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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

Job Description JOB SUMMARY: Is responsible for the planning, executing, directing and evaluating the nursing care given to the patient. The role is defined as the pre-procedure, intra-procedure and the post-procedure period. May have contact with the patient in each phase of the endoscopy experience. The responsibility includes the preparation assembly and organization of the environment, equipment and supplies necessary to perform the activities necessary for the preparation and the recovery of the ambulatory patient. JOB RELATIONSHIPS: Responsible to: Nurse Manager Interrelationships: Must have an effective working relationship with co-workers, members of the medical community, patients, family and the community. ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following: · Supervises nursing activities related to patient care and sets standards for accurate reporting and recording of patient’s symptoms, reactions and progress. · Provides input and standards in formulating patient care policy and procedures for the Center. Works with the medical staff to coordinate medical and nursing management of patient care. · Assists in maintaining an adequate inventory of supplies, drugs, and equipment. · Serves as a resource in areas of expertise to other staff members. · Participates in the preparation of the patient for their procedure. · Performs the pre-admission assessment. · Provides pre-procedure instructions. · Ascertains that all appropriate data is in the patient’s record prior to admission or immediately following admission and prior to procedure. · Communicates abnormal and/or extensive medical history to the physician as soon as discovered. · Maintains communication with reception areas and procedure rooms to assure efficient movement of patients. · Assists preparation of medications. · Admits the patient in the pre-procedure area and follows the admission protocols. · Checks signed consent prior to beginning case and performs a time out. · At the beginning of the day, checks to see that necessary supplies required by the day’s procedure schedule are available in the procedure rooms. · Prepares patient for procedure by verifying patient identity and scheduled procedure, and assists patient into procedure room. · Helps to relieve patient’s apprehension before and during administration of conscious sedation. · Makes available additional instruments and supplies as requested during the procedure. · Documents and labels specimens clearly and correctly. · Assists in transferring patient to PACU. · Is responsible to assure that supplies for each case are ready for use. · Is responsible for maintaining a safe environment during the procedure. · Assists in cleaning of room after each case. · Assists with post-procedure call to patient and documents call and patient’s responses on patient’s record. · Tasks inventory and restock supplies as needed. · Receives patient from the procedure room, assesses patient’s condition on admission and discharge, and documents on PACU record. · Closely observes and monitors the post-procedure patient by taking vital signs, EKG (if required) and documenting patient’s progress while in PACU. · Administers medications, IV’s and treatments; maintain records regarding dispensing of same; observes patient’s reaction and acts appropriately in the event of adverse reactions. · Performs/assists physicians in other procedures as requested. · Assures patient that he/she is not, and will not be, left alone in the recovery areas. · Provides a summary of post-procedure instructions to patient prior to discharge from the unit. · Makes sure patient has information for follow-up appointment before being discharged. · In an emergency situation, is able to give immediate respiratory assistance or support, including use of AMBU bag, airway tubes; administers CPR; assists with endotracheal tubes and defibrillation, and performs venipuncture. · Knows and maintains CODE Blue/crash cart. · Recognizes and utilizes safety precautions and procedures. · Remains familiar with equipment and supplies, including, location, and upkeep. · Assists in restocking units as needed. · Maintains a comfortable, orderly, clean, safe environment in the recovery areas. · Adhere to all OSHA regulations and participate in annual reviews, attend inservices for employee safety and injury prevention within the workplace INFECTION CONTROL CATEGORY: This job is designated as a Category I job using the OSHA definitions. This means there are tasks that involve exposure to blood or other potentially infectious material. Use of appropriate protective measures are required for any employee engaged in Category I tasks. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. EDUCATION and/or EXPERIENCE: RN with current NY state license Current CPR certification Current ACLS certification (If applicable) Previous Endoscopy experience, one year preferred LANGUAGE SKILLS: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. MATHEMATICAL SKILLS: Ability to add, subtracts, multiply, and divides in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. REASONING ABILITY: Ability to define problems, collects data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; and talk and hear. The employee frequently is required to walk. The employee is occasionally required to sit. The employee must frequently lift and/or move up to 50 pounds and occasionally lift and/or move more than 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works near moving mechanical parts. The employee is frequently exposed to fumes or airborne particles, toxic or caustic chemicals, and extreme heat, and vibration. The employee is occasionally exposed to wet and/or humid conditions and risk of radiation. The noise level in the work environment is usually quiet. Job Type: Full-time Salary: $40.00 - $45.00 per hour Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Health insurance, • Paid time off, • Vision insurance Medical specialties: • Gastroenterology, • Perioperative Care Physical setting: • Ambulatory surgery center, • Outpatient Standard shift: • Day shift Supplemental schedule: • Overtime Weekly schedule: • Monday to Friday Ability to commute/relocate: • Huntington, NY 11743: Reliably commute or planning to relocate before starting work (Required) Experience: • Nursing: 1 year (Preferred), • Endoscopy: 1 year (Preferred), • Ambulatory surgery center: 1 year (Preferred) License/Certification: • ACLS Certification (Preferred), • RN (Required) Work Location: In person

Job DescriptionWe are currently seeking a Registered Nurse Case Manager to join our rapidly growing team to oversee Nassau County, Suffolk County and Queens County. At Affirmed Home Care, we believe in compromising nothing when it comes to providing exceptional, client-centered care. This philosophy extends not only to our clients, but to our staff as well. As the RN Case Manager, you will be responsible for developing and maintaining client-specific care plans, ensuring these plans are followed, and providing for the client’s ongoing needs in a private pay, concierge level home care. This role requires 70% fieldwork for a small caseload of clients demanding great attention to detail. The salary for this full-time position ranges from $110,000 to $130,000, commensurate with related experience. Qualifications: • Current NYS RN license in good standing, • BSN preferred, • Minimum of two years’ recent clinical experience within a Home Care setting, • Recent hands-on experience with advanced clinical skills including ventilator management, tracheostomy care, G-tube/PEG tube maintenance, IV infusions, and wound care, • Valid driver’s license and access to a reliable car, • Strong assessment and organizational skills, • Strong time management skills, • Prior supervisory experience with field staff, • Ensuring the highest quality of client care, • Developing care plans, • Obtaining necessary physician orders for home care cases as required by State regulations, • Reporting changes in the client’s medical or mental condition to the attending physician and the Agency’s team involved in the client’s care, • Supervising and supporting the home care team, • Striving to improve the lives and sustainability of our clients by supporting their autonomy in the home environment Benefits: • Flexible schedule, • Paid time off, • Referral program, • Comprehensive medical, dental and vision insurance, • 401K with company matching option How to Apply: Interested candidates are invited to submit their resume and cover letter detailing their qualifications and experience. Take the next step in your career and join a company that values your expertise and dedication to quality care! Affirmed Home Care is an equal opportunity employer. Powered by JazzHR ZxRd3biVGv