Director of Rehabilitation – PT or OT -Bland Co.

Job Description

Position / Title:           Director of Rehabilitation

Department:                 Rehabilitation

Reports To:                  Chief Administrative Officer

 

SUMMARY:

The Director of Rehabilitation reports to the Chief Administrative officer and is responsible for managing the Rehabilitation Department in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to ensure that specialized rehabilitation services, including physical, occupational, and speech language therapies, are provided to each resident who requires them to prevent avoidable physical and mental deterioration and to assist them in obtaining or maintaining their highest practicable level of functioning and psychosocial well-being.

 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Supervision of Rehabilitation Staff in fulfillment of department programs and activities within budget, with high quality and on schedule.
  • Supervises rehabilitation staff with direct and indirect responsibilities for interviewing, selection, training, motivating, wage and salary recommendations, and performance appraisals.
  • Review rehabilitation department punch detail reports on a daily basis. Promptly research and submit missed punch forms, PTO requests, etc. as needed to correct daily punches. Sign all punch detail reports, missed punch forms, and PTO requests to authorize payment.
  • Enhance company posture on EEO/ADA by making a good faith effort to recruit, select, develop, and retain protected class employees.
  • Assure all rehabilitation staff attends required training in hazardous communications and safety.
  • Determine appropriate staffing levels and approve PTO requests for all direct reports.
  • Orient and train staff in proper work practices upon hire.
  • Conduct and evaluate retraining and refresher training for all rehabilitation staff, as needed.
  • Monitor department staff to assure that they are following established safety and infection control policies and procedures.
  • Monitor rehabilitation staff’s adherence to Employee Handbook policies and procedures. Provide appropriate counseling and discipline as needed.
  • Ensure the rehabilitation staff actively participants in fire, safety and disaster preparedness drills.
  • Maintain safe working conditions and practices throughout the department.
  • Interpret and explain the facility’s policies and procedures to employees, residents, family members, visitors, government agencies, etc. as necessary.
  • Promote an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment, throughout the facility.
  • Maintain positive relations with residents, their families, and support staff to assure that residents’ needs are continually met.
  • Work closely with the Corporate Rehabilitation Manager to attain optimal results.
  • Ensure rehabilitation involvement in quality improvement initiatives and health/safety programs.
  • Lead rehabilitation participation in the development of facility-wide quality improvement processes and procedures.
  • Lead rehabilitation participation in processing relating to health and safety issues.
  • Support quality improvement training and development for rehabilitation staff. Encourage wide participation in activities and projects.
  • Implement and oversee comprehensive clinical audit programs to ensure adherence to all regulatory guidelines.
  • Oversee and maintain a comprehensive, organized clinical documentation system.
  • Ensure appropriate protocols and clinical practice guidelines are documented and regularly reviewed.
  • Review and submit resident Daily Service Records as required, ensuring appropriate billing practices and timely submission for payment.

Manage PPS system.

  • Manage PPS System.
  • Actively participate as a member of the Interdisciplinary Team and facilitate PPS meetings on a routine basis.
  • Ensure services are granted to the appropriate residents within the Medicare Part A Benefit Plan.
  • Complete appropriate sections of the Minimum Data Set (MDS) in an accurate and timely fashion.
  • Ensure timely and accurate recording of rehabilitation documentation in an informative and descriptive manner.
  • Ensure that all entries on notes, charts, etc. are recorded in an informative and descriptive manner.
  • Ensure that only authorized abbreviations established by the facility are used when recording information.
  • Ensure proper documentation of all services and responses to services as mandated by applicable federal, state, and local standards, guidelines, and established policies and procedures.
  • Assist in preparing an annual operating budget for approval by the Chief Administrative Officer and allocate department resources to carry out department objectives within established budget.
  • Assist in preparing and planning the Rehabilitation Department’s budget for equipment, supplies and labor.
  • Review and interpret monthly department financial statements and take appropriate corrective action in response to variances and trends in order to conform to the approved budget.
  • Maintain current written records of department expenditures and assure that adequate financial records and cost reports are submitted as necessary.

DEGREE OF SUPERVISION:

  • The Director of Rehabilitation reports to and receives general direction from the Chief Administrative Officer and works in close partnership with the Corporate Rehabilitation Manager. 

QUALIFICATIONS:

  • Must possess a current, unencumbered license, registration or certification as required by law in one of the following areas:       Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy Assistant, or Speech-Language Pathologist.
  • Must have a working knowledge of rehabilitation services and practices, including the ability to recall important and commonly used information in source documents, and an understanding of the application of the pertinent principles in this field.

PHYSICAL AND MENTAL DEMANDS:

  • Must possess adequate vision and hearing to perform essential job duties.
  • Must be able to safely lift, transfer, and assist patients as needed, several times per day.
  • Must be able to stand for extended periods of time and move freely throughout the facility, both in-doors and out-doors.
  • Must be able to carry objects to multiple locations, safely push wheelchairs and patient beds and reach above head level several times per day.
  • Must be able to perform tasks requiring mental reasoning, sequencing and discrimination.
  • Must be able to perform math calculations.

WORKING ENVIRONMENT:

Works in office areas, as well as throughout the facility. Works beyond normal duty hours, on weekends and holidays to meet the demands of the facility and the position.  Must be able to travel as needed.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents and family members.  May be exposed to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

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COTA-Hot Springs, VA.

The Occupational Therapy Assistant reports to and receives general supervision from the Director of Rehabilitation; receives clinical supervision from the Occupational Therapist; and is responsible for providing occupational therapy services to assigned residents in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to prevent avoidable physical and/or mental deterioration and to assist them in obtaining and maintaining their highest practicable level of functioning and  psychosocial well-being.

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Registered Nurse (RN) – Fincastle

JOB DESCRIPTION

 

Position / Title:                        Registered Nurse

 

SUMMARY:

The Registered Nurse reports to and receives general direction from the Director of Nursing and is responsible for delivering quality nursing care to assigned residents in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures which encourages each resident’s ability to maintain or attain the highest practical physical, mental, and psychosocial well-being.

 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Utilize the nursing process by demonstrating appropriate assessment, planning, implementation, and evaluation of the resident’s care.

  • Assess each resident; collect and document the resident’s current health status and medical history. Complete and/or review the Admission Data Record. Make accurate and ongoing assessments of the resident’s status and respond appropriately.
  • Plan/Implement: Set priorities for nursing action in a logical sequence according to the resident’s needs and formulate a plan of care by the appropriate selection of Nurse Practice Standards. The Plan of Care is initiated on resident admission based on all aspects of the initial assessment.  Plan includes physiological, psychosocial, and environmental factors.
  • Evaluate: Perform ongoing assessments and revise plan of care based on new data and resident’s condition. .
  • Documentation: Document accurate and ongoing assessments of resident status. Document resident care which reflects nursing intervention, resident response to care provided, resident needs, problems, capabilities, limitations and progress toward goals.
  • Communicate with physicians regarding resident needs, the nursing assessments, and recommendations as needed. Collaborate with other nurses and nursing department staff to ensure the resident’s well being.

 

Perform direct patient care utilizing established procedures, policies and standards.

  • Administer medications, IV’s, treatments and procedures in accordance with physician’s orders.
  • Observe and document resident’s response to medications and treatments.
  • Ensure proper disposal of all drugs and medications.
  • Ensure adequate levels of medication, supplies and equipment is available at all time. Report needs to the Director of Nursing.
  • Handle emergency situations in a prompt, precise and professional manner.
  • Maintain the comfort, privacy, and dignity of each resident in the delivery of services.
  • Interact with residents in a manner that displays warmth and promotes a caring environment.
  • Comprehensive understanding and adherence to all aspects of residents’ rights, including the right to be free of restraints and free of abuse.
  • Promptly report to the charge nurse or administrative staff all incidents or evidence of resident abuse or violation of residents’ rights.
  • Assure residents have call lights at hand and answer resident’s call lights promptly and courteously.
  • Assist with orienting residents and their families to the nursing facility upon admission.
  • Receive the nursing report upon reporting for duty each shift. Give the nursing report to relief personnel before departing at the end of each shift.
  • Observe and report the presence of pressure areas and skin breakdown to the Charge Nurse.
  • Promptly report injuries of an unknown source, including skin tears to the Charge Nurse.
  • Communicate and interact effectively, courteously, and tactfully with residents, visitors, family members, peers, and supervisors.
  • Thoroughly wash hands before and after performing any service for the resident.
  • Make rounds frequently and check each resident routinely to ensure his/her nursing care needs are being met.
  • Respond to inquiries or requests from residents and family members in a prompt and courteous manner.
  • Promote positive public relations with residents, family members and guests.
  • Maintain the confidentiality of all resident care information.

 

Develop and implement nursing care plans and assessments.

  • Inform the Charge Nurse of any changes in the resident’s conditions so that appropriate changes (if necessary) can be made to the care plan.
  • Ensure all nursing notes convey specific care provided and the resident’s response or lack of response to the care provided.
  • Perform all nursing services in accordance with the individualized care plan.
  • Honor the resident’s refusal of treatment request.       Document and promptly report such requests to the Charge Nurse.
  • Assist in developing preliminary and comprehensive assessments of the nursing needs of each resident.
  • Assist in developing a written plan of care that identifies the nursing needs of the resident and the goals to be accomplished for each nursing need identified.
  • Ensure that all nursing personnel are aware of the care plans and that care plans are used in providing daily nursing services to the residents.
  • Review nurses notes and monitor residents to ensure the care plans are being followed and that residents’ needs are being met.
  • Review and revise care plans and assessments as necessary.

 

 

Performs duties in a safe manner in accordance with established policies and procedures.

  • Practice careful, efficient, and no-waste use of supplies and linens in accordance with established policies and procedures.
  • Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials.
  • Actively participate in fire, safety and disaster preparedness drills
  • Maintain safe working conditions and practices and follow established safety regulations in the use of equipment and supplies.

 

Timely and accurately record nursing notes in an informative and description manner.

  • Record all entries on notes, charts, etc. in an informative and descriptive manner.
  • Use only authorized abbreviations established by the facility when recording information.
  • Properly document all care, responses to care, vitals, changes in condition, etc. in accordance with established policies and procedures.

 

Perform “Charge Nurse” duties as assigned.

    • Assess residents and analyze information to develop appropriate interventions to prevent decline. Record signs of change in condition.
    • Notify appropriate staff per facility protocol to evaluate weight loss, decline in ambulation, development of skin breakdown, etc.
    • Observe conditions which indicate possible need for restorative nursing programs and notify appropriate staff of the need for evaluation.
    • Inform the physician of changes in assessment as appropriate.
    • Administer medications and treatments to residents.       Place orders for medication.
    • Respond to emergencies; assess the condition of the resident; decide on type of medical attention; call appropriate ambulance service if needed.
    • Admit, transfer, or discharge residents as necessary.
    • Notify family when resident is transferred or admitted to the hospital.
    • Maintain resident clinical files; keep charts updated; document appropriately.
      • Documentation requirements include, but are not limited to, the following: Changes in medical and physical condition; Responses to antibiotic therapy; Report of weight loss/gain and response to change; Complete, accurate, and timely physician’s information; Changes in specialized diets; and Report of pressure ulcer condition and response to treatment.
    • Maintain current knowledge of patient conditions/information through the maintenance of accurate lists. The list must be shift specific. This knowledge includes, but is not limited to:       Resident skin conditions; Diet and supplements; Special equipment needs; continence and protection used; Weight gain/loss; Side rail use and reason for use; Residents at high risk for skin breakdown requiring more frequent positioning.
    • Maintain accountability for controlled substances; Inventory medications at the beginning and end of each shift; notify Director of Nursing of discrepancies.
    • Communicate status of residents to incoming personnel according to established procedures.
      • Shift report to the certified nursing assistants must include, but are not limited to, the following: Changes in resident condition; Report of new admissions; Residents scheduled for appointments and rehabilitation; Assigned baths and restorative instructions; Changes in specialized diets; Individualized patient instruction. Give special attention to CNA’s who are new to their assignments.
    • Transcribe, clarify and implement physician’s orders.
    • Supervise the certified nursing assistants and determine work procedures, prepare work schedules, expedite workflow, evaluate, and counsel as appropriate.
    • Insure that certified nursing assistants and other supervised personnel adhere to standard job requirements.
    • Review the missing treatments report prior to the end of each shift. Take appropriate corrective action to ensure missing treatments are given and documented; and that any treatments not given are properly documented including reason.
  • Review punch detail reports for department staff.       Promptly research and submit missed punch forms, PTO requests, etc. as needed to correct daily punches.       Sign all punch detail reports, missed punch forms, and PTO requests to authorize payment.
  • Monitor department staff to ensure they are following established safety and infection control policies and procedures.
  • Monitor department staff’s adherence to Employee Handbook policies and procedures. Provide appropriate counseling and discipline as needed.

 

 

 

DEGREE OF SUPERVISION:

The Registered Nurse reports to and receives general direction from the Director of Nursing.

 

QUALIFICATIONS:

  • Graduate of an accredited school of Nursing
  • Must possess a current, unencumbered Registered Nurse License issued by the State.

 

 

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 50 pounds.
  • Must be able to stand and walk for long periods of time.
  • Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the work day throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.

 

 

WORKING ENVIRONMENT:

Works throughout the facility. Works beyond normal duty hours, on weekends and holidays when necessary.  Interacts with residents, family members, and staff under all conditions and circumstances.  Is subject to hostile and emotionally upset residents, family members, and visitors.   Exposure to infectious waste, diseases, and conditions including but not limited to exposure to hepatitis B viruses.

 

 Apply here!

 

Licensed Practical Nurse (LPN) – Fincastle

The Licensed Practical Nurse reports to and receives general direction from the Director of Nursing and is responsible for delivering quality nursing care to assigned residents in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures which encourages each resident’s ability to maintain or attain the highest practical physical, mental, and psychosocial well-being.  Care provided should conform to recognized nursing techniques, procedures, and established standards based on the scope of practical nursing, under the direction/delegation of a Registered Nurse.

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Occupational Therapist (OT)

The Occupational Therapist will utilize the therapy process by demonstrating appropriate evaluation, plan of care development, selection of therapeutic interventions, implementation, evaluation of functional outcomes, and facilitation of discharge plan. In terms of evaluation the Occupational Therapist will assess each resident and participate in completing designated sections of the initial and comprehensive assessment as well as ensure billing information is sent to the Business Office in a timely manner. Under the Plan of Care Development the Occupational Therapist will develop, document, and implement occupational therapy intervention and document changes in resident’s performance and capabilities. Through Therapeutic Intervention Selection the Occupational Therapist will select therapy activities to fit residents needs and capabilities and will monitor and evaluate residents performance and provide encouragement.
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Occupational Therapist – PRN

The Occupational Therapist will utilize the therapy process by demonstrating appropriate evaluation, plan of care development, selection of therapeutic interventions, implementation, evaluation of functional outcomes, and facilitation of discharge plan. In terms of evaluation the Occupational Therapist will assess each resident and participate in completing designated sections of the initial and comprehensive assessment as well as ensure billing information is sent to the Business Office in a timely manner. Under the Plan of Care Development the Occupational Therapist will develop, document, and implement occupational therapy intervention and document changes in resident’s performance and capabilities. Through Therapeutic Intervention Selection the Occupational Therapist will select therapy activities to fit residents needs and capabilities and will monitor and evaluate residents performance and provide encouragement.
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Physical Therapist (PT) – Fincastle

The Physical Therapist reports to and receives general supervision from the Director of Rehabilitation and is responsible for providing physical therapy services to residents as ordered by the physician in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures to prevent avoidable physical and/or mental deterioration and to assist them in obtaining and maintaining their highest practicable level of functioning and  psychosocial well-being.  Utilize the therapy process by demonstrating appropriate evaluation, plan of care development, selection of therapeutic interventions, implementation, evaluation of functional outcomes, and facilitation of discharge plan.

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Certified Nursing Assistant (CNA) – Fincastle

JOB DESCRIPTION 

Position / Title:            Certified Nursing

Assistant Department: Nursing Services

SUMMARY:

The Certified Nursing Assistant reports to and receives supervision from the Charge Nurse and is responsible for proving quality nursing and direct care to assigned residents in compliance with current applicable federal, state, and local standards, guidelines, and established policies and procedures which encourages each resident’s ability to maintain or attain the highest practical physical, mental, and psychosocial well-being.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Provide quality nursing care to assigned residents in an environment which promotes their rights, dignity, freedom of choice, and their individuality as illustrated by the following:

  • Provide individualized attention which encourages each resident’s ability to maintain or attain the highest practical physical, mental and psychosocial well-being.
  • Maintain knowledge of the individualized care plan for each resident and provide support to the resident according to the care
  • Contribute to the care planning process by providing the charge nurse with specific information and observations of the residents’ needs and
  • Attend to the individual needs of residents including assistance with grooming, bathing, oral hygiene, feeding, incontinent care, toileting, colostomy care, prosthetic appliances, transferring, ambulation, range of motion, communicating or other needs in keeping with the individual’s care requirements and care
  • Maintain the comfort, privacy, and dignity of each resident in the delivery of
  • Interact with residents in a manner that displays warmth and promotes a caring environment.
  • Comprehensive understanding and adherence to all aspects of residents’ rights, including the right to be free of restraints and free of
  • Promptly report to the charge nurse or administrative staff all incidents or evidence of resident abuse or violation of residents’
  • Assist in maintaining a safe, neat, and clean environment. Assist resident in keeping personal items and clothing off the floor and properly
  • Protect resident’s personal belongings including eyeglasses, dentures, hearing aids, furnishings, jewelry, clothing, etc. Promptly report missing
  • Observe residents for changes in condition or behavior and promptly report these changes to the Charge
  • Provide care that maintains each resident’s skin integrity to prevent pressure ulcers, skin tears, and other damage by changing incontinent residents, turning, repositioning immobile residents, and applying moisturizer to fragile
  • Assure residents have call lights at hand and answer resident’s call lights promptly and courteously.
  • Take vital signs, residents’ weights, collect specimens as assigned by the charge nurse and in accordance with the individualized care
  • Assist with orienting residents and their families to the nursing facility upon
  • Lift, move, and transport residents using proper body mechanics and lifting devices for accident prevention.
  • Receive the nursing report upon reporting for duty each shift. Give the nursing report to relief personnel before departing at the end of each
  • Observe and report the presence of pressure areas and skin breakdown to the Charge Nurse.
  • Promptly report injuries of an unknown source, including skin tears to the Charge
  • Communicate and interact effectively, courteously, and tactfully with residents, visitors, family members, peers, and assist and escort residents for appointments such as beauty shop, activities,
  • Participate in activities and facility functions as
  • Practice careful, efficient, and no-waste use of supplies and linens in accordance with established policies and
  • Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials.
  • Thoroughly wash hands before and after performing any service for the resident.
  • Make rounds frequently and check each resident routinely to ensure his/her personal care needs are being
  • Respond to inquiries or requests from residents and family members in a prompt and courteous
  • Promote positive public relations with residents, family members and
  • Maintain the confidentiality of all resident care

Perform duties in a safe manner in accordance with established policies and procedures.

  • Perform all duties in compliance with established safety and infection control policies and procedures.
  • Actively participate in fire, safety and disaster preparedness
  • Maintain safe working conditions and practices and follow established safety regulations in the use of equipment and

Assist in development, modification and implementation of individualized care plans.

  • Review care plans daily to determine if changes in the resident’s daily care routine have been made on the care
  • Inform the Charge Nurse of any changes in the resident’s condition so that appropriate changes (if necessary) can be made to the care
  • Ensure all nursing assistant notes convey specific care provided and the resident’s response or lack of response to the care
  • Perform all nursing and care services in accordance with the individualized care
  • Honor the resident’s refusal of treatment request. Document and promptly report such requests to the Charge Nurse.

Timely and accurately record nursing assistant notes in an informative and description manner.

  • Record all entries on notes, charts, etc. in an informative and descriptive
  • Use only authorized abbreviations established by the facility when recording
  • Properly document all care, responses to care, vitals, changes in condition, etc. in accordance with established policies and procedures.

QUALIFICATIONS:

  • High school diploma or equivalent.
  • Successful completion of a State-Approved Nursing Assistant Certification course or other education which meets the state certification requirements.
  • Possess current Nursing Assistant Certification.

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to push, pull, move and/or lift a minimum of 50 pounds.
  • Must be able to stand and walk for long periods of time.
  • Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the workday throughout the facility.
  • Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands.
  • Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.

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Ward Clerk

The Ward Clerk will report to the director of nursing and be responsible for providing a variety of services to the patients, medical staff, and management staff of the facility. The Ward Clerk will also be responsible for performing a variety of clerical tasks such as receptionist duties, maintaining medical files and patient charts, recording results, following up with physicians orders, processing patient orders, maintaining office equipment for patient care, and ordering patient care and unit supplies. The Ward Clerk will be expected to be able to interact with people of widely differing backgrounds.

Please fill out the form to the right to submit your request for the full job description and instructions for applying to this position.

Thank you for you interest in Kissito.

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Transition Coach

The Transition Coach manages, oversees, and monitors the resident’s admission process to ensure a positive experience and smooth transition into the facility. The position will be responsible for conducting facility orientation with new admissions and family members upon arrival at the facility as well as conducting follow up meetings 24 hours after admission to make sure all patient needs are met. The Transition Coach will develop lasting relationships with the residents and monitor and analyze satisfaction including new admissions, discharges and short-term patients. This position will be responsible for monitoring the admission process to ensure medications have been sent to the pharmacy in a timely manner, diet has been communicated to the dietary department, and C.N.A.’s and therapy staff are aware of the new admission and have greeted them in a timely manner. The Transition Coach will also be responsible for managing, overseeing, and monitoring the residents discharge process by meeting with families prior to discharge, assessing the success of the discharge, ensuring that plans are in place for the discharge, reconciling medications prior to discharge, conducting discharge survey, and contacting patients 20 days post discharge to ensure it went smoothly.

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