St. Mary's Health Care System jobs in New York, NY

Environmental Aide (Housekeeper) provides environmental services in the facility, including cleaning, laundry, window washing, waste disposal, and other services as needed to provide a clean, comfortable and safe environment of care. Supports Facility's mission to provide the highest quality care by complying with regulatory guidelines, meeting facility standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES 1. Performs laundry and other environmental services such as vacuuming, cleaning and disinfecting bathrooms, scrubbing, sweeping, glass cleaning, collecting and depositing waste, etc. according to established time frames, as required. 2. Replenishes bathroom supplies such as towels, soap and toilet tissue and paper towel dispensers. 3. Weighs and records laundry and other information as required to maintain Department statistics. 4. Recognizes and reports changes in the residents' behavior promptly to the Supervisor. 5. Uses cleaning equipment and chemical agents and supplies responsibly according to facility policy. 6. Records time worked promptly and accurately according to facility policy. QUALIFICATIONS / KNOWLEDGE Formal education required: High School diploma or General Educational Development (GED) preferred. Previous experience required: Minimum of six months of experience in housecleaning or closely related area with demonstrated skills.

The Licensed Behavior Analyst is responsible for planning, implementing Applied Behavior Analysis treatment plans for St. Mary's Kids @ Roslyn Department. Supports mission to provide the highest quality care by complying with regulatory guidelines, meeting facility standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES ESSENTIAL DUTIES 1. Complete assessments including the VB-MAPP, AFLS, SKILLS, and FBAs 2. Write reports as led by assessment, including treatment plans, and behavior intervention plans 3. Analyzes goal and behavior data 4. Provide direct and indirect supervision to ABA Therapists and RBTs 5. Develops and monitors treatment plans including but not limited to creating programs and stimuli 6. Provide Parent Training as approved by funder 7. Provides feedback to staff when opportunities for improvement/excellence are observed 8. Submits written reports within established time frames. 9. Fosters practices consistent with the organization's mission, vision and values; and family-centered care. 10. Provides adequate opportunity for staff training and education. 11. Work afternoons and evenings, if needed or requested NONESSENTIAL DUTIES 12. Participates in regular department meetings with staff. * Formal education required: * A Master's or Doctoral degree in Psychology, Social Work, Education or a related field * BCBA and LBA required Previous experience required: * At least 3 years of experience working with individuals with autism or related developmental disabilities * Knowledge and experience in developing and implementing Behavioral Intervention Plans for individuals with challenging behavior * Knowledge and experience in developing and implementing skill acquisition treatment plans for individuals with developmental disabilities

Respiratory Therapist delivers quality respiratory care to pediatric residents ranging in age from newborn to young adult. Plans, implements and evaluates a respiratory plan of care to meet the individual requirements of each resident in collaboration with the interdisciplinary care plan team. Supports the Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting facility standards, and maintaining appropriate certification. This is a Part-time nights position, 7pm to 7:30am. Alternating weekends and rotating holidays. This is an 1199 position. JOB DUTIES / RESPONSIBILITIES 1. Plans, implements and evaluates a respiratory plan of care to meet the individual requirements of each resident in collaboration with the interdisciplinary care team. 2. Completes resident assessments for breath sounds, SpO2 according to facility policy and physician orders. 3. Provides treatment, evaluation, monitoring and management of breathing disorders and cardiovascular problems; administers oxygen, pulmonary toileting, administers medications, monitors pulmonary systems and measures lung function as needed/ordered. 4. Determines requirements for treatment, such as type, method and duration of therapy, precautions, medication and dosages, compatible with physician's orders. 5. Monitors resident's physiological responses to therapy, such as vital signs, pulmonary function, and consults with physician when indicated. 6. Provides critical airway management during a Code Blue or Medical Assist including positive pressure ventilation via bag and mask as required. Performs CPR according to PALS/ACLS standards. 7. Provides ventilator management and assists with bedside weaning assessment and trials. 8. Inspects, cleans, tests and maintains respiratory therapy equipment to ensure equipment is functioning safely and efficiently, ordering repairs when necessary, according to facility policy. 9. Provides tracheotomy care (routine/emergency trach changes) of trached residents according to facility policy. 10. Participates in therapist driven protocols for weaning of residents from ventilators. 11. Collaborates with the interdisciplinary team to manage resident care. 12. Communicates with staff regarding changes in patient condition. 13. Monitors and records patient responses to treatment in the medical record. 14. Serves as a clinical resource for nursing staff, residents, families and other staff members. 15. Participates in Comprehensive Care Plan Meetings. 16. Educates residents and their families about their conditions and teach appropriate disease management techniques, such as breathing exercises and the use of medications and respiratory equipment. 17. Participates actively in department's quality improvement activities. 18. Any additional duties in relation to job title based on departmental needs. Formal education required: * Graduation from high school, or the equivalent; and * Completion of a certificate program, associate or higher degree program, in respiratory therapy. * Must be credentialed by the National Board for Respiratory Care as a Registered Respiratory Therapist and hold a current license by the New York State Education Department as a Respiratory Therapist. * PALS, ACLS and BLS certifications are required or must be obtained within 6 months of hire. Certifications must be maintained and renewed prior to the end of the month in which it expires throughout employment. Previous experience required: * Three years experience in an acute or long term care setting preferred. * Experience working with the neonatal and pediatric population desirable.

ABA Behavior Therapist/ Technician responsible for the provision of direct one to one behavioral intervention to teach communication, social and daily living skills and reduce problematic behaviors in the home, community and school settings. Behavior Technicians will utilize interventions developed out of the science of Applied Behavior Analysis and will be supervised by an experienced BCBA. JOB DUTIES / RESPONSIBILITIES 1. Provides direct client care in 1:1 and group settings utilizing a combination of intensive teaching and natural environment training. 2. Follows the behavioral plan developed by BCBA supervisor. 3. Collects, records, and summarizes data on observable client behavior. 4. Utilizes safe & appropriate handing procedures when working with clients. 5. Maintains client confidentiality. 6. Maintains a clean, safe, and organized work and therapy environment. 7. Collaborates with treatment team including client, parents and caregivers, outside professionals, and co-workers. 8. Maintains and acquires technical knowledge by attending required trainings. 9. Collects data on all programming and writes progress notes 10. Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities. 11. Maintains acceptable attendance status, per Agency policy 12. Attends all staff meetings and patient care conferences as scheduled 13. Responsible for timely travel to homes and or throughout community, as needed. Formal education required: High School Diploma or GED equivalent, if RBT certified; BA preferred. Previous experience required: Must have 1 - 2 years experience working with special needs children in various settings. Must be willing to train and become a Registered Behavior Technician (RBT) within 6 months of hire.

The Certified Nurses Aide performs direct and indirect patient care services under the direct supervision of licensed staff. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES: 1. Ensures quality and safe delivery of resident care. 2. Participates in the interdisciplinary team meetings and reports observations and makes appropriate recommendations. 3. Actively participates in the implementation of direct resident care in accordance with the care plan. 4. Completes daily resident assignments efficiently. 5. Accountable for resident safety throughout their shift. 6. Provides supervision of assigned residents and accountable for location of resident throughout shift. 7. Ensures resident's overall appearance reflects good personal hygiene and appropriate dress. 8. Promotes age appropriate independence on ADLs. 9. Ensues the residents living environment is neat, clean, and well-organized. 10. Ensures optimal nutrition and hydration of the resident by assisting in feeding as per care plan. 11. Accurately documents TPR, I & O, heights/weights and all important data as directed by unit routine. 12. Promptly reports changes in resident status to staff nurse/nurse manager. 13. Communicates resident's status to staff nurse/nurse manager when reporting off unit for breaks and end of shift. 14. Engages residents in age appropriate socialization/stimulation. 15. Collaborates with therapeutic activity staff. 16. Escorts residents to ACF/clinic appointments as assigned and is responsible for having clinic consult form filled out and returned. 17. Accurately identifies resident/environmental /personal belongings. 18. Reports all broken and malfunctioning equipment immediately to staff nurse/nurse manager. 19. Maintains a clean, well-organized work environment. 20. Initiates the admissions process by greeting the resident in the lobby, escorts to unit, orients to room and assist in vital signs, height, and weight. NON-ESSENTIAL DUTIES 21. Collaborates with environmental services to ensure adequate clean clothes are available. 22. Accompanies patients on outside trips, and activities as needed with therapeutic activities staff/school. 23. Actively seeks out opportunities to enhance present knowledge. 24. Participates in unit based quality improvement activities. 25. Assists Nurse or Doctor in procedures as needed Formal education required: High School Graduate or equivalent. Successful completion of 100 hours Nurses Aide Training Program. Certified Nurses Aide by State of NY. Basic Life Support (BLS) certification is optional. Previous experience required: One year experience in Medical Surgical / Pediatrics preferred.

Assists teacher in providing developmentally appropriate education programs that support the optimal growth and development of the students in the program. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES ESSENTIAL DUTIES * Implements the goals, procedures, and practices as established by the teacher to foster a challenging learning environment. * Assists in the implementation of lesson plan and classroom routines. * Assists in the selection and preparation of developmentally appropriate educational materials. * Assists in the activities that support the development of self-help skills (feeding, toileting, & dressing). * Assists teacher in preparing and maintaining all records and data as required by regulation and/or the Bureau of Day Care, NY State Education Department, NYC Department of Education. * Assists in the care and presentation of the classroom environment to include cleaning toys and equipment, maintaining a rich early childhood environment by use of bulletin boards and classroom decorations, rotating toys and books, and investing in the overall classroom arrangement. * Ensures a safe environment following all Infection control and universal precautions. * Maintains professional boundaries with colleagues, system-wide staff, and families, and understands and appreciates the family's choices and decisions with regard to their child. * Facilitates the safe arrival and departure of children by assisting in busing and transport duties on a daily basis. NONESSENTIAL DUTIES * Participates in meeting and other assigned committees. * Assists teacher with planning and preparing parties, field trips and graduation. * Participates in shared departmental duties of preparing the school environment for daily activities including getting the meal cart, ordering supplies, putting away supplies * Provides coverage and direction in teacher's absence as needed Formal education required: Two years of college or an Associate degree in early childhood education required; Bachelor's degree preferred. Must possess or be eligible for Teacher Assistant Certification granted by the NY State Education Department; must obtain Teacher Assistant Certification within 90 days of hire date Previous experience required: Two years experience in developing activities for children of various abilities & age groups. 2 years Early Education classroom experience preferred.

Senior Therapeutic Activities Assistant assists in the development, implementation, coordination and supervision of recreational and related activities for the MDHC clients providing for care, socialization and psychological adjustment. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES ESSENTIAL DUTIES * Assists the Manager/Lead in the development, coordination and ongoing activities of the MDHC program. * Assists Lead in the coordination and implementation of day to day operations of the programs including scheduling of client's activities, group placement and surveys. * Ensures all activity documentation, supports registrant's treatment plan and is completed in a timely fashion. * May assist with calls to families regarding scheduling, transportation or interpretation. * Provides program staff with guidance and support with programming, activities, events and trips. * Works with the Supervisor/Manager of MDHC in preparing the client's activities calendar and the staffing schedule. * Assists Manager with delegation of tasks between activities staff. * Acts as a mediator when issues arise within the program team. * Serves as a member of the care plan team, relaying information about the clients' activities and behavior to the other staff members. * Participates in the delivery of activities for the participants. * Investigates client occurrences, notifies the appropriate members of the care team and prepares occurrence reports as necessary. * Ensures adherence to hospital policies and procedures. * Closes program at the end of the last session ensuring all clients are on their respective buses. * Takes weekend emergency calls from clients, bus company and counselors. * Actively participates in meetings and other assigned committees, as directed by the Lead, Manager or Director. * May be required to assist with other programs, i.e. volunteers and recreation, as needed. Formal education required: Bachelor's degree in a related medical or educational field or Associates Degree with at least two years' work experience in recreation, psychology, education or related field. Bi-lingual (Spanish) also preferred. Previous experience required: Two to five years experience working in a pediatric therapeutic program or related field. Must have experience with data entry for documentation

The Health Homes Care Coordinator works towards achieving the six core care management functions of the designated health home. Responsible for the overall coordination of services to meet the goals of the child's comprehensive patient/family focused plan of care with high/medium/low acuity levels. Builds relationships with the parent/caregiver and child's care team (physicians, nurses, social workers, etc.) to coordinate and ensure the provision of services. Assists the parents/caregivers with navigating systems, access issues, and service coordination and empowers them to participate in all aspects of care. Acts as a liaison to outside agencies and a conduit for the transmission of information between St Mary's care management and the assigned health home. Supports St Mary's mission to provide the highest quality of care management services by complying with with NYS DOH and Health Homes' regulatory regulatory guidelines and meeting agency standards. JOB DUTIES / RESPONSIBILITIES ESSENTIAL DUTIES * Completes the Child and Adolescent Needs Assessment (CANS) to identify child's medical, social, educational and psychological needs. Develops a plan of care that is comprehensive of all the child's identified needs. * Initiates and builds relationships with the parent/caregiver/family, designated health home and managed care service providers to coordinate services. * Completes all required and necessary visits /contacts to ensure that the child is receiving coordinated services. * Works with Managed Medicaid provider and internal supports to ensure Medicaid eligibility and medical provider network enrollment. * Participates in team meetings with Health Homes Care Coordination Supervisor to review and implement plan of care. * Provides communication to management team on any updates and identified problems and discusses enhanced work process. * Initiates and attends team patient care conferences for complex and/or multi-disciplinary patients, whenever needed. * Meets all Pediatric Health Homes data entry and documentation requirements. * Ensures monthly productivity statistics are in accordance with Health Homes and St Mary's care management requirements. * Participates in all required Health Homes and St Mary's care management trainings and ongoing assessment tool education. Formal education and previous experience required: A Bachelors in a health or human services field or related field required Minimum of 2 years of job-related experience providing case management or medical focused care coordination services to individuals with chronic medical conditions. Have a background in the Early Intervention Ongoing Service Coordination service delivery. Experience preferred Bilingual Spanish speaking preferred Valid NYS ID and/or Drivers license required; must be willing to travel throughout designated counties. Knowledge and Abilities 1. Knowledge of third-party reimbursement, and abilities to develop case management plans and negotiate payment rates required. Valid Drivers license required; must be willing to travel throughout designated counties.

Assists teacher and classroom staff in providing developmentally appropriate education programs that support the optimal growth and development of the students in the program. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES ESSENTIAL DUTIES 1. Support teacher and teacher's assistants (TAs) in the goals, procedures, and practices foster a challenging learning environment for 1:1 student and classroom. 2. Assists teacher and TAs in the implementation of lesson plan and classroom routines for individual student assigned and/or classroom environment. 3. Assists teacher in the preparation of developmentally appropriate educational materials as needed. 4. Under the guidance of classroom staff, support students'development of self-help skills (feeding, toileting, & dressing). 5. Supports classroom staff in completing and maintaining records to meet compliance requirements of oversight agencies. 6. Supports classroom staff in the care and presentation of the classroom environment to include sanitizing toys and equipment, maintaining a rich early childhood environment by use of bulletin boards and classroom decorations, rotating toys and books, and investing in the overall classroom arrangement. 7. Ensures a safe environment following all infection control and universal precautions. 8. Maintains professional boundaries with colleagues, system-wide staff, and families, and understands and appreciates the family's choices and decisions with regard to their child. 9. Facilitates the safe arrival and departure of children by assisting in busing and transport duties on a daily basis. 10. Develops rapport with students when assigned 1:1 assistance for a child. 11. Provides feedback to teacher and classroom staff about student response to activities and classroom supports. NON-ESSENTIAL DUTIES 12. Participates in meeting and other assigned committees. 13. Assists teacher and TAs with planning and preparing parties, field trips and graduation. 14. Participates in shared departmental duties of preparing the school environment for daily activities including getting the meal cart, ordering supplies, putting away supplies. 15. Demonstrates flexibility when assignment of 1:1 student and/or classroom changes based on school attendance. Formal education required: High school diploma or GED required; Bachelor's degree preferred. Previous experience required: Experience working with children of various abilities & age groups required. 2 years Early Education classroom experience preferred.

Speech Language Pathologist, Center For Pediatric Feeding Disorders responsible for evaluating child's feeding skills, developing feeding protocol, administering protocol, assess patient's progress, monitoring data, overseeing implementation of protocols by other staff members, parent training, and perform duties necessary for program development. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES 1. Provides day patient and outpatient services in feeding therapy in accordance with the American Speech & Hearing Association's scope of practice guidelines. Demonstrates competency in the skills required by the facility on at least a bi-annual basis. 2. Administers initial evaluation including baselines, reinforcer assessment, oral motor evaluation, and food preference and texture assessment, if clinically indicated. 3. Evaluates and regularly re-evaluates the feeding needs of the patient. Initiates, develops, implements and makes necessary revisions to the patient's plan of care. Assesses the patient's continual care needs. Includes all problems identified in the assessment in the plan of care or documents rationale for not doing so. 4. Makes referrals to other disciplines as indicated by the needs of the patient or documents rationale for not doing so. 5. Assesses oral-motor and swallowing function and recommends the need for an instrumental swallow study. 6. Develops individual behavioral and/or oral motor feeding protocol with input, as necessary, from the Behavioral Psychologist. 7. Reviews recent swallow test, obtains baseline measures and administers Vital Stim therapy (if certified) upon clearance from medical personnel and signed parental consent. 8. Collects, compiles and analyzes data accurately. 9. Embraces the model of patient and family centered care and works in collaboration with parents to develop goals and track progress. 10. Properly trains caregivers in treatment protocols prior to discharge from Feeding Program. 11. Coordinates the total plan of care and maintains continuity of patient care by liaising with other professionals, school & daycare staff, and extended family, as needed. 12. Completes documentation accurately in a timely manner and according to policies. 13. Integral part of orienting and training new staff to Feeding Program. 14. Sanitizes and organizes feeding therapy room equipment (i.e., chairs/toys) daily. Formal education required: Master's degree in Speech Language Pathology ASHA Certificate of Clinical Competence Current New York State license to practice Speech-Language Pathology Previous experience required: Minimum of 1 year experience in pediatric/feeding preferred.

Plans, implements, evaluates and documents nursing care based on facility policies and procedures and external regulatory standards through the competent application of the nursing process to pediatric patients ages 0 - young adulthood, supervises licensed practical nurses and unlicensed nursing staff. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES 1. Provides nursing care in accordance with physician orders, standards of care, and departmental policies and procedures evaluating and revising care as needed. 2. Demonstrates competency in all skills required by St Mary's Hospital for Children 3. Administers medications in accordance with nursing practice standards, evaluates responses, outcomes and adverse effects. 4. Observes and reports changes in the resident's condition to the medical provider and/or other appropriate health professionals. 5. Assesses and identifies learning needs of the resident/family, plans and provides for patient/family training and education, and evaluates level of learning. 6. Attends and participates in interdisciplinary meetings. 7. Communicates plan of care changes as often as necessary 8. Accurately interprets lab values and reports abnormalities to medical provider. 9. Acknowledges medical provider orders and insures prompt and accurate implementation. 10. Orients and precepts new staff as directed and participates in the education of student nurses. 11. Identifies and immediately reports unsafe practices and/or conditions related to resident care, or resident abuse 12. Accompanies and transports residents when medically necessitated. 13. Participates in quality improvement activities as directed Formal education required: Licensed and currently registered to practice professional nursing in the State of New York. Basic Life Support (BLS) certification Pediatric Advanced Life Support (PALS) certification required within 3 months of hire. Previous experience required: One year nursing experience preferred in pediatrics or medical surgical nursing.

The Physical Therapist is responsible for the evaluation, planning, implementation, treatment and documentation of patient status for home care patients. Responsible to supervise Physical Therapy Assistants and cosign their documentation when required. Supports organizations mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES ESSENTIAL DUTIES 1. Provides skilled physical therapy in accordance with the authorized practitioner's plan of care. 2. Treats the patient through the use of therapeutic activities designed to remediate musculoskeletal deficits and restore function . Demonstrates and teaches proper transfers, ambulation, positioning and all other PT functions as stated in their practice act. 3. Accepts only patients referred by the Team Supervisor, Case Placement Coordinator or designee. 4. Demonstrates competency in skills required by the agency on at least an annual basis at the time of field evaluation. 5. Evaluates and assesses the patient's level of function by applying diagnostic and prognostic procedures and tests and assists in the development and revision of the plan of care. Assesses the patient's continual care needs. Ensures that the plan of care addresses all problems identified in the assessment or documents rationale for not doing so. 6. Identifies specific DME/orthotic needs of patient and refers to appropriate vendor. 7. Observes, records and reports the patient's reaction to treatment and any changes in the patient's condition to the RN or RN Coordinator or Team Supervisor. Reports routinely every 30 days to RN, RN Coordinator or Team Supervisor. Requests referrals for other disciplines as indicated by the needs of the patient or documents rationale for not doing so. 8. Teaches, supervises and counsels the patient, family and other health care team members regarding home rehabilitation procedures, including the home exercise program, and other care needs as appropriate to the patient's condition. 9. Evaluates home safety and coordinates with team members to address issues identified. 10. Coordinates the total plan of care and maintains continuity of patient care by liaising with other health professionals assigned to the same patients. 11. Attends patient care conferences. Initiates patient care conferences for complex and/or multi-disciplinary patients whenever needed to ensure good coordination of care. 12. Develops, prepares and maintains individualized patient care progress records with accuracy, timeliness and according to policies. 13. Submits all visit notes every week or sooner. Submits 60day, D/C summaries and/or quarterly reports as required by the individual program and department. 14. Co-signs all medical record documentation for the Physical Therapy Assistant (PTA) in the EMR in a timely manner. 15. Provides clinical supervision to PTA as per regulation. 16. Provides educational clinical support to the PTA to ensure safe effective treatment of patients. 17. Utilizes agency educational material as appropriate. 18. Meets weekly productivity standards and demonstrates flexibility in scheduling patients as required by department. NONESSENTIAL DUTIES 19. Cooperates with appropriate staff to provide staff education when requested and arranged by the Team Supervisor. 20. Attends meetings and serves on a variety of patient care and strategic planning committees as assigned by the Team Supervisor or Associate Directors. 21. Participates in the agency's quality improvement program. 22. Attends all staff meetings as required. Successful completion of a physical therapy program at a school of physical therapy approved by the American Physical Therapy Association or the Council on Medical Education and Hospitals of the American Medical Association, or both. If licensed or registered prior to 1966, meets the alternative qualifications cited in the Medicare Conditions of Participation, Section 405.12 (1) (2) (3) . Licensed in NYS as a Physical Therapist. Previous experience required: Minimum of one year of experience in pediatric physical therapy and/or pediatric affiliation.

The Certified Nurses Aide performs direct and indirect patient care services under the direct supervision of licensed staff. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES: 1. Ensures quality and safe delivery of resident care. 2. Participates in the interdisciplinary team meetings and reports observations and makes appropriate recommendations. 3. Actively participates in the implementation of direct resident care in accordance with the care plan. 4. Completes daily resident assignments efficiently. 5. Accountable for resident safety throughout their shift. 6. Provides supervision of assigned residents and accountable for location of resident throughout shift. 7. Ensures resident's overall appearance reflects good personal hygiene and appropriate dress. 8. Promotes age appropriate independence on ADLs. 9. Ensues the residents living environment is neat, clean, and well-organized. 10. Ensures optimal nutrition and hydration of the resident by assisting in feeding as per care plan. 11. Accurately documents TPR, I & O, heights/weights and all important data as directed by unit routine. 12. Promptly reports changes in resident status to staff nurse/nurse manager. 13. Communicates resident's status to staff nurse/nurse manager when reporting off unit for breaks and end of shift. 14. Engages residents in age appropriate socialization/stimulation. 15. Collaborates with therapeutic activity staff. 16. Escorts residents to ACF/clinic appointments as assigned and is responsible for having clinic consult form filled out and returned. 17. Accurately identifies resident/environmental /personal belongings. 18. Reports all broken and malfunctioning equipment immediately to staff nurse/nurse manager. 19. Maintains a clean, well-organized work environment. 20. Initiates the admissions process by greeting the resident in the lobby, escorts to unit, orients to room and assist in vital signs, height, and weight. NON-ESSENTIAL DUTIES 21. Collaborates with environmental services to ensure adequate clean clothes are available. 22. Accompanies patients on outside trips, and activities as needed with therapeutic activities staff/school. 23. Actively seeks out opportunities to enhance present knowledge. 24. Participates in unit based quality improvement activities. 25. Assists Nurse or Doctor in procedures as needed Formal education required: High School Graduate or equivalent. Successful completion of 100 hours Nurses Aide Training Program. Certified Nurses Aide by State of NY. Basic Life Support (BLS) certification is optional. Previous experience required: One year experience in Medical Surgical / Pediatrics preferred.

The Health Home Care Coordination Supervisor Level 1 provides care coordination staff supervision to ensure that families are receiving quality family centered case management services. Fosters patient advocacy for children with special health care needs through the provision of skilled, professional case management services. The Health Homes Care Coordination Supervisor works towards achieving the six core care management functions of the designated health home. Provides oversight to their designated care coordination team to ensure that all children meet the goals of their comprehensive patient/family focused plans of care. Responsible for ongoing case coordinator education and training and the identification of resources and referrals to meet the needs of the children. Develops and monitors quality improvement measurements and initiates change in work processes and policy to improve care coordination services. Supports St Mary's mission to provide the highest quality of care management services by complying with NYS DOH and lead Health Homes' regulatory guidelines and meeting agency standards. JOB DUTIES / RESPONSIBILITIES ESSENTIAL DUTIES: * Oversees and monitors performance of the care coordination staff to ensure that Program participants receive quality and timely services. * Identifies the needs and ensures access for training and ongoing staff education on processes, resources, advocacy and family centered case management services. * Guides staff on conflict resolution, advocacy issues and promotes relationship building with families and provider agencies. * Initiates process and policy change to ensure the delivery of family centered case management services. * Utilizes the Child and Adolescent Needs Assessment (CANS) to identify child's medical, social, educational and psychological needs. Works with Care Coordinator team members to develop comprehensive plans of care that meet the child's identified needs. * Monitors and assists case managers with developing plans of care according to patient's needs and program guidelines. Ensures case management and related services are delivered in accordance with patient's care plan. * Participates in and initiates case conferences in a timely manner to advocate for the patient and facilitates the approval of case management and related services. * Provides oversight of the completion of all required and necessary visits /contacts to ensure that the child is receiving coordinated services to meet the goals of the plan of care. Tracks staff documentation and ensures compliance with program requirements and regulations. * Maintains collaborative relationships with all internal personnel and outside agencies to ensure ongoing quality care coordination. * Ensures monthly productivity and billing statistics are in accordance with Case Management program and department standards. * Assists with case load coverage as needed. * Participates in supervisor meetings biweekly and meets with Director monthly /as needed and reports on case status and staff performance. * Participates in quality improvement activities and ensures incidents and complaints are reported and meet program regulatory requirements. * Monitors and reports all incidents and complaints relating to patient-family health and safety. Will follow the Mandated Reporter requirements and participate in the Incident Reporting Committee (IRC) monthly. Formal education and previous experience required: Bachelor's degree from an accredited college or university with a minimum of two years experience in the field of Health and Human Services; or R.N. licensure with one year nursing experience; pediatric and/or case management experience preferred; or M.S.W. from an accredited school of social work with a minimum of one year experience in the field of Health and Human Services, preferred. Valid Driver's license required.

Senior Therapeutic Activities Assistant develops, implements, coordinates and supervises recreational and related activities for the inpatient residents providing for care, treatment, rehabilitation and socialization and psychological adjustment. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES 1. Assists the Lead TAA in the development, coordination and ongoing activities of the Recreation program. 2. Holds a caseload and ensures all activity documentation and supporting care plans are completed in a timely fashion 3. Prepares the resident's activities calendar each month. 4. Serves as a member of the care plan team, relaying information about the clients' activities and behavior to the other staff members. 5. Participates in the delivery of activities for the participants. 6. Investigates client occurrences, notifies the appropriate members of the care team and prepares occurrence reports as necessary. 7. May be required to assist with orientation and oversight of volunteers and/or interns Formal education required: Bachelor's degree in a related medical or educational field or Associates Degree with at least two years' work experience in recreation, psychology, education or related field. Bi-lingual (Spanish) also preferred. Previous experience required: Two to five years experience working in a pediatric therapeutic program or related field. Must have experience with data entry for documentation

While providing home visits, the Expressive Therapist provides Expressive Therapy to patients and families under the Home and Community Based Services (HCBS) Waiver. The Expressive Therapist works to help patients and their families to feel empowered in their own creativity and to aid in their communication of their feelings particularly with regard to the stress and symptoms of serious illness and/or life-threatening conditions. The Expressive Therapist will also function as an additional resource to the rest of the palliative team as well as home care staff through consultation and educational offerings. JOB DUTIES / RESPONSIBILITIES * Uses music, art, and/or play therapies as a creative process resulting in exploration of patient's feelings, reconciling emotional conflicts, fostering self-awareness and making memories * Helps children better understand and express their reactions through expressive modalities * Educates patient and family members about expressive therapies including the benefits, purpose and ways to incorporate these benefits into daily life. * Encourages/assists patient/family in creating tangible mementos (such as artwork, musical creations etc.) as appropriate. * Maintains a caseload and ensures accurate and timely individualized assessment, planning, implementation and documentation. * Uses evidence-based treatments/modalities to address patient's needs and preferences. * Acts professionally and is legally accountable for all aspects of work * Develops an Expressive Therapy plan of care in conjunction with patient and family * Demonstrates an understanding of illness and the potential complications and side effects of treatments * Monitors and reviews the effectiveness of the therapy given and modifies it as necessary to support patient's treatment plan of care * Discusses patient suitability to receive expressive therapy treatment with the referring professional and the Home Care Palliative Care Program Manager, if necessary. * Refers patients to other members of multi-disciplinary team, as appropriate. * Participates in interdisciplinary case conferences and acts as a clinical resource for the team when needed. * Communicates promptly within the multidisciplinary team as issues arise for patients, whilst being mindful of confidentiality issues * Act as the patient's advocate in relation to Expressive Therapy. * Other duties as assigned. Formal education required: Child Life Specialist with Bachelor's Degree in Child Psychology or a related field and certification through the Child Life Council OR Creative Arts Therapist with a Master's or Doctoral Degree in Creative Arts Therapy and licensed by the State of New York OR Music Therapist with a Bachelor's Degree from a program recognized by the NYS Education Department OR Play Therapist with a Master's Degree from a program recognized by the New York State Education Department and a current Play Therapist Registration conferred by the Association for Play Therapy. Previous experience required: * Minimum 3 years of working with the medically fragile population * At least 1 year of clinical experience with a pediatric population, preferably involving end of life care

The Primary Care RN provides and directs the provision of home nursing care, based on agency policies and procedures, through the competent application of the nursing process. Collaborates closely with all disciplines to ensure patient needs are met in accordance with plan of care. Maintains clinical records in accordance with New York State and Federal regulations, and Home Care policy. Supports organizations mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES: 1. Provides Home Care nursing services, in accordance with the plan of treatment signed by the physician, and makes the initial evaluation visit to the patient as needed. 2. Collaborates with team members, physicians and patients/caregivers to re-evaluate the nursing needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care. Assesses the patient's continual care needs. Addresses all problems in the plan of care or documents rationale for not doing so. Completes MD orders and 60 day summary according to regulatory guidelines. 3. Initiates diagnostic, preventive and rehabilitative nursing procedures as appropriate to the patient's care and safety. Makes referrals to other disciplines as indicated by the patient's needs and in accordance with physician's orders, or documents rationale for not doing so. 4. Observes signs and symptoms and reports to the physician and/or other appropriate health professionals as often as needed, or upon changes in patient's condition. 5. Teaches, supervises and counsels the patient and family regarding home nursing procedures and other care needs as appropriate to the patient's condition. Utilizes agency educational material as appropriate. 6. Coordinates the total plan of care for all of the RN's caseload and maintains continuity of patient care by collaborating with other health professionals assigned to the same patients home care policy monthly and as necessary. Attends patient care conferences when needed or requested. Initiates patient care conferences for complex and/or multi-disciplinary patients whenever needed. 7. Maintains collaborative relationship with Supervisors to ensure adequate coordination of care in accordance with Home Care policy. 8. Supervises and teaches the home health aide every two weeks if required to complete a field visit. Assesses the patient's need for unskilled care and revises the plan of care as appropriate. Communicates the plan of care changes to the MD as often as necessary. 9. Develops, prepares and maintains individualized patient care progress records with accuracy, timeliness and according to policies. Performs all types of nursing visits according to agency policies and procedures. Documents accurately and submits documentation in a timely fashion in accordance with program policy. 10. Responsible for following all policies and procedures of the agency regarding service delivery, documentation and care coordination. During supervisory visits, exhibits full compliance and verbalizes knowledge of agency policies including, but not limited to, patient education, infection control, management of hazardous wastes and age-specific behaviors of patients. 11. Demonstrates competency in all skills required for the agency, including expertise in pediatrics. 12. Participates in on-call rotation. 13. Performs ongoing record review to ensure quality documents and compliance with policies and regulations. 14. Ensures signed MD orders are generated in accordance with policies and procedures no less than every 60 days and as needed. 15. Meets established productivity standards. 16. Participates in the agency's quality improvement program 17. Participates in appropriate community activities as requested. 18. Performs other duties as required. Formal education required: Associates degree in nursing; B.S.N. preferred. Holds a valid Registered Nursing license to practice in New York State. Previous experience required: Minimum of one year of nursing experience in pediatrics Home care experience preferred.

The Certified Nurses Aide performs direct and indirect patient care services under the direct supervision of licensed staff. Supports Hospital's mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES: 1. Ensures quality and safe delivery of resident care. 2. Participates in the interdisciplinary team meetings and reports observations and makes appropriate recommendations. 3. Actively participates in the implementation of direct resident care in accordance with the care plan. 4. Completes daily resident assignments efficiently. 5. Accountable for resident safety throughout their shift. 6. Provides supervision of assigned residents and accountable for location of resident throughout shift. 7. Ensures resident's overall appearance reflects good personal hygiene and appropriate dress. 8. Promotes age appropriate independence on ADLs. 9. Ensues the residents living environment is neat, clean, and well-organized. 10. Ensures optimal nutrition and hydration of the resident by assisting in feeding as per care plan. 11. Accurately documents TPR, I & O, heights/weights and all important data as directed by unit routine. 12. Promptly reports changes in resident status to staff nurse/nurse manager. 13. Communicates resident's status to staff nurse/nurse manager when reporting off unit for breaks and end of shift. 14. Engages residents in age appropriate socialization/stimulation. 15. Collaborates with therapeutic activity staff. 16. Escorts residents to ACF/clinic appointments as assigned and is responsible for having clinic consult form filled out and returned. 17. Accurately identifies resident/environmental /personal belongings. 18. Reports all broken and malfunctioning equipment immediately to staff nurse/nurse manager. 19. Maintains a clean, well-organized work environment. 20. Initiates the admissions process by greeting the resident in the lobby, escorts to unit, orients to room and assist in vital signs, height, and weight. NON-ESSENTIAL DUTIES 21. Collaborates with environmental services to ensure adequate clean clothes are available. 22. Accompanies patients on outside trips, and activities as needed with therapeutic activities staff/school. 23. Actively seeks out opportunities to enhance present knowledge. 24. Participates in unit based quality improvement activities. 25. Assists Nurse or Doctor in procedures as needed Formal education required: High School Graduate or equivalent. Successful completion of 100 hours Nurses Aide Training Program. Certified Nurses Aide by State of NY. Basic Life Support (BLS) certification is optional. Previous experience required: One year experience in Medical Surgical / Pediatrics preferred.

The Occupational Therapist is responsible for the evaluation, planning, implementation, treatment and documentation of patient status for home care patients. Responsible to supervise Certified Occupational Therapy Assistants (COTA) and cosign their documentation when required. Supports organizations mission to provide the highest quality care by complying with regulatory guidelines, meeting agency standards, and obtaining appropriate certification. JOB DUTIES / RESPONSIBILITIES: 1. Provides skilled occupational therapy in accordance with the authorized practitioner's plan of care. 2. Treats the patient through the use of therapeutic activities designed to restore function and self-care activities for the purpose of improving function. Demonstrates and teaches alternate techniques to complete activities of daily living, proper transfers, positioning and all other OT functions as stated in their practice act. 3. Accepts only patients referred by the Team Supervisor, Case Placement Coordinator or designee. 4. Demonstrates competency in skills required by the agency on at least an annual basis at the time of field evaluation. 5. Evaluates and assesses the patient's level of function by applying diagnostic and prognostic procedures and tests and assists in the development and revision of the plan of care. Assesses the patient's continual care needs. Ensures that the plan of care addresses all problems identified in the assessment or documents rationale for not doing so 6. Identifies specific DME/orthotic needs of patient and refers to appropriate vendor. 7. Observes, records and reports the patient's reaction to treatment and any changes in the patient's condition to the RN or RN Coordinator or Team Supervisor. Reports routinely every 30 days to RN, RN Coordinator or Team Supervisor. Requests referrals for other disciplines as indicated by the needs of the patient or documents rationale for not doing so. 8. Teaches, supervises and counsels the patient, family and other health care team members regarding home rehabilitation procedures, including the home exercise program, and other care needs as appropriate to the patient's condition. 9. Evaluates home safety and coordinates with team members to address issues identified. 10. Coordinates the total plan of care and maintains continuity of patient care by liaising with other health professionals assigned to the same patients. 11. Attends patient care conferences. Initiates patient care conferences for complex and/or multi-disciplinary patients whenever needed to ensure good coordination of care. 12. Develops, prepares and maintains individualized patient care progress records with accuracy, timeliness and according to policies. 13. Submits all visit notes every week or sooner. Submits 60day, D/C summaries and/or quarterly reports as required by the individual program and department. 14. Co-signs all medical record documentation for the Certified Occupational Therapy Assistant (COTA) in the EMR in a timely manner. 15. Provides clinical supervision to COTA as per regulation. 16. Provides educational clinical support to the COTA to ensure safe effective treatment of patients. 17. Utilizes agency educational material as appropriate. 18. Meets weekly productivity standards and demonstrates flexibility in scheduling patients as required by department. 19. Cooperates with appropriate staff to provide staff education when requested and arranged by the Team Supervisor. 20. Attends meetings and serves on a variety of patient care and strategic planning committees as assigned by the Team Supervisor or Associate Directors. 21. Participates in the agency's quality improvement program. 22. Attends all staff meetings as required. Formal education required: Registered by the American Occupational Therapy Association or successfully completed the educational requirements of occupational therapy. Licensed in the state as an Occupational Therapist. Previous experience required: Minimum of one year of pediatric occupational therapy experience and/or pediatric affiliation.