Office Director Salary in Bakersfield, CA

Job descriptionLVN Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist in planning the nursing services portion of the resident's discharge plan as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Write resident charge slips and forward to the Business Office. Maintain the Daily Census Report and submit to the Business Office as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Fill out and complete accident/incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Food Services Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident's medical record. Drug Administration Functions Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for your shift. Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Dispose of drugs and narcotics as required, and in accordance with established procedures Supervisory RequirementsAs LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.QualificationEducation and/or Experience - Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state.Language Skills - Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition.Mathematical Skills - Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability - Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace.Certificates, Licenses, Registrations - Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times.Physical DemandsMust be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.Additional InformationNote: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Job descriptionLVN Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist in planning the nursing services portion of the resident's discharge plan as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Write resident charge slips and forward to the Business Office. Maintain the Daily Census Report and submit to the Business Office as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Fill out and complete accident/incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Food Services Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident's medical record. Drug Administration Functions Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for your shift. Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Dispose of drugs and narcotics as required, and in accordance with established procedures Supervisory RequirementsAs LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.QualificationEducation and/or Experience - Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state.Language Skills - Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition.Mathematical Skills - Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.Reasoning Ability - Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace.Certificates, Licenses, Registrations - Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times.Physical DemandsMust be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.Additional InformationNote: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Bakersfield, CA - Seeking Practice Administrator Everybody Has A Role to Play in Transforming Healthcare As a Practice Administrator, you play a critical role by providing direct, business operations support to our medical directors, site physician partners, advanced providers and scribe (when applicable) employees. At Vituity we know the impact you can have. Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare. Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Act as the operational administrator for the site Vituity leadership and as the interface for the practice to the hospital and community. Act as the front-line liaison for the provider team with hospital C-Suite, nursing leadership, nursing staff, and Vituity support team. Provide executive support to the site medical director and site management team to meet contract expectations. Provide support for all site financials to include, but not limited to, contract stipends, expense reimbursements, and site payroll timecards. Act as the super user for all Vituity software applications and as a point person for hospital software and hardware systems. As appropriate to site practice, provide support to Vituity providers acting as a percipient witness in criminal or civil disputes including, but not limited to, receiving and routing subpoenas, scheduling depositions and trial testimony as applicable, development of a provider fee schedule, and including malpractice carrier as appropriate. Provide office management to include, but not limited to, all aspects of meeting management, office systems, supplies, site events, and customer service. As applicable to the practice line, facilitate all aspects of the daily patient census and attend daily multi-disciplinary rounds. As applicable to the site practice, responsible for all aspects of the site clinical schedules to ensure adequate coverage with no disruption to patient care. Collect, track, and analyze all site financial and operational data. Project management as needed of the site operational programs to include, but not limited to, Operations Meetings, Patient Experience Program, Quality/Performance Improvement Program, Advanced Provider and/or Scribe Programs, and Student or Resident rotations. Ensure all aspects of recruiting and on-boarding are completed for new providers and employees as well as locums and reservists and/or residents and students. Ensure all licensed providers complete their recredentialing timely and appropriately for their licensing, certificates, and credentials required by Vituity and hospital Medical Staff Office. Ensure all site partners and employees remain in compliance with Vituity and hospital programs and other mandated training or requests. Act as the point person for all Vituity People Operations (Human Resources) relations to include, but not limited to, ensuring accurate site roster and compliance with employment law and Vituity policies. Develop and maintain site orientation checklists and manuals. Collaborate with Medical Director and Site Management Team in developing and maintaining site practice policies and procedures. As applicable to practice line, responsible for all medical records and data submission to Revenue Cycle Management in a timely manner and responsible for appropriate charge capture in designated system, sending notices and follow up as appropriate. Ensure billing and documentation compliance through completion of site WIP/TAD lists, answering provider routine questions, and schedule/hosting/participating in the monthly meeting with Revenue Cycle Management billing team. Ensure completion of mandated forms and requests as appropriate to include, but not limited to, death certificates, physician office requests, State specific Workers Compensation and Motor Vehicle Department reporting compliance, and pharmacy requests. Required Experience and Competencies Two to three years of experience in an office or healthcare setting required. Associate or Bachelor's degree in Business Administration, Human Resources or related field strongly preferred. Experience working in the healthcare field is preferred. Knowledge of healthcare and medical terminology preferred. Knowledge of general Human Resource principles preferred. Knowledge of Federal, State, and County Agencies who regulate the Healthcare Industry preferred. Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills. Strong consultation skills and the ability to seek out information. Strong work ethic, organizational skills, and interpersonal skills. Ability to prioritize and work in a stressful environment. Ability to be self-directed, motivated, and sensitive to deadlines. Ability to express ideas and convey information effectively in verbal and written communications. Able to create positive environment, clearly understand client / customer relationships, and promotes Vituity positive image. Ability to understand and apply information management principles, data analysis interpretation and continuous quality improvement tools/methodologies. Ability to maintain flexibility, cooperation and participate in cross-organizational performance improvement activities. Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. Ability to establish and maintain effective working relationships as required by the duties of the position. Ability to read, understand and communicate in English sufficient to perform the duties of the position. Ability to evaluate and convey information in legible reports to Human Resource, Finance, and Executive groups. The Practice Adventist Health Bakersfield - Bakersfield, California 254-bed acute care hospital with annual ED volume of 65,000+. Only A-rated hospital in Kern County. Over 20 primary and specialty care offices, as well as wound care center, wellness center, four advanced outpatient imaging centers and two mobile medical units. Comprehensive cancer center, which is the only triple accredited program in Kern County and is a clinical research site. Ambulatory and helipad facilities for receiving patients throughout the county. The Community Incredible scenery and outdoor activities (camping, fishing, hiking, biking, rock climbing, and more!) Centrally located in California which is within a few hours' drive of Monterey, Yosemite, Kings Canyon, Sequoia National Forest, San Francisco, Los Angeles and beyond. Some of the most affordable housing on the West Coast. One of America's fastest growing cities ranked #2 metropolis for job growth in the nation, and #2 best performing large metropolis in California. Benefits & Beyond* Vituity cares about the whole you. With our unsurpassed benefits package and superior choices, we support your needs of today and your plans for the future. We are mindful of what matters most. Superior health plan options. Dental, Vision, HSA/FSA, Life and AD&D coverage, and more. Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%. Student Loan Refinancing Options. EAP, travel assistance and identify theft included. Wellness program. Commuter Benefits Program. Diversity, Equity, and Inclusion (DEI) initiatives including LGBTQ+ History, Dia de los Muertos Celebration, Money Management/Money Relationship, and more. Purpose-driven culture focused on improving the lives of our patients, communities, and employees. Hourly rate for this role is $23 - $29 per hour. Please speak with a recruiter for more information. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants Only. No agencies please.

Bernhard's core mission is delivering innovative engineering, construction, and energy solutions that empower our clients and promote a sustainable future. Bernhard is comprised of four divisions: Mechanical, Electrical, Engineering, and Development, each with a distinct identity and service offerings. The intersection of our capabilities enables Bernhard to provide turnkey Energy-as-a-Service ("EaaS") solutions to our clients. At the same time, our divisions continue working in the market sectors and communities that the Company has traditionally served. Bernhard's vision is to be the leading EaaS provider in North America through the delivery of excellent, high-value service and innovative solutions for our clients.Purpose and Essential Duties The Asset Manager IV will be responsible to work with a set of Bernhard customers to review energy usage and strategies in order to implement the best practices. This will include directly managing the O&M of the CEP for the campus, working with, and mentoring the owner's staff on the O&M and energy usage of multiple facilities as part of a greater campus effort.Specific responsibilities include:Reviewing of energy usage on a daily basis for the facility and to provide guidance, best practices, and modifications of current operations.Mentoring the owner on energy strategies.Managing the Central Energy Plant Operation and Maintenance including subcontractors, operators, and internal service providers.Managing the Maintenance Reserve Accounts for the CEP.Working with the operators to ensure the plant operates efficiently.Performing on-going training of the Plant Operators.Developing and maintaining the Plant Operating Manual.Assisting the Bernhard EPC team with the coordination of engineering, procurement and construction activities with OMC operations.Coordinating on-site troubleshooting and diagnostic efforts with remote support services team.Responsible for managing a single team or multiple teams consisting of one or more Asset Managers.This position is Full-Time, Exempt, and reports to a Director or Vice President.Required Education, Experience, and Qualifications 6+ years of experience in one of the following: Managing multiple sites and/or multiple Assistant Asset Manager(s)/Asset Manager I/II(s) and/or size/complexity of single site or 6+ years of management experience in a central plant or facility or 6+ years of experience in mechanical construction with a large mechanical subcontractor or MEP design consultant.Well versed in building codes and associated standards.Excellent communication and organizational skills.Effective verbal and written communication skills.Detail-oriented and willing to tackle various ongoing projects in a fast-paced environment.Versed in the industry and the Company's competitors.Ability to multitask and perform duties outside of the scope of work when necessary. The base salary range for this position is $95,000-145,000 per year however base salary may vary depending on job-related knowledge, skills, and experience. In addition, Bernhard offers a comprehensive benefits package that includes medical, dental and vision coverage; life, accident and disability insurances; and a 401(k) plan.Preferred Education, Experience, and Qualifications 4 year Mechanical Engineering degree (ABET Accredited Program).PE preferred or FE working towards obtaining PE.Travel Requirements 15% of time will be spent traveling to job site(s)/office location.Physical/Work Environment RequirementsProlonged periods of sitting at a desk and working on a computer.Ascending and descending ladders, stairs, scaffolding, ramps, and/or poles.Climbing stairs.Moving self in different positions to accomplish tasks in various environments including tight and confined spaces.Remaining in a stationary position, often kneeling, standing or sitting for prolonged periods.Noisy environment.Quiet environment.Medium work that includes adjusting and/or moving objects up to 50 pounds.Don't meet every single requirement? Studies have shown that diverse candidates are less likely to apply to jobs unless they meet every single qualification. At Bernhard, we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.Bernhard is proud to be an Equal Opportunity Employer of Minorities, Women, Protected Veterans, and Individuals with Disabilities, and participates in the e-Verify program. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, age, sexual orientation, gender identity, national origin, veteran status, disability, or any other classification protected by law.To staffing/placement agencies: We are not responsible for any fee related to unsolicited resumes from 3rd party staffing and placement agencies (whether submitted through this website or sent directly to an employee of Bernhard LLC or its operating companies) unless a written agreement is in place between the agency and Bernhard, LLC ("Company") and an authorized Company representative makes a written request to the agency to assist with a requisition. Similarly, no fee will be paid for candidates who apply and claim to be represented by an agency. Any unsolicited resumes, CVs, or other candidate information submitted by an agency will become the property of the Company, and no fee will be paid in the event such a candidate is hired.If you are an agency and would like to be considered for partnership with Bernhard, LLC please send your company's information to [email protected].

Who We AreAre you interested in working for an organization whose mission it is to enable frail, underserved, and multicultural senior communities to live independently at home and in their communities, for as long as possible?Fresno Program of All-Inclusive Care for the Elderly (PACE) is dedicated to providing its participants with comprehensive health and social supports that are proven to effectively manage chronic conditions and to reduce the risk for premature institutionalization. PACE staff are leaders in the "aging in place" industry and we have had the honor of serving Fresno, Bakersfield and Orange County seniors and their families/caregivers.Job SummaryThe Personal Care Attendant (PCA) Manager is responsible for providing leadership, supervision, and direction to the Home Care Department.Job DescriptionDuties include, but are not limited to: • Provide daily supervision and leadership of the overall day-to-day Home Care department. • Demonstrate good decision-making skills and provide written/oral coaching and counseling to assigned staff as needed. • Responsible for maintaining appropriate labor cost including minimizing overtime, meal breaks, and ensuring PCA's do not exceed approved hours. • Collaborates with the Center Manager to create and modify discipline specific and quality standards for care, ensuring that standards bear alignment with best practices, PACE policies and procedures, and the Centers of Medicare and Medicaid (CMS) guidelines.• Collaborate with the Center Manager and Executive Director to determine strategies needed to meet the department goals including staffing, operational, and other business needs. • Develops, coordinates, and enforces systems, policies, procedures, and productivity standards.• Supervise schedules, to ensure participants are receiving appropriate care based on the approved number of hours. • Occasionally assist PCA Supervisors with visits to participant homes to evaluate PCA performance and develop performance improvement plans when necessary.• Collaborates with Inter Disciplinary Team (IDT) to create a plan of care and accomplish care services goals for PACE participants. • Attend and actively engage in IDT and Care Planning meetings. • Maintains communication with participant's family and caregivers to ensure that participant needs are acknowledged and reported accurately to the IDT.• Coach PCA Supervisors in submitting PCA appraisal and service delivery while assisting with expedient corrective action and or referrals.• Oversee the requisition and placement of PCAs for participants to ensure efficiency. • Assists with timely hiring, performance evaluations, and progressive disciplinary actions as needed.• Promotes community-based health action.• Collaborates with all departments to make decisions appropriate to support the mission of Innovative Integrated Health. • Promotes a positive culture of accountability in meeting established agency goals of providing quality participant care through appropriate utilization of staff. • Maintain confidentiality regarding participant, staff, contractor, and organizational information.• Attend and participate in staff meetings, in-services, projects, and committees as assigned. • Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.• Be flexible in schedule of hours worked.• May require use of personal vehicle.Job Specific Duties• Able to demonstrate strong organizational and supervisory skills.• Strong verbal, written, and presentation skills.• Ability to perform and prioritize multiple functions and tasks .• Ability to deal with ongoing change.• Performs monthly, quarterly and annual evaluations of Personal Care Attendants, including on-site visits for observation and evaluation of care delivery.• Promotes inter-agency and intra-agency communication to assure appropriate participant care.• Enforces Homecare services in compliance with Innovative Integrated Health philosophy, policies and procedures; in accordance with Federal and State licensing laws and regulations.• Maintains current knowledge through attendance at in-services and continuing education programs.• Assists in the implementation and oversight of Innovative Integrated Health Homecare performance improvement plan.• Maintains respectful and professional conduct in the participant's home and at PACE site.• Follows and abides by Innovative Integrated Health policies and produces as established. • Perform PCA duties as needed or assigned.Working Conditions and Physical Demands The working conditions and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.• Ability to access all areas of the center throughout the workday.• Ability to lift up to 35 pounds occasionally, 15 pounds frequently, and 7 pounds constantly; required to obtain assistance of another qualified employee when attempting to lift or transfer objects over 25 pounds.• Requires constant hand grasp and finger dexterity; frequent sitting, standing, walking and repetitive leg and arm movements, occasional bending, reaching forward and overhead; squatting and kneeling.• Ability to communicate verbally with an excellent comprehension of the English language.• Work is generally performed in an indoor, well-lighted, well-ventilated, heated, and air- conditioned environment.Experience• Minimum of one (1) year of documented experience working with a frail or elderly population. • Minimum of three (5) years of supervisory experience.• Previous LVN, skilled nursing, or assisted living experience preferred. Knowledge, Skills, and Abilities• Excellent planning and supervision abilities.• Ability to work effectively and harmoniously with staff, elderly, public and private agencies, governmental officials, providers of services, and peers.• Energetic, well organized, dependable, flexible, and resourceful.• Effective oral and written communication skills.• Working knowledge of Microsoft Office Applications: Word, Excel and PowerPoint.Education and Certification• Associate degree required. • Is medically cleared for communicable diseases and has all immunizations up-to-date before engaging in direct participant contactCore Values• Respect at the core of our interactions.• Honesty and Integrity with every endeavor• Patient - Centered care aligned with participant values, beliefs, and preferences. • Encouragement that motivates and empowers others to be the best they can be. • Quality Care that is efficient, transformative and innovative.

Bakersfield, CA - Seeking Practice Administrator Everybody Has A Role to Play in Transforming Healthcare As a Practice Administrator, you play a critical role by providing direct, business operations support to our medical directors, site physician partners, advanced providers and scribe (when applicable) employees. At Vituity we know the impact you can have. Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare. Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Act as the operational administrator for the site Vituity leadership and as the interface for the practice to the hospital and community. Act as the front-line liaison for the provider team with hospital C-Suite, nursing leadership, nursing staff, and Vituity support team. Provide executive support to the site medical director and site management team to meet contract expectations. Assist with site financials to include, but not limited to, contract stipends, expense reimbursements, and site payroll timecards. Act as the super user for all Vituity software applications and as a point person for hospital software and hardware systems. As appropriate to site practice, provide support to Vituity providers acting as a percipient witness in criminal or civil disputes including, but not limited to, receiving and routing subpoenas, scheduling depositions and trial testimony as applicable, development of a provider fee schedule, and including malpractice carrier as appropriate. Provide office management to include, but not limited to, all aspects of meeting management, office systems, supplies, site events, and customer service. As applicable to the practice line, facilitate all aspects of the daily patient census and attend daily multi-disciplinary rounds. Responsible for all aspects of the site clinical schedules to ensure adequate coverage with no disruption to patient care. Collect, track, and analyze all site financial and operational data. Project management as needed of the site operational programs to include, but not limited to, Operations Meetings, Patient Experience Program, Quality/Performance Improvement Program, Advanced Provider and/or Scribe Programs, and Student or Resident rotations. Ensure all aspects of recruiting and on-boarding are completed for new providers and employees as well as locums and reservists and/or residents and students. Ensure all licensed providers complete their recredentialing timely and appropriately for their licensing, certificates, and credentials required by Vituity and hospital Medical Staff Office. Ensure all site partners and employees remain in compliance with Vituity and hospital programs and other mandated training or requests. Act as the point person for all Vituity People Operations (Human Resources) relations to include, but not limited to, ensuring accurate site roster and compliance with employment law and Vituity policies. Develop and maintain site onboarding and orientation checklists and orientation manuals. Collaborate with Medical Director and Site Management Team in developing and maintaining site practice policies and procedures. As applicable to practice line, responsible for all medical records and data submission to Revenue Cycle Management in a timely manner and responsible for appropriate charge capture in designated system, sending notices and follow up as appropriate. Ensure billing and documentation compliance through completion of site WIP/TAD lists, answering provider routine questions, and schedule/hosting/participating in the monthly meeting with Revenue Cycle Management billing team. Ensure completion of mandated forms and requests as appropriate to include, but not limited to, death certificates, physician office requests, State specific Workers Compensation and Motor Vehicle Department reporting compliance, and pharmacy requests. Required Experience and Competencies High School diploma or equivalent and 2+ years of experience in an office or healthcare setting required. Associate or Bachelor's degree in Business Administration, Human Resources, or related field preferred. Experience working in the healthcare field preferred. Knowledge of healthcare and medical terminology preferred. Knowledge of general Human Resource principles preferred. Knowledge of Federal, State, and County Agencies who regulate the Healthcare Industry preferred. Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills Strong consultation skills and the ability to seek out information. Strong work ethic, organizational skills, and interpersonal skills. Ability to prioritize and work in a stressful environment. Ability to be self-directed, motivated, and sensitive to deadlines. Ability to express ideas and convey information effectively in verbal and written communications. Able to create positive environment, clearly understand client / customer relationships, and promotes Vituity positive image. Ability to understand and apply information management principles, data analysis interpretation and continuous quality improvement tools/methodologies. Ability to maintain flexibility, cooperation and participate in cross-organizational performance improvement activities. Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency. Ability to establish and maintain effective working relationships as required by the duties of the position. Ability to read, understand and communicate in English sufficient to perform the duties of the position. Ability to evaluate and convey information in legible reports to Human Resource, Finance, and Executive groups. The Practice Adventist Health Bakersfield - Bakersfield, California 254-bed acute care hospital with annual ED volume of 65,000+. Only A-rated hospital in Kern County. Over 20 primary and specialty care offices, as well as wound care center, wellness center, four advanced outpatient imaging centers and two mobile medical units. Comprehensive cancer center, which is the only triple accredited program in Kern County and is a clinical research site. Ambulatory and helipad facilities for receiving patients throughout the county. The Community Incredible scenery and outdoor activities (camping, fishing, hiking, biking, rock climbing, and more!) Centrally located in California which is within a few hours' drive of Monterey, Yosemite, Kings Canyon, Sequoia National Forest, San Francisco, Los Angeles and beyond. Some of the most affordable housing on the West Coast. One of America's fastest growing cities ranked #2 metropolis for job growth in the nation, and #2 best performing large metropolis in California. Benefits & Beyond* Vituity cares about the whole you. With our unsurpassed benefits package and superior choices, we support your needs of today and your plans for the future. We are mindful of what matters most. Superior health plan options Dental, Vision, HSA/FSA, Life and AD&D coverage, and more Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% Student Loan Refinancing Options EAP, travel assistance and identify theft included Wellness program Commuter Benefits Program Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Dia de los Muertos Celebration, Money Management/Money Relationship, and more. Purpose-driven culture focused on improving the lives of our patients, communities, and employees. Hourly rate for this role is $23 - $29 per hour. Please speak with a recruiter for more information. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants Only. No agencies please.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions • Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. • Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. • Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. • Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. • Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. • Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. • Make written and oral reports/recommendations concerning the activities of your shift as required. • Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. • Ensure that all nursing service personnel are in compliance with their respective job descriptions. • Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. • Participate in facility surveys (inspections) made by authorized government agencies as may be requested. • Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. • Assist in planning the nursing services portion of the resident's discharge plan as necessary. • Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. • Admit, transfer, and discharge residents as required. • Complete accident/incident reports as necessary. • Write resident charge slips and forward to the Business Office. • Maintain the Daily Census Report and submit to the Business Office as required. • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation • Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. • Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. • Receive telephone orders from physicians and record on the Physicians' Order Form. • Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. • Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. • Fill out and complete accident/incident reports. Submit to Director as required. • Chart all reports of accidents/incidents involving residents. Follow established procedures. • Record new/changed diet orders. Forward information to the Food Services Department. • Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. • Fill out and complete transfer forms in accordance with established procedures. • Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. • Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. • Sign and date all entries made in the resident's medical record. Drug Administration Functions • Prepare and administer medications as ordered by the physician. • Verify the identity of the resident before administering the medication/treatment. • Ensure that prescribed medication for one resident is not administered to another. • Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. • Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. • Ensure that narcotic records are accurate for your shift. • Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. • Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. • Notify the attending physician of automatic stop orders prior to the last dosage being administered. • Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions • Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. • Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. • Report absentee call-ins to the Nurse Supervisor. • Review and evaluate your department's work force and make recommendations to the Nurse Supervisor. • Develop work assignments and/or assist in completing and performing such assignments. • Provide leadership to nursing personnel assigned to your unit/shift. • Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. • Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. • Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. • Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. • Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. • Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures. • Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. • Receive/give the nursing report upon reporting in and ending shift duty hours. • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Nursing Care Functions • Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. • Ensure that rooms are ready for new admissions. • Greet newly admitted residents upon admission. Escort them to their rooms as necessary. • Participate in the orientation of new residents/family members to the facility. • Make rounds with physicians as necessary. • Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. • Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. • Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. • Implement and maintain established nursing objectives and standards. • Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. • Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. • Cooperate with and coordinate social and activity programs with nursing service schedules. • Notify the resident's attending physician when the resident is involved in an accident or incident. • Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. • Carry out restorative and rehabilitative programs, to include self-help and care. • Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. • Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. • Use restraints when necessary and in accordance with established policies and procedures. • Obtain sputum, urine and other specimens for lab tests as ordered • Take and record TPRs, blood pressures, etc., as necessary. • Monitor seriously ill residents as necessary. • Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. • Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. • Ensure that residents who are unable to call for help are checked frequently. • Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor • Admit, transfer and discharge residents as necessary. • Assist in arranging transportation for discharged residents as necessary. • Ensure that discharged residents are escorted to the pick-up area. • Inform family members of the death of the resident. • Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Staff Development • Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. • Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. • Assist in standardizing the methods in which work will be accomplished. • Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. • Assist the Director in planning clinical supervision for nurse aide trainees. • Attend and participate in outside training programs. • Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • Attend and participate in advance directive in-service training programs for the staff and community. • Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation • Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. • Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. • Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. • Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. • Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. • Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. • Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures. • Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. • Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. • Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. • Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. • Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. • Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. • Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions • Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift. • Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents. • Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. • Ensure that only trained and authorized personnel operate your unit/shift's equipment. • Ensure that all personnel operate nursing service equipment in a safe manner. • Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. • Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions • Review care plans daily to ensure that appropriate care is being rendered. • Inform the Nurse Supervisor of any changes that need to be made on the care plan. • Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. • Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. • Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident. • Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Budget and Planning Functions • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous • Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions • Assist the Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility. • Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing service department. • Ensure that reference material (i.e., PDR'S, regulations, professional standards of practice, etc.) maintained at the nurses' stations is current. Recommend written material that will assist the nursing service department in meeting the day-to-day needs of the resident. • Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. • Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. • Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department. • Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director. • Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. • Ensure that all nursing service personnel are in compliance with their respective job descriptions. • Participate in the development, maintenance and implementation of the facility's quality assurance program for the nursing service department. • Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services. • Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. • Assist the Director in planning the nursing services portion of the resident's discharge plan as necessary. • Meet with the nursing staff, as well as support personnel, in planning the department's services, programs, and activities. • Admit, transfer, and discharge residents as required. • Complete accident/incident reports as necessary. • Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., asnecessary. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. • Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility's information system. Committee Functions • Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required. • Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed. • Provide information to the Quality Assurance and Assessment Committee as requested. • Participate in developing the agenda for the Care Plan Committee meetings as necessary. • Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. • Implement recommendations from established committees as instructed by the Director. Personnel Functions • Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained. • Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. • Develop work assignments, and/or assist in completing and performing such tasks. • Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties. • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. • Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. • Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. • Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. • Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel. • Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. • Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. • Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. • Review and evaluate your department's work force and make recommendations to the Director. • Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc. • Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Nursing Care Functions • Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. • Ensure that rooms are ready for new admissions. • Greet newly admitted residents upon admission. Escort them to their rooms as necessary • Make rounds with physicians as necessary. • Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. • Inform the Director when physician visits are not made in a timely manner. • Consult with the resident, his/her family, and the resident's physician in planning the resident's care, treatment, rehabilitation, etc., as necessary. • Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. • Visit residents on a daily basis in order to observe and evaluate each resident's physical and emotional status. • Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. • Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. • Provide direct nursing care as necessary. • Start IVs, obtain sputum, urine and other specimens for lab tests as ordered. • Take TPRs, blood pressures, etc., as necessary. • Admit, transfer and discharge residents as necessary. • Report problem areas to the Director. Assist in developing and implementing corrective action. • Keep the Director informed of the status of residents and other related matters through written/oral reports. • Assist the Charge Nurse in monitoring seriously ill residents. • Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures. • Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies. • Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. • Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. • Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. • Ensure that residents who are unable to call for help are checked frequently. • Meet with residents, and/or family members, as necessary. Report problems to the Director. • Assist in arranging transportation for discharged residents as necessary. • Inform family members of the death of the resident. • Call funeral homes when requested by the family. Staff Development • Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department. • Assist the In-service Director/Educator in developing annual facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • Assist the Director in planning clinical supervision for nurse aide trainees. • Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation • Assist the Safety Officer in developing safety standards for the nursing service department as necessary. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and jobrelated functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. • Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. • Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. • Ensure that personnel follow established procedures for the use and disposal of personal protective equipment. • Monitor your shift's personnel to ensure that they are following established safety regulations in the use of equipment and supplies. • Ensure that all nursing service personnel comply with established departmental policies and procedures. • Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. • Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. • Ensure that nursing service personnel follow established handwashing and hand hygiene procedures. • Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. • Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. • Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. • Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. • Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. • Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions • Recommend to the Director the equipment and supply needs of the department. • Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident. • Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. • Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. • Ensure that only trained and authorized personnel operate the nursing service department's equipment. • Ensure that all personnel operate nursing service equipment in a safe manner. • Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. • Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions • Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. • Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. • Encourage the resident to participate in the development and review of his/her care plan. • Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. • Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. • Review nurses' notes to determine if the care plan is being followed. • Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. • Review resident's medical and nursing treatments to ensure that they are provided in accordance with the resident's care plan and wishes. Budget and Planning Functions • Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. • Recommend to the Director the equipment needs of the nursing service department. • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Supervisory Requirements Assist with the overall supervision of and management of the nursing staff. As RN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must posess, as a minimum, a Nursing Degree an accredited college or university. Must have training in rehabilitative and restorative nursing practices. 2 years or more experience preferably in a long-term care facility. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess • the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems. • the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. • leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. • the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. Be a supportive team member, contribute to and be an example of team work and team concept. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an RN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.