Registered Nurse jobs at Regency Health Services Inc - 103 jobs

The RN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator

Aspen is seeking dedicated and compassionate LVN's & RN's for private duty nursing case in Denton Aspen Healthcare Services is seeking dynamic compassionate LVN or RN to provide one to one private duty nursing care services in the patient's home. Shifts: 7am-7pm Day Shift Wednesday-Friday and Sunday Essential Functions: Provide excellent nursing care under the direction of RN Work alongside Respiratory Therapists to provide trach/vent care (Aspen provides in-depth training and oversight) Assist patient with ADLs/IADLs Administer medications Electronic patient charting Medical specialties: Geriatrics Home Health Standard shift: Day shift Night shift Supplemental schedule: Holidays Overtime Every other Weekend Weekly schedule: 3x12 Experience: Private Duty Nursing: 1 year (Preferred) Case management: 1 year (Preferred) Language: English License/Certification: LVN (Required) BLS Certification (Preferred) RN (Required) Work Location: In person

Join Our Team as a Charge Nurse - LVN or RN Lead Quality Care and Support Resident Well-Being We're seeking a dedicated and reliable Charge Nurse - LVN or RN to join our growing team! This role requires trustworthiness, consistency in attendance, and the ability to multitask effectively in a dynamic environment. A professional and cooperative demeanor is essential to collaborate with others and provide exceptional care to residents. Your Impact as a Charge Nurse - LVN or RN In this role, you will: Direct Care Teams: Provide guidance to Nurse Aides to ensure appropriate care for residents. Administer Medications: Properly and safely administer resident medications as prescribed. Implement Care Plans: Execute resident care plans in compliance with company policies, federal guidelines, and physician orders. Perform Treatments: Deliver treatments as required to ensure resident health and comfort. Transcribe Orders: Accurately and promptly transcribe physician orders. Document Resident Care: Maintain timely and accurate documentation in resident charts and complete required nursing assessments. Collaborate During Shift Reports: Participate in shift reports to ensure seamless communication and care continuity. Educate Support Staff: Implement nursing policies and procedures, educating staff on the care needs of residents. Maintain Safety Standards: Promote a safe working environment by complying with infection control and body mechanic procedures. Address Staffing Needs: Respond to staffing shortages by arranging for replacement staff as necessary. What Makes You a Great Fit We're looking for someone who: Is a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) in good standing Demonstrates excellent technical, assessment, and documentation skills Possesses strong communication skills and the ability to organize workflows effectively Responds efficiently to emergencies and pays attention to detail in all tasks Benefits (Full-Time) Comprehensive Coverage: Health, Dental, and Vision Insurance Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more Life Insurance: Whole and Term Policies Professional Growth: Tuition Reimbursement for continued education Time to Recharge: Paid Time Off Retirement Planning: Immediate 401(k) eligibility Unwavering Support: Exceptional corporate resources Equal Opportunity Employer We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

The RN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed a RN program at an accredited vocational school, college, or university Licensing Requirements Must be an active Registered Nurse in the state of Texas in good standing Experience Requirements Experience working in a skilled nursing facility is preferred.

Aspen is hiring a PRN LVN for the D F W and Surrounding Areas ! Come join our team of caring, compassionate, skilled and dependable staff! Qualified LVN's to work Home Health PRN in our patient's home. Frisco, Little Elm, Carrollton, The Colony, Aubrey, Irving **YOU MUST HAVE HOME HEALTH experience ! Kinnser Experience Preferred Essential Functions: Under the direction of the RN, participate in planning and implementing specialized procedures and duties that assist in meeting the nursing care needs of the patient in accordance with agency policies. Assist the RN in carrying out the plan of care. Assist the patient in learning appropriate self care techniques. Complete appropriate documentation in a timely manner. Provide care utilizing infection control measures that protect both staff and patient (OSHA) Provide effective communication to patient/family, team members, and other healthcare professionals. Monitor assigned cases to ensure compliance with requirements of third party payer. Demonstrate commitment, professional growth and competency. Promote Agency philosophy and administrative policies to ensure quality of care Job Qualifications: Education: Graduate of an accredited school of vocational nursing Licensure: Current Texas State license as a Licensed Vocational Nurse, current Texas Drivers License Experience: Two years experience as a Licensed Vocational Nurse in a clinical care setting, home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Proof of current CPR, and Hepatitis profile Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patient's home in various conditions; possible exposure to blood and bodily fluids and infections diseases; ability to work flexible schedule; ability to travel locally, some exposure to unpleasant weather; PRN emergency call. Physical and mental Effort: Prolonged standing and walking required. Ability to lift up to 50 pounds and move patients. Requires working under some stressful conditions to meet deadlines, to identify patients needs, to make quick decisions and resource acquisition; meet patient/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity. Job Type: PRN

Primary Responsibilities Responsible for the coordination of the Resident Assessment Instrument (RAI) process to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer program requirements. Ensures assessments accurately reflect the physical, mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment accuracy. Communicates effectively with other members of the interdisciplinary team. Follows all RIHS policies and procedures. Essential Functions Ensures timely, accurate, and complete assessment of the resident's health and functional status during the entire assessment period. ** Participates in the pre-admission process to ensure essential information needed for MDS/Case Mix optimization is obtained from the referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate reimbursement for services provided within the facility. Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare/Managed Care eligibility and benefit period through regular communications with Regional Care Management Specialist, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of appropriate clinical information. Participates in the interdisciplinary team process to communicate opportunities, facilitate efficient and effective care plan development and management. Ensures the accurate and timely completion of all MDS assessments including PPS, Unscheduled, Admission, Quarterly, Annual, and Significant Change in compliance with RAI guidelines.** Collaborates with the interdisciplinary team to identify significant change in status and implementation of Significant Change in Status MDS. ** Maintains an accurate schedule of all MDS assessments to include the proper reference dates throughout the resident's stay. Tracks, records, and analyzes all default days and rectifies if appropriate. Implements corrective action to prevent further default action. Performs Modification/Inactivation of assessments in accordance with CMS Correction Policy and collaboration with Regional Care Management Specialist. Conducts regular audit of MDS process including validation of coding documentation, evaluating outcomes, and utilization of Data Integrity Audit reports (Point Right) per company policy. Ensures the timely electronic submission of all Minimum Data Sets and secures back-up personnel to complete this process. Reviews the Validation reports and ensures that appropriate follow-up action is taken. Reviews Late/Missed assessment reports monthly and addresses issues as appropriate. Reviews QM and SNF QRP reports monthly and ensures that appropriate follow up action is taken. Communicates with the Business Office Manager and Administrator on a regular basis regarding RUG distribution, default days/unassigned days, case mix index (if applicable) and their reimbursement impact. Participates in daily Case Management, weekly Level of Care, monthly Triple Check, and other meetings per RIHS policy. Assists in the preparation and timely submission of any Additional Development Requests (ADRs), Reconsideration and Administrative Law Judge (ALJ). Functions as an RAI and Care Management resource to the facility staff. Utilizes AIS as annual competency training as well as for educational resource as needed. Assists in the orientation and training of new associates on the RAI process and ensures the dissemination of any new or updated materials regarding the RAI and/or Federal and State regulations. Other Duties The Care Management Specialist manages the day to day operations of the department. Maintains current knowledge of reimbursement regulations. Maintains data in an organized, easily retrievable manner. Maintains good personal hygiene and follows dress code requirements. Communicates regularly with the Regional Care Management Specialist to discuss identified clinical reimbursement issues. Ability to work flexible work hours to support business requirements. Ability to utilize both local and corporate resources in the execution of job responsibilities. Must possess superior clinical assessment and documentation skills. Must demonstrate strong interpersonal skills and ability to work well in a team environment. Other duties as assigned or needed. Key Competencies Analytical reasoning Logical reasoning Problem solving Time management Organizational skills Research skills Language Skills Must possess excellent verbal and written communication and presentation skills Qualifications Educational/Training Requirements Must be a graduate of an accredited school of nursing with current R.N. or L.V.N. ** Position may be filled by LVN, however specific job functions denoted by "**" will require an RN to Coordinate the process as stipulated by Federal Regulations. Complete and pass all RIHS specific MDS/RUGs training modules (AIS) within the first 90 days of employment and ongoing per company policy. Competency with standard office software applications as well as software applications related to MDS/RAI processes. High initiative and ability to efficiently and effectively lead interdisciplinary teams and coordinate and manage RAI process. Licensing Requirements Licensure in the state in which employment occurs. Experience Requirements Minimum of two years health care experience. Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

The RN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed a RN program at an accredited vocational school, college, or university Licensing Requirements Must be an active Registered Nurse in the state of Texas in good standing Experience Requirements Experience working in a skilled nursing facility is preferred.

Primary Responsibilities The RNCC partners with the Texas Independence Health Plan Institutional Special Needs Plan (ISNP) Nurse Practitioner (Plan NP) to coordinate care for ISNP Beneficiaries (Plan Members), maintaining routine contact with Plan Members, family, and facility staff, and informing Plan NPs and/or facility staff when there are potential medical, emotional, or behavioral changes in a Plan Member's condition. Functions as a Case/Care Manager and patient healthcare navigator for Texas Independence Health Plan Members within nursing facilities. Weekend on-call support duties, and all other duties as assigned. Essential Functions Assist the Plan NP with care coordination duties and documentation on Plan Members. May initiate, and in some cases, complete assessments with Plan Members collecting vital signs and other administrative care plan data. Perform daily rounds to assess changes in Plan Members' conditions, as well as obtain a daily Plan Member census evaluation, documenting and reporting to Plan NPs and RNPs which Plan Members were transferred out of the Facility (to the Emergency Department or for Hospitalization), who has elected Hospice Care, and who has returned from the Hospital in the past 24 hours. Partner with facility staff and other members of the Interdisciplinary Care Team (ICT) to implement care plans for Plan Members and identify and assist in the coordination of specialty or ancillary services, therapy, and/or other referral needs. Monitor Plan Members experiencing changes of condition, transitions to and from the hospital or other healthcare environment by working in coordination with facility staff to stay in touch with the hospital for updates and informing the Plan NP of the Plan Member's hospitalized status. Ensure that the Plan Member's discharge paperwork and summary are received by the Plan NP. Follow-up (in person) timely with each Plan Member after a transition to ensure that the Plan Member is not at risk for a readmission and to inform the Plan NP of any possible medical or other needs the Plan Member may have. Alert the Plan NP promptly of new enrollees and place urgency on the Plan NP's intervention if the Plan Member is at risk for transition at any time. Perform all other duties congruent with the ISNP Plan as assigned. Qualifications Educational/Training Requirements ADN, current Board Certification Licensing Requirements RN Experience Requirements The RNCC will comply with all State and Federal guidelines required to practice as a licensed Registered Nurse, including maintaining an active RN license in the state of Texas. The RNCC is responsible for maintaining ongoing Texas Board of Nursing educational requirements for licensure and re-certification.

Primary Responsibilities The RN Weekend Supervisor will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions * During rounds observes, assess, documents, and reports resident condition/changes * Assures implementation of care plans as directed * Administers medications as prescribed * Conduct rounds with physician and record visits in clinical records * Perform narcotic reconciliation with incoming and outgoing shifts * Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures * Oversees and monitors aides * Initiate and complete Incident and Accident Reports per facility policy * Discharge residents per facility policy * Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition * Communicate with resident's point of contact when they ask for a status update or if there is a change in condition * Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator

Primary Responsibilities The RN Weekend Supervisor will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed a RN program at an accredited vocational school, college, or university Licensing Requirements Must be an active Registered Nurse in the state of Texas in good standing Experience Requirements Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X

Primary Responsibilities The RN Weekend Supervisor will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed a RN program at an accredited vocational school, college, or university Licensing Requirements Must be an active Registered Nurse in the state of Texas in good standing Experience Requirements Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X

Primary Responsibilities The RNCC partners with the Texas Independence Health Plan Institutional Special Needs Plan (ISNP) Nurse Practitioner (Plan NP) to coordinate care for ISNP Beneficiaries (Plan Members), maintaining routine contact with Plan Members, family, and facility staff, and informing Plan NPs and/or facility staff when there are potential medical, emotional, or behavioral changes in a Plan Member's condition. Functions as a Case/Care Manager and patient healthcare navigator for Texas Independence Health Plan Members within nursing facilities. Weekend on-call support duties, and all other duties as assigned. Essential Functions * Assist the Plan NP with care coordination duties and documentation on Plan Members. May initiate, and in some cases, complete assessments with Plan Members collecting vital signs and other administrative care plan data. * Perform daily rounds to assess changes in Plan Members' conditions, as well as obtain a daily Plan Member census evaluation, documenting and reporting to Plan NPs and RNPs which Plan Members were transferred out of the Facility (to the Emergency Department or for Hospitalization), who has elected Hospice Care, and who has returned from the Hospital in the past 24 hours. * Partner with facility staff and other members of the Interdisciplinary Care Team (ICT) to implement care plans for Plan Members and identify and assist in the coordination of specialty or ancillary services, therapy, and/or other referral needs. * Monitor Plan Members experiencing changes of condition, transitions to and from the hospital or other healthcare environment by working in coordination with facility staff to stay in touch with the hospital for updates and informing the Plan NP of the Plan Member's hospitalized status. Ensure that the Plan Member's discharge paperwork and summary are received by the Plan NP. * Follow-up (in person) timely with each Plan Member after a transition to ensure that the Plan Member is not at risk for a readmission and to inform the Plan NP of any possible medical or other needs the Plan Member may have. * Alert the Plan NP promptly of new enrollees and place urgency on the Plan NP's intervention if the Plan Member is at risk for transition at any time. * Perform all other duties congruent with the ISNP Plan as assigned.

Primary Responsibilities The Treatment Nurse will provide quality of care to prevent and promote healing of alterations in skin integrity of each resident as determined by resident assessments and individual plans of care. Essential Functions Communicate with DON/designee any alterations in skin integrity of each resident Participate in training and in-servicing related to skin care Dresses wounds and ensures that dressing changes are done timely as prescribed Monitors the progress of wound healing and makes recommendations for changes if needed Performs and records weekly pressure ulcer assessment and measurement documentation Communicates with responsible party and attending physician on resident care issues related to skin integrity Document on Weekly Focused Skin Assessment the results of each resident's audit and provide copies to appropriate facility personnel during QA and care plan meetings May be asked at times by DON or Administrator to help with other nursing functions Participate in facilities rotating nursing on-call schedule Qualifications Educational/Training Requirements Must have attended a nursing program at an accredited college, university, or vocational school Licensing Requirements Must have an active RN/LVN license in the state of Texas Preferred to have Wound Care Certification Experience Requirements Previous experience in skilled nursing is preferred Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X

The RN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed a RN program at an accredited vocational school, college, or university Licensing Requirements Must be an active Registered Nurse in the state of Texas in good standing Experience Requirements Experience working in a skilled nursing facility is preferred.

Primary Responsibilities The RNCC partners with the Texas Independence Health Plan Institutional Special Needs Plan (ISNP) Nurse Practitioner (Plan NP) to coordinate care for ISNP Beneficiaries (Plan Members), maintaining routine contact with Plan Members, family, and facility staff, and informing Plan NPs and/or facility staff when there are potential medical, emotional, or behavioral changes in a Plan Member's condition. Functions as a Case/Care Manager and patient healthcare navigator for Texas Independence Health Plan Members within nursing facilities. Weekend on-call support duties, and all other duties as assigned. Essential Functions Assist the Plan NP with care coordination duties and documentation on Plan Members. May initiate, and in some cases, complete assessments with Plan Members collecting vital signs and other administrative care plan data. Perform daily rounds to assess changes in Plan Members' conditions, as well as obtain a daily Plan Member census evaluation, documenting and reporting to Plan NPs and RNPs which Plan Members were transferred out of the Facility (to the Emergency Department or for Hospitalization), who has elected Hospice Care, and who has returned from the Hospital in the past 24 hours. Partner with facility staff and other members of the Interdisciplinary Care Team (ICT) to implement care plans for Plan Members and identify and assist in the coordination of specialty or ancillary services, therapy, and/or other referral needs. Monitor Plan Members experiencing changes of condition, transitions to and from the hospital or other healthcare environment by working in coordination with facility staff to stay in touch with the hospital for updates and informing the Plan NP of the Plan Member's hospitalized status. Ensure that the Plan Member's discharge paperwork and summary are received by the Plan NP. Follow-up (in person) timely with each Plan Member after a transition to ensure that the Plan Member is not at risk for a readmission and to inform the Plan NP of any possible medical or other needs the Plan Member may have. Alert the Plan NP promptly of new enrollees and place urgency on the Plan NP's intervention if the Plan Member is at risk for transition at any time. Perform all other duties congruent with the ISNP Plan as assigned. Qualifications Educational/Training Requirements ADN, current Board Certification Licensing Requirements RN Experience Requirements The RNCC will comply with all State and Federal guidelines required to practice as a licensed Registered Nurse, including maintaining an active RN license in the state of Texas. The RNCC is responsible for maintaining ongoing Texas Board of Nursing educational requirements for licensure and re-certification.

Primary Responsibilities The Treatment Nurse will provide quality of care to prevent and promote healing of alterations in skin integrity of each resident as determined by resident assessments and individual plans of care. Essential Functions Communicate with DON/designee any alterations in skin integrity of each resident Participate in training and in-servicing related to skin care Dresses wounds and ensures that dressing changes are done timely as prescribed Monitors the progress of wound healing and makes recommendations for changes if needed Performs and records weekly pressure ulcer assessment and measurement documentation Communicates with responsible party and attending physician on resident care issues related to skin integrity Document on Weekly Focused Skin Assessment the results of each resident's audit and provide copies to appropriate facility personnel during QA and care plan meetings May be asked at times by DON or Administrator to help with other nursing functions Participate in facilities rotating nursing on-call schedule Qualifications Educational/Training Requirements Must have attended a nursing program at an accredited college, university, or vocational school Licensing Requirements Must have an active RN/LVN license in the state of Texas Preferred to have Wound Care Certification Experience Requirements Previous experience in skilled nursing is preferred Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X

Primary Responsibilities The RN Weekend Supervisor will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed a RN program at an accredited vocational school, college, or university Licensing Requirements Must be an active Registered Nurse in the state of Texas in good standing Experience Requirements Experience working in a skilled nursing facility is preferred. Physical Demands The physical demands described here are representative but not necessary all inclusive, of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to effectively communicate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Action Rarely Occasionally Frequently Lifting - 1-25 lbs X Lifting - 25-50 lbs X Lifting - 50+ lbs X Carrying - 1-25 lbs X Carrying - 25-50 lbs X Carrying - 50+ lbs X Pushing/Pulling - 1-25 lbs X Pushing/Pulling - 25-50 lbs X Pushing/Pulling - 50+ lbs X Sliding/Transferring - 1-25 lbs X Sliding/Transferring - 25-50 lbs X Sliding/Transferring - 50+ lbs X Standing X Sitting X Walking X Speaking X Driving X Balancing/Climbing X Stooping/Kneeling X Crouching/Crawling X Reaching X Hearing/Listening X Seeing X Turning/Twisting/Leaning X

The RN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator

The RN Charge Nurse will assist in ensuring the provision of quality care that promotes the highest practicable physical, mental and psychological well-being of each resident as determined by resident assessments and individual plans of care. Essential Functions During rounds observes, assess, documents, and reports resident condition/changes Assures implementation of care plans as directed Administers medications as prescribed Conduct rounds with physician and record visits in clinical records Perform narcotic reconciliation with incoming and outgoing shifts Identify significant changes in the condition of residents and takes necessary action per facility policies and procedures Oversees and monitors aides Initiate and complete Incident and Accident Reports per facility policy Discharge residents per facility policy Must complete Nursing Assessment for Physician Calls prior to calling physician on any change in resident condition Communicate with resident's point of contact when they ask for a status update or if there is a change in condition Other special projects or functions can be assigned at times by the Director of Nurses and/or the Administrator Qualifications Educational/Training Requirements Has completed a RN program at an accredited vocational school, college, or university Licensing Requirements Must be an active Registered Nurse in the state of Texas in good standing Experience Requirements Experience working in a skilled nursing facility is preferred.