Home Health Aide (Hospice)

Requirements:

Job Description and Responsibilities

1) Follows a plan of care established by a primary nurse. 

2) Reports changes in patient’s condition to the Case Manager. 

3) Maintains safe conditions in the Residence and reports any unsafe conditions to the Case Manager  

4) Bathes patient(s) and provides personal hygiene care. 

5) Makes bed and performs other tasks to provide a suitable environment for patients.  

6) Performs light housekeeping tasks essential for a safe/healthy environment. 

7) Attends required in-service programs. 

8) Attends team planning meetings as appropriate.

9) Prepares meals and feeds patients when necessary.

10) Helps patients in performing exercises prescribed by professional personnel. ROM.

11) HHA has a basic understanding and commitment to the hospice concept of care. (required)  

12) Able to work as a team member and take supervision effectively. (required)  

13) Able to maintain a high level of confidentiality concerning patient and family information. (required)  

14) Able to relate well to terminally ill patients and their families. (required)  

15) Able to work with diverse groups of people. (required)  

16) Has a valid CA driver’s license, maintains own insurance and is able to provide own transportation to travel to the homes of patients. (for Home care HHA) (required)  

17) Has a Home Health Aide Certificate in CA. (required for home care)  

18) Has experience in hospice. (desirable)

19) Bilingual in Spanish, Hmong and/or Punjabi is a plus.

Experience and Desirable Traits

1) Medical Terminology Required.

2) A keen understanding of normal aging and health care for older adults.

3) Competency in client needs evaluation, meeting quality standards for services and evaluation of client and employee satisfaction.

4) Ability to work in a fast-paced environment.

5) Prior customer service and/or sales experience is a plus.

6) Strong commitment to providing the highest quality care and customer service.

7) Excellent communication and listening skills, particularly via the phone.

8) Proven track record of managing processes with strong attention to detail.

9) Sensitivity to client needs with the ability to express patience and compassion in dealing with them.

10) Positive,  “can-do” attitude.

11) Confidence and creative problem-solving skills.

12) Flexibility and availability for schedules to include hours outside of standard work week, possible weekend hours. 

13) Medical knowledge is preferred.

Division: Hospice
Location: Clovis, Coarsegold, Fresno, Mariposa, Merced, Modesto, Oakhurst, South Valley

Part-Time Home Care Aide (HCA)

Requirements:

Candidate must have a minimum of two years of professional caregiving experience and either currently hold or be willing to obtain a valid Home Care Aide (HCA) certification. Candidate must also be able to successfully pass a background check.

1) Experience with incontinence care

2) Experience with transfers and mobility assistance

3) Experience providing care for individuals with dementia

1) Modesto- full time & part time days

2) Visalia- full time & part time days

3) Fresno- full time & part time days and nights

4) Merced- full time & part time days

5) Oakhurst- full time & part time days

6) Bakersfield – full time & part time, days and weekends

Division: In-Home Care
Location: Bakersfield, Fresno, Merced, Modesto, Oakhurst, Visalia

Occupational Therapist (OT)

Requirements:

JOB DESCRIPTION SUMMARY

The occupational therapist contracted through the Organization is responsible for the implementation of standards of care for occupational therapy services and for adherence to all conditions outlined in the Service Agreement. Any direct patient care provided will be performed as defined by the state Occupational Therapy Practice Act.

 ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1) Evaluates the patient’s functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self-care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the total plan of care.

2) For patients who plan to return to work, the occupational therapist may perform work capacity evaluation and may refer to specialized vocational training in accordance with Organization policy.

3) Develops a treatment program and establishes goals for improved function. Communicates plan of care to referring physicians and other Organization professionals.

4) May teach new skills or re- train patients in once familiar daily activities that have been lost due to illness or injury, in accordance with Organization policy.

5) May fabricate splints and instruct patients in the use of various types of adaptive equipment to improve function.

6) May train patients in the use of prosthetic and/or orthotic devices.

7) Maintains appropriate clinical records, clinical notes, and reports to the physician any changes in the patient’s condition. Submits these records in accordance with Organization policy.

8) Maintains contact/communication with other personnel involved in the patient’s care to promote coordinated, efficient care.

9) Amends and contributes to in-services, case conferences, and other meetings as required by Organization policy to ensure coordinated and comprehensive plans of care for the patients of the Organization.

10) Identifies patient and family/caregiver needs for other home health services and refers as appropriate.

11) Instructs the patient’s family/caregiver and other Organization health care personnel in the patient’s treatment regime when indicated and appropriate.

12) Supervises certified occupational therapy assistants according to organization policy and state regulations.

13) When therapy is the only skilled service, instructs, supervises and evaluates home health aide care every two (2) weeks.

14) Participates in discharge planning for patients.

(The above statements are only meant to be a representative summary of the major dues and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description)

POSITION QUALIFICATIONS

1) Graduate of an occupational therapy curriculum accredited jointly by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association.

2) Registered with the National Registration Examination of the American Occupational Therapy Association.

3) Two years of clinical experience as an occupational therapist.

4) Demonstrates good verbal and written communication, and organization skills.

5) Possess and maintain current CPR Certification.

6) Licensed driver with automobile that is in good working order and insured in accordance with the organization requirements.

Division: Home Health
Location: Fresno, Merced, Modesto, Mojave, Porterville, Ridgecrest

Registered Nurses (RN)

Requirements:

Patient Care

1) Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).

2) Provides professional nursing care by utilizing all elements of the nursing process and as defined in the state Nurse Practice Act.

3) Assesses and evaluates patient’s status by:

1. Participating in revising the plan of care as necessary
2. Writing and initiating plan of care
3. Regularly re-evaluating patient and family/caregiver needs

4) Initiates the plan of care and makes necessary revisions as patient status and needs change.

5) Uses health assessment data to determine nursing diagnosis.

6) Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 

7) Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

8) Counsels the patient and family in meeting nursing and related needs.

9) Provides health care instructions to the patient as appropriate per assessment and plan.

10) Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

11) Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

1) Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.

2) Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3) Communicates with community health related persons to coordinate the care plan.

4) Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.

5) Provides and maintains a safe environment for the patient.

6) Assists the patient and family/caregiver and other team members in providing continuity of care.

7) Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.

8) Attends interdisciplinary group meetings.

Additional Duties

1) Participates in on-call duties as defined by the on-call policy.

2) Ensures that arrangements for equipment and other necessary items and services are available.

3) Supervises ancillary personnel and delegates responsibilities when required.

4) Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.

5) Fulfills the obligation of requested and/or accepted case assignments.

6) Actively participates in quality assessment performance improvement teams and activities.

Qualifications

1) Graduate of a National League of Nursing accredited school of nursing.

2) Current license in California and current CPR certification.

3) Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

4) Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.

5) Management experience not required. Responsible for supervising hospice aides.

6) Self-directed and able to work with minimal supervision.

7) Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.

8) Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

Division: Home Health
Location: Auberry, Bakersfield, California City, Fresno, Friant, Kings County, Lancaster, Mariposa, Merced, Oakhurst, Porterville, Prather, Ridgecrest, Stockton, Tehachapi