Position(s) you are applying for -- Select -- Provider Office Manager Provider Supervisor Social Worker Registered Nurse Licensed Vocational Nurse (LVN) Receptionist
Job title: PROVIDERJOB DESCRIPTIONS: TO PROVIDE PERSONAL ASSISTANCE SERVICES INCLUDING THE FOLLOWING:
a. Bathing
b. Dressing
c. Exercises
d. Meal preparation and feeding
e. Grooming
f. Laundry
g. Bowel and Bladder Management (toileting)
h. Transferring from bed to wheel chair
i. Take for a walk
j. Light Housekeeping
k. Routine hair and skin care
l. Escort
m. Shopping
n. Assist with self-administered Medications
o. And other task as required
KNÖWLEDGE, SKILLS AND ABILITIES:
1. Assistant must be reliable
2. Punctual
3. Neat and organized
4. Willing to perform various task as requested
5. Willing to learn job requirements
6. Able to follow instructions
7. To be able to perform on a long-term basis
Training will be provided to the assistant by the Agency.
No prior experience is requested, must be willing to learn.
PROVIDER DESCRIPTION
OTHER REQUIREMENTS AND CONSIDERATIONS
Prefer a non-smoker, no pets, no children brought into the home and no personal visitors while in the job.
I have read and understand the Agency's Policles and Procedures and agree to abide by them.
I also understand that all required paper work must be documented accurately and submitted on time in order
for payroll Department to authorized paymint for that payroll period.
is responsible for overseeing the general administrative functions and any events or activities in the office. Your role is to create and maintain a pleasant work environment, ensuring high levels of organizational effectiveness, communications, key-record keeping and coordination among departments.
Responsibilities:
Serve as the point person for office manager duties including:
Maintenance
Mailing
Supplies
Equipment
Bills
Errands
Shopping
Schedule meetings and appointments
Organize the office layout and order stationery and equipment
Maintain the office condition and arrange necessary repairs
Partner with HR to update and maintain office policies as necessary
Organize office operations and procedures
Coordinate with IT department on all office equipment
Ensure that all items are invoiced and paid on time
Manage contract and price negotiations with office vendors, service providers and office lease
Manage office G&A budget, ensure accurate and timely reporting
Provide general support to visitors
Assist in the onboarding process for new hires
Address employees queries regarding office management issues (e.g. stationery, Hardware and travel arrangements)
Liaise with facility management vendors, including cleaning, catering and security services
Plan in-house or off-site activities, like parties, celebrations and conferences.
Job title: PROVIDER SUPERVISORJOB DESCRIPTIONS: TO PROVIDE PERSONAL ASSISTANCE SERVICES INCLUDING THE FOLLOWING:
a. Bathing
b. Dressing
c. Exercises
d. Meal preparation and feeding
e. Grooming
f. Laundry
g. Bowel and Bladder Management (toileting)
h. Transferring from bed to wheel chair
i. Take for a walk
j. Light Housekeeping
k. Routine hair and skin care
l. Escort
m. Shopping
n. Assist with self-administered Medications
o. And other task as required
JOB INOLVES LIFTING AND BENDING
KNÖWLEDGE, SKILLS AND ABILITIES:
1. Assistant must be reliable
2. Punctual
3. Neat and organized
4. Willing to perform various task as requested
5. Willing to learn job requirements
6. Able to follow instructions
7. To be able to perform on a long-term basis
Training will be provided to the assistant by the Agency.
No prior experience is requested, must be willing to learn.
PROVIDER DESCRIPTION
OTHER REQUIREMENTS AND CONSIDERATIONS
In the event that the Assistant decides to discontinue employment, he/she must be willing to continue until
replacement is found, which could be 6-8 weeks and be willing to train the replacement.
Prefer a non-smoker, no pets, no children brought into the home and no personal visitors while in the job.
I have read and understand the Agency's Policles and Procedures and agree to abide by them.
I also understand that all required paper work must be documented accurately and submitted on time in order
for payroll Department to authorized paymint for that payroll period.
is someone dedicated to helping individuals, families, and communities improve their quality of lives through counseling, advocacy, and reporting. Social workers may provide direct counseling to families and communities, advocate on their behalf to community organizations or other health professionals, or help guide clients through the legal system by providing testimony or assistance during court hearings.
Responsibilities:
Plan, coordinate, manage and implement support packages to help clients deal with difficulties and overcome dependencies.
Interview service users and assess their current condition, needs, strengths and weaknesses.
Address each case as a unit and set tailored measurable goals.
Monitor and evaluate clients’ progress and modify treatment plans accordingly.
Offer information and counseling on the best course of action during sessions.
Maintain accurate records and report on clients’ status.
Attend case conferences and provide evidence in court.
Act as a key-worker and cooperate with multidisciplinary teams.
Refer clients to community services to help them in recovery.
Job title: Registered NurseReports to: Agency Director of NursingPOSITION SCOPE:
1. To ensure quality and safe delivery of home health care services.
2. To coordinate provision of home health care services that reflect Agency philosophy
3. To ensure that Agency standards are maintained in the provision of home health care to Agency Clients.POSITION QUALIFICATIONS: 1. Graduate of an accredited school of nursing required
2. Current licensure with the Texas Board of Nurse Examiners
3. Yearly TB test or chest x-ray every two years.
4. One year experience in home health care, hospital med - Surg, or public health nursing required.PHYSICAL REQUIREMENTS:
1. Visual/hearing ability sufficient to comprehend written/verbal communication.
2. Ability to perform task involving physical activity, which may include heavy lifting, extensive bending or standing.
3. Ability to deal effectively with stress.
PERPORMANCE RESPONSIBILITIES AND STANDARDS:
1. Ensures quality and safe delivery of home health care services.
a. Patient plans of care are developed, implemented, and evaluated per Agency policy and
procedure.
b. Nursing assessment forms are completed in a timely manner per Agency policy and procedure.
C. Individual nursing plans of care are developed as appropriate.
d. Patient case conferences are conducted in a timely manner according to Agency policy and procedure.
e. Individual nursing plans of care reflect current patient needs.
f. Patient families äre invólved in developing patient plans of care whenever possible.
g. Patient clinical record documentation reflects delivery of quality and safe home health care sérvices.
h. Registered nurse supervisory visits of home health aides are conducted per Agency policy and procedure.
2. Implements current nursing practice:
a. Patient conditions are assessed in every home health care visit.
b.Patient assessments are communicated to appropriate individuals.
c.Nursing interventions are implemented to meet patient needs and changes conditions.
d.Patient clinical record documentation is done per Agency policy and procedure.
e. Physician orders are accurately transcribed; implemented and evaluated for patient outcome in a timely manner.
f.Referrals of patients to other health care providers are done per home health care agency policy and procedure.
g.Referral information is documented accurately, completely, and in a timely manner.
h.Infection control and safety measures are implemented per home health care agency policy and procedure.
i. Recommendations and requirements for additional home health care services for patients are communicated to the appropriate individuals in a timely manner.
j. Clinical care is implemented per home health care agency policy and procedures.
k. Patient care is monitored for compliance with defined patient plans of care.
l. Fulfills additional performance responsibilities as assigned and as necessary.
3. Assumes assigned responsibility for operations in the absence of the Administrator, or Director of Nursing.
a. Compliance of home health care agency operations with federal, state and local rules and regulations is demonstrated.
b. Registered Nurse is available at all-times during Agency operating hours.
c. Registered Nurse is on-call for emergencies involving health care staff members and patients.
d. Participation in home health care activities is demonstrated.
4. Promotes effective written/verbal communication.
a. Skill in conflict resolution is demonstrated.
b. Positive work environment is promoted for Agency members.
c. Communication of information regarding changes in Agency operations and policies and procedures to Agency staff members in a timely manner is demonstrated.
d. Consistent and concise lines of authority and responsibility are maintained.
e. Participation in appropriate committee meetings is demonstrated per Agency policy and procedure.
f. Cooperation with Agency staff members and the Director of Nursing of Agency pursuant to home health are agency philosophy and objectives is demonstrated.
g.Documentation of information regarding interpretation of Agency philosophy, objective, and log range plan is demonstrated as necessary.
h. Consultation with the Director of Nursing is initiated as issues and concerns require.
i. Cooperation with federal, state and local agencies is demonstrated.
5. Support Director of Nursing in written staff assignments according to staffing patterns, patient needs, and home health care staff member competency.
a. Information regarding patient needs and patient plans of care are given to Agency staff members.
b. Information regarding assignments are reviewed with Agency stäff members as necessary.
c. Consulation with Agency stuff members regarding assignments is demonstrated.
d. Agency staff members completion of assignments is monitored.
e. Agency staff members assignments are clearly defined and documented.
6. Superyises Agency Home Health Aides.
a. Performance as role model for Agency staff members is démonstrated.
b. Participation in orientation of Agency staff members is demonstrated.
c. Information regarding registered nurse supervisory visits of Agency Aides in a timely.
d. Monitoring of Agency services delivered by staff members is demonstrated.
e. The Director of Nursing is op-call for emergencies involving Agency staff members and patients.
7. Gives accurate information to patients, patient families and Agency staff members regarding costs for home health care services.
a. Knowledge of Agency policies and procedures and regulations regarding reimbursement for home health services is demonstrated. 8. Uses equipment and supplies effectively and efficiently.
a. Utilization of equipment and supplies in a cost-effective manner is demonstrated.
9. Complies wit Agency policies and procedures.
a. Participation in developing systems for evaluating delivery of services is demonstrated.
b. Participation in the development and iplèmentation of emergency policies and procedures is demonstrated.
c. Maintenance of confidentialty of client stormation is demonstated per Agency policy and procedure.
d. Infection control and safety measures are implemented per Agency policy and procedure.
e. Current professional licenses of Registered Nurses are maintained and documented.
10. Promotes aid maintains an agency environment that is in compliance with federal, state and local regulatory standards.
a. Federal, state and local rules and regulations are shared with Agency staff members.
b. Participation in development and implementation of a patient complaint system is demonstrated.
JOB DESCRIPTION REVIEW:
I have read and understand the job description for the position of Registered Nurse/RN Supervisor and the Agency Policies and Procedures and agree to abide by them.
I also understand that all required paper work must be documented accurately and completely and submitted on time in order for payroll department to authorize payment to me for visits during that payroll time period.
Job Title: Licensed Vocational Nurse (LVN)Reports to: Agency Director of Nursing and/or RN SupervisorPOSITION SCOPE:
1. To ensure quality and safe delivery of home health care services.
2. To provide direct skilled home health care services that reflect the home health care Agency philosophy and standards of the AgencyPOSITON QUALIFICATIONS:
1. Graduate of an accredited school of vocational nursing
2. Current Licensure as a Vocational Nurse with the Texas Board of Nurse Examiners
3. Yearly TB test or chest x-ray every two years.
4. One year recent experience as LVN in Hospital Med - Surg or other acute care setting, Home Health Care or Public Health NursingPOSITION REQUIREMENTS:
1. Visual/hearing ability sufficient to comprehend written/verbal communication.
2. Ability to perform task involving physical activity, which may include heavy lifting and extensive bending and standing.
3. Ability to deal effectively with stress.
PERFORMANCE RESPONSIBILITIES AND STANDARDS:
1. Ensures quality and safe delivery of home health care services.
a. Participates in development and implementation of patient plans of care per home health care agency policy and procedures.
b. Participates in patient case conferences according to home health care agency policy and procedure as appropriate.
c. The provided nursing care reflects client plans of care.
d. Information regarding patient plans of care is submitted to the Registered Nurse in a timely manner.
e. Patient clinical record documentation reflects delivery of quality and safe health care services.
2. Implements current nursing practice.
a. Patient plans of care are discussed with Registered Nurse on a regular basis.
b. Nursing interventions are implemented for patient plans of care.
c. Patient clinical records are documented per home health care agency policy and
procedure.
d. Patient assignments and reports are received form the Registered Nurse.
e. Inflection control and safety policies and procedures are implemented per home heath care agency policy and procedures.
f. Identified clients needs are communicated to the Registered Nurse in a timely manner.
g. Clinical care is implemented per home health care agency policies and procedures.
h. Patient's overall appearance reflects good personal hygiene.
i. Patients are assisted to meet socialization needs.
j. Procedures and treatments are implemented and documented appropriately.
k. Observations of patient condition are accurately reported to the Home Health Registered Nurse.
l. Patients are assisted to meet socialization needs.
m. Assignments are organized and completed on time.
n. Patient requests are responded to promptly.
o. Proper body mechanics are utilized consistently.
p. The Registered Nurse is notified upon return to the home health care agency.
q. Daily patient reports are given to the Registered Nurse.
3. Fulfills additional performance responsibilities as assigned and as necessary.
a. Additional performance responsibilities are fulfilled accurately and in a timely manner.
4. Promotes effective written/verbal communication.
a. Skill in conflict resolution is demonstrated.
b. A positive work environment is promoted for home health care staff members.
c. Information regarding changes in home health care agency operations and policies and procedures is communicated to home health care agency staff members in a timely manner.
d. Consistent and concise lines of authority and responsibility are maintained.
e. Participation in appropriate committee meetings is demonstrated per home health care agency policy and procedure.
f. Cooperation with home heath care agency staff members and the Director of Nursing pursuant to home health care agency philosophy and objectives is demonstrated.
g. Participation in home health care agency events is demonstrated.
h. Documentation of information regarding interpretation of home health care agency philosophy, objectives and long range plan is demonstrated as necessary.
i. Consultation with Agency Registered Nurse or Director of Nursing is initiated as issues and concerns require.
5. Provides information regarding equipment and supply needs of the home health Agency.
a. Information regarding equipment and supply needs of the home health care agency is submitted to the Director of Nursing or Agency RN in a timely manner.
b. Participation in the implementation of the home health care agency budget to ensure operation within approved limits is demonstrated.
C. Utilization of equipment and supplies in a cost-effective manner is demonstrated.
6. Complies with home health care agency policies and procedures.
a. Job performance of LVN is demonstrated to be in compliance with home health care agency policies and procedures.
b. Participation in developing home health care administrative and clinical policies and procedures is demonstrated as appropriate.
c. Need for changes in home health care administrative and clinical policies and procedures is communicated to a Registered Nurse or Director of Nursing of Agencỳ.
d. Participation in implementing systems for evaluating home health care agency delivery of services is demonstrated.
e. Participation in the development and implementation of emergency policy and procedures is demonstrated.
f. Maintenance of confidentiality of client information is demonstrated per home health care agency policy and procedure.
g. Infection control and safety measures re implemented per home health care agency policy and procedure.
h. Client concerns are consistently addressed per home health care agency policy and procedure.
i. Current professional licenses of Home Health Care Licensed Vocation Nurses are maintained and documented.
7. Promotes education for patient/patient families and the community.
a. Identification of patient/patient family and community needs is demonstrated.
b. Participation in educational programs to address identified patient/patient family and community education needs is demonstrated.
8. Participates in personal professional growth and development.
a. Professional career objectives are developed and implemented.
b. Current knowledge regarding professional career development in the delivery of health care services is demonstrated.
c. Review of current literature regarding health care is demonstrated.
JOB DESCRIPTION REVIEW:
I have read and understand the job description for the position of Licensed Vocational Nurse for Agency.
I have read and understand the Agency's policies and procedures and agree to abide by them.
I also understand that all required paper work must be documented accurately and completely and submitted on time in order for payroll department to authorize payment
for me for visits during that payroll time period.
Position Title: Receptionist Assistant Reports to: Administrator or Director of Nursing.Job Description: Responsible to the inputting of information generated by visits that are made by the Nursing Staff. Input of data regarding new referrals and discharges. Input of data regarding Plan of Treatment, and Information necessary to track all of the aforementioned.Qualifications:
Training in office procedures and general accounting
1. Basic typing, computer and calculator skills.
2. Ability to work independently with minimal supervision.
3. Ability to resolve problems and set priorities.
4. Good written and verbal skills to effectively communicate need those concerned.
5. Ability to work cooperatively with other in a busy office setting.Job Knowledge:
Working knowledge of computer. Working knowledge of general office equipment, such as:
Photocopy machine, Fax machine, multiline telephone system, electric typewriter, various computer program, etc.Resposibilities:
Adheres to agency's policies and procedure.
Does date entry on the computer for billing
Performs other duties as assigned.
Employee Acknowledgement:
I hereby acknowledge that I have received a copy of the above job description and understand it.
Are you legally authorized to work in the U.S.? (You will be required to show proof of eligibility to work in the U.S. if hired) Are you eighteen (18) years old or older? Willing/able to work? Are your willing to travel? If yes, select one of the following How did you hear about us? Have you ever been convicted of a felony? May we contact employer? May we contact your employer? May we contact your employer? Filling Sorting Telephone Typing Computer Software/Programs Please list computer software or programs that you know
Basic office skills Please list any other languages besides English that you speak
CONFIDENTIAL REFERENCE VERIFICATION
Applicant's full Name / Title while at this place of employment
First
Last
The above named applicant has indicated that he/she is or was previously employed by you.
Your evaluations of him/her will be sincerely appreciated, and will be held in complete
confidence. Both the applicant and I will benefit form an early reply, since his/her employment
is pending.
I hereby authorize the facility/institution named below to release all information requested on
this confidential reference request.
---verification may be done by Telephone---
Would you re-hire? Verification may be done via Telephone
Please provide applicable grade in these areas:
Quality of work (Office Staff) Quantity of work (Office Staff) Clinical competence (Office Staff) Judgement (Office Staff) Attitude (Office Staff) Initiative (Office Staff) Attendance, Punctuality (Office Staff) Cooperation (Office Staff) Adaptability to work situations (Office Staff) Signature of Agency representative verifying reference DPS Computerized Criminal History (CCH) Verification (AGENCY COPY)
I acknowledge that a Computerized Criminal History (CCH) check may be performed by accessing the Texas Department of Public Safety Secure Website and may be based on name and DOB identifiers. (This is not a consent form but serves as information for the applicant.) Authority for this agency to access an individual's criminal history data may be found in Texas Government Code 411, Subchapter F. Name-based information is not an exact search and only fingerprint record searches represent true identification to criminal history record information (CHRI), therefore the organization conducting
the criminal history check is not allowed to discuss with me any CHRI obtained using the name and DOB method. The agency may request that i also have a fingerprint search performed to clear any misidentification based on the result of the name and DOB search. In order to complete the fingerprint process I must make an appointment with the Fingerprint Applicant Services of Texas (FAST) as instructed online at https://www.dps.texas.gov/section/crime-
records/crime-records-general-information /Review of Personal Criminal History or by calling the DPS Program Vendor at 1-888-467-2080, submit a full and complete set of fingerprints, request a copy be sent to the agency listed below, and pay a fee of $25.00 to the fingerprinting services company.
Once this process is completed the information on my fingerprint criminal history record may be discussed with me.
(This copy must remain on file by this agency. Required for future DPS Audits)
Signature of Applicant or Employee (required)
D-LIFE HEALTHCARE SERVICES, INC
DICKSON FATUNBI
Signature of Agency Representative Please:
Check and Initial each Applicable Space
CCH Report Printed: (Office Verification)
Retain in your files
Employment Eligibility Verification
Department of Homeland Security
U.S. Citizenship and Immigration Services
START HERE: Employers must ensure the form instructions are available to employees when completing this form. Employers are liable for
failing to comply with the requirements for completing this form. See below and the Instructions,
ANTI-DISCRIMINATION NOTICE: All employees can choose which acceptable documentation to present for Form I-9. Employers cannot ask
employees for documentation to verify information in Section 1, or specify which acceptable documentation employees must present for Section 2 or
Supplement B. Reverification and Rehire. Treating employees differently based on their citizenship, immigration status, or national origin may be illegal.
Section 1. Employee Information Attestation: Employees must complete and sign Section 1 of Form 1-9 no later than the first day of employment, but not before accepting a job offer.
Untitled Check one of the following boxes to attest to your citizenship or immigration status (See page 2 and 3 of the instructions.): Il you check Item Number 4., enter one of these:
If a preparer and/or translator assisted you in completing Section 1, that person MUST complete the Preparer and/or Translator Certification on Page 3.
Section 2. Employer Review and Verification: Employers or their authorized representative must complete and sign Section 2 within three business days after the employee's first day of employment, and must physically examine, or examine consistent with an alternative procedure authorized by the Secretary of DHS, documentation from List A or a combination of documentation from List B and List C. Enter ant additional documentation in the Additional Information box: see instructions.
List A Office Verification
List B (Office verification) List C (Office verification) Untitled Certification: I attest, under penalty of perjury, that (1) I have examined the documentation presented by the above-named
employee, (2) the above-listed documentation appears to be genuine and to relate to the employee named, and (3) to the
best of my knowledge, the employee is authorized to work in the United States.
For reverification or rehire, complete Supplement B, Reverification and Rehire on Page 4.
Applicant’s Consent