Leo-Rn/Lpn

Guardian Angel Senior Services•Leominster, MA

2d•Hybrid

About The Position

This role involves self-directing home visits to ensure client assessment and care plan development, caregiver placements, and supervisions are maintained in compliance. The position participates in identifying, creating, and organizing ongoing staff training and certification courses. The role advocates for better health through interventions and makes recommendations rather than providing direct services. Completes required documentation and ensures caregivers follow basic company protocols. The Aging Services Access Point (ASAP) specific role focuses on advocating for the client's better health based on observations, without providing clinical services. It involves completing in-home assessments, creating comprehensive Home Health Aide (HHA) Plans of Care, assessing caregiver skill levels, orienting and supervising caregivers, and conducting regular care plan updates and reassessments. The role also requires immediate reporting of potential abuse, neglect, or exploitation to the appropriate hotline. Communication protocols are specific, with the Guardian Angel (GA) Nurse communicating updates and changes to the ASAP RN and GA office, and collaborating on identifying potential skilled services. The GA Nurse must report significant events and changes to the ASAP on specified timelines. Supervision duties include in-home reviews of care plans, placing and orienting caregivers, and performing quarterly caregiver supervision and annual evaluations. RNs will routinely supervise LPN documentation.

Requirements

Prior home care experience required.
LPN, RN, BSN degree.
Must be able to move intermittently throughout the workday.
Must demonstrate sufficient strength, endurance, and flexibility to perform job duties.
May require extended periods of sitting or standing.
Must meet the general health requirements set forth by the policies of the agency which may include a physical examination and annual TB test.
Must be able to push, pull, move, and/or lift a minimum of twenty (20) pounds to a minimum height of three (3) feet and be able to push, pull, move, and/or carry such weight a minimum distance of five (5) feet.

Nice To Haves

Prior supervisory experience helpful.

Responsibilities

Participate in creating daily client visit schedule based on needs and requirements.
Proactively work with office managers to fill schedule gaps when cancellations occur.
Participate in the ongoing supervision of LPN staff (e.g., reviewing care plans and data entry).
Complete and turn in all documentation and paperwork within 24 business hours.
Document according to contract and organization policy and procedures.
Report findings, recommendations, and concerns to the care team in a timely fashion.
Create, review, and update care plans for assigned clients.
Communicate updates to caregivers as needed.
Act as a liaison between contract nurses, clients, direct care workers, and management.
Provide education, training, and coaching to caregiving staff during placement and supervision visits.
Participate in managing company-wide in-service, training, and certification courses.
As schedule allows, take on routine nursing visits such as medication fills, BP checks, catheter changes, etc.
In urgent situations, be willing to provide hands-on personal care for clients in need.
Follow the same dress code as outlined for Caregivers.
Perform other related duties as assigned.
Complete an in-home assessment of the ASAP consumer.
Create a comprehensive HHA Plan of Care that meets the consumer's ADL/IADL needs, focusing on daily routines and goals.
Assess the skill level of the assigned Guardian Angel caregiver with the service needs of the consumer.
Orient and supervise the caregiver providing care to the consumer, including specialized equipment in complex care cases.
Submit a copy of the HHA Plan of Care to the ASAP for review.
Conduct quarterly in-home careplan updates and an annual re-assessment of the HHA Consumer.
Update the HHA Plan of Care, and conduct supervision of the HHA.
Immediately contact the 24-hour ELDER ABUSE HOTLINE at 1-800-922-2275 if there is reasonable cause to believe a consumer has been abused, neglected, or financially exploited.
Communicate any significant updates or changes in the consumer's health or functional status and new assessment findings to the ASAP RN and GA office.
Send an updated care plan to the ASAP for review if changes are necessary.
Highlight and discuss any significant changes with ASAP RN and GA office teams.
In complex care cases, participate in phone calls and/or case conferences as needed.
Make recommendations and advocate for the client based on observations.
Report to the ASAP the same business day any fall, hospitalization, addition or loss of a household member, consumer's absence from the home, alleged theft, alleged breakage of consumer's possessions, injury to employee or consumer, or consumer complaint.
Report to the ASAP by the next business day a consumer's new address, name, or telephone number, new MD, new diagnosis, and any concerns.
Perform an in-home review of the care plan at least every 90 days.
Place and orient caregivers new to clients receiving personal care homemaking services.
Perform quarterly in-home supervision of GA caregivers and an annual evaluation of those working in the capacity of an HHA.
Routinely supervise LPN documentation.