Regency Health Services Inc jobs in San Antonio, TX - 43 jobs

Primary Responsibilities The Van Driver performs work in the operation of a vehicle to assure safe transportation to and from various destinations. An employee in this class drives a van or bus over a scheduled route. Essential Functions Must have a working knowledge of the rules and regulations involved in the safe and efficient operation of automotive equipment. Must have the knowledge of basic automotive maintenance procedures. Operate and maintain transportation vehicles with a focus on safety. Perform daily pre-trip and post-trip vehicle inspections. Perform minor maintenance tasks on the vehicles when necessary. Fuel the vehicles when needed. Make sure periodic scheduled vehicle maintenance is completed and reported. Document vehicle usage and mileage. Prepare trip, accident and incident reports as necessary. Assist residents and passengers in and out of the vehicle. Provide safety briefing to residents and passengers. Provide other services as requested by management. Receive direction and route assignments from the dispatcher or Supervisor. Assist in the evacuation of residents during emergency situations if necessary. Actively assist and participate in the enhancement of the lives of our residents through our dedicated approach to patient care and our census-building program. Actively assist and participate in the development and retention of staff through recruitment, training and nurturing the employees of the nursing facility. Perform other duties and tasks as assigned by the Administrator in accordance to the qualifications and training. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Rarely Occasionally Frequently Lifting - 1-25 lbs Lifting - 25-50 lbs Lifting - 50+ lbs Carrying - 1-25 lbs Carrying - 25-50 lbs Carrying - 50+ lbs Pushing/Pulling - 1-25 lbs Pushing/Pulling - 25-50 lbs Pushing/Pulling - 50+ lbs Sliding/Transferring - 1-25 lbs Sliding/Transferring - 25-50 lbs Sliding/Transferring - 50+ lbs Standing Sitting Walking Speaking Driving Balancing/Climbing Stooping/Kneeling Crouching/Crawling Reaching Hearing/Listening Seeing Turning/Twisting/Leaning

Primary Responsibilities The Receptionist is responsible for answering telephone calls and guiding residents, family members, visitors and staff to appropriate personnel for assistance. This person works in conjunction with the facility Administrator and Business Office personnel to ensure that the Business Office works efficiently. Essential Functions * Answer telephone calls in a timely and pleasant manner * Assist with mail distribution * Assist with general office duties as assigned by the Business Office Manager and/or facility Administrator * Responsible for accounts payable, collecting, processing and submitting invoices for payment in a timely manner * Assist with updating employee phone list as needed * Assist with mailing out monthly resident statements for room and board * Actively assist and participate in the enhancement of the lives of our residents through our dedicated approach to patient care and our census building program. * Actively assist and participate in the development and retention of staff through recruitment, training and nurturing the employees of the nursing facility * Assists in verification of EPLS and OIG for vendors (initial, monthly & annually) * Perform other duties and tasks as assigned by the Business Office Manager

The primary purpose of your job position is to perform the day-to-day activities of the Laundry Department in accordance with current federal, state, and local standards, guidelines, and regulations governing our facility, and as may be directed by the Administrator and/or the Housekeeping Supervisor, to assure that our facility is maintained in a clean, safe, and sanitary manner, and that an adequate supply of linen is on hand at all times to meet the needs of the residents. Ensure that work/cleaning schedules are followed as closely as practical. Report all accidents/incidents to your supervisor. Coordinate daily laundry services with nursing services when performing routine assignments in resident living areas. Follow established fire safety policies and procedures. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving heavy objects. Ensure that assigned work areas are maintained in a clean, safe, and sanitary manner. (e.g., dryer lint traps) Follow proper techniques when mixing chemicals, disinfectants, and solutions used in the work area. Refer to material safety data sheets (MSDSs) when necessary. Use appropriate personal protective equipment and supplies when handling infectious materials. Keep supervisor informed of supply needs. Keep work area(s) free of hazardous conditions, i.e., spills, excess laundry carts, baskets, supplies, equipment, etc. Clean work/supply carts, equipment, etc., as necessary/directed. Ensure that equipment is cleaned and properly stored at the end of the shift. Perform assigned tasks in accordance with established laundry procedures. During emergency conditions, assure that clean laundry, linen, garments, etc., are distributed to designated areas as instructed. Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.

Primary Responsibilities The Clinical Specialist will serve as an advisor, trainer, educator and auditor and will assist and support the facility Administrator and Director of Nursing. The Clinical Specialist is responsible for reviewing the operational systems of the facility, the maintenance of records and personnel to promote adequate level of care to facility residents. The Clinical Specialist is there to assist with the hiring of managers in an advisory capacity only. Essential Functions Promote communication within the facility in an interdisciplinary manner. Should meet with the Administrator upon entrance to the facility to communicate the purpose of each visit. Communicate with the Administrator and Director of Nursing any pertinent findings of their visit throughout the day. Should meet with the Administrator, Director of Nursing or designee upon exiting of the facility to communicate any relevant findings and development of any Plan of Corrections. Should start and assist the facility with the Plan of Correction to address any insufficient practices that were noted during their visit to the facility. The Plan of Correction must include observation(s), record review(s) and interview(s). Communicate with the Administrator and the Director of Nursing after each visit to follow-up on any agreed Plan of Corrections. Should submit a written report to the QA Consultants, Director of Nursing, Administrator and any relevant facility staff. Observe staff performance during direct care activities (i.e., rounds, ADLs, med pass, meal service, etc.). Review other consultant reports to promote consistency in the application of rules and regulations. Review any and all regulatory reports (i.e. 2567, Quality Monitoring reports, Quality Indicators, etc.). Review policies and procedures adopted by the facility to promote regulatory compliance. Review facility reports (i.e., 24-hour nursing report, facility QA reports, staffing hours, etc.) and evaluate compliance with TDADS regulations. Actively participate in corporate quality assurance. Recommend policy and procedure changes and/or updates. Attend quarterly Policy/Forms/QA Committee meeting and actively participate in the development of facility policies and procedures. Review resident clinical records. Provide training to the Director of Nursing, the Assistant Directors of Nursing, the Administrator and facility staff. Research other training methods, materials and resources. Actively assist and participate in the enhancement of the lives of our residents through our dedicated approach to patient care and our census building program. Be an active part of quarterly financial review. Actively participate in monthly facility QA meeting per quarter. Actively assist and participate in the development and retention of staff through recruitment, training and nurturing the employees of the nursing home

Primary Responsibilities The Maintenance Director will assist in supervising the day-to-day activities of the Maintenance Department in accordance with current federal, state, and local standards, guidelines and regulations governing the facility to ensure that it is maintained in a safe and comfortable manner. Essential Functions * Maintain the facility, which may include painting, carpet repairs, cleaning, general repairs, housekeeping duties, and any necessary duties to provide our residents with that quality experience. * Supervise the day-to-day maintenance functions of assigned personnel. * Assist the Administrator in setting maintenance standards. * Assist in developing procedures for performing daily maintenance tasks. * Assist the Administrator in standardizing the methods in which work is accomplished. * Assist in maintaining material safety data sheets (MSDSs) for hazardous chemicals in the maintenance department. * Has knowledge of maintenance functions such as plumbing, HVAC, basic electric, general carpentry skills, painting, sheetrock etc. * Knowledgeable of state, local, and federal regulations in relations to Nursing Homes * Completes maintenance services and activities using TELS maintenance program. * Ensure all systems, i.e., Alarm Systems, Fire systems are tested per state, local and federal guidelines * Scheduling bids, submitting reports, and documenting the execution of state mandated Safety items. * Makes regular rounds identifying any areas in need of repair. * Takes part in in-services and training of staff to include Company Driver training, OSHA rules and regulations, and safety programs. * Act as part of the Manager-on-Duty program. * Make sure that all personnel wear and/or use safety equipment and supplies * (e.g., back brace, mechanical lifts, etc.) when lifting or moving heavy objects. * Make sure that containers of hazardous chemicals in the department are properly labeled and stored. * Make sure that all maintenance personnel follow established policies governing the use of labels and MSDSs. * Report all hazardous conditions or equipment to the Administrator. * Make sure that established infection control and universal precautions practices are maintained when performing maintenance procedures. * Recommend equipment and supply needs to the Administrator. * Make sure that appropriate personal protective equipment used in the handling * of infectious materials is available and easily accessible to maintenance personnel. * Make sure equipment is cleaned and properly stored at the end of the shift.

The Hospitality Aide will provide assigned residents with non-clinical care and services in accordance with directives given by the Charge Nurse. Works under the general direction and supervision of the Charge Nurse. 1. Follow resident assignment schedule as made out by charge nurse. This requires the ability to be mentally alert and communicate verbally and in writing information regarding resident's condition and care. 2. Walk with ambulatory residents or push in a wheelchair as required. It also involves the ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, reaching and lifting in excess of 50 pounds with or without reasonable accommodations. Manual dexterity required performing tasks in assisting residents with their personal needs. 3. Comb hair, nail care (cannot use clippers,) of any residents assigned. Manual dexterity required performing tasks in assisting residents with their personal needs. 4. Answer call lights in a timely manner, determine if request does not involve direct care and then carry out request. Examples of non-direct care would be, helping with TV, telephone, getting a personal item for a resident, giving them a blanket or pillow, giving them a food tray or snack, or refill water/ice. 5. Provide pre and post meal grooming, including washing hands and face, assist to and from dining room. 6. Clean water pitchers and keep fresh water at bedside. Offer water and/or juices several times to residents who request and can drink independently. 7. Maintain proper oral hygiene by assisting with setting up to brush teeth, providing denture care and keeping mouth clean. 8. Be alert to resident's comforts and needs. Answer their requests promptly and report to nurse any needs that exceed your ability. 9. Knocks before entering a resident's room and requests permission to enter room. 10. Uses tactful, appropriate communications in sensitive and emotional situations. 11. Promotes positive public relations with resident, family members and guests. 12. Observe all residents and report anything unusual or abnormal to Charge Nurse. Ability to safely care for residents in a patient and respectful manner despite resident's lack of cooperation and/or combativeness. 13. Follow safety guidelines. Promptly remove and clean up urine or bowel excretions from floor and other spills or safety hazards. 14. Clean wheelchairs, beds, nursing equipment, resident personal hygiene items, and other items as directed. Requires the ability to lift at least 25 pounds and remove assistive devices to clean properly. 15. Safely utilize equipment. Report any equipment needing service or repair immediately. 16. Participate in emergency fire or disaster drills and other in-service training as scheduled. Must be able to safely ascend and descend stairwells and assist in an evacuation. 17. Follow Universal Safety Precautions in order to protect self, residents and other staff members. Rinse soiled linen in preparation to be sent to the laundry this involves the capability to withstand strong foul odors and the ability to tolerate wearing necessary personal protective equipment. 18. Bring laundry barrels to laundry room; get linens for beds, makes unoccupied beds. 19. Bring residents to and from daily activities. 20. Assist with actives going on in building. 21. Clerical functions. 22. Must be capable of maintaining regular attendance in accordance with facility attendance policies. Perform special duties as assigned. 23. Promotes positive public relations with patients, residents, family members and guests. 24. May be required to perform other duties and tasks as assigned by the Administrator, Director of Nursing and Charge Nurse in accordance with the qualifications and training provided.

Primary Responsibilities The Activity Aide will be responsible for assisting the Activity Director in planning, coordinating, and directing the residents' activity program. The Activity Aide collaborates with the Activity Director in organizing various employee and non-employee events for the facility. Essential Functions * Facilitate both individual and group activities based on the individual needs of the residents. * Ensure that activities are occurring for both high and low functioning residents * Assist with scheduling beauty parlor and barber activities * Provide activities for residents that are bedfast and/or unable to participate in group activities (one to one) and document in the appropriate record * Assist with the preparation of monthly calendar and posting in an area accessible, highly visible and frequented by residents and visitors. Calendar should also be provided to each resident and posted in room * Assist with generating the facility newsletter * Participate in community events related to the interest of the facility. * Attend in-services as necessary * Assist residents to and from activities * Assist with activity program including Residents' Council and night and weekend activities as needed * Deliver resident mail daily * Other duties as assigned by the Activity Director and/or Administrator

Primary Responsibilities The Cook ensures that the resident meals are properly prepared and apportioned according to the resident's diet specifications, facility procedures, and prescribed dietary and sanitary regulations. Essential Functions * Prepared food items on assigned/scheduled menus * Maintains sanitation of equipment and utensils, work area, storage, area, and serving area * Follow proper food handling procedures

Primary Responsibilities The Dietary Aide follows the direction of the Certified Dietary Manager and state guidelines to ensure that food is properly prepared, served to residents, and after meals are completed cleanup of the dining hall and dishes. Essential Functions * Assist with food prep and cooking following universal precautions and state/federal regulations * Preparing and serving beverages * Setting up and passing trays for meal service * Stocking snack cart * Bussing of tables and trays * Cleaning the kitchen work area * Dishwashing * Follow proper handwashing guidelines * Additional special projects or tasks can be assigned at times by the CDM or the Executive Director

The Physical Therapist (PT) conducts assessments and reassessments of rehabilitation needs and potential. The PT also plans, implements, and supervises therapeutic programs which include therapeutic exercises, gait training, range of motion testing and exercise, maintenance therapies, heat treatments, baths, and other activities normally performed by a physical therapist. JOB DUTIES/ KNOWLEDGE: * Conducts assessments and reassessments of the patient's level of function by applying diagnostic and prognostic procedures. * Plans, implements, and supervises an individualized therapeutic program designed to restore physical function, improve range of motion, strength, balance, coordination, endurance, or functional ability. * Coordinates and collaborates with the Rehab Director, or designed professional, to ensure integration of the therapeutic program in the plan of care. * Guides and teaches the patient in techniques, exercises, or precautions designed to improve range of motion, strength, balance, coordination, endurance, or functional ability. * Observes, records, and reports the patient's reaction to treatment and any changes in the patient's condition or treatment. Documents the extent of the patient's involvement in the decision affecting his/her care. * Instructs other agency personnel and patients family members in activities of physical therapy in which they may safely and effectively assist the patient. * Participates in patient case conferences to coordinate the patient's plan of care and promote positive therapeutic outcome. * Participates in continuous assessment and evaluation of the agency via Quarterly Record Review, or the quality Assurance/ Improvement Program. * Supervises PTA treating evaluated patient and is available for phone conference. * Credentialed wound care Physical therapist participates in wound care per agency policy and procedure. PHYSICAL REQUIREMENTS Sight and hearing sufficient to comprehend written and verbal communication, ability to work a minimum of eight (8) hours per day while driving, standing, sitting, assisting patients movement, writing, and speaking.

Primary Responsibilities The NP is responsible for practicing the nursing profession ethically, dutifully, and according to and within the Scope and Standards of Practice of the Texas Board of Nursing. The NP is responsible for Provider-level care coordination, as outlined in the Texas Independence Health Plan (ISNP) Model of Care, for all ISNP Members. The NP is generally expected to be in his/her facilities during customary working hours (approximately 8:00am - 5:00pm) to ensure that these facilities have adequate Provider-Level coverage to meet patient/resident/member health care needs while also allowing the NP to have adequate time for documentation, and rotational weekday/weekend on-call responsibility. Essential Functions * Responsible for maintaining a high measure of professionalism in dress and actions that appropriately reflect the mission and policies of the organization and facilities with whom they work and within which they work. * Attend and participate in daily morning meetings daily when in facilities. * Accountable for their own clinical and professional actions and to performing duties within the appropriate scope of practice allowed by respective prescriptive authority agreements with attending physicians. * Respond timely to all Compliance requests. * Report to the Clinical Operations Manager (COM), maintain communication with COM and facility staff regarding Plan specific to facility and/or patient/family concerns. * Responsible for Provider-Level health care delivery and preventative care management for specific Texas Independence Health Plan ISNP Plan Members (Plan Members) who are assigned to collaborating physicians in assigned practice facilities. * Provide proactive, preventative/maintenance care for the Plan Members' medical, emotional, and behavioral conditions. * Provide clinical care and education to Plan Members, as well as education to the family and Nursing Facility staff. * Adhere to and be accountable to all ISNP Model of Care Provider metrics and goals. * Participate in an on-call rotation to ensure continuity of care for Plan Members after hours, weekends and holidays. * Maintain reasonable and appropriate communication with the facility staff for questions, notifications, and family concerns to assist in providing optimal clinical care. * Efficiently navigate and operate a laptop computer and enter data and documentation daily into designated Electronic Medical Record Systems in a timely manner. * Participate in ongoing staff education and reasonably assist, as requested, with Quality Improvement at the facilities/communities. * Communicate professionally in face to face conversations with families and staff. * Review medications, orders, and diagnostic tests, and respond to abnormalities appropriately, within BON approved scope of practice. * Provide ongoing evaluation and treatment options of chronic illnesses, and care for acute exacerbations of chronic illnesses as they occur. * Provide ongoing evaluation and education to patients and families on Advance Care Planning (Goals of Care and Anticipatory planning). * Review and respond to consultant recommendations such as psychiatric, dietary, rehabilitative therapies, and pharmacy. * Perform all other duties congruent with the ISNP Plan as assigned. * Maintain adequate Medical Malpractice Insurance (generally expected to be $1m/$3m).

Primary Responsibilities The Certified Mediation Aide will prepare, administer, and document prescribed medications per protocol Essential Functions * Administers prescribed medications and treatments as defined by state regulations in accordance with company policy and procedure. * Observe and report to the facility's charge nurse reactions and side-effects to medication shown by a resident * Take and record vital signs prior to the administration of medication which could affect or change the vital signs * Reports to charge nurse and documents reasons prescribed drugs are not administered. * Administer regularly prescribed medication which the permit holder has been trained to administer only after personally preparing (setting up) the medication to be administered * The medication aide will document the administered medication in the resident's medication administration record * Administer oxygen per nasal canula or a non-sealing face mask only in an emergency; immediately after the emergency, the medication aide shall verbally notify the licensed nurse on duty or on call and appropriately document the action and notification. * Apply specifically ordered ophthalmic, OTIC, nasal, and vaginal medication * Be able to accurately follow all principals of good medication administration * Assist in customary daily requirements and tasks in care and treatment such as bathing, feeding, dressing, observing intake of food, care of hair, nails, moving residents from area to area, responding to calls, etc., which includes lifting, transferring * Helps charge nurses with the cleanliness of the nursing station, medication room and supply room.

The Housekeeper performs tasks that involve cleaning and servicing the building areas of the facility. In addition, a variety of housekeeping duties are performed in order to maintain the facility in an orderly, sanitary and attractive condition under the supervision of the housekeeping supervisor. They also assist in maintaining a positive environment for the residents.

The Speech Therapist (ST) conducts assessments and reassessments of rehabilitation needs and potential. The ST also plans, implements, and supervises therapeutic programs which include patient teaching and therapeutic activities to improve or restore communicative and swallowing abilities. JOB DUTIES/ KNOWLEDGE: * Conducts assessments and reassessments of the patient's communication and swallowing disorders by applying diagnostic and prognostic procedures. * Plans, implements, and supervises an individualized therapeutic program designed to restore and/ or improve communicative activities of daily living, and to treat swallowing disorders. * Coordinates and collaborates with the Rehab Director, or designed professional, to ensure integration of the therapeutic program in the plan of care. * Guides and teaches the patient in techniques, exercises, or precautions designed to improve the patient's ability to swallow and communicate. * Observes, records, and reports the patient's reaction to treatment and any changes in the patient's condition or treatment. Documents the extent of the patient's involvement in the decision affecting his/her care. * Instructs other agency personnel and patients family members in activities of speech therapy in which they may safely and effectively assist the patient. * Participates in patient case conferences to coordinate the patient's plan of care and promote positive therapeutic outcome. * Participates in continuous assessment and evaluation of the agency via Quarterly Record Review, or the quality Assurance/ Improvement Program. * Fallows state guidelines and maintains appropriate documentation when supervising an Assistant in speech. * Maintain code of ethics set by the American Speech Language Hearing Association. PHYSICAL REQUIREMENTS Sight and hearing sufficient to comprehend written and verbal communication, ability to work a minimum of eight (8) hours per day while driving, standing, sitting, and completing reports and documentation.

The primary purpose of your job position is to perform the day-to-day activities of the Laundry Department in accordance with current federal, state, and local standards, guidelines, and regulations governing our facility, and as may be directed by the Administrator and/or the Housekeeping Supervisor, to assure that our facility is maintained in a clean, safe, and sanitary manner, and that an adequate supply of linen is on hand at all times to meet the needs of the residents. Ensure that work/cleaning schedules are followed as closely as practical. Report all accidents/incidents to your supervisor. Coordinate daily laundry services with nursing services when performing routine assignments in resident living areas. Follow established fire safety policies and procedures. Wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving heavy objects. Ensure that assigned work areas are maintained in a clean, safe, and sanitary manner. (e.g., dryer lint traps) Follow proper techniques when mixing chemicals, disinfectants, and solutions used in the work area. Refer to material safety data sheets (MSDSs) when necessary. Use appropriate personal protective equipment and supplies when handling infectious materials. Keep supervisor informed of supply needs. Keep work area(s) free of hazardous conditions, i.e., spills, excess laundry carts, baskets, supplies, equipment, etc. Clean work/supply carts, equipment, etc., as necessary/directed. Ensure that equipment is cleaned and properly stored at the end of the shift. Perform assigned tasks in accordance with established laundry procedures. During emergency conditions, assure that clean laundry, linen, garments, etc., are distributed to designated areas as instructed. Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.

Primary Responsibilities The Activity Aide will be responsible for assisting the Activity Director in planning, coordinating, and directing the residents' activity program. The Activity Aide collaborates with the Activity Director in organizing various employee and non-employee events for the facility. Essential Functions * Facilitate both individual and group activities based on the individual needs of the residents. * Ensure that activities are occurring for both high and low functioning residents * Assist with scheduling beauty parlor and barber activities * Provide activities for residents that are bedfast and/or unable to participate in group activities (one to one) and document in the appropriate record * Assist with the preparation of monthly calendar and posting in an area accessible, highly visible and frequented by residents and visitors. Calendar should also be provided to each resident and posted in room * Assist with generating the facility newsletter * Participate in community events related to the interest of the facility. * Attend in-services as necessary * Assist residents to and from activities * Assist with activity program including Residents' Council and night and weekend activities as needed * Deliver resident mail daily * Other duties as assigned by the Activity Director and/or 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

The Hospitality Aide will provide assigned residents with non-clinical care and services in accordance with directives given by the Charge Nurse. Works under the general direction and supervision of the Charge Nurse. 1. Follow resident assignment schedule as made out by charge nurse. This requires the ability to be mentally alert and communicate verbally and in writing information regarding resident's condition and care. 2. Walk with ambulatory residents or push in a wheelchair as required. It also involves the ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, reaching and lifting in excess of 50 pounds with or without reasonable accommodations. Manual dexterity required performing tasks in assisting residents with their personal needs. 3. Comb hair, nail care (cannot use clippers,) of any residents assigned. Manual dexterity required performing tasks in assisting residents with their personal needs. 4. Answer call lights in a timely manner, determine if request does not involve direct care and then carry out request. Examples of non-direct care would be, helping with TV, telephone, getting a personal item for a resident, giving them a blanket or pillow, giving them a food tray or snack, or refill water/ice. 5. Provide pre and post meal grooming, including washing hands and face, assist to and from dining room. 6. Clean water pitchers and keep fresh water at bedside. Offer water and/or juices several times to residents who request and can drink independently. 7. Maintain proper oral hygiene by assisting with setting up to brush teeth, providing denture care and keeping mouth clean. 8. Be alert to resident's comforts and needs. Answer their requests promptly and report to nurse any needs that exceed your ability. 9. Knocks before entering a resident's room and requests permission to enter room. 10. Uses tactful, appropriate communications in sensitive and emotional situations. 11. Promotes positive public relations with resident, family members and guests. 12. Observe all residents and report anything unusual or abnormal to Charge Nurse. Ability to safely care for residents in a patient and respectful manner despite resident's lack of cooperation and/or combativeness. 13. Follow safety guidelines. Promptly remove and clean up urine or bowel excretions from floor and other spills or safety hazards. 14. Clean wheelchairs, beds, nursing equipment, resident personal hygiene items, and other items as directed. Requires the ability to lift at least 25 pounds and remove assistive devices to clean properly. 15. Safely utilize equipment. Report any equipment needing service or repair immediately. 16. Participate in emergency fire or disaster drills and other in-service training as scheduled. Must be able to safely ascend and descend stairwells and assist in an evacuation. 17. Follow Universal Safety Precautions in order to protect self, residents and other staff members. Rinse soiled linen in preparation to be sent to the laundry this involves the capability to withstand strong foul odors and the ability to tolerate wearing necessary personal protective equipment. 18. Bring laundry barrels to laundry room; get linens for beds, makes unoccupied beds. 19. Bring residents to and from daily activities. 20. Assist with actives going on in building. 21. Clerical functions. 22. Must be capable of maintaining regular attendance in accordance with facility attendance policies. Perform special duties as assigned. 23. Promotes positive public relations with patients, residents, family members and guests. 24. May be required to perform other duties and tasks as assigned by the Administrator, Director of Nursing and Charge Nurse in accordance with the qualifications and training provided.

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