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Job Description:\n\nJOB SUMMARY: The Director of Wellness uses their specialized knowledge to insure the Resident’s care and management needs are being adequately and correctly met and assists the Executive Director, and the Director of Case Management as an additional liaison between Residents, the Residents Legal Representatives, their families, administrative staff, and community-based service providers. Responsibilities include the direct supervision of the Wellness and Reflections Unit; motivation, supervision and in-service training/education of the Resident Service Aides. The Director of Wellness will assure compliance with company policy and the State Health Department’s regulatory requirements for the admission and discharge procedure as well as appropriate documentation requirements. Additional responsibilities include: in-service education on health/wellness related topics and on the spot training to address identified performance concerns and/or improvements. As a member of a multi-disciplinary team the Director of Wellness facilitates development of the Resident’s individual plan of care under the direct supervision through collaboration with the Resident, the Resident’s family or Representative, the Resident’s primary care physician, the property Management Team, and any appropriate third-party providers. The Director of Wellness provides primary Resident supervision and acts as support to Residents, oversees admissions and discharges processes; provides orientation, social/emotional support, arranging for needed services; provides off-site visits and evaluations to residents in hospital and rehabilitation centers, and maintains Wellness/Reflections nursing notes as per company policy. DUTIES AND KEY RESPONSIBILITIES: 1. Administrative Services: a. Responsible for overall supervision of the Resident Services Department. i. The Director of Wellness will cross cover responsibility for the overall supervision of Wellness and Reflections b. Must be familiar with and able to implement emergency procedures as outlined in the Emergency and Disaster Plan. c. Responsible for the 24-hour, 7 days a week operation of the Wellness / Reflections Unit: i. Monitor proper scheduling and assignment of staff for Reflections Program in accordance with company policy and State Health Department regulations ii. Work collaboratively with RSC to ensure adequate coverage as needed in Wellness and Reflections d. Maintains on-going infection control surveillance, OSHA standards, universal precautions and basic sanitation and safety in Wellness Office and the Reflections Unit inclusive of the Resident’s apartments e. Assures the accuracy of Resident records and documentation in adherence with company policies as well as regulations of the State Department of Health f. Assures the medication management system adheres to State and local Department of Health laws and regulations and company policies, as well as Memory Care requirements: i. Assures thorough reviews of Medication Administration Records to include “chart to cart” audits, review of pre-MARs and final MARs. ii. Addresses all findings as a result of the review and develops appropriate training strategies to address such findings g. Follows the company policies and procedures related to incident reporting and notifications as well as State Department of Health Regulations i. Maintains incident report records ii. Informs Executive Director of all incidents h. Maintain active community and professional relationships to support positive promotion of the company. i. Develop contacts with community agencies serving senior citizens and clergy and refers residents where/when appropriate. ii. Maintain a liaison with facility and the community nursing homes, hospitals and assisted living facilities. i. Conducts, at the beginning of every shift, an observational walk-through of the entire Reflections Unit to insure no issue or concern needing immediate attention j. Conducts daily observational walk-through of the Main Dining Room/Reflections Dining Room to assure Residents are appropriately groomed and dressed k. Conducts supervised weekly scheduled checks of Reflections Resident’s apartments l. Performs other duties as assigned by the Executive Director. m. Monitor and maintain documentation on the Emergency Response System to ensure compliance, reporting findings to the ED as required 2. Resident Supervision: a. Acts as Resident advocate and assists Administrative staff in their continued service to the Resident i. Visits with each Resident to evaluate their concerns ii. Refers all Resident complaints and/or concerns to the Executive Director for immediate investigation and resolution b. Provides oversight to the admission process of the Resident to include: i. Appropriateness and accuracy of the Resident’s physician evaluation for sign off on same ii. Conducts (or delegates as appropriate) Initial Evaluation of Resident prior to admission into the community and follow-up evaluation as per company policy and State Department of Health regulations; • NJ only - If not licensed as an RN forwards Initial Evaluation to designated Registered Professional Nurse; iii. When indicated, assures completion of Behavioral Health evaluation as per company policy and State Department of Health regulation; iv. Provide initial and ongoing orientation to facility for new Residents; v. Acclimate Resident and introduces them to other Residents. vi. Encourage Residents to participate in social activities and insure that Wellness and Reflections front line staff is doing so also. c. Inform ED, Director of Case Management and Department Heads of the general well-being or Residents as well as their ability to live in the Assisted Living setting; d. Conduct as per company policy and State Department of Health requirements functional evaluations to identify Residents status and/or change in status and to determine the type and level of assistance needed: i. Develop and update each Resident’s service plan(s), evaluation, and other pertinent evaluations at specified intervals and when a change in Residents’ status warrants. • NJ only - If not licensed as an RN forwards all updated evaluations to the designated RN for sign off. ii. If delegated by ED, communicates change in Resident status to the Resident’s Representative and appropriate Administrative/Corporate Business staff; iii. Collaborate with a multidisciplinary team of providers, as well as the Resident and/or Resident’s Representative in the development of the Resident’s Individualized Service Plan on admission, appropriate revision within 30 days thereafter, and every 6 months; iv. Monitor the Wellness and Reflections Communication Logs daily for any unusual occurrences or changes in resident’s status and records and insures interventional strategies appropriately; v. Ensure all corporate policies and procedures and State Department of Health Regulations for Assisted Living Residences, Special Needs Program are followed and maintained; vi. Supervise Wellness and Reflections Unit staff to ensure that Residents receive appropriate care and activity program. vii. Ensure monthly support groups are conducted for families in the Reflections programs e. Coordinate care with the Department Heads, Resident’s physician, and other third-party providers: i. Collaborate with the Director of Case Management to assist residents with referrals to pertinent agencies when needed; i.e., Long Term Care insurance forms, nursing homes, social services agencies, Able Ride, etc. ii. Assist with hospital, skilled nursing facility, rehab centers, et al, with transfers and discharges and liaises external staff and discharge planner to determine suitability of Resident to return to facility: • Conduct off site visits as indicated/requested by ED/ Director of Case Management iii. Act as a liaison with Resident’s personal physician and other healthcare providers. iv. Refer Resident service problems to the appropriate Department Managers and Director of Case Management and Administration as necessary. f. Develop and keep accurate Resident records in compliance with company policy and regulatory rule: i. Collaborate in the development of the Resident service/care plans with Dietary Manager, (nutrition consult where indicated), Lifestyle Director, Director of Case Management, Resident’s primary care physician (and consultant specialists), third party providers (particularly home health) and the Resident’s family/Legal Representative; ii. Enter Wellness and Reflections Notes to include necessary social, recreational, physical, emotional, mental / behavioral health findings, needed and ordered interventions, and eventual outcomes iii. Review visiting and outside physician and provider notes and implement any changes in prescribed management as ordered by physician, g. Assure annual physician evaluations and where indicated behavioral health, pain, cognition, wander, fall, skin integrity evaluations; h. Oversee and document review of Residents who are self-administering medications to ensure continued competency and report all findings to ED, Director of Case Management, Resident’s physicians and Representatives – follow up as needed and indicated; i. Conduct skin observations on Residents, documenting findings to maintain compliance, and report findings for follow up. 3. Staff Education, Development, Supervision and Evaluation: a. At the request of the ED: i. Interview, recommend for hire and promotion, train, supervise, evaluate, discipline, and refer to ED for termination: ii. Supervise care staff as well as providing care to Residents iii. Conduct and/or schedule staff in-services to improve the quality of care by care staff to respond to both individual and global staff identified needs iv. Maintain in-service schedules to meet State Department of Health requirements as well as company policy v. Assure in-service training, competency observations vi. Assure Medication Aides are in compliance with all State Department of Health training, documentation of delegated tasks, and ongoing in-services requirements b. Assist in maintenance of personnel files including documentation of health evaluation, needed immunization and communicable disease clearances, certifications and/or licensure, et al; c. Conduct periodic health seminars for the Residents and/or Residents’ families in collaboration and coordination with the Lifestyle Director. d. Monitor and document scans of Electronic Health Records (EHR) and Emergency Response System to identify concerns, address findings, assure compliance and report findings to ED for follow up as needed e. Oversight of the staff audit process i. Conduct and monitor staff completion of audits including but not limited to: ERS, Controlled Substances, Medication Administration Records, Medication Carts, Resident medical files and Resident care ii. Report findings of the audits to the ED iii. Assist ED with plans of corrections based on findings; follow ups as required to ensure staff and findings are in compliance f. Follow all workplace injury procedures, including completion of reports for timely reporting and issuing corrective action when necessary. g. Adhere to and uphold company policies and procedures. 4. All other tasks as assigned by supervisor. QUALIFICATIONS: · Associate Degree at a minimum, Licensed Professional Nurse, preferred Bachelor Degree in Social Services, Nursing, Geriatric Health Services, Activities/Recreation or related field · Minimum of three (3) years’ experience working with the Alzheimer/dementia geriatric population · Experience managing care staff and medication technicians · Working knowledge of medical and nursing terminology · Level of proficiency with Microsoft Office and email · Some training or experience in use of computerized filing/data base management systems. · Ability to speak clearly and comfortably to and deal courteously, compassionately, and efficiently with Residents, Residents families, physicians, property personnel, and others · Ability to use discretion in handling confidential information · Ability and flexibility to tolerate frequent work interruptions, organize work and re-set priorities in order to complete work responsibilities in a timely manner; · Must be emotionally, mentally and physically able, with or without reasonable accommodations, to provide required services to residents, including verbally communicating with residents. · Must be able to speak, read, and write in English, which is the predominant language of a majority of our residents. · Must be able to listen attentively to residents' requests and preferences, ensuring exceptional customer service. · Excellent communications skills both verbal and written · Knowledge and demonstrated performance of in-service procedures. · Must complete all required annual trainings as directed. WORKING CONDITIONS & PHYSICAL REQUIREMENTS: · Responsible for the 24-hour, 7-day a week operation of the Wellness Department (Director of Wellness) · Responsible for the 24-hour, 7-day a week operation of the Reflections Unit - Special Needs Program. · Available and responsive to staff and/or Management and/or Residents families/providers for immediate consultation 24/7 and for off shift, on site visits to building when necessary. · Shift changes may be required depending on the needs of the Wellness Department and/or Reflections Unit · · Exposure to blood borne pathogens and body fluids. · Communication with Residents, Residents Families, physicians and other licensed providers · Acute sense of smell and intuitive nature · Listening for falls, cries, choking, door alarm, etc., 100% · Bending, squatting, kneeling and lifting occasionally. · Climbing stairs occasionally · Driving to off-site facilities/locations WORKING CONDITIONS: · Standing 10% · Walking 20% · Sitting 30% · Talking 30% · Driving 10% I have read and understand this position description thoroughly and will assume the responsibilities as indicated. I further understand that I may not refuse to do a job or task that is required to meet the standards of quality Resident care. I can perform these duties and responsibilities without accommodation: q Yes q No I will need the following accommodation to perform these tasks: Team Member’s Signature Date

Employed by PAGNY for The Division of Correctional Health Services (CHS) of New York City Health + Hospitals (H+H) is responsible for the delivery of medical care, mental health care, and discharge planning in the jail system. Approximately 25% of new admissions per year to the NYC jail system will receive care on the mental health service. This service strives to provide safe, holistic and evidence-based therapeutic interventions for the diverse range of mental health issues that face the population, from serious mental illness to the natural struggles that accompany incarceration. The service provides some of the most comprehensive and unique treatment modalities in the country, including specialty housing units for individuals with serious mental illness, a 24-hour on-call psychiatric service, robust creative arts programming, a strong DBT training program, clinics in each of the facilities, substance use treatment, integrated re- entry services, and relationships with multiple training institutions throughout the city. Under the supervision of the Medical Director of Mental Health or a supervising Psychiatrist in the Division of Correctional Health Services, this full-time position requires the provision of high-quality, team-based psychiatric care, including psychotherapeutic and psychopharmacologic interventions, for individuals incarcerated in the New York City jail system. The psychiatric service strives to provide safe, holistic, and evidence-based therapeutic interventions for the diverse range of mental health issues that face the population, from serious mental illness to the natural struggles that accompany incarceration. The service provides some of the most comprehensive and unique treatment modalities in the country, including specialty housing units (“mental observation units”) for individuals with serious mental illness, a 24-hour outpatient-level clinic in each facility, substance use treatment, integrated re-entry services, and relationships with multiple training institutions throughout the city. Each of the 12 facilities in the jail system has unique patient population and environmental characteristics; each Psychiatrist will be matched with the population that most closely meets their clinical expertise and desired work location. Experience working in correctional settings is not required, however the ability to work closely and effectively with multiple other disciplines including security staff is critical. • Provides psychiatric care, including admission evaluations, follow-ups and urgent and emergent consultations to individuals enrolled in the mental health service, • Provide consultation to non-prescribing mental health staff and medical staff about diagnosis, treatment and/or the need for psychiatric medication, • Participate in team meetings with the treatment staff, on a daily basis if working on a mental observation unit and on a weekly basis if working in one of the clinics, • Regularly participate in the creation of individual treatment plans for patients, and review plans already in place, • Evaluate patients for the need for a higher level of care, including hospitalizations. If a patient is hospitalized, maintain contact with the psychiatric staff to ensure continuity of care, • Document all activities in the electronic medical record in a timely, concise and clear manner, • Provide clinical supervision as needed for psychiatric nurse practitioners and physician assistants, • Engage in weekly clinical supervision with Psychiatric leadership, • Provide clinical supervision for Psychiatric volunteers (resident or fellow) as needed, including appropriate direct supervision and documentation of evaluation and feedback Qualifications • Doctor of Medicine degree, • NYS license to practice Medicine, in good standing, • Completion of a 4-yr US accredited psychiatric residency program, • Board Certified or Board Eligible in Psychiatry by the ABPN, • Competitive compensation package, • Choice of a three tiered, starting at FREE medical plans starting day one, • Excellent dental insurance, • Generous paid time off program, • Eligibility for loan forgiveness through the National Student Debt Forgiveness Center, • Visa candidates are considered, • Occurrence-based Medical Malpractice policy coverage, • Salary: $236,900 - $247,200 annually

About NYC Health + Hospitals NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers. NYC Health + Hospitals/Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation’s largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City’s criminal justice reform efforts. Work Shifts • Time: 8:00 AM - 4:00 PM, • Days: Monday to Friday, • Facility: Trailer 4 at Rikers Island Duties & Responsibilities This position works under the direction of the Assistant Chief of Service, Medicine, exercises wide latitude of independent judgment and initiative in supervision of overall administration and management of the Medicine Department. The position assumes full responsibility and authority in areas delegated. May direct a group of services across multiple jail facilities. Responsibilities include: (Detailed Task) • Serve as the clinical director for Complex Care, providing clinical supervision to clinicians (1 NP, 1 RN) who supporting care delivery and coordination for the more medically complex patients in the jails., • This role encompasses the following responsibilities:, • Establishing clinical criteria for inclusion., • Defining the overarching vision and program objectives., • Attending weekly Complex Care rounds to ensure the effective delivery of care., • Consulting on Complex Care patients and offering clinical guidance and support to front-line providers within jail facilities., • Providing direct patient care at least 50 percent of schedule, • Serving as a clinical point of contact for colleagues from other departments as needed., • Delivering patient education related to complex diagnoses., • Ensuring that patients are assigned to medically appropriate housing areas on Rikers Island., • Providing clinical input and support for medically appropriate discharge plans for patients being discharged to the community, including necessary medications and follow-up appointments., • Ensure safe transitions and coordination of care between the jail and external facilities, including the following tasks:, • Obtaining and reviewing external medical records for comprehensive patient assessment., • Reviewing the daily hospital census of Correctional Health Services (CHS) patients., • Collaborating with the Complex Care Nurse Practitioner to schedule appropriate specialty appointments, track these appointments, and communicate care plans to all relevant parties within CHS to ensure proper execution., • Engaging with hospitalists and inpatient specialty teams when CHS patients are hospitalized and as they transition back to the jail or community., • Arranging expedited admissions to the hospital and ensuring the success of planned admissions for Complex Care patients., • Collaborate with other CHS teams regarding shared patients, with particular emphasis on those involved in Mental Health Discharge Planning and Re-entry and Transition Services., • Participate in clinical release work and support legal advocacy in concert with the Clinical Court Advocacy (CCA) team by:, • Acting as a resource to resolve clinical inquiries from CCA staff (social workers) and providing input regarding patient eligibility for CCA services., • Interfacing with legal representatives to furnish relevant clinical information pertinent to a patient’s legal case., • Composing letters that detail medical conditions for legal documentation., • Assuming on-call responsibilities for critically ill patients, ensuring timely communication with hospital staff, CHS leadership, and legal representatives regarding urgent cases., • Engage in the planning, development, and implementation of programs, policies, procedures, and evaluative monitoring techniques designed to fulfill the objectives established by CHS and Health and Hospitals Corporation (HHC) leadership. Minimum Qualifications 1. Master’s degree from an accredited college or university in Hospital or Health Care Administration, Public Health or a related discipline and five (5) years of high-level responsible experience in Hospital, Business, or Public Administration or a Health Care Administrator in a position of direct responsibility for operations of a major part or all of a, health care setting, including substantial exposure in meeting community health needs; or, 2. Bachelor’s degree from an accredited college or university in disciplines, as listed in “1” above; and six (6)years of high-level experience in areas as described in “1” above. Department Preferences • Board Certified or eligible in geriatrics and/or palliative care, • A background in social medicine, social determinants of health, justice advocacy, primary care, and panel management., • A commitment to health equity and ensuring healthcare access for underserved populations., • The ability and willingness to collaborate with a diverse range of individuals, including the capacity to communicate with respect and effectiveness with patients, clinical and non-clinical staff, and Department of Corrections personnel., • Experience working in a jail environment or with individuals who have a history of justice involvement., • Publications in peer-reviewed journals and/or presentations at academic conferences., • Expertise in program implementation, program management, and quality improvement., • Strong communication and presentation abilities, with proficiency in Microsoft Office applications (i.e., Microsoft Word, PowerPoint, Excel)., • An equivalent combination of the above qualifications is considered satisfactory., • Registration to practice medicine in New York State., • Board Certified or eligible in Internal Medicine, Emergency Medicine, or Family Medicine, • ACLS/BLS Certification (training available) and Infection Control Certification, • Federal DEA License Benefits NYC Health and Hospitals offers a competitive benefits package that includes: • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week, • Retirement Savings and Pension Plans, • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts, • Loan Forgiveness Programs for eligible employees, • College tuition discounts and professional development opportunities, • College Savings Program, • Union Benefits for eligible titles, • Multiple employee discounts programs, • Commuter Benefits Programs

Current licensure as a Registered Nurse in the state in which he/she practices. Operating Room Registered Nurse. Amergis Healthcare Staffing is seeking an Operating Room Nurse responsible for scrubbing and/or circulating duties for operative procedures; department admissions to the operative suite.

Job DescriptionSalary: $60 - $130 REGISTERED NURSE HOME CARE (RN) Looking for an environment that values and cares for their employees? Then Royal Care CHHA is the Right place for you! Join a team thats like family you will enjoy being a part of theRoyal family! Why Work for RCC? • Work with adiverse culture, • Ease of communication with management and coordinators, • Flexibility of hoursandpatient location choices, • Comprehensive in-service trainingso you can stay up to date with your credentials, • Referral bonuses, • You can also decompress and rejuvenate yourself at ouremployee-only spa! JOB DESCRIPTION We are looking for aRegistered Nurse forFEE FOR SERVICE POSITION in Nassau County to care for our patients and facilitate their speedy recovery in Nassau. You will be responsible for educating them and their families on prevention and healthy habits. The ideal candidate will be a responsible and well-trained professional able to give the best nursing care with little supervision. You will be compassionate and cool-tempered. You will be able to follow health and safety guidelines faithfully and consistently. The goal is to promote patients well-being by providing high quality nursing care. As a Registered Nurse, you will: • Report to the Clinical Manager on a daily basis, • Provide visiting home health services to an assigned caseload including admissions, re-certification and discharges, • Develop the Physician Plan of Care in coordination with all health care professionals assigned to the case;, • Provide documentation using a TABLET within the required 24-48 time frame, • Be knowledgeable in the use of the current OASIS D1 assessment for all patient admissions, re-certification, transfers and discharges, • Ensure that all home care services are provided in a high quality ROYAL manner and in accordance with Department of Health and Government regulations;, • AND support the Agencys mission to provide the highest quality care by meeting agency standards of care, communication, and cultural diversity. LOCATIONS: • Plainview, • Woodbury, • Syosset, • Jericho, • East Norwich, • Oyster Bay, • Mill Neck, • Locust Valley, • Glen Cove, • Seacliff Qualifications: • Proven experience as a registered nurse, • Valid Nursing license, • Pediatric experience, • Must have a Vehicle and can drive, • Must have experience completing comprehensive oasis assessments, • Experience in acute care in a hospital setting or home care experience., • Experience using Homecare Homebase (HCHB) is a plus but not required! Apply now and become ROYAL FAMILY! #INDRN1

This position requires a highly skilled and compassionate nurse with astrong background in Medical-Surgical and Telemetry nursing. Current Registered Nurse License in the state of practice. At Amergis, we recognize that our nurses arethe heart of our mission.

Coordinates and provides high quality nursing care to Hospice patients and families consistent with Hospice Care philosophy, policy, goals and objectives, and Standards of Nursing Practice.Works under moderate supervision.Assesses the physical, social, psychological, living conditions and pastoral c

Registered Nurse ED Admissions (MS/Tele Experience Required). Perform comprehensive assessments including vital signs, physical exams, health histories, and cardiac rhythm interpretation. Monitor telemetry and respond to cardiac rhythm changes, alarms, and arrhythmias.