Hospice Aide

Compassus•Petaluma, CA
•$23 - $33

About The Position

The Home Health Aide is a trained paraprofessional who provides basic nursing or therapy functions, personal care, prescribed therapeutic exercises, and household services needed to provide health care at home, following a specific written plan of care. The aide is supervised by the Registered Nurse Clinical Case Manager, or, when no RN is assigned, by a Physical Therapist, Occupational Therapist, or Speech Language Pathologist. The aide works with patients, families, and the interdisciplinary team to carry out and update the plan of care, support patient independence, and coordinate home visits and coverage. The role includes personal and basic nursing care, assistance with mobility and activities of daily living, observation and reporting of patient needs or condition changes, and timely documentation. The aide manages a caseload and daily schedule, responds to urgent needs, participates in team and care-plan meetings, and completes required education and competency activities. The position may involve working in pet-friendly homes and, in Washington, driving may be necessary. Compassus describes a culture centered on compassion, respect, inclusion, and meaningful patient care, with opportunities for professional growth and development. Compensation is listed as $23.00–$32.62, with possible additional compensation such as shift differentials, standby/on-call pay, overtime, premiums, extra-shift incentives, or bonuses. The company offers a comprehensive benefits package and highlights career development, recognition, and a supportive culture.

Requirements

  • Education sufficient to meet applicable certification, license, or registration requirements; Alaska has no education requirement listed.
  • Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals, and to compute rates, ratios, and percentages.
  • Ability to read and interpret business, professional, technical, and regulatory materials; write reports, correspondence, and procedure manuals; present information and respond to questions; and communicate effectively in English verbally and in writing.
  • Ability to communicate and work cohesively in a multidisciplinary team and embrace an integrated healthcare-at-home philosophy.
  • Positive, collaborative interpersonal skills and understanding of effective teamwork.
  • Ability to prioritize assignments and meet productivity and quality standards; work with minimal supervisory guidance and use independent judgment within the scope of practice; adapt to changing assignments and environments; and take on additional responsibilities and learn procedures.
  • Ability to work flexible hours.
  • National Provider BLS certification from the American Heart Association is required within 30 days of hire.
  • In states where licensure is not required, completion of a state-approved nurse aide training program and continuous employment in that capacity for the previous 24 months is required.
  • Alaska: Complete a state-approved training program equivalent to the federal 75-hour HHA standard or hold a qualifying home health aide certificate; work under RN supervision.
  • California: Hold a CNA license from the Department of Health to provide CNA-level direct patient care in a home health setting; criminal record clearance is required.
  • Texas: Meet one of the listed pathways: current Texas Nurse Aide Registry listing without findings of abuse, neglect, or misappropriation; completion of a training and competency evaluation program meeting the federal 75-hour HHA standard; at least one year of full-time direct patient-care experience within the last 24 months under RN supervision; or related healthcare training and a successful RN-conducted competency evaluation. Annual competency evaluation and ongoing RN supervision are required.
  • Washington: Hold a Department of Health CNA license or complete a Department of Health-approved 75-hour HHA training program. Annual competency evaluation and ongoing RN supervision are required. Driving may be necessary; compliance with state driving laws is required, and proof of driver license and auto insurance may be requested.
  • Able to meet the role’s physical demands, including regular standing and walking, manual dexterity, and lifting and moving objects up to 50 pounds; visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and focus adjustment.
  • Able to work in a healthcare setting with expected exposure to bodily fluids, infectious diseases, and other conditions typical to the field, and routinely use standard medical equipment and tools associated with clinical care.

Nice To Haves

  • Alaska: One year of experience providing personal care or working in a homecare setting.
  • California: One year of experience as a Home Health Aide.
  • Oregon: Two years of experience; an exception may apply to a nursing student with a current CNA. Experience using electronic medical record software.
  • Washington: One year of prior experience as a nurse’s aide, hospice aide, orderly, or in a related role in an acute, rehabilitative, or long-term care facility or a home health/hospice organization.

Responsibilities

  • Provide personal care according to the Home Health Aide Plan of Care established by the patient, family caregiver, and case manager; seek a new plan of care for needs beyond authorized tasks.
  • Provide safe, dignified, respectful, and confidential care.
  • Perform basic nursing care as directed by the supervising nurse, including taking and recording vital signs and temperature, simple dressing changes, and routine bowel care.
  • Assist with bathing, oral and denture care, skin, hair and nail care, shaving, and nail trimming.
  • Assist patients with toileting and use of a bedpan or commode.
  • Care for surgical or prosthetic devices, including catheters, colostomies, leg braces, and dentures, as instructed.
  • Assist with prescribed exercises as taught by a Physical Therapist, Occupational Therapist, or Registered Nurse and as specified in the plan of care.
  • Assist with positioning, bed transfers, ambulation, and mobility.
  • Assist patients with medications that are ordinarily self-administered, as directed by the Registered Nurse.
  • Perform light housekeeping that supports patient self-care, health, and recovery at home.
  • Observe and report changes in patient condition, body functions, or needs to the professional responsible for care.
  • Complete records and documentation of patient status and services provided, including visit documentation on the day of the visit under the 48-hour documentation policy.
  • Collaborate with the interdisciplinary team to develop, implement, and update the plan of care.
  • Respond to urgent needs by prioritizing and triaging visits.
  • Communicate daily schedules and work plans to the supervisor, Scheduler, and team members as appropriate; provide patient information to clinical leadership and staffing for coordination.
  • Manage a caseload, plan and schedule home visits, and coordinate with team members to maximize care effectiveness.
  • Organize the weekly schedule to attend required meetings while meeting patient care needs.
  • Coordinate transfer of patient information to ensure coverage during absences.
  • Reinforce the plan of care with patients and families to promote independence and health at discharge.
  • Complete 12 hours of in-service education annually and participate in agency education, community education, quality improvement activities, and ongoing instruction.
  • Manage time effectively, meet productivity expectations and standards, respond to and follow up on voicemail in a timely manner, and update the schedule daily.
  • Participate in care-plan and interdisciplinary team meetings as appropriate.
  • Work with clinicians to assist patients with activities of daily living, specimen collection, and supervised ambulation as directed.
  • Orient and train new Home Health Aides as directed by the Clinical Supervisor or Manager.
  • Work in pet-friendly home environments, which may include exposure to cats, dogs, or birds.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k)
  • Flexible time off
  • Tuition reimbursement
  • Wellness programs
  • Professional development and career development opportunities, including leadership pathways, mentorship, and personalized development
  • Recognition programs
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