Careers

The Home Health Aide provides personal care and related services in the home. He/she functions under the direction, instruction and supervision of the Staff Nurse and the Director of Nursing and/or appropriate supervisor.

• Completion of the 9th grade; prefer high school graduate
• Ability to read and write consistent with job requirements
• Completion of a basic Aide training program consistent with state and federal requirements and for which a certificate was obtained
• Satisfactory performance on a competency evaluation and annual reevaluation
• Preferably one (1) year of employment as a Home Health Aide
• Has the emotional and mental maturity necessary for establishing and maintaining a good work relationship with the client, client’s family, and the personnel of the Agency
• Has a reliable means of transportation

Tasks to be performed by an HHA must be assigned by and performed under the supervision of an RN or Therapist who will be responsible for the client care provided by the HHA. Under no circumstances may an HHA be assigned to receive or reduce any intravenous procedures, procedures involving the use of Levin tubes or Foley catheters, or any other sterile or invasive procedures, other than rectal temperatures or enemas. Except as otherwise noted, an HHA:

• Helps the client to maintain good personal hygiene
• Assists in maintaining a healthful, safe environment
• Plans and prepares nutritious meals. Markets when instructed to do so by the nurse.
• Assists the client with ambulation or exercise
• Assists in administering medications that are ordinarily self administered as approved and supervised by the nurse or therapist
• Assists with certain treatments as ordered by the physician and approved and supervised by the nurse
• Assists the therapy personnel as needed with rehabilitative processes
• Encourages the client to become as independent as possible according to the nursing care plan
• Attempts to promote client’s mental alertness through involvement in activities of interest
• Gives simple emotional and psychological support to the client and other members of the household
• Establishes a relationship with client and family which transmits trust and confidentiality
• Prepares a report of his/her visit on the day it is performed and incorporates same in the clinical record weekly or as directed
• Reports any change in the client’s mental or physical condition or in his/her home situation to his/her immediate supervisor, the Staff Nurse, or to the Aide supervisor
• Carries out his/her assignment as instructed by the nurse or the paramedical team and reports to the nurse when unable to do so
• Works with personnel of other community agencies involved in the client’s care as directed by the Staff Nurse
• Performs routine housekeeping tasks as related to a safe and comfortable environment for the client, as instructed by the Professional Nurse
• Attends in-service as required by state and federal regulations
• Confirms on a weekly basis, the scheduling of visits with the Supervisor/Director, to coordinate necessary visits with other personnel
• Notifies the Agency of absences due to illness, emergency leave, normal vacation periods, or special professional meetings, which will affect agreed service with the Agency

• Reports to _______________

• Must have a car with required insurance coverage and a state driver’s license or reliable transportation

• Able to communicate verbally and in writing to the extent required by the position
• Able to physically perform the duties required by the position
• Able to travel to prospective clients’ residences

The Physical Therapist is a qualified professional person who directs, supervises, evaluates and provides Physical Therapy services to patients in the home as prescribed by the Attending Physician.

Graduate of a Physical Therapy school approved by:

• The American Physical Therapy Association; or
• The Council of Medical Education of the A.M.A. in collaboration with the American Physical Therapy Association; or
• The Council on Medical Education of Hospitals for the American Medical Association
• Licensed or registered in the State of Maryland
• Preference of at least one (2) year of experience

• Assists the physician in evaluating patients by applying diagnostic and prognostic muscle, nerve, joint and functional ability tests
• Treats patients to relieve pain and/or develop or restore function to maintain maximum performance
• Makes arrangements for outpatient services, which cannot be given in the home
• Records and reports to the physician the patients’ reaction to treatment and/or any changes in the patients’ condition
• Instructs patients and their families in the use of prosthetic, orthotic and assistive devices (canes, walkers, wheelchairs, etc.)
• Instructs the family in the patients’ total physical therapy program
• Attends Physical Therapy staff meetings and in-service presentations
• Attends case conferences and in-service programs as indicated
• Supervises the Physical Therapy Assistant, as indicated
• Participates in staff and Facility development activities
• Prepares an assessment of the patients’ condition, OASIS information, if indicated, and periodic evaluations and summaries, develops a plan of care and problem list, and writes clinical/progress notes on the date of the visit and incorporates same in the patients’ record no less than weekly
• Participates in the development and periodic revision of the physician’s Plan of Care
• Communicates effectively with all those providing care
• Confirms, on a weekly basis, the scheduling of visits with the DON to coordinate necessary visits with other personnel
• Notifies Facility of absences due to illness, emergency leave, normal vacation periods, or special professional meetings which will affect agreed services with the Facility
• Participates with staff, patients, and physician in discharge planning activities and completes the Physical Therapy Discharge Summary within the designated framework of Facility policies

• Reports to _______________

• Must have a car with required insurance coverage and a state driver’s license or reliable transportation

• Able to communicate verbally and in writing to the extent required by the position
• Able to physically perform the duties required by the position

The Physical Therapy Assistant assists in the implementation of the rehabilitative plan of care under the direction and supervision of a qualified physical Therapist.

• Graduate of a Physical Therapy Assistant program approved by the American Physical Therapy Association
• Registration or certification in the State of Maryland
• One (2) year of experience in a health care setting

• Under the supervision of the Physical Therapist, assists in evaluation and development of the rehabilitative plan of care and in periodic re-evaluation as indicated
• As directed, performs routine strengthening and therapeutic exercises
• Assists in teaching exercise programs to patients and family
• Consults with the Therapist regarding the outcome of home visits and reports physical findings in written form
• Assists patients in use of self-help devices
• Participates in Therapy and other in-service programs
• Attends rehabilitation department staff meetings and case conferences
• Assumes duties deemed appropriate and necessary by the supervising physical Therapist
• Writes daily progress notes on patients, and submits same no less often than weekly, and prepares periodic summary reports as indicated
• Communicates effectively with all those providing care
• Confirms, on a weekly basis, the scheduling of visits with the Supervisor/DON to coordinate necessary visits with other personnel
• Notifies Facility of absences due to illness, emergency leave, normal vacation periods, or special professional meetings which will affect agreed services with the Facility

• Must have a car with required insurance coverage and a state driver’s license or reliable transportation

• Reports to _______________

• Able to communicate verbally and in writing to the extent required by the position
• Able to physically perform the duties required by the position

The Occupational Therapist is a qualified professional person who directs, supervises, evaluates, and provides Occupational Therapy Services to patients in the home as prescribed by the Attending Physician.

• Graduate of an Occupational Therapy school approved by the Council of Medical Education of the A.M.A. in collaboration with the American Occupational Therapy Association or its equivalent
• Registered by the American Occupational Therapy Association
• Has at least one (2) year of institutional experience
• Licensed and/or registered in the State of Maryland

• Evaluates and establishes goals based on the patients’ current level of functioning and potential for improvement and performs re-evaluations as indicated which are documented on the required form(s)
• Guides and instructs the patients in prescribed therapeutic, self-care, and creative activities that are directed toward improving independence and physical and mental functioning
• Establishes household management routines
• Records and reports to the physician the patients’ reaction to the therapy program or any changes in the patients’ condition through periodic written summaries
• Instructs patients and their families in the use of prosthetic, orthotic, and assistive devices (canes, walkers, wheelchairs, etc.)
• Instructs the family in the patients’ total Occupational Therapy program
• Instructs other health team personnel in the care of patients regarding occupational therapy
• Attends paramedical service meetings and combined paramedical and nursing service meetings
• Prepares clinical/progress notes on the day of the visit which are incorporated in the clinical record weekly
• Participates in staff development activities and in-service education
• Attends case conferences
• Supervises the Occupational Therapy Assistant, as indicated
• Attends Paramedical Service meetings and combined Paramedical and Nursing Service meetings
• Prepares clinical/progress notes on the day of the visit which are incorporated in the clinical record weekly
• Communicates effectively with all those providing care
• Confirms, on a weekly basis, the scheduling of visits with the DON to coordinate necessary visits with other personnel
• Participates with staff, patients, and physician in discharge activities and completes the Occupational Therapy Discharge Summary within the designated framework of the Facility policies
• Notifies Facility of absences due to illness, emergency leave, normal vacation periods, or special professional meetings which will affect agreed services with the Facility

• Reports to _______________

• Must have a car with required insurance coverage and a state driver’s license or reliable transportation

• Able to communicate verbally and in writing to the extent required by the position
• Able to physically perform the duties required by the position

• Assist the Occupational Therapist in providing specifically assigned service activities in accordance with a written therapy plan based upon a physician’s orders and in accordance with established policies and procedures
• Participate in and assist the Occupational Therapist in developing and reviewing the initial and comprehensive assessments of a patient’s needs and the individualized care plan, and subsequent quarterly reviews
• Perform all other related duties as assigned by the Registered Occupational Therapist
• Ensure that visit information regarding therapy services rendered are accurately sent to the Agency in a timely manner

• Attend participate in, and complete all mandatory in-service education/training as required by the state regulations.

• As a minimum, an Associate’s Degree as an Occupational Therapy Assistant from an accredited college or university.
• A current, unencumbered certification to practice in the State of Maryland as a Certified Occupational Therapy Assistant.
• A current, unencumbered driver’s license in this state.
• One (1) year of experience providing occupational therapy services to residents in a health care setting is preferred.

• Move intermittently throughout the day
• Cope with the mental, emotional and physical stresses of the position
• Relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile patients.
• See and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met
• Lift, push, pull and move a minimum of fifty (50) pounds be in good general health and demonstrate emotional stability.
• Able to communicate verbally and in writing to the extent required by the position
• Able to physically perform the duties required by the position

• Reports to _______________

A.D.N. or B.S.N. from accredited College of Nursing, accompanied by current nursing license in the State of Maryland. One year of full-time clinical practice in each specialty area. Certifications: Current BLS/CPR training with card, any other specialty certifications required for working in specific specialty areas (PALS, ACLS, NRP, etc.). The Registered Nurse will provide supplemental/contract services to our clients, and will strive to provide these services in a compassionate, professional, ethical, and knowledgeable fashion.

You will work very closely with the entire team of healthcare professionals in the facility you are assigned to and must have a complete understanding of your limitations in turn seeking advice when necessary.

These are just some of the duties that you will be expected to do, but are not limited to the following:

• The assessment, planning, implementation, and evaluation of the patients’ status, plan of care, and goal achievement.
• Perform all nursing duties in accordance with the state Nursing Act specific to the state you are working in, while adhering to all facility policies and procedures.
• Monitor patient progress and identifies any changes in status, acting on those changes to insure patient comfort and safety.
• Assist physicians and all healthcare professionals caring for patient, always giving a complete and thorough report on patient status at end of shift/assignment.
• Perform routine nursing care to assigned patients, while utilizing age specific and universal precaution practices at all times.
• Practice patient teaching/training for patients and families.
• Follow hospital policy when disposing of biohazardous materials, labeling and handling of all materials. Actively demonstrate a working knowledge of nursing theory, techniques, principles, and practice in order to holistically care for the patient.
• Communicate with all staff, patients, and families with excellent written and verbal skills.
• Consistently seek educational tools in order to broaden knowledge base of various age groups, diseases, and best practices.
• Will frequently lift up to 100 or more pounds consistently causing a high volume of stooping, bending, lifting, pulling, and twisting.
• Will handle and be knowledgeable of all medical equipment utilized in the care of the patient. ¾ Must be able to perform various sensory requirements such as; vision, speech, smell, touch, manual dexterity, fine motor skills, and hearing in order to assess and treat the patient accurately.
• Comply with all facility policy and procedure, while upholding the high expectations of the agency
• Accountable and responsible for each specific patient assigned while under direct supervision of the Administrator
• Responsible for the supervision of home health aides and other home care staff.
• Is punctual and dependent for assigned/confirmed shifts.

• Reports to _______________

The Registered Nurse understands that by accepting an assignment, the nurse is aware of the potential exposure to internal and external hazardous materials including but not limited to: blood and blood borne pathogens, infectious/communicable diseases, noise, excessive physical injury from patients, airborne dusts, fumes, and gases.

• Able to communicate verbally and in writing to the extent required by the position
• Able to physically perform the duties required by the position