Signature Healthcare at Home jobs - 34 jobs

Intake Coordinator JOB DESCRIPTION SUMMARY:The Intake Coordinator is responsible for managing all aspects of the patient/client intake process including assisting the members of the intake/admissions team, establishing and maintaining positive relationships with customers. Assures compliance of physician orders, pre-authorizations and patient/client visits.ESSENTIAL JOB FUNCTIONS / RESPONSIBILITIES: Directs all daily patient/client referral and intake operations Maintains comprehensive working knowledge of community resources Gathers and tracks referral sources Assists in identifying opportunities for additional/improved services and methods Audits and monitors documentation for accuracy and completion Consistently represents Signature Healthcare at Home with integrity and professionalism to all internal and external customers Adheres to HIPAA regulations per Company policy and Federal regulation Performs other duties and activities as delegated by the Administrator/Clinical Manager. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. EDUCATION and EXPERIENCE:High School diploma or equivalent Minimum two years' experience in administrative position in healthcare setting QUALIFICATIONS and SKILLS:Knowledge of medical terminology.Knowledge of insurance reimbursement process.Effective data entry, problem-solving, human relations and oral/written communication Demonstrates good communications, flexibility and cooperation in performing job duties.Possess a valid driver's license and insurance in accordance with state and/or organization requirements.Basic computer skills and knowledge of office technology. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Personal Care Attendant's (Caregiver) main objective is client satisfaction and safety for both oneself and for the client. The Personal Care Attendant (caregiver) must have sensitivity for the needs of others, a professional manner, and a positive attitude. The Personal Care Attendant (Caregiver) must feel comfortable caring for a client in a private home or setting. The Personal Care Attendant (Caregiver) needs to report on time to scheduled shift unless specific circumstances come up. DUTIES & RESPONSIBILITIES Provide excellent client care including some or all of the following: Skin care maintenance Assist with toileting Assist with bathing, grooming, and other personal hygiene necessities Turning and positioning of the client Monitoring and reporting changes in the client status to the Client Care Coordinator(s) Clocking in and out according to the direction and procedure assigned by the Client Care Coordinator(s) Dressing and undressing the client Monitoring for signs of any ailment and communicating such concerns to the office Maintaining a hygienic environment The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Must be, at least, eighteen (18) years of age or older. Must be able to provide services according to the care plan of the client. Excellent customer service and listening skills. Excellent oral and written communication skills; able to effectively communicate with the client and the office staff. Ability to read and write clear English. Able to compute basic mathematics. PHYSICAL REQUIREMENTS Employees are asked to sign a statement indicating whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis. Typical functions of this role include standing, sitting and walking a majority of the time. There are occasions when kneeling, stooping, bending or reaching may be necessary. The employee must be able to lift and/or move up to 25 lbs on a regular basis. There may be occasions in which the employee must be able to lift or move up to 50 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The physical therapist contracted or employed through the Organization is responsible for providing physical therapy services and for adherence to all conditions outlined in the Personnel Services Agreement. DUTIES & RESPONSIBILITIES Assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s); Provides patient, caregiver, and family counseling; Provides patient and caregiver education; Prepares clinical notes, and progress summaries based on the attainment of goals; Communicates with the physician who is responsible for the home health plan of care and other health care practitioners (as appropriate) related to the current home health plan of care; Provides physical therapy services to patients according to a written physician's plan of care. This may include, but will not be limited to: Assessing and evaluating therapeutic/rehabilitative/functional status, and participation in the development of the total plan of care. Evaluates home environment. Assesses for muscle strength, mobility, gait, ROM-potential for rehab. Directing physical therapy treatment. Instructing patients and families/caregivers in the use and care of therapeutic appliances. Determining priority needs for physical therapy Reporting to physician patient's reaction to treatment or changes in condition. Initiates physical therapy program and instructs other personnel and/or family/caregiver members in certain phases of physical therapy with which they may work with a patient, as well as instructing them as to the goals of the physical therapy program for the patient by participating in case conferences. May train patient in the use of prosthetic device. Identifies patient and family/caregiver needs for other home health services and refers as necessary. Participates in discharge planning for patient. Provides in-service education programs for nursing organization personnel as needed. Participates in peer consultation process. When therapy is the only skilled service, instructs, supervises and evaluates home health aide care every two (2) weeks. Supervises Physical Therapy Assistants according to organization policy and state regulations. Participates in the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Licensed to practice as physical therapist within the State, if applicable. Passed an examination for physical therapists approved by the state and possesses a degree from a baccalaureate or master's program in physical therapy approved by the Commission on accreditation in Physical Therapy Education (“CAPTE”) or any successor organization of the CAPTE. Two years of appropriate experience as a physical therapist. Community/home health experience is preferred. Demonstrates good verbal and written communication and organization skills. Possesses and maintains current CPR certification. The ability to drive and/or have access to transportation for agency-related travel (e.g. community partners, patients, etc.) is an essential function of the job. Must have and maintain a valid driver's license, maintain automobile insurance coverage, and have access to an automobile. PHYSICAL REQUIREMENTS Employees are asked to sign a statement indicating whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis. Typical functions of this role include standing, sitting and walking a majority of the time. There are occasions when kneeling, stooping, bending, or reaching may be necessary. The employee must be able to lift and/or move up to 25 lbs on a regular basis. There may be occasions in which the employee must be able to lift or move up to 50 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

JOB SUMMARYPTA will provide services for curative, rehabilitative, and/or preventive purposes. PTA will also provide Physical Therapy services for patients assisting in the treatment, program planning and implementation, related documentation, and communication and functions under the supervision of the Physical Therapist.DUTIES & RESPONSIBILITIESSafety & Emergency: Attends annual safety and infection control education required by agency. Uses safety precautions as appropriate for patients, employees, public and self, e.g. proper positioning of self, good body mechanics, universal precautions, and defensive driving skills. Knows location of all emergency equipment in homes, car, and is aware of established emergency and safety procedures. Develops and maintains own and patient/caregiver knowledge of emergency procedures. Standards: Supports mission, philosophy, and goals of Signature Healthcare at Home. Meets Signature Healthcare at Home standards for attendance and punctuality; maintains professional manner in dress and in speech. Completes mandatory education requirements annually, including house-wide and department-specific, to maintain competence, and documents same Follows agency policies. Maintains confidentiality of patient, family, and other staff. Attends required staff meetings. Maintains a basic understanding of age-related differences in caring for and communicating with patients and caregivers. Functions as a member of a multi-disciplinary team, promoting team communication and support. Meets productivity expectations for this position; organizes tasks and manages time effectively. Documents client services legibly, accurately, and in concert with professional practice standards and reimbursement requirements. Can work well alone, without supervision. Asks appropriate questions when unsure of an assignment, takes initiative in areas expected of him/her. Uses good judgment in difficult situations. Works as scheduled; notifies the supervisor/ office or designee of delays or absences according to established expectations. Able to problem-solve effectively when the home environment is not physically safe for staff or the patient. Work Performed: Provides Physical Therapy services to clients under the supervision of a Physical Therapist in accordance with state regulations. Assists the Physical therapist in the evaluation process as needed or directed. Assists the Physical Therapist in identifying a problem list, short-term goals, long term goals and treatment plan. Conducts treatments as assigned by the Physical Therapist and outlined in the treatment plan that includes but is not limited to areas of muscle strength, coordination, mobility, sensory awareness, sitting and standing, transfer training, balance activities, gait training, range of motion activities and modalities. Monitors client's response to intervention and consults with Physical Therapist if modification is required. Implements and conducts treatment as outlined in treatment plan. Participates in client, family, and staff education. Trains client, family, and appropriate staff in the use of assistive devices. Provides treatment in accordance with established standards of practice, company policy, and productivity standards. Maintains safe and clean work area and adheres to company safety standards. Complies with all Infection control, Universal Precautions, and OSHA standards for the healthcare professional. Performs other duties as assigned. Interpersonal: Works cooperatively with others; works out issues and problems with others assertively. Follows the line of authority when one-on-one problem solving doesn't work. Contributes to a positive atmosphere in the office as well as in patient's homes. Willing to help others when needed. Possesses personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles and ages. Work Environment: May be required to attend to patients in homes that are not clean, are infested with insects or rodents, and second hand smoke. Pathways to & from houses as well as the inside of houses may be cluttered and in poor repair. Driving conditions may be difficult related to weather and/ or traffic. Working environment may have short periods of inadequate ventilation and/ or temperature control. Physical Requirements: Able to drive a vehicle up to 100 miles in one day. Able to climb stairs, inside or outside patient's homes. Able to lift, push, and pull at least 40 pounds without assistance. Able to provide physical care to dependent patients who may be frail, elderly, obese and/or physically impaired; provide up to total assist with patient positioning, transfers and ambulation. Able to bend, squat and/or kneel to provide patient care. Able to read, write, and verbally communicate effectively in English. Able to tolerate driving in congested areas and frequent changes in schedules due to unexpected time constraints. Able to tolerate short periods of secondary smoke, inadequate ventilation, or temperature control. Compliance: Maintains knowledge of and adheres to all applicable laws, rules, and standards. Reports, as appropriate, actual or suspicious activity related to fraud and/or operational abuse of laws, regulations and standards. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Education: Graduate of an accredited physical therapy assistant school.License/Certification: Current BLS CPR certification for healthcare providers. Current Washington driver's license or transportation available to cover entire service area without advance notice. Current minimum automobile insurance coverage as required by law. Experience and Skills: Interest in work with ill, elderly and/or disabled clients. At least one year of recent experience in a clinical setting. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

JOB SUMMARYThe Clinical Manager is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Manager is responsible for ensuring that care and services are delivered appropriately and for the supervision of clinical personnel.DUTIES & RESPONSIBILITIES As needed, develops and initiates the plan of care and assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s). Also Initiates proper preventative and rehabilitative nursing procedures and provides services that are ordered by the physician as indicated in the plan of care; Ensures a Clinical Manager/Supervisor is available during all operating hours. Responsible for assuring the development, implementation, and updates of the individualized plan of care, which would entail communication with all physicians involved in the plan of care and integration of orders, including medication orders, from all physicians involved in the plan of care. Receives case referrals and accepts those who the agency is capable of providing services for. Reviews available patient information related to case, including home visits, to determine home health care needs. Assigns appropriate home care personnel to case as needed. Conferences with Attending Physician regarding any questions about an individual's eligibility for services. Reviews and evaluates each case by reviewing the services provided by clinicians, conferences, record review, discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate. Reviews patient's medical diagnosis, procedures, medications, and clinical course. Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care. Attends and runs and documents case conference meetings with organization personnel to facilitate coordination of care. Participates in quarterly record reviews and communicates findings and recommendations to Director of Nursing and appropriate organization personnel. Assists in the screening and interviewing process of new organization personnel and makes recommendations for employment of individuals. Assists in the orientation of new organization personnel. Assists Director of Nursing in the planning, implementation and evaluation of in-service and continuing education programs. Complies with accepted professional standards and principles. Participates in public relation and community activities that promote the Organization's role as an effective member of the health care delivery system. Complies with accepted professional standards and principles. Participates in public relation and community activities that promote the Organization's role as an effective member of the health care delivery system. Participates actively in quality assessment performance improvement program. Performs other duties and activities as delegated by the Director of Nursing and/or Branch Manager. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job.The employee may be requested to perform job-related tasks other than those stated in this description.JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Must be a registered nurse, licensed physician, physical therapist, speech-language pathologist, occupational therapist, or social worker with current licensure to practice in the State. Previous experience in home care setting required and with two years management or supervisory experience preferred. Proven ability to work within an interdisciplinary setting. Complies with accepted professional standards and practice. Have excellent observation, good nursing judgment and communication skills. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Complies and maintains current CPR certification. Demonstrates excellent observation, verbal and written communication skills. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at **************************** The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Personal Care Attendant's (Caregiver) main objective is client satisfaction and safety for both oneself and for the client. The Personal Care Attendant (caregiver) must have sensitivity for the needs of others, a professional manner, and a positive attitude. The Personal Care Attendant (Caregiver) must feel comfortable caring for a client in a private home or setting. The Personal Care Attendant (Caregiver) needs to report on time to scheduled shift unless specific circumstances come up. DUTIES & RESPONSIBILITIES Provide excellent client care including some or all of the following: Skin care maintenance Assist with toileting Assist with bathing, grooming, and other personal hygiene necessities Turning and positioning of the client Monitoring and reporting changes in the client status to the Client Care Coordinator(s) Clocking in and out according to the direction and procedure assigned by the Client Care Coordinator(s) Dressing and undressing the client Monitoring for signs of any ailment and communicating such concerns to the office Maintaining a hygienic environment The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Must be, at least, eighteen (18) years of age or older. Must be able to provide services according to the care plan of the client. Excellent customer service and listening skills. Excellent oral and written communication skills; able to effectively communicate with the client and the office staff. Ability to read and write clear English. Able to compute basic mathematics. PHYSICAL REQUIREMENTS Employees are asked to sign a statement indicating whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis. Typical functions of this role include standing, sitting and walking a majority of the time. There are occasions when kneeling, stooping, bending or reaching may be necessary. The employee must be able to lift and/or move up to 25 lbs on a regular basis. There may be occasions in which the employee must be able to lift or move up to 50 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at **************************** The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Licensed Practical/Vocational Nurse is responsible for providing direct patient care under the supervision of a Registered Nurse. Responsibilities include following the plan of care, providing treatments, and working collaboratively with the members of the team to help meet positive patient care outcomes. The Licensed Practical/Vocational Nurse will be dedicated to the Mission, Values and Care Commitments of Signature Healthcare at Home and embrace and demonstrate our mission: “To Enhance the Life of Every Person We Serve.” ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Provides direct patient care as defined in State Nurse Practice Act, including specialized duties related to end of life care. Implements current nursing practice following a comprehensive assessment and the plan of care. Provides accurate and timely documentation of patient services to reflect the plan of care. Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and individualized plan of care. Participates in coordination of hospice services, appropriately reporting the identified needs to the interdisciplinary group and Clinical Manager. Examples include hospice aide, OT, PT, SW, ST, Volunteer, or Dietician. Uses and prepares equipment and supplies effectively and efficiently. Provides appropriate pain/symptom management. Evaluates patient's response to treatments/medications. Completes mandatory education requirements annually to maintain competence. Attends required staff meetings and IDG. Participates in personal, professional growth and development. Also participates in organization's quality assessment performance improvement teams and activities. Performs other duties as assigned by the Registered Nurse or Clinical Manager. Reports significant changes in patient condition to the patient's RN Case Manager. May be required to work outside of designated geographical area based on census fluctuations and current staffing. Participates in on-call duties as defined by the on-call policy. Actively participates in quality assessment performance improvement teams and activities or other committees as assigned. May be required to visit patients in homes that are not clean, or in poor repair, have poor ventilation, are infested with insects or rodents, and secondhand smoke. Driving conditions may be difficult related to weather and/or traffic. Maintains knowledge of and adheres to all applicable laws, rules, and standards. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. POSITION QUALIFICATIONS: Graduate of an accredited practical nurse or vocational nursing program. One (1) to two (2) years nursing experience preferred. Community health/hospice or medical/surgical experience is preferred. Currently licensed as an LPN/LVN in the State(s) of planned practice. Complies with accepted professional standards and practice. Demonstrates good verbal and written communication, and organization skills. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Possesses and maintains current CPR certification. Understands philosophy of hospice concept. Also understands needs of the terminally ill. Capable of prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Capable of considerable reaching, stooping bending, kneeling, and/or crouching. Possesses visual acuity and hearing to perform required nursing skills. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Registered Nurse plans, organizes and directs home health care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Patient Care Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family/caregiver living situation to determine care needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. Assesses and evaluates patient's status by: Establishing the initial individualized plan of care in collaboration with the certifying medical provider based on comprehensive assessment and patient goals. Regularly re-evaluating patient and family/caregiver needs. Participating in revising the plan of care as necessary in collaboration with the certifying medical provider as patient status and needs change. Develops a care plan that establishes interventions and goals. Includes the patient and the family/caregiver in the planning process. Works autonomously to initiate appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the medical provider in the plan of care. Involves the patient and family/caregiver to address needs and meet related goals. Provides health care instructions to the patient as appropriate per assessment and plan. Facilitates the patient's efforts toward self-sufficiency or obtaining appropriate caregiving. Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to coordinate patient care for assigned caseload. Communication Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements. Records pain/symptom management changes/outcomes as appropriate. Communicates with the medical provider regarding the patient's needs and reports changes in the patient's condition; obtains/receives medical provider orders as required. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the medical provider and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary team. Assists the patient and family/caregiver and other team members in providing continuity of care. Attends required staff meetings, interdisciplinary team meetings and care coordination activities. Additional Duties Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Coordinates patient care in tandem with LPN/LVN as assigned by Clinical Manager. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities or other committees as assigned. May be required to work outside of designated geographical area based on census fluctuations and current staffing. Completes mandatory education requirements annually to maintain competence. May be required to visit patients in homes that are not clean, or in poor repair, have poor ventilation, are infested with insects or rodents, and secondhand smoke. Driving conditions may be difficult related to weather and/ or traffic. Maintains knowledge of and adheres to all applicable laws, rules, and standards. Participates in the orientation of new employees and preceptorship of students as assigned. Meets productivity expectations. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. POSITION QUALIFICATIONS: Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home health preferred. Currently licensed as a Registered Nurse in the State(s) of planned practice. Possesses and maintains CPR certification. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Self-directed and able to work with minimal supervision. Capable of prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Capable of considerable reaching, stooping bending, kneeling, and/or crouching. Possesses visual acuity and hearing to perform required nursing skills. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

JOB SUMMARYProvides quality, supportive care to assigned clients in their place of residence, according to the established plan of care under the instruction and supervision of a registered nurse. Assists clients toward optimal independence by providing personal care, light housekeeping and specific delegated nursing tasks.DUTIES & RESPONSIBILITIESSafety & EmergencyAttends annual safety and infection control education required by the agency.Uses safe precautions as appropriate for patients, and self, e.g. proper positioning of self, good body mechanics, universal precautions, defensive driving skills.Knows evacuation plan in each home that service is provided.StandardsSupport mission, values and goals of Signature Healthcare at Home.Meets Signature Healthcare at Home standards for attendance and punctuality; maintains professional manner in dress and in speech.Completes mandatory education requirements annually and documents same.Follows agency policies.Maintains confidentiality of patients' and families' private health and other information.Attends agency staff meetings as required.Functions as a member of a team of caregivers, promoting team communication and support.Meets productivity expectations for this position; organizes tasks and managers time effectively.Documents client services legibly, accurately and in concert with agency standards.Can work well alone, without supervision. Asks appropriate questions when unsure of an assignment, takes initiative in areas expected of him/her. Uses good judgment in difficult situations.Works as scheduled; notifies the supervisor or designee of delays or absences within established expectations.Able to problem-solve effectively when the home environment is not physically safe for staff or the patient.Work PerformedMakes home visits to provide or assist with personal hygiene including shampooing hair, grooming, bathing, shaving, dressing, mouth care, nail care as instructed by the plan of care.Performance of simple procedures as assigned by the Registered Nurse:a) Personal Care;b) Ambulation and exercise;c) Household services essential to health care at home;d) Assistance with medications that are ordinarily self-administered;e) Reporting changes in the patient's condition and needs.Completing appropriate records the day of service. Any other task the agency may choose to have the home health aide perform.InterpersonalWorks cooperatively with others; works out issues and problems with others assertively.Follows the line of authority when one-on-one problem solving doesn't work.Contributes to a positive atmosphere in the office as well as patient's homes.Willing to help others when needed.Possesses personal authority to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles and ages.Work EnvironmentMay be required to attend to patients in homes that are not clean, are infested with insects or rodents and second hand smoke.Pathways to & from houses as well as inside of houses may be cluttered and in poor repair.Driving conditions may be difficult related to weather and/or traffic.Working environment may have short periods of inadequate ventilation and/or temperature control.Physical RequirementsAble to drive a vehicle up to 80 miles in one day.Able to tolerate driving in congested areas and frequent changes in schedules due to unexpected time constraints.Able to climb stairs, inside or outside patient's homes.Able to life, bend, push and pull at least 40 pounds without assistance.Able to provide physical care to dependent patients who may be frail, elderly, obese and/or physically impaired; provide up to total assist with patient positioning, transfers and ambulation.Able to bend, squat and/or kneel to provide patient care.Able to perform find motor skills such as wound dressing with clean technique, external catheter care and/or range of motion.Able to read, write and verbally communicate effectively in English.Able to tolerate short periods of secondary smoke, inadequate ventilation or temperature control.ComplianceMaintains knowledge of and adheres to all applicable laws, rules, and standards.Reports, as appropriate, actual or suspicious activity related to fraud and/or operational abuse of laws, regulations and standards.The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Education: Certified Nursing Assistant (CNA) training or the equivalent in the state in which you are applying for work in. Licensure/Certification: Certified Nursing Assistant (CNA) certification, inclusion of the State Board of Nursing Nurse Aide Registry, and current CPR certification. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Experience/Skills: Prior to providing care to a patient, the home health aide must be evaluated by a RN/PT/OT for competency in each of the following areas: Communication skills, including sensitivity to the needs and experiences of others; Observation of, reporting of, and documentation about the patient and care provided; Maintenance of a clean, safe and healthy environment; Basic infection control procedures; Basic nutrition and fluid intake; Reading and recording temperature, blood pressure, pulse, and respiration; Basic elements of body functioning and changes in body function that must be reported to an aide's supervisor; Recognizing emergencies and knowledge of emergency procedures; The physical, emotional, and developmental needs of, and ways to work with, the populations served by the agency, including the need for respect for the patient, the patient's privacy, and the patient's property; Appropriate and safe techniques in personal hygiene and grooming that include; Bed bath; Sponge, tub, or shower bath; Shampoo: sink, tub, or bed; Nail and skin care; Oral hygiene; Toileting and elimination; Safe transfer techniques and ambulation; Normal range of motion and positioning. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The occupational therapist contracted through the Organization is responsible for the implementation of standards of care for occupational therapy services and for adherence to all conditions outlined in the Service Agreement. DUTIES & RESPONSIBILITIES Assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s). Provides services that are ordered by the physician as indicated in the plan of care. Provides patient, caregiver, and family counseling. Provides patient and caregiver education. Communicates with the physician who is responsible for the home health plan of care and other health care practitioners (as appropriate) related to the current home health plan of care. Evaluates patient's functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self-care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the total plan of care. For patients who plan to return to work, the occupational therapist may perform work capacity evaluation and may refer to specialized vocational training in accordance with Organization policy. Develops treatment program and establishes goals for improved function. May teach new skills or retrain patient in once familiar daily activities that have been lost due to illness or injury, in accordance with Organization policy May fabricate splints and instruct patient in the use of various types of adaptive equipment to improve function. May train patient in the use of prosthetic and/or orthotic devices. Maintains appropriate clinical records, clinical notes, and reports to the physician any changes in the patient's condition. Submits these records in accordance with Organization policy. Participates in and contributes to the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training, case conferences, and other meetings as required by Organization policy to ensure coordinated and comprehensive plans of care for the patients of the Organization. Identifies patient and family/caregiver needs for other home health services and refers as appropriate. Instructs patient's family/caregiver and other Organization health care personnel in patient's treatment regime when indicated and appropriate. Supervises Certified Occupational Therapy Assistants according to organization policy and state regulations. When therapy is the only skilled service, instructs, supervises and evaluates home health aide care every two (2) weeks. Participates in discharge planning for patient. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Must be licensed where the HHA is located if licensure if required. Must have graduated from an OT program accredited by the Accreditation Council for Occupational Therapy Education (“ACOTE”) of the American Occupational Therapy Association (“AOTA) or any successor organization of the ACOTE. Must be eligible for or have taken the OT certification examination administered by the National Board for Certification in Occupational Therapy (“NBCOT”). Two years of clinical experience as an occupational therapist preferred. Demonstrates good verbal and written communication, and organization skills. Possesses and maintains current BLS CPR Certification. The ability to drive and/or have access to transportation for agency related travel (e.g. community partners, patients, etc.) is an essential function of the job. Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to an automobile. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

PTA will provide services for curative, rehabilitative, and/or preventive purposes. PTA will also provide Physical Therapy services for patients assisting in the treatment, program planning and implementation, related documentation, and communication and functions under the supervision of the Physical Therapist. DUTIES & RESPONSIBILITIES Safety & Emergency: Attends annual safety and infection control education required by agency. Uses safety precautions as appropriate for patients, employees, public and self, e.g. proper positioning of self, good body mechanics, universal precautions, and defensive driving skills. Knows location of all emergency equipment in homes, car, and is aware of established emergency and safety procedures. Develops and maintains own and patient/caregiver knowledge of emergency procedures. Standards: Supports mission, philosophy, and goals of Signature Healthcare at Home. Meets Signature Healthcare at Home standards for attendance and punctuality; maintains professional manner in dress and in speech. Completes mandatory education requirements annually, including house-wide and department-specific, to maintain competence, and documents same. Follows agency policies. Maintains confidentiality of patient, family, and other staff. Attends required staff meetings. Maintains a basic understanding of age-related differences in caring for and communicating with patients and caregivers. Functions as a member of a multi-disciplinary team, promoting team communication and support. Meets productivity expectations for this position; organizes tasks and manages time effectively. Documents client services legibly, accurately, and in concert with professional practice standards and reimbursement requirements. Can work well alone, without supervision. Asks appropriate questions when unsure of an assignment, takes initiative in areas expected of him/her. Uses good judgment in difficult situations. Works as scheduled; notifies the supervisor/ office or designee of delays or absences according to established expectations. Able to problem-solve effectively when the home environment is not physically safe for staff or the patient. Work Performed: Provides Physical Therapy services to clients under the supervision of a Physical Therapist in accordance with state regulations. Assists the Physical therapist in the evaluation process as needed or directed. Assists the Physical Therapist in identifying a problem list, short-term goals, long term goals and treatment plan. Conducts treatments as assigned by the Physical Therapist and outlined in the treatment plan that includes but is not limited to areas of muscle strength, coordination, mobility, sensory awareness, sitting and standing, transfer training, balance activities, gait training, range of motion activities and modalities. Monitors client's response to intervention and consults with Physical Therapist if modification is required. Implements and conducts treatment as outlined in treatment plan. Participates in client, family, and staff education. Trains client, family, and appropriate staff in the use of assistive devices. Provides treatment in accordance with established standards of practice, company policy, and productivity standards. Maintains safe and clean work area and adheres to company safety standards. Complies with all Infection control, Universal Precautions, and OSHA standards for the healthcare professional. Performs other duties as assigned. Interpersonal: Works cooperatively with others; works out issues and problems with others assertively. Follows the line of authority when one-on-one problem solving doesn't work. Contributes to a positive atmosphere in the office as well as in patient's homes. Willing to help others when needed. Possesses personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles and ages. Work Environment: May be required to attend to patients in homes that are not clean, are infested with insects or rodents, and second hand smoke. Pathways to & from houses as well as the inside of houses may be cluttered and in poor repair. Driving conditions may be difficult related to weather and/ or traffic. Working environment may have short periods of inadequate ventilation and/ or temperature control. Physical Requirements: Able to drive a vehicle up to 100 miles in one day. Able to climb stairs, inside or outside patient's homes. Able to lift, push, and pull at least 40 pounds without assistance. Able to provide physical care to dependent patients who may be frail, elderly, obese and/or physically impaired; provide up to total assist with patient positioning, transfers and ambulation. Able to bend, squat and/or kneel to provide patient care. Able to read, write, and verbally communicate effectively in English. Able to tolerate driving in congested areas and frequent changes in schedules due to unexpected time constraints. Able to tolerate short periods of secondary smoke, inadequate ventilation, or temperature control. Compliance: Maintains knowledge of and adheres to all applicable laws, rules, and standards. Reports, as appropriate, actual or suspicious activity related to fraud and/or operational abuse of laws, regulations and standards. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Education: Graduate of an accredited physical therapy assistant school. License/Certification: Current BLS CPR certification for healthcare providers. Current Washington driver's license or transportation available to cover entire service area without advance notice. Current minimum automobile insurance coverage as required by law. Experience and Skills: Interest in work with ill, elderly and/or disabled clients. At least one year of recent experience in a clinical setting. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

REGISTERED NURSE - HOSPICE JOB DESCRIPTION The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. II. DUTIES & RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient's status by: a. Writing and initiating plan of care b. Regularly re-evaluating patient and family/caregiver needs c. Participating in revising the plan of care as necessary 4. Uses health assessment data to determine nursing diagnosis. 5. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care. 7. Counsels the patient and family in meeting nursing and related needs. 8. Provides health care instructions to the patient as appropriate per assessment and plan. 9. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care. 10. Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 5. Provides and maintains a safe environment for the patient. 6. Assists the patient and family/caregiver and other team members in providing continuity of care. 7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver. 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. III. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) 1. Graduate of National League for Nursing accredited school of nursing. 2. Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 3. Management experience not required. Responsible for supervising hospice aides. 4. Registered nurse with current licensure to practice professional nursing in the state. 5. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist. 6. Shows ability to organize and prioritize workload independently. 7. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Maintains a current CPR certification. 9. The ability to drive and/or have access to transportation for agency related travel (e.g. community partners, patients, etc.) is an essential function of the job. Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to an automobile. 10. Self-directed and able to work with minimal supervision. IV. PHYSICAL REQUIREMENTS 1. Employees are asked to sign a statement indicating whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis. 2. Typical functions of this role include standing, sitting, and walking a majority of the time. There are occasions when kneeling, stooping, bending, or reaching may be necessary. 3. The employee must be able to lift and/or move up to 25 lbs on a regular basis. There may be occasions in which the employee must be able to lift or move up to 50 lbs. 4. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Start of Care Registered Nurse plans, organizes and directs home health care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. The Registered Nurse will be dedicated to the Mission, Values and Care Commitments of Signature Healthcare at Home and embrace and demonstrate our mission: “To Enhance The Life Of Every Person We S erve.” ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Patient Care Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. Develops a care plan that establishes interventions and goals. Includes the patient and the family/caregiver in the planning process. Works with intake, clinical manager, and/or DPS to coordinate patient start of care in a timely manner. Educates patient/caregiver regarding regulatory components for home health admission. Documentation of this education will be completed in the patient's medical record. Obtains consents for home health services. Completes an initial comprehensive assessment of patient and caregiver/living situation to determine care needs. Completes a comprehensive medication review and reconciliation. Sets up an individual emergency preparedness plan. Establishes the initial individualized plan of care in collaboration with the certifying medical provider based on comprehensive assessment and patient goals. Admission documentation is completed within 24 hours. Attends required staff meetings, interdisciplinary team meetings and care coordination activities. Revised 6.1.20 Signature Healthcare at Home Additional Duties Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Coordinates patient care in tandem with Case Manager as assigned by Clinical Manager. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities or other committees as assigned. May be required to work outside of designated geographical area based on census fluctuations and current staffing. Completes mandatory education requirements annually to maintain competence. May be required to visit patients in homes that are not clean, or in poor repair, have poor ventilation, are infested with insects or rodents, and secondhand smoke. Driving conditions may be difficult related to weather and/ or traffic. Maintains knowledge of and adheres to all applicable laws, rules, and standards. Participates in the orientation of new employees and preceptorship of students as assigned. Meets productivity expectations. The Start of Care Registered Nurse may be asked to complete other duties including standard nursing visits and/or RN case management depending on current agency needs. These duties are as follows: Patient Care Completes ongoing comprehensive assessment of patient and family to determine care needs. Provides a complete physical assessment and history of current and previous illness(es). Assesses and evaluates patient's status by: Regularly re-evaluating patient and family/caregiver needs. Participating in revising the plan of care as patient status and needs change in collaboration with the certifying medical provider. Develops a care plan that establishes preventative and rehabilitative nursing procedures. Includes the patient and the family/caregiver in the planning process. Revised 6.1.20 Develops a care plan that establishes interventions and goals. Includes the patient and the family/caregiver in the planning process. Works autonomously to initiate appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the medical provider in the plan of care. Involves the patient and family/caregiver to address needs and meet related goals. Provides health care instructions to the patient as appropriate per assessment and plan. Facilitates the patient's efforts toward self-sufficiency or obtaining appropriate caregiving. Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to coordinate patient care for assigned caseload. Communication Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements. Records pain/symptom management changes/outcomes as appropriate. Communicates with the medical provider regarding the patient's needs and reports changes in the patient's condition; obtains/receives medical provider orders as required. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the medical provider and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary team. Assists the patient and family/caregiver and other team members in providing continuity of care. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. POSITION QUALIFICATIONS: Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home health preferred. Current licensure in State(s) of planned practice and CPR certification. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per Self-directed and able to work with minimal supervision. Capable of prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Capable of considerable reaching, stooping bending, kneeling, and/or crouching. Possesses visual acuity and hearing to perform required nursing skills. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

This position is an LPN who works outside of scheduled business hours. This person is responsible for being the contact for Triage nursing and responds to calls as they come in while on shift. This position is responsible for completing patient visits and any required follow-up for patient/caregiver needs as well as any scheduled visits after business hours. The nurse builds from the resources of the community and collaboration with the Interdisciplinary Group/Team to meet the holistic needs of individuals and families within their homes and communities with an emphasis on palliative care for hospice patients and rehabilitative care for Home Health patients. ESSENTIAL JOB FUNCTIONS / RESPONSIBILITIES: Patient Care • Provides nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act and within the scope of LPN duties. • Assesses and evaluates patient's status by evaluating patient and family/caregiver needs as directed and participating in revising the plan of care in collaboration with the RN, the attending physician (or approved medical provider), and /or the hospice medical director as the patient status and needs change. • Works autonomously within Scope of Practice to initiate appropriate preventive rehabilitative and/or palliative care nursing procedures. Administers medications and treatments as prescribed by the physician (or approved medical provider) in the patients' plan of care. • Involves the patient and family/caregiver to address needs and meet related goals. • Provides health care instructions to the patient as appropriate per assessment and plan. • Assists in facilitating the patient's efforts toward self-sufficiency or obtaining appropriate caregiving and optimal comfort care or independent level of functioning. Communication • Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements. • Records pain/symptom management changes/outcomes as appropriate. • Communicates with the physician (or approved medical provider) regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' (or approved medical provider) orders as required. • Communicates with community health related persons to coordinate the care plan. • Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician (or approved medical provider) and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group or team. • Assists the patient and family/caregiver and other team members in providing continuity of care. • Works in cooperation with the family/caregiver and hospice interdisciplinary group home health interdisciplinary team to meet the emotional needs of the patient and family/caregiver. • Attends required staff meetings and interdisciplinary group meetings or case conferences. • Supports the mission, values and goals of Signature Healthcare at Home Additional Duties • Participates in on-call duties as defined by the on-call policy. • Ensures that arrangements for equipment and other necessary items and services are available. • Coordinates patient care in tandem with other clinical staff as assigned by Clinical Manager. • Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. • Actively participates in quality assessment performance improvement teams and activities or other committees as assigned. • May be required to work outside of designated geographical area based on census fluctuations and current staffing. • Completes mandatory education requirements annually to maintain competence. • May be required to visit patients in homes that are in less than ideal conditions. • Driving conditions may be difficult related to weather and/ or traffic. • Maintains knowledge of and adheres to all applicable laws, rules, and standards. • Participates in the orientation of new employees and preceptorship of students as assigned. • Meets productivity expectations. • May be required to participate in our Telehealth/RPM programs for monitoring RPM alerts and/or providing virtual visits. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. EDUCATION and EXPERIENCE: • Graduate of an accredited school of nursing. • One (1) to two (2) years of recent acute care experience in an institutional setting. • One (1) to two (2) years of recent experience in hospice or home health preferred. • Currently licensed as a Licensed Practical Nurse in the State(s) of planned practice. • Possesses and maintains CPR certification. QUALIFICATIONS and SKILLS: • Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. • Self-directed and able to work with minimal supervision. • Capable of prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Capable of considerable reaching, stooping bending, kneeling, and/or crouching. Possesses visual acuity and hearing to perform required nursing skills. • Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Personal Care Attendant's (Caregiver) main objective is client satisfaction and safety for both oneself and for the client. The Personal Care Attendant (caregiver) must have sensitivity for the needs of others, a professional manner, and a positive attitude. The Personal Care Attendant (Caregiver) must feel comfortable caring for a client in a private home or setting. The Personal Care Attendant (Caregiver) needs to report on time to scheduled shift unless specific circumstances come up. DUTIES & RESPONSIBILITIES Provide excellent client care including some or all of the following: Skin care maintenance Assist with toileting Assist with bathing, grooming, and other personal hygiene necessities Turning and positioning of the client Monitoring and reporting changes in the client status to the Client Care Coordinator(s) Clocking in and out according to the direction and procedure assigned by the Client Care Coordinator(s) Dressing and undressing the client Monitoring for signs of any ailment and communicating such concerns to the office Maintaining a hygienic environment The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Must be, at least, eighteen (18) years of age or older. Must be able to provide services according to the care plan of the client. Excellent customer service and listening skills. Excellent oral and written communication skills; able to effectively communicate with the client and the office staff. Ability to read and write clear English. Able to compute basic mathematics. PHYSICAL REQUIREMENTS Employees are asked to sign a statement indicating whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis. Typical functions of this role include standing, sitting and walking a majority of the time. There are occasions when kneeling, stooping, bending or reaching may be necessary. The employee must be able to lift and/or move up to 25 lbs on a regular basis. There may be occasions in which the employee must be able to lift or move up to 50 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at **************************** The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Registered Nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the holistic needs of individuals and families within their homes and communities with an emphasis on palliative care. The Registered Nurse will be dedicated to the Mission, Values and Care Commitments of Signature Healthcare at Home and embrace and demonstrate our mission: “To Enhance The Life Of Every Person We Serve.” ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES: Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family/caregiver to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. 3. Assesses and evaluates patient's status by: A. Establishing the initial individualized plan of care in collaboration with the attending physician, if any, and hospice medical director based on comprehensive assessment and patient goals. B. Regularly re-evaluating patient and family/caregiver needs. C. Participating in revising the plan of care in collaboration with the attending physician, if any, and hospice medical director as the patient status and needs change. 4. Develops a care plan that establishes interventions and goals incorporating palliative nursing actions. Includes the patient and the family/caregiver in the planning process. 5. Works autonomously to initiate appropriate preventive and palliative care nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care. 6. Involves the patient and family/caregiver to address needs and meet related goals. 7. Provides health care instructions to the patient as appropriate per assessment and plan. 8. Facilitates the patient's efforts toward self-sufficiency or obtaining appropriate caregiving and optimal comfort care. 9. Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements. 2. Records pain/symptom management changes/outcomes as appropriate. 3. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required. 4. Communicates with community health related persons to coordinate the care plan. 5. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 6. Assists the patient and family/caregiver and other team members in providing continuity of care. 7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 8. Attends required staff meetings and interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Coordinates patient care in tandem with LPN/LVN as assigned by Clinical Manager. 5. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 6. Fulfills the obligation of requested and/or accepted case assignments. 7. Actively participates in quality assessment performance improvement teams and activities or other committees as assigned. 8. May be required to work outside of designated geographical area based on census fluctuations and current staffing. 9. Completes mandatory education requirements annually to maintain competence. 10. May be required to visit patients in homes that are not clean, or in poor repair, have poor ventilation, are infested with insects or rodents, and secondhand smoke. 11. Driving conditions may be difficult related to weather and/ or traffic. 12. Maintains knowledge of and adheres to all applicable laws, rules, and standards. 13. Participates in the orientation of new employees and preceptorship of students as assigned. 14. Meets productivity expectations. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description . POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in hospice preferred. 2. Currently licensed as a Registered Nurse in the State(s) of planned practice. 3. Possesses and maintains CPR certification. 4. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. 5. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 6. Self-directed and able to work with minimal supervision. 7. Capable of prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Capable of considerable reaching, stooping bending, kneeling, and/or crouching. Possesses visual acuity and hearing to perform required nursing skills. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The occupational therapist contracted through the Organization is responsible for the implementation of standards of care for occupational therapy services and for adherence to all conditions outlined in the Service Agreement. DUTIES & RESPONSIBILITIES Assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s). Provides services that are ordered by the physician as indicated in the plan of care. Provides patient, caregiver, and family counseling. Provides patient and caregiver education. Communicates with the physician who is responsible for the home health plan of care and other health care practitioners (as appropriate) related to the current home health plan of care. Evaluates patient's functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self-care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the total plan of care. For patients who plan to return to work, the occupational therapist may perform work capacity evaluation and may refer to specialized vocational training in accordance with Organization policy. Develops treatment program and establishes goals for improved function. May teach new skills or retrain patient in once familiar daily activities that have been lost due to illness or injury, in accordance with Organization policy May fabricate splints and instruct patient in the use of various types of adaptive equipment to improve function. May train patient in the use of prosthetic and/or orthotic devices. Maintains appropriate clinical records, clinical notes, and reports to the physician any changes in the patient's condition. Submits these records in accordance with Organization policy. Participates in and contributes to the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training, case conferences, and other meetings as required by Organization policy to ensure coordinated and comprehensive plans of care for the patients of the Organization. Identifies patient and family/caregiver needs for other home health services and refers as appropriate. Instructs patient's family/caregiver and other Organization health care personnel in patient's treatment regime when indicated and appropriate. Supervises Certified Occupational Therapy Assistants according to organization policy and state regulations. When therapy is the only skilled service, instructs, supervises and evaluates home health aide care every two (2) weeks. Participates in discharge planning for patient. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Must be licensed where the HHA is located if licensure if required. Must have graduated from an OT program accredited by the Accreditation Council for Occupational Therapy Education (“ACOTE”) of the American Occupational Therapy Association (“AOTA) or any successor organization of the ACOTE. Must be eligible for or have taken the OT certification examination administered by the National Board for Certification in Occupational Therapy (“NBCOT”). Two years of clinical experience as an occupational therapist preferred. Demonstrates good verbal and written communication, and organization skills. Possesses and maintains current BLS CPR Certification. The ability to drive and/or have access to transportation for agency related travel (e.g. community partners, patients, etc.) is an essential function of the job. Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to an automobile. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. DUTIES & RESPONSIBILITIES Patient Care Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patient's status by: Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care as necessary Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care. Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload. Communication Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver. Attends Interdisciplinary Group (IDG) meetings. Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload. Additional Duties Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Graduate of National League for Nursing accredited school of nursing. Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. Management experience not required. Responsible for supervising hospice aides. Registered nurse with current licensure to practice professional nursing in the state. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist. Shows ability to organize and prioritize workload independently. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills. Maintains a current CPR certification. The ability to drive and/or have access to transportation for agency related travel (e.g. community partners, patients, etc.) is an essential function of the job. Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to an automobile. Self-directed and able to work with minimal supervision. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

The Licensed Practical Nurse is responsible for providing direct patient care under the supervision of a registered nurse. Responsibilities include following the plan of care, providing treatments, and working collaboratively with the members of the team to help meet positive patient care outcomes. DUTIES & RESPONSIBILITIES Provides direct patient care as defined in State's Nurse Practice Act. Implements plan of care initiated by the registered nurse. Provides accurate and timely documentation consistent with the plan of care. Collects assessment data and performs observation to report to and collaborate with RN(s) and physician(s). Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST, and Dietician) to the registered nurse and/or Assistant Director of Nursing or Director of Nursing. Uses equipment and supplies effectively and efficiently. Participates in personal and professional growth and development. Performs other duties as assigned by the registered nurse. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Must have completed a requisite practical (vocational) nursing program or be licensed in the state where the HHA is located. Has three years nursing experience preferred. Community/home health or medical/surgical experience is preferred. Currently licensed as a licensed practical nurse or licensed vocational nurse in the state. Complies with accepted professional standards and practice. Demonstrates good verbal and written communication, and organization skills. Must be a licensed driver with an automobile that is insured in accordance with state and organization requirements and is in good working order. Possesses and maintains current CPR certification. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at **************************** The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************