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Job Description PURPOSE OF POSITION Under the direction of the supervising Assistant Director of Nursing in Community Care, provides community-based professional nursing care to patients in group and private homes, as well as those without housing across New York City. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and the provision of care supportive to and restorative of life and well-being. Assesses, plans, implements, and evaluates the patient’s plan of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers. AREAS OF RESPONSIBILITIES 1. Provides services requiring substantial and specialized nursing skill, in accordance with the plan of treatment signed by the physician and makes initial evaluation visits to clients with medical illnesses, chronic diseases, behavioral health disorders, etc. 2. Identifies and distinguishes between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. 3. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. May perform assessment of behavioral health needs, wound care, catheter insertion, medication teaching, diabetic care, patient/family education and counseling and aseptic technique. 4. Completes comprehensive patient assessments and develops, prepares and maintains individualized client care progress records, including required Outcome and Assessment Information Set (OASIS) documentation. 5. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care and initiates, develops and implements revisions as needed. 6. Interprets and reports responses of patients/clients to appropriate members of the health team and makes referrals to other disciplines in collaboration with physician, client and family, as appropriate. 7. Maintains continuity of client care by liaising with other health professionals assigned to the client including reporting signs, symptoms and changes to the patient’s condition to appropriate parties. 8. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care., 9. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. 10. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. 11. Maintains professional competence through participation in continuing education and other appropriate learning experiences, including agency provided in-service programs. 12. Participates in internal/external quality assurance/performance improvement (QA/PI) activities, programs, and training, as required. 13. Performs other professional nursing activities and related duties, as delegated by nursing service administration, including clinical record reviews. 14. Provides individualized skilled nursing care to the patients requiring part-time intermittent professional nursing service through the use of the nursing process. 15. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of patient/family needs for other services. 16. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by patient's physician, and provides emergency treatment as needed. 17. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring of the patient in the home care setting and escalates any clinical changes to the physician or non-physician provider as needed. 18. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within the physical, financial and emotional resources of the patient/caregiver and the Department of Health regulations. 19. Evaluates patient's response to plan of care as necessary, consistent with physician's orders., 20. Reviews and revises plan of care as necessary, consistent with physician's orders., 21. Plans activities necessary for effectuating the timely discharge/transfer of patient, and notifies all appropriate parties including patient's physician. 22. Collaborates with case managers and other disciplines regarding the patient’s progress and discharge plans., 23. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards., 24. Involves the patient and caregiver actively in goal setting., 25. Establishes and maintains a cooperative, effective working relationship with the staff, physician and nonphysician providers, Case Managers and other hospital personnel, outside vendors, agencies and the community at large. 26. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on a weekly to bi-weekly basis. 27. When needed completes Physician’s Orders in a timely manner., 28. Completes admission paperwork, including OASIS, Physician and Nursing POCs and progress notes within 48 hours of visit encounter. 29. Reviews clinical records to ensure compliance with departmental and regulatory standards., 30. Obtains written orders for all verbal orders returned., 31. Maintain up-to-date patient files with complete records including care plans and re-certifications, reports of all services rendered, progress notes and discharge summaries. 32. Writes clean and concise progress notes that reflect the implementation of the plan of care and the patient’s response to that plan of care. 33. Competent in knowledge of patient teaching plans and interventions., 34. Competent in knowledge of safe administration and teaching medications., 35. Demonstrates safety and accuracy in performing treatments and procedures according to the Home Care Department standards of care/practice. 36. Competent to complete thorough and accurate nursing assessments., 37. Demonstrate competence in skilled nursing interventions., 38. Competent in knowledge of documentation requirements for Home Care., 39. Participates in case conferences and/or Interdisciplinary Team conferences as needed and as designated by the Clinical Manager. 40. Works with other members of the Interdisciplinary Team to develop appropriate interventions in order to achieve clinical and functional goals. 41. Participates in the agency’s Quality Assurance Performance Improvement/PIP as assigned., 42. Supervises and monitors the care given by home health aides and ensures proper documentation., 43. Participates in an interdisciplinary health care team in determining and implementing a comprehensive plan of care. 44. Participates in the coordination and supervision of other professional and para-professional services in the home and provides supervision as needed and per DOH regulations. 45. Provides patient/family/significant other/patient identified representatives with teaching and involves them in assessment activities and goal setting. 46. Maintains current, complete, and appropriate documentation in the patient care record. May be required to use computer systems in carrying out these functions. 47. Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management, Foley insertion and catheter care management, JP/PleuRx Drain care, administering injections. 48. Provides teaching on disease and medication management., 49. Obtains photographs for consultation by wound specialists., 50. Ability to apply evidence-based practices to the home care setting., 51. And other duties as ordered/prescribed. Minimum Qualifications For individuals holding an unrestricted registered professional nursing license BEFORE July 1, 2020 in New York State, another state or United States territory: Ability to travel regularly to patient/client assignments across New York City via public transportation and/or private vehicle; and Demonstrated commitment to continued professional development. For individuals issued a registered professional nursing license on or AFTER July 1, 2020, based on expected implementation of Chapter 502 of the Laws of 2017 and Chapter 380 of the Laws of 2018: Company DescriptionNYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.

Job Description • We are hiring immediately for a full time PATIENT DINING ASSOCIATE DIETARY AIDE position., • Location: MSK Koch Center - 530 East 74st., New York, NY 10021 Note: online applications accepted only., • Schedule: Full time schedule. Days and hours may vary. More details upon interview., • Pay Range: $20.00 per hour to $21.00 per hour. We Make Applying Easy! Want to apply to this job via text messaging? Text JOB to 75000 and search requisition ID number 1486604. The advertised program is a conversational recruiting assistant that helps you apply to jobs with Compass Group. Message frequency varies. Message and data rates may apply. Text STOP to opt out or HELP for help. Terms and conditions: Diversity of thought and inclusion for all is what drives our success - we invite you to start your journey with us today! Founded in 1969, CulinArt manages more than 250 dining facilities for corporations, law and financial services firms, independent schools, colleges and universities, graduate schools, long-term care facilities and a variety of events & entertainment destinations across the country. Our mission is to be the industry leader in providing the highest quality dining service to our clients and guests while striving to provide maximum career opportunities for all of our team members. Our success lies in our ability not merely to adapt but to revitalize and transform our services continually, pioneering the cutting-edge and unconventional. CulinArt’s extremely diverse clientele, that includes many Fortune 500 businesses and esteemed educational institutions, affords great opportunities for career-advancing within the company across multiple industry segments and geographic regions. Job Summary Patient Dining Associates work on assigned units in a healthcare facility, and provide services that include helping patients make menu selections, assemble, deliver and pick-up their meal trays. They are part of the caregiving team, responsible for patient safety and satisfaction goals by making sure meals are accurate and delivered at the right time and temperature. Essential Duties and Responsibilities: • Help patients understand their menu selections and work with nursing to ensure sure their orders comply with their nutritional requirements or restrictions., • Work with the caregivers and culinary team to determine menu alternatives for patients with food allergies and sensitivities; cultural, ethnic and religious preferences; or when a patient inquires about additional selections., • Manage tray tickets and assemble meals according to each patient’s menu selection in a timely and accurate manner. Retrieve trays from patient rooms at assigned times., • Complies with regulator agency standards, including federal, state and JCAHO. Adhere to facility confidentiality and the patient’s rights policy as outlined in the facility’s Health Insurance Portability and Accountability Act (HIPAA) policies and procedures., • Follows Hazard Analysis Critical Control Point (HACCP) guidelines when handling food, cleaning work stations and breaking down patient tray line., • Follows facility and department infection control policies and procedures., • Assist dietitians, such as helping monitor patients who cannot eat food through their mouth, are on liquid diets or have a specific calorie count to manage., • Communicate problems or concerns with patients to appropriate personnel in a timely manner, following department procedures., • Complete all daily, weekly or monthly reports as outlined in the Morrison Healthcare policies and procedures., • Comply with federal, state and local health and sanitation regulations, as well as department sanitation procedures., • Performs other duties assigned. Qualifications: • Ability to read, write and interpret documents in English., • Basic computer and mathematical skills. Both full-time and part-time positions offer the following benefits to associates: • Retirement Plan, • Associate Shopping Program, • Health and Wellness Programs, • Discount Marketplace, • Identity Theft Protection, • Pet Insurance, • Medical, • Dental, • Vision, • Life Insurance/AD, • Disability Insurance, • Commuter Benefits, • Employee Assistance Program, • Flexible Spending Accounts (FSAs) Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here or copy/paste the link below for paid time off benefits information. About Compass Group: Achieving leadership in the foodservice industry Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. CulinArt maintains a drug-free workplace. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. Req ID:1486604 CulinArt Sector

Job Description:\n\n About the Role The Medical Support Professional (MSP) provides the care and support necessary to enable individuals to lead fulfilling, meaningful, and purposeful lives with special attention to medical needs. MSPs deliver person-centered support based on each individual’s unique needs, preferences, and choices. They carry out a broad range of tasks focused on ensuring individual well-being, promoting independence, and encouraging participation in community life. MSPs play a vital role in ensuring personal needs are met, promoting health and safety, and contributing to a supportive program environment. MSPs are key members of each individual’s support team and are expected to adhere to the organization’s Code of Ethics. Provide oversight and support to the residents for all medical and clinical needs.Maintain NYS certification to administer medication, including insulin.Schedule, accompany, and support individuals during all medical appointments.Complete weekly inventory of medications and first aid supplies; order as needed.Document and communicate all medical follow-up actions.Maintain current knowledge of all medical conditions and medications for individuals supported.Report any changes in medical status to the nurse and implement recommended follow-up.Administer first aid and maintain certification.Ensure access to appropriate medical treatment, including emergency care.Follow all policies and procedures related to medical care and medication management.Participate in all required medical and clinical training.Complete all required medical and clinical tracking.Conduct monthly medical audits and update health documentation in Foothold.Support management and nursing with medical training delivery.Attend and actively participate in staff meetings and significant planning meetings.Share relevant updates and provide input on individuals supported.Follow all behavior support plans.Maintain detailed knowledge of behavioral and safety support needs.Model positive, appropriate behavior.Complete appointment visit forms, medication records, and manage pharmacy pickups.Communicate professionally with individuals, families, coworkers, supervisors, and community partners DISTINGUISHING CHARACTERISTICS Medical Support Professionals work under the supervision of a Manager/Assistant Manager. MSPs provide an array of supports to individuals with Intellectual/Developmental Disabilities (I/DD), individuals who have dual diagnosis, and/ or individuals on the autism spectrum. Supports provided may be offered in a residential, day, home, or other setting. MSPs assist and support individuals to identify and achieve their Personal Outcome Measures TM (POMs). MSPs motivate individuals to develop their vocational, nutritional, social, and personal skills to achieve the highest possible level of independence. All supports are offered in positive settings, that are the least restrictive possible. DEMONSTRATIVE DUTIES Medical Support Professionals provide observations, evaluations, and reports to other team members to ensure and/or record an individual’s progress toward their personal goals, in accordance with their individual support plans. In doing this, they guide, assist, and teach individuals to advance their skills to foster an independence based on their needs, preferences, and desires. All staff are expected to be alert and focused on the person supported needs along with being free from personal distractions (for example: personal phone calls, texting on cell phones, wearing headphones, etc.) COMMUNICATION As a member of the program planning team, Medical Support Professionals communicate with other DSPs, supervisors and/or clinical staff, Individuals, families, employers, community members and others for the purpose of sharing information and obtaining direction. MSP’s have a significant role in terms of communication and ensuring important information is exchanged. Communication is expected to be professional, whether in writing or verbally, and must always adhere to the organization’s confidentiality policies and procedures. ESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: INDIVIDUAL DEVELOPMENT AND PERSONAL INTEREST • Supports all individuals’ developmental needs, desires, preferences, and choices in areas such as: POM’s, positive behavioral support, communication, nutritional well-being, medical care and socialization • Encourages positive interactions with staff, neighbors and encourages community integration through an array of activities based on the individual’s choices and preferences. • Supports individuals in work sites, cultural activities, religious and social events, and day programs opportunities. • Supports and advocates at visits to healthcare practitioners; aids in developing awareness and use of community resources and in interacting with others; provides support for maximum community integration. • Supports and provides opportunities to individuals in developing/maintaining positive interpersonal relationships with their peers, their families, people in the community, and provides opportunities to build new friendships to expand the person’s circle of support. • Assists, as needed, in explaining feelings, resolving conflicts, teaching/reinforcing acceptable means of dissipating frustration, and anger. • Advocates for holistic care for individuals, including requests for clinical services. • Advocates and accompanies individuals to scheduled appointments, communicating pertinent follow up information. • Provides support in activities surrounding personal care including toileting, bathing and eating. • Teaches and reinforces use of a variety of communication methods or use of augmented devices. Provides a positive environment conducive to learning new skills; makes suggestions for further training. • Transports/arranges for transport of individuals as needed. • Assists Individuals in development in or enhancement of mobility skills. • Intervenes when needed to protect individuals. PROGRAM PLANNING • Provides information, documentation, shares observations and offers insights into the development of individual support, plans and implementation of chosen POM’s. • Documents all services and support provided to individuals supported based on them Individualized program plan(s) and enter information into computerized system. • Tracks and documents individual’s progress on goals. • Assists the individuals in planning and preparing meals while following dietary menus, eating protocols and serving all meals in a family style manner. • Reviews and initials communication log(s) upon arriving at assigned work site, documents all activities and information in the daily log. • Administers and documents Medication Administration per AMAP training and doctor’s orders; teachers, observes, reports problems and progress in self-administration of medication programs; assist individuals in achieving more independence in administration of medications. • Notifies program nurse and manager/supervisor of any changes in medication, individual’s condition, or any other health related concerns. • Follows all OPWDD and Organization’s Policies and Procedures regarding reporting injuries, incidents, or other related events. • Identifies and responds to unexpected, unplanned, and emergency situations as they occur. notifies appropriate management and follows the Agencies Policies and Procedures. MAINTAINING THE ENVIRONMENT • Ensures that the program environment is clean, safe and offers a positive home like environment. DSPs are expected to report any equipment malfunction, structure concerns or any safety issues. • Observes and follows through on established emergency notification procedures in a manner which ensures the safety and welfare of all individuals at all times. • Ensures a safe environment is maintained at all times. • Conducts and documents fire drills following the Fire Evacuation Plan; reports any system or equipment malfunction to their supervisor. OTHER • Maintains all certifications and licensures as required (AMAP, SCIP-R, CPR, First Aid) • Maintains confidentiality of information in accordance with HIPAA regulations, the Employee handbook and organization Policies and Procedures. • Actively participates in staff meetings, training, and personal development goals. AWAKE OVERNIGHT STAFF – These are staff that work overnight shifts but stay awake throughout their shift. In addition to the The above responsibilities the DSP working the awake-overnight position will: • Complete bed checks, as applicable and document on logs • Complete, read and file appropriate documentation including progress notes and critical incident reports. • Support all individuals within the program at bedtime and morning routines as written in the habilitation plans. • Respond to all emergencies, as per the Organization incident reporting policy. • Follow the overnight shift assignments Your Qualifications High School Diploma or Equivalency Diploma; Preferred Six months work experience with individuals with I/DD. Willingness to continue to develop professional skills and educational opportunities. LANGUAGE SKILLS Good written and verbal communication skills; Bi-lingual a plus; ability to learn basic sign language when needed MATHEMATICAL SKILLS Basic routine documentation and tabulation of progress REASONING SKILLS Able to align POMS/ Code of Ethics/ DSP competencies and incorporate standards into daily activities and support offered to individuals within all programs. COMPUTER SKILLS Basic computer skills required, such as Word, Excel etc. CERTIFICATES, LICENSES & REGISTRATIONS Must be cleared through a Criminal Background Check and Fingerprinting by Justice Center, MHLS, and OCFS; must acquire and maintain mandatory training as required (AMAP, SCIP, CPR, and First Aid); must possess and maintain a valid NYS Driver’s License (except for Community Habilitation Services). OTHER QUALIFICATIONS Positive attitude towards working with individuals with developmental disabilities (ID/DD) and ability to success fully work in a team environment including with other staff, families, and community members. DSP’s must be able to demonstrate creativity and flexibility in their daily job activities. PHYSICAL DEMANDS Able to demonstrate skills and support individuals with disabilities; able to assist an individual physically when needed; able to lift and/or assist a person in an emergency WORK ENVIRONMENT Able to tolerate and work in a busy and stimulating environment. Able to encourage positive attitude toward individuals’ capabilities and limitations due to his/her disabilities. DSP’s must be open to support individuals in a variety of community settings. Presents self in a professional manner as a representative of Rising Ground at all times, especially when supporting the individuals out in the community. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Supervisory Responsibility No Work Environment: Field Position Type/Expected Hours of Work: This is a full-time position. Availability to meet the schedule of the position as assigned, with occasional flexibility Additional Requirements:Authorized to work in the U.S.Ability to work in-person in New York City (NY) for at least 3 days or more per week.Ability to travel to other Rising Ground sites (if required) Our Commitment to Diversity, Fairness, and Belonging Rising Ground is comprised of unique and valued individuals who together make the organization effective in assisting the children, adults and families who come to us for support. We believe that only when all employees contribute fully as their true selves can Rising Ground's true strength, vision, and values come to fruition. We recognize the ubiquitous social biases and structures that impact and shape the experiences of all people, including our own staff and people supported. Among the many biases present in our society that shape our personal and professional experiences race, gender, sexual orientation, and gender expression are all factors that can present hurdles. As such, Rising Ground is committed to being an anti-racist and inclusive organization that will actively strive to overcome both systemic and interpersonal biases that perpetuate oppression. Equal Employment Opportunity Statement It is the policy of Rising Ground that the Agency wholly complies with equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual’s perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment.7am - 3pm