities and Livingston for the purpose of home care and hospice, educates facility staff, physicians, patients, and families about home health and hospice services, and participates in community outreach activities.

QUALIFICATIONS/REQUIREMENTS:

• Current California RN/LVN license.
• Valid California driver’s license and automobile insurance per agency’s policy.
• Two years recent home health, hospice or acute care experience
• Experience in marketing, liaison activities, public and customer relations, and home health, home care and hospice functions preferred.

ESSENTIAL JOB FUNCTIONS:

• Receives referrals from hospitals and other facilities regarding discharge planning.
• Screens referrals for appropriateness to home care and hospice.
• Educates potential patients/families/other caregivers about home health and hospice services and their responsibility to participate in the plan of care.
• Educates facility staff and community physicians regarding home health and hospice services and criteria for admission.
• Provides the agency with social and medical information about the referred patient to ensure continuity of care, assignment of appropriate staff and accurate information for medical record review and coding.
• Coordinates with facility discharge planners to ensure hospital/facility information is provided to LMVNA’S Intake Department in a timely manner.
• Communicates appropriately with the Intake Department to ensure continuity of care.
• If available, reviews facility census daily to identify existing LMVNA patients and assure the continuum of care to those patients on service with LMVNA.
• Participates in patient case conferences at LMVNA and assigned facilities.
• Ability to navigate and work within hospital/home health electronic computer system.
• Works in tandem with Livingston leadership to coordinate and participate in community activities such as presentations, health fairs and expos.
• Develops new customer referral sources to increase census growth through consistent individual customer service and support. Maintains relations with community partners to build trust, strengthen community ties and meet community needs.
• Maintains a positive and respectful attitude.
• Performs other duties as assigned.

POSITION SUMMARY:

This position is primarily responsible for providing support to the Intake Department including data entry backup to ensure processing of all clinical information in accordance with accreditation, Title 22, Medicare, state licensure regulations, and LMVNA’s policies and procedures.

QUALIFICATIONS/REQUIREMENTS:

• Must demonstrate good written and oral communication skills.
• Must demonstrate ability to function as integral team member.
• High school diploma or equivalent.
• Knowledge of medical terminology.
• Knowledge of alpha/numerical filing system.
• Must type a minimum of 45 words per minute and maintain accuracy standards with no more than four (4) errors per report.
• Computer skills required.
• Proven analytical skills and strong attention to detail.
• Proficiency in speaking, writing, and reading English is required.

ESSENTIAL JOB FUNCTIONS:

• Answers and triages phone calls in a timely, professional, and courteous manner. Takes messages when necessary.
• Assembles/organizes data for referral entry in computer system.
• Enters/inputs information of referrals after the referral has been reviewed by a licensed Intake staff member. Instructs new Intake personnel how to enter/input information into the clinical software. Informs appropriate staff of potential problems.
• Performs processing of all insurance referrals, accesses the DDE to verify Medicare eligibility, Medicare number, date of birth, and if patient is on care with another agency. Information is correctly entered into the clinical software. Informs appropriate staff of potential problems.
• Obtains authorization for initial visit, documents this information in the clinical software, and completes a Patient Financial Eligibility form from all insurance providers.
• Scans/labels admission information into electronic medical records.
• Looks up MD information and enters accurately.
• Able to obtain correct MD license, NPI, address, telephone, and fax numbers of new physician.
• Utilizes the online computer system to identify and confirm patient demographics and medical record data and enters data when appropriate.
• Facilitates the assembly of field charts and appropriate documents as needed to clinical field staff.
• Maintains strong customer relations skills.
• Maintains a positive, professional, and respectful attitude.
• Maintains confidentiality.
• Performs and completes other duties as required.