JOB SUMMARY

This position is responsible for applying nursing knowledge at an advanced level to maintain or improve quality of life for our hospice patients. He/she will also serve as a resource, consultant, and advisor to the clinical staff and leadership to ensure that our patients receive the highest quality of care.

Shift: Tuesday-Thursday-Friday

RESPONSIBILITIES

• Clinical Practice
  
  Applies nursing knowledge at an advanced level to maintain or improve quality of life for patients in the hospice setting, both inpatient and home.
• Conducts focused medical assessments: history & physicals; orders and evaluates diagnostics; interprets findings and develops plans of care.

• Provides diagnostic & pharmacologic management of acute and chronic disease processes through ongoing assessment, intervention and education in collaboration with the physician.
• Practices within the guidelines established by Hospice of South Central protocols, policies, and procedures.
• Collaborates with the interdisciplinary professional group regarding clinical findings and coordinating the plan of care.
• Consults with medical director regarding patient care issues beyond the realm of experience or autonomy of the Advanced Practice Nurse.
• Participates in on-call service to patient/family to insure availability on a 24 hour, seven day-a-week basis.

 

Research

• Conducts clinical inquiries to improve patient care.
• Leads and participates in research with staff to enable clinical practice reform.
•  Identifies potential problems and healthcare system deficiencies.
• Utilizes and promotes evidence-based research along with institutional, state, and federal laws and regulations to ensure quality of care.
• Have knowledge of active clinical trials in area of practice.
• Provide for the dissemination of current research based literature and theories necessary for the advancement of patient care.
• Facilitate nursing staff in ability to critique current literature for applicability in critical areas.

 Education and Consultation

• Identifies and addresses educational needs of the patient and family.
• Serves as a mentor for healthcare staff/physicians regarding professional standards of care.
• Collaborates with nursing and other disciplines regarding clinical findings and the plan of care.
• Provides product evaluation and audit review in conjunction with the QA/PI & Education Coordinator.
• Assesses and coordinates continuing education and staff development needs in conjunction with the QA/PI & Education Coordinator.
• Serves as a consultant resource for hospice clinical issues.

 Leadership

• Serves as a representative to assigned hospice committees and community based activities.
• Serves as a role model in clinical and professional practice.
• Serves as an inter/intra departmental liaison.
• Assumes leadership and clinical practice roles in identifying, monitoring, and changing standards of hospice practice to improve care for patients and families.

 Professional Development

Maintains appropriate certifications and professional association memberships as required and specific to designated specialty area.

• Participates in mandatory and seeks additional educational growth opportunities.
• Participates in Performance Improvement/Quality Assurance activities.

 

QUALIFICATIONS

• Education – MSN from accredited program
• Experience – At least three to five years’ experience in appropriate clinical area.
• Licensure
• Current Registered Nurse Licensure in the state of Indiana
• Certification in appropriate clinical area
• Valid Indiana Driver’s License

 

Skills

• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

 

JOB SUMMARY                                 

This individual is responsible for the planning, development, coordination, implementation, and evaluation of the education and infection control programs for Our Hospice of South Central Indiana, Inc. 

RESPONSIBILITIES

Essential

1.     Responsible for the development and implementation of the annual education plan based on educational needs assessment and submits to appropriate leadership utilizing appropriate teaching pedagogies. 

2.     Coordinates education for staff, including orientation in-services, annual in-services, CPR certification, on-going education and required HHA education.  Manages documentation of staff orientation, competencies, quizzes, tests, orientation and annual in-services, certifications and educational certificates and submits hard copies to the Manager of Human Resources for employees’ files. Maintains tracking of education in the online education program and pulls reports as needed. Tracks and maintains documentation for all staff education including specific HHA required hours and HHA annual supervisory visits. 

3.     Coordinates RN specific orientation with clinical team and serves as a resource throughout the RN orientation.

4.     Coordinates HHA specific orientation with clinical team and participates in HHA skills tests during orientation.

5.     Provides education to volunteers as appropriate.

6.     Coordinates education for contracted vendors, assisted living and nursing facility staff in compliance with state and federal regulations.

7.     Evaluates current clinical processes and forms as requested on an on-going basis.

8.     Collaborates with appropriate staff on form revisions and creations as indicated.

9.     Coordinates education for staff when changes are made to policies, procedures and / or forms.

10.  Monitors Our Hospice’s education related policies and procedures to be in accordance with state and federal regulatory requirements and provides staff with timely updates of changes in education related polices.

11.  Serves as a member of Our Hospice’s QAPI committee and ensures appropriate education is implemented to result in organizational improvements.

12.  Serves as the Infection Control Nurse and serves as a resource concerning infection control for the organization. 

13.  Develops, implements, and maintains an organization-wide infection control program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases, including investigation of outbreaks or clusters of infections.  Tracks and analyzes data for patient and employee infections. 

14.  Ensures Our Hospice follows accepted standards of practice and in the prevention of and transmission of infectious and communicable disease, including the use of standard precautions.

15.  Develops, implements, and monitors Our Hospice’s infection control policies and procedures in accordance with state and federal regulatory requirements and provides staff with timely updates of changes in infection control policies. 

16.  Coordinates the annual flu immunization clinics for staff. 

17.  Responsible to ensure all healthcare workers have had the appropriate tuberculosis screening  and / or testing upon hire and annually.

18.  Evaluate Our Hospice’s current tuberculosis risk at least annually and notify the Quality Committee of all recommendations as applicable.

19.  Ensures the infection control program is integrated into Our Hospice’s QAPI program and ensures appropriate actions are implemented to result in improvement of the infection control program and disease prevention.

20.  Ensures infection control education is provided to staff, vendors, patients, and family members, caregivers, and other individuals as indicated. 

Additional Duties & Responsibilities

1.     Perform additional duties and / or other responsibilities as delegated by the Corporate Compliance Office.

QUALIFICATIONS

1.     Education – Bachelor’s Degree required  

2.     Experience

a.     Hospice experience preferred

b.     Strong oral and written communication skills; good interpersonal and motivational skills. 

c.      Proven team leader.

3.     Licensure

a.     Valid Indiana Driver’s License.

b.     Licensed Registered Nurse in the state of Indiana

4.     Skills

a.     Proven managerial skills, including strong oral and written communication skills; excellent listening skills; excellent interpersonal and motivational skills; and the ability to interpret instructions furnished in a variety of formats, i.e. written, oral, diagram, etc.

b.     Ability to read, analyze and interpret general industry periodicals, professional journals, technical procedures, or governmental regulations.

c.      Ability to write reports, business correspondence, and procedure manuals.

d.     Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

e.     Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

f.       Excellent problem solving ability.

g.      Must be able to effectively utilize Microsoft Office Products.

JOB SUMMARY

This position shall be responsible for meeting the nursing care needs of assigned patients/families in the home care setting.  Professional nursing services will be given in accordance with physician’s orders and the plan of care established by the Hospice team.

Thursday & Friday 10:00AM-6:30 PM (16 hours/week)

RESPONSIBILITIES

1. Makes routine Hospice nursing visits as assigned to patients in the home, extended care facilities, assisted living facilities, and hospitals.Completes assessment of the patient/family needs including physical, emotional, and bereavement status.
2. Performs as case manager maintaining responsibility for assigned patients in a cost-effective and quality manner.Manages time, reimbursement of visits, pharmacy and medical supplies, and durable medical equipment.
3. Teaches, supervises and counsels patient/family care techniques including pain and symptom control, dietary instruction, use of equipment and observation techniques.
4. Participates in on-call service to patient/family to insure availability on a 24 hour, seven day a week basis.
5. Develops and implements the plan of care for each patient in collaboration with the patient, family and Interdisciplinary Group (IDG).Evaluates each patient/family as directed and makes appropriate changes to the plan of care.
6. Communicates with and updates other IDG team members as needed to coordinate and ensure quality care (e.g. Social Services, Home Health Aides, Volunteers, and Medical Director).
7. Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to patients and family members, case managers, nursing facilities administrators and staff, physicians and physician office staff, and community groups.
8. Maintains accurate records in accordance with the supervising organization’s policies and procedures in a timely manner (e.g. initial plan of care, comprehensive plan of care, updates to the plan of care, daily documentation requirement, discharge summaries, death summaries).

WORKING CONDITIONS / PHYSICAL DEMANDS

1. Lift and/or move up to 50 pounds.
2. Exposure to repetitive motion.
3. Predominantly inside environmental conditions with some exposure to outside environmental conditions.
4. Regularly required to use hands, talk and hear within normal range.
5. Frequently required to stand, walk, and reach with hands and arms, or twist.
6. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.
7. Finger dexterity required.
8. Must follow Universal Protection Precautions and Bloodborne Pathogens Guidelines.Possible Occupational exposure (Category A employee) to human bloodborne pathogens.
9. Must have a vehicle and provide evidence of current insurance.

QUALIFICATIONS

1. Education – Bachelor’s Degree preferred; or equivalent combination of education and experience.
2. Experience – One to three years’ experience in health care preferred
3. Licensure
   1. Licensed Registered Nurse in the State of Indiana
   2. Valid Indiana Driver’s License
   3. CPR
4. Skills
   1. Proven managerial skills, including strong oral and written communication skills; excellent listening skills; excellent interpersonal and motivational skills; and the ability to interpret instructions furnished in a variety of formats, i.e. written, oral, diagram, etc.
   2. Demonstrated knowledge of healthcare regulations.
   3. Ability to read, analyze and interpret general industry periodicals, professional journals, technical procedures, and governmental regulations.
   4. Ability to write reports, business correspondence, and procedure manuals.
   5. Ability to effectively present information to and respond to questions from patients/families and the general public.
   6. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
   7. Excellent problem solving ability.
   8. Must be able to effectively utilize Microsoft Word, Excel, PowerPoint and the Internet.

 

This job is for the North Vernon Territory

JOB SUMMARY

This position shall be responsible for promoting the Our Hospice program to referral sources and through community outreach.  Responsibilities also include assessing the patient/family status, advising on appropriateness of admission and participating in admission process based on Our Hospice admission criteria.  Responsible for building relationships between hospice healthcare professionals and patients, as well as to position hospice services favorably in the healthcare market and provide information/education to the public. The position requires all responsibilities are performed utilizing knowledge of regulations and Our Hospice goals and objectives. The Referral Specialist functions as a flexible sales resource that focuses primarily on building relationships in alignment with the growth and market strategies of Our Hospice of South Central Indiana. 

RESPONSIBILITIES

Essential

1. Establishes and maintains strong relationships with nursing facilities, hospitals, physicians and key community members within the 16-county service area to increase referral percentage/volume.

2. Routinely visits referral sources and community organizations as needed to achieve desired metrics.

3. Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to case managers, physicians and physician office staff, facilities and actively promotes hospice within assigned communities.

4. Works with Admission team to facilitate communications, explain Hospice services and complete documentation that is compliant with state and federal regulations.

5.Responds timely to all referrals, fostering relationships of trust, responsiveness, and open communication with all assigned referring customers including but not limited to extended care facilities, hospital case managers, physicians, patients and families.

6. Communicates and works with providers within the health system to ensure the patient and family receives the appropriate health services they desire. 

7. Partners with the management team to ensure the best possible service and effective communications. 

8. Maintains knowledge about market environment, competitors and changes in health care systems, forwarding this information for action or informational purposes to relevant stake holders in a timely fashion.

9. Facilitates communications and works effectively between Hospice staff, patients/families/caregivers, physicians, vendors, and other professionals and external customer groups to improve communication and relationships to increase referrals or solve customer service issues as appropriate.

10. Participates in the provision of educational and community relations activities to the community and other health care professionals as requested to further the brand image and business development needs. 

11. Effectively manages territory, conducting office visits to include:

•  Education on services
• Outreach
• Maintaining image (patient-family centered care, hospice of choice)
• Implementing new services/protocols

Additional Duties & Responsibilities

1. Performs additional duties and/or responsibilities as delegated by the Manager of Planning and Marketing. 

QUALIFICATIONS/EDUCATION/EXPERIENCE

• Bachelors Degree preferred; or equivalent combination of education and experience.
• One to three years experience in health care preferred.
• Valid Indiana Drivers License.
• Proven public relations and sales skills, including strong social and business etiquette skills and excellent personal presentation that is congruent with Our Hospice standards. 
• Proven managerial skills, including strong oral and written communication skills; excellent listening skills; excellent interpersonal and motivational skills; and the ability to interpret instructions furnished in a variety of formats, i.e. written, oral, diagram, etc.

• Demonstrated knowledge of healthcare and hospice regulations.
• Ability to thrive in a fast-paced, team-oriented environment with the skills to also work independently.
• Ability to read, analyze and interpret general industry periodicals, professional journals, technical procedures, and governmental regulations.
• Ability to effectively present information to and respond to questions from patients/families and the general public.
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Excellent problem solving ability.
• Must be able to effectively utilize all Microsoft Office Products
• Experience using Salesforce preferred.

JOB SUMMARY

This position, on an “on-call”/PRN basis, provides administrative and project support to assigned departments, assisting the organization in meeting strategies and objectives to ensure the delivery of quality, cost effective services. This supports the established vision and mission of the ongoing operations of Our Hospice of South Central Indiana.

RESPONSIBILITIES

Essential

1.    Administrative support for all clinical departments at various site locations including: answering telephones, greeting guests, completing miscellaneous administrative tasks, coordinate clinical meetings, provide agendas and minutes; attend meeting and transcribe notes.

2.    Work independently and within a team on special, nonrecurring and ongoing projects.  

Additional Duties & Responsibilities

1.    Adheres to all hospice policies, procedures and regulations regarding patient care, conduct, safety, fire, security and risk management.

2.    Carries out duties and responsibilities of position in a manner that exemplifies excellent customer service.

3.    Consistently represents the Hospice program to all internal and external customers with integrity and professionalism.

4.    Other duties as assigned.

INTERPERSONAL RELATIONS

1.    As a representative of Our Hospice of South Central Indiana, all comments, attitudes, actions and behaviors have a direct effect on Hospice’s image and perceptions of service quality. 

2.    Interaction with patients, guests, visitors, volunteer workers, co-workers, supervisors and other employees must be in a manner that is friendly, supportive, courteous, respectful, cooperative and professional. 

3.    This behavior will promote an atmosphere of team work and is congruent with Hospice’s standards and guidelines to promote positive relations in the community.

QUALIFICATIONS

1.    Education/Experience

·         A High School Diploma or GED required.   Business school or Associate’s degree preferred; or equivalent combination of education and experience. 1-3 years of related experience required; healthcare experience preferred.

2.    Licensure/Skills

·         Valid Indiana Drivers License.

·         Proficient in Microsoft Office Products.

·         Strong working knowledge of administrative office procedures

·         High level of interpersonal skills to handle sensitive and confidential situations.

·         Excellent verbal and written communication skills.

·         Professional appearance and telephone manner.

·         Good command of the English language, oral and written.

 

Summary

Our Hospice of South Central Indiana is seeking a Hospice & Palliative Care Physician for their Columbus, Indiana facility. 

The Hospice Physician will provide direct patient care and symptom management to hospice patients while assuring care is in compliance with Medicare and other regulatory programs.  The clinician will also serve as liaison between the primary physician and the hospice team, providing care and facilitating communication and continuity of the care plan.  The clinician will also support the admission and care delivery process of hospice patients.  

Primary Responsibilities include:

1. Responsible for the medical component of the hospice’s patient care program.
   • In conjunction with the Interdisciplinary Group (IDG) is responsible for or participates in making decisions regarding admissions to hospice home care or inpatient settings(s).
   • Participates in the development of individual plans of care before admission of a patient/family to the program
   • Acts as a liaison between the attending physician and the IDG.
   • Acts as primary/attending physician when patients have no primary/attending physician.
   • Participates in the development, evaluation, and revision of written care plans by attending the IDG meetings.
   • Participates in medication review, titration, or discontinuation, in line with patient’s condition and goals.
   • Participates in IDG, completing medication review, relatedness and clinical decision making.
   • Is available to have goals of care conferences with patients and families who are considering the choice of hospice, to help counsel and coordinate care in line with patient’s condition and goals. These visits can be required either:

                  - Before choosing hospice (such as a palliative care consult).

                  - While under the care of hospice. 

2. Works collaborative with other medical staff.
   • May be asked to assist with work assigned to other medical colleagues as work load indicates.
   • Rotates for weekend and holiday call to provide for the 24 hour, 7 day a week needs for hospice in all levels of care.
3. Visits hospice patients as indicated.
   • Makes visits to hospice patients whether at patient’s home or a residential facility as indicated for symptom management or re-certification of hospice eligibility.
   • Makes visits to hospice patients in the Hospice Inpatient Facility as indicated.
4. Completes all required documentation in a timely manner.
   • Documents patient visits per State and Federal regulation.
   • Completes death certificates, CTIs and other documentation as needed.
5. Responsible for making quality, cost effective medical care decisions.
6. Serves as a liaison with community physicians, medical schools, hospitals and nursing homes.
7. Advises Medical Director of exceptional conditions, such as unanticipated adverse outcomes in the clinical setting.
8. Stays up to date on notifications, emails and Chex educations, and is responsible for updated information.
9. During work hours, is available to discuss treatment options, make recommendations for symptom management in patients who are considering or enrolled in hospice
10. May involve direct discussion with referring MD to clarify needs and expectations.
11. Will fulfill the role of Medical Director as Medical Director Designee, when Medical Director is unavailable for protracted times.

QUALIFICATIONS

1. Education – Doctor of medicine or doctor of osteopathy degree.
2. Experience
   • At least two years’ experience in a medical specialty dealing with terminally ill patients, such as oncology or geriatrics and with demonstrated experience in the principles of pain and symptom management.Hospice and Palliative Medicine board certification preferred.
   • Five to ten years’ experience in health care administration with good managerial skills; strong oral and written communication skills; good interpersonal and motivational skills.
   • Proven team leader
3. Licensure
   • Licensed Physician in the state of Indiana.
   • Board certification by an American Board of Medical Specialties approved board examination, an osteopathic medicine equivalent.
   • Board certification in Hospice and Palliative Medicine, preferred
   • Must possess a valid Indiana driver’s license, and current auto insurance.
   • Hold a current and updated DEA license
   • Obtain and maintain privileges at Columbus Regional Hospital.
   • Remain current in CME hours in a primary specialty.

 

Qualified and interested candidates should submit resume and salary requirements to:
Marla Satterfield, Manager of Human Resources, Our Hospice of South Central Indiana, 2626 E. 17^th Street, Columbus, Indiana 47201. Our Hospice is an Equal Opportunity Employer. No Telephone Calls Please.

JOB SUMMARY

This position shall be responsible for providing case management and supportive services that encourage the grief process and the patient / family adjustment to the terminal illness, according to individual and/or family needs. 

RESPONSIBILITIES

Essential

1.      Assists in the implementation, development and revisions of the plan of care through the development of problems, intervention, and goals.

2.      Provides services as indicated by the plan of care.

3.      Assists patient/family in locating simple legal forms (e.g. Living Will, out of hospital DNR, General Power of Attorney, Health Care Representative).

4.      Provides psychosocial assessments for the following but not limited to:

a.      Patient/family adjustment to terminal illness.

b.      Emotional support for patients and families.

c.       Referral and linkage to economic resources and financial aid applications.

5.      Records in patients’ medical record diagnostically, appropriately, and promptly the social finds, impressions and plan of action in relations to medical social problems.

6.      Participates in quality assessment and performance improvement program and Hospice sponsored in-service training. 

7.      Participates in Hospice team meetings (IDG).

8.      Facilitates Educational Support Groups

9.      Assists with Memorial Services

10.  Participates in on-call service to patient/family to insure availability on a 24 hour, seven day-a-week basis based on scope of practice.

11.   Assists with training and educating bereavement volunteers.

12.   Seeks guidance from Licensed MSW per scope of practice.

Additional Duties & Responsibilities

1.         Participates in the educational process of the Hospice approach to other professionals and volunteers. 

QUALIFICATIONS

1.      Education – Bachelor’s of Social Work (BSW) degree from a school of social work accredited by the Council on Social Work Education

2.      Experience-Has at least two (2) years of documented experience in behavioral health and human services, prefer experience in hospice or home care

3.      Licensure

a.       Current license as LBSW, Indiana Licensed

b.      Must possess a valid driver’s license, current auto insurance, and reliable transportation

4.      Skills

a.      Ability to exercise time management and flexibility to accommodate work schedule, including evenings and weekends

b.      Excellent interpersonal skills; working with large groups of volunteers and other diverse groups. 

c.       Excellent verbal and written skills.

d.      Ability to effectively present, respond and address clients, customers and the general public.

e.      Creativity and initiative required. 

f.        Ability to perform under high stress situations.

g.      Strong organizational, managerial, and motivational skills.

h.      Proficiency in accuracy, detail, and follow-up.

i.        Proficient in Microsoft Office Products.

 

 

Reports To: Transitions Care Manager

FLSA: Non-Exempt / Hourly

JOB SUMMARY

This position shall be responsible for providing non-skilled nursing care to an assigned group of patients in the home care setting.

CORE VALUES

1.      Serves as a role model to Hospice’s staff and external customers, setting an example of professionalism, teamwork and integrity.

2.      Shows good judgment by advising the Leadership of potential risks, concerns or issues that could effect the organization.  

3.      Adheres to and is an advocate for the Hospice Mission Statement and philosophy.

4.      Reports compliance concerns/issues to the Compliance Officer and reports HIPAA concerns/issues to the HIPAA Privacy Officer or HIPAA Security Officer.

5.      Encouraged to attend and/or participate in Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fund-raising events, and other team related activities as determined per site).

6.      Serves as Committee member as appropriate.

7.      Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

RESPONSIBILITIES

1.      Provides routine patient care per the Home Health Aide and/or Homemaker assignment in an exemplary manner, providing comfort, care, and compassion to patients and families.

2.      Observes patients and reports observations and concerns to the primary care nurse and/or Patient Care Coordinator, Nurse Facilitator or Manager of Inpatient and Bartholomew.

3.      Completes patient records accurately and on a timely basis.

4.      Assists in maintaining a clean, healthful environment for the patient.

5.      Attends and participates in Interdisciplinary Group meetings, in-services, and staff meetings as requested.

6.      Participates in a minimum of twelve- (12) hours in-service education per year.

7.      Assists in orientation of new Home Health Aides and Homemakers.

8.      Promotes the Hospice benefit and provides education to all potential referring customers including but not limited to case managers, nursing facilities administrators and staff, physicians and physician office staff, and community groups.

9.      Completes other tasks as assigned.

WORKING CONDITIONS / PHYSICAL DEMANDS

1.      Frequently lift and/or move up to 50 pounds, and occasionally lift and/or move up to 100 pounds. 

2.      Exposure to repetitive motion.

3.      Predominantly inside environmental conditions with some exposure to outside environmental conditions.

4.      Regularly required to use hands, talk and hear within normal range.

5.      Frequently required to stand, walk, and reach with hands and arms, or twist.

6.      Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus.

7.      Finger dexterity required.

8.      Must follow Universal Protection Precautions and Bloodborne Pathogens Guidelines.  Possible Occupational exposure (Category A employee) to human bloodborne pathogens.

QUALIFICATIONS

1.      Education – High school diploma or general education degree (GED)

2.      Experience – One to three months related experience and/or training

3.      Licensure

a.      Valid Indiana Drivers License

b.      Certified Nurse Aide (CNA) & Home Health Aide or Certified Nurse Aide (CNA)

4.      Skills

a.      Ability to read and comprehend simple instructions, short correspondence, and memos.

b.      Ability to write clear correspondence.

c.       Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

d.      Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.

e.      Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form.

f.        Competent to perform all skills delineated on the Home Health Aide skills checklist.