Compliance Respiratory Therapist - NIV Experience Required

Foundations Health Solutions•Columbus, OH

11d•Onsite

About The Position

Foundations Health Solutions, Ohio's premier long term care provider, is looking for a full-time Respiratory Therapist to join our team! This role is for NIV compliance checks in the Columbus area.

Requirements

NIV experience required
Must be a full-time Respiratory Therapist
Must be able to perform NIV compliance checks
Must be able to inspect Trilogy devices
Must be able to assess mask fit, tolerance, and risk of skin breakdown
Must be able to troubleshoot leaks, pressure intolerance, alarms, and comfort issues
Must be able to assess work of breathing, respiratory rate, accessory muscle use, SpO2 trends, and comfort on NIV
Must be able to identify barriers to NIV usage and provide re-education
Must be able to monitor for decline or decompensation requiring provider notification
Must be able to review ABG/VBG lab dates and confirm eligibility requirements are met
Must be able to update compliance trackers, calendars, and logs
Must be able to ensure consistency between documentation in PCC and compliance tools
Must be able to prepare summaries of compliance issues, refusal patterns, and residents needing follow-up
Must be able to collaborate with nursing, DON, therapy, and administration
Must be able to coordinate with Central Intake and leadership
Must be able to escalate clinical concerns or abnormalities to the NP/MD promptly
Must be able to ensure standardized documentation processes across all facilities
Must be able to educate residents on the benefits of NIV and reinforce adherence
Must be able to train nursing staff on mask application, troubleshooting, and encouraging resident usage
Must be able to provide family education when appropriate
Must be able to validate all eligibility documents, usage hours, and labs meet CMS/Ohio Medicaid requirements
Must be able to ensure documentation is consistent, accurate, and audit-ready
Must be able to assist leadership with internal or external audit preparation

Responsibilities

Review NIV usage hours, refusal documentation, and adherence to prescribed settings.
Validate that nurses are completing the NIV Progress Note UDA once per shift or each time NIV is offered or encouraged.
Confirm documentation reflects actual usage, refusals, education, mask issues, and symptom changes.
Update the compliance tracker, PCC notes, Vent Calendars.
Verify trial notes and initiation notes for new NIV residents.
Inspect Trilogy devices to ensure correct settings, alarms, humidity, and circuit setup.
Assess mask fit, tolerance, and risk of skin breakdown.
Troubleshoot leaks, pressure intolerance, alarms, and comfort issues.
Notify clinical staff if adjustments or new orders are required.
Assess work of breathing, respiratory rate, accessory muscle use, SpO2 trends, and comfort on NIV.
Identify barriers to NIV usage and provide re-education.
Monitor for decline or decompensation requiring provider notification.
Review ABG/VBG lab dates and confirm eligibility requirements are met.
Update the Excel compliance tracker, facility NIV calendar, and daily usage logs.
Ensure consistency between documentation in PCC and compliance tools.
Prepare summaries of compliance issues, refusal patterns, and residents needing follow-up.
Collaborate with nursing, DON, therapy, and administration to address compliance gaps.
Coordinate with Central Intake and leadership for qualifying residents or updated orders.
Escalate clinical concerns or abnormalities to the NP/MD promptly.
Ensure standardized documentation processes across all facilities.
Educate residents on the benefits of NIV and reinforce adherence.
Train nursing staff on mask application, troubleshooting, and encouraging resident usage.
Provide family education when appropriate.
Validate all eligibility documents, usage hours, and labs meet CMS/Ohio Medicaid requirements.
Ensure documentation is consistent, accurate, and audit-ready.
Assist leadership with internal or external audit preparation.