Reports To: Manager of Inpatient and Bartholomew or Patient Care Coordinator

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.

Reports To: North Vernon Location

FLSA: Non-Exempt / Hourly
JOB SUMMARY

The Home Health Aide (HHA)/Homemaker is responsible for delivery of personal care and homemaker services (i.e. services promoting a safe and clean patient environment) to hospice patients in the home, assisted living facility, extended care facility, and the Inpatient Facility.  Services are provided based on Our Hospice policies and according to the Home Health Aide/Homemaker plan of care (POC).  This position shall be responsible for providing non-skilled nursing care to an assigned group of patients in the home or Hospice Inpatient Center.

RESPONSIBILITIES

1. Provides routine patient care (in the home, extended care facility, assisted living facility, Inpatient Facility) per the Home Health Aide and/or Homemaker assignment under the supervision of the RN, in an exemplary manner, providing comfort, care, and compassion to patients and families.

2. Reviews HHA plan of care prior to each assigned visit before providing care.

3. Provides additional HHA services to patients as requested by RN/PCM/Director of Clinical Services.

4. Collaborates with PCM/Director as well as HHA schedulers to assure completion of duties, scheduling, and arranging coverage for HHA services as requested.

5. Communicates with primary nurse and PCM and/or Director of Clinical Services as needed to assure patient care needs are met and documents interactions in the electronic medical record (EMR).

6. Observes patients and reports observations and concerns to the primary nurse/PCM.

7. Demonstrates ability to identify information needed by team members to facilitate patient and family care. 

8. Manages time efficiently and effectively, offers assistance with other organizational HHA needs as requested.

9. Notifies PCM/Director of Clinical Services when completing assigned tasks early or when tasks scheduled during the scheduled work week may result in overtime. 

10. Demonstrates knowledge of all HHA forms, documentation methods, and procedures in the care plan.

11. Completes documentation in patient records accurately and on a timely basis.

12.  Demonstrates competencies in utilization of patient care resources (i.e. durable medical equipment, supplies) and communicates with PCM/Director of Clinical Services when there are issues.

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

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

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

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

17.  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.

18.  Completes other tasks as assigned.

WORKING CONDITIONS / PHYSICAL DEMANDS

1.The employee must 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

• Valid Indiana Drivers License
• Certified Nurse Aide (CNA) and/or Home Health Aide (HHA)

4. Skills

• Ability to read and comprehend simple instructions, short correspondence, and memos.
• Ability to write clear correspondence.
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.
• Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form.
• Competent to perform all skills delineated on the Home Health Aide skills checklist. 
  

JOB SUMMARY

This position shall be responsible for providing counseling 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. Provides services as indicated by the plan of care.

2. Assists patient/family in locating simple legal forms (e.g. General Power of Attorney, Health Care Representative).

3. Provides psychosocial assessments and psychological counseling for the following but not limited to:

• Patient/family adjustment to terminal illness.
• Individual counseling relating to: stress, anxiety, depression, self-esteem and feeling of inadequacy.
• Family counseling relating to social/emotional challenges.
• In the coordination of services for hospice care including: environmental, equipment, temporary care services, long term care and community support agencies.
• Economic counseling to assist in receiving financial aid applications.
• Grief counseling.

5. Records in patients chart 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. Participates in on-call service rotation to patient/family to insure availability on a 24 hour, seven day-a-week basis.

9. May occasionally provide back-up support for memorial services or support groups

QUALIFICATIONS

1. Education – Masters of Social Work (MSW) degree from a school of social work accredited by the Council on Social Work Education

2. Experience – Hospice and/or Home Health experience preferred.  Has one year of social work experience in a health care setting. 

3. Licensure

• Licensed Social Worker (LSW), Indiana OR Licensed Clinical Social Worker (LCSW), Indiana Licensed
• Must possess a valid driver’s license, current auto insurance, and reliable transportation.

 

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REPORTS TO:  Manager of Inpatient and Bartholomew                                                  

FLSA:  Non-Exempt / Hourly

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.

CORE VALUES

1. Serves as a role model to Hospice’s staff, setting an example of professionalism, teamwork and integrity.
2. Shows good judgment by advising 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. Serves as Committee member as appropriate.
6. Encouraged to attend and/or participate in 2 Hospice sponsored activities (e.g. Memorial Services, Volunteer Support Meeting, fundraising events, and other team related activities as determined per site).
7. Meets behavioral standards and expectations as set by Our Hospice of South Central Indiana’s Standards of Service and administrative policies.

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.