CHHA

Certified Home Health Aide (CHHA) is trained to provide personal care and services to patient to augment that care given by family members. The CHHA functions under the direction, instruction and supervision of the Case Manager and/or the Team Manager.

Essential Job Functions/Responsibilities
• Take patient vital signs and record. Notify Case Manager or Team Leader of any/all abnormal results
• Assisting patients with bath, care of mouth, skin, hair and all aspects of personal hygiene
• Assisting patients with transferring and assisting with ambulation
• Assisting with prescribed exercises which patients and CHHA have been taught by the appropriate health personnel
• Preparing of meals and assisting patients with eating
• Assisting patients with toileting including use of bedpan, urinal and commodes.
• Preparing household services that will facilitate the patient’s self-care at home and are necessary to prevent or postpone institutionalization
• Reporting changes in the patients condition and needs to the Case Manager or Team Leader
• Completing appropriate records in a timely manner

Preferred Skills
• As per Certification requirements

Professional Requirements and Required Certification/Licensure
• Provides sufficient documentation of having passed a skills test and written/oral test demonstrating those competencies identified in OBRA-87, 42 C.F.R. Sections 484.36 and 484.4. In lieu of such documentation, a newly hired CHHA must demonstrate skills and written/oral competency prior to working independently with the patient.
• High School graduate or equivalent preferred
• Proof of California State Certification for Home Health Aide (CHHA)
• One to two years of direct patient care experience in an hospice or home health setting

RN

The Registered Nurse plans, organizes and directs patient care and is experienced in nursing, with emphasis on community health education/ experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

Essential Job Functions/Responsibilities

Patient Care
• Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine patient needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process.
• Assesses and evaluates patient’s status by: Writing and initiating plan of care, Regularly re-evaluating patient and family/caregiver needs, and Participating in revising the plan of care as necessary
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• 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.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• Communicates with community health related persons to coordinate the care plan.
• 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.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Attends interdisciplinary group meetings.

Additional Duties
• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• 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.
• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.

Preferred Skills
• Excellent observation, diagnostic, medication management and clinical documentation skills

Professional Requirements and Required Certification/Licensure
• Current/valid Registered Nurse license in the State of California.
• Two to three years of hospice or home health nursing experience.
• Knowledge of State and Federal regulations relating to hospice or home health participation.

LVN

The Registered Nurse plans, organizes and directs patient care and is experienced in nursing, with emphasis on community health education/ experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

Essential Job Functions/Responsibilities

Patient Care
• Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine patient needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process.
• Assesses and evaluates patient’s status by: Writing and initiating plan of care, Regularly re-evaluating patient and family/caregiver needs, and Participating in revising the plan of care as necessary
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• 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.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• Communicates with community health related persons to coordinate the care plan.
• 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.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Attends interdisciplinary group meetings.

Additional Duties
• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• 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.
• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.

Preferred Skills
• Excellent observation, diagnostic, medication management and clinical documentation skills

Professional Requirements and Required Certification/Licensure
• Current/valid Registered Nurse license in the State of California.
• Two to three years of hospice or home health nursing experience.
• Knowledge of State and Federal regulations relating to hospice or home health participation.