Compliance Respiratory Therapist - NIV Experience Required

Foundations Health Solutions•Cincinnati, OH

11d•Hybrid

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 Cincinnati/Dayton area.

Requirements

NIV experience required
Full-time availability

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.