POSITION DESCRIPTION:

The Registered Nurse (RN) is experienced in nursing, with emphasis on home healthcare. The RN uses clinical judgment, critical thinking, policies and procedures to support and meet the
needs of patients. The RN provides services in compliance with policies of the Agency, the
District of Columbia and federal regulations related to their scope of practice.

POLICY:

Skilled nursing services shall be provided by a registered nurse (or licensed practical
nurse under the direct supervision of the registered nurse), in accordance with the plan of care of each patient.

PROCEDURE:

1. Home care services will be provided in accordance with a physician’s order and
supervised at all times by a qualified Registered Nurse (referral that includes at least a
nursing service).
2. The Registered Nurse is responsible for the coordination of care/services provided by
multidisciplinary staff.
3. Wound care and tube feeding shall be provided only by an RN or LPN. Simple wound
care and gastrostomy tube feeding may be provided by a home health aide or personal
care aide provided that the aide receives adequate training prior to performing the service
and that the service is monitored continuously, with onsite supervision by the RN at least
every fourteen (14) days

DUTIES:

1. Develop a plan of care for the delivery of PCA services that is consistent with the goals
of the PCSP (PCA oversight)
2. Manage and provide supervision to the PCA who is qualified to perform all the functions
of a PCA (PCA oversight)
3. The RN shall be responsible for accepting and reviewing the beneficiary’s PCA service
authorization, initial assessment, or recertification of needs for PCA services,
4. Establishes individualized plan of care (and revises plan as necessary) that meets the
patient’s assessed needs and preferences within the service limitations authorized in the
PCA authorization
5. Updating the plan of care based upon reassessment of needs
6. Reviewing the plan of care with the assigned PCA and ensuring that each assigned PCA
has the requisite training, skills and ability to meet the patient’s identified needs and
preferences
7. Monitoring the quality of PCA services on a regular basis and ensuring that PCA services
are delivered in accordance with the patient’s plan of care
8. Supervising all PCAs, regardless of whether the PCA is an employee of the provider or is
secured through a staffing agency. Supervision shall include on-site supervision at least
every sixty (60) days
9. Coordinating the provision of PCA services with other home health services, as
appropriate and communicating with each patient’s physician or nurse practitioner
regarding changes in the patient’s conditions and needs
10. Communicating and coordinating with DHCF or its designated agent regarding changes
in the patient’s condition and needs. At a minimum, the agency must communicate to
DHCF or its designated agent any failure or inability of the agency to deliver authorized
services within three (3) business days of the scheduled visit and any change in the
patient’s status requiring a modification in the amount, duration or scope of services
authorized
11. Counseling the patient and/or her/his family regarding nursing needs
12. Initiates appropriate specialized preventive and rehabilitative nursing procedures (Wound
care, infusion, vent care, etc.) as prescribed by the physician
13. Collects, maintains and submits all referral information for each patient as required
14. Provides patient care assignment and supervision to licensed practical nurses and home
health aides per policy
15. Provides health care instructions (and assessment of compliance with instruction) to
patient and family as appropriate per assessment and plan
16. Provides and maintains a safe environment for the patient.
17. Participates in quality improvement activities; performs assigned medical record audits
and reports
18. Assures that arrangements for equipment and other necessary items and services are
available and prepares patient for discharge
19. Participates in educational programs to maintain skills and knowledge of current nursing
practice
20. Responsible for discharge planning and/or transfer, unless when physical therapy service
only is ordered.

QUALIFICATION AND SKILLS:

1. At least an associate degree in nursing from an accredited institution or diploma nurse
graduate from a state approved program/hospital
2. Valid license in the District of Columbia and CPR and first aid certification
3. Minimum of three years clinical experience with at least a year in home care
4. Excellent observation, verbal and written communication, problem solving skills, basic
math skills; nursing skills per competency checklist
5. Basic proficiency in computers and Microsoft office suite

Physical therapy services shall be provided by a physical therapist or a physical therapy assistant working under the direct supervision of a physical therapist. In order to receive Medicaid reimbursement, all practitioners shall meet the following requirements: licensed to practice physical therapy or physical therapist assistant in accordance with the District of Columbia Health Occupations Revisions Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3-1201.01 et seq. (2016 Repl.)), and implementing rules, Chapter 67 (Physical Therapy) of Title 17 DCMR.

The agency must obtain prior authorization from DHCF or its designee prior to providing, or allowing any professional to provide physical therapy services. In its request for prior authorization, the Medicaid provider shall document the following: the EPD Waiver beneficiary’s need for physical therapy services as demonstrated by a physician’s order; and the name of the professional or home care agency that will provide the physical therapy services.

The PT shall participate in PCSP and interdisciplinary team meetings to provide consultative services and recommendations to focus on how the patient is doing in achieving the functional
goals that are important to him or her;

The agency shall maintain the following documents for monitoring and audit reviews: the
physician’s order; a copy of the physical therapy assessment and therapy plan developed in accordance with the requirements of this Section; and any documents required to be maintained by DHCF as specified in Section 4255 (Audits and Monitoring/Oversight Reviews).

DUTIES AND RESPONSIBILITIES

1. PT services shall maximize independence, prevent further disability, maintain health, and
the patient’s functionality, and be targeted at the treatment of identified physical
dysfunction or the degree to which pain associated with movement can be reduced.
2. PT services shall be provided in accordance with the beneficiary’s PCSP and delivered in
the patient’s home or in a day service setting.
3. The PT shall conduct an assessment of physical therapy needs within the first four (4)
hours of service delivery, and develop a therapy plan (Plan of Care) to provide services.
4. The therapy plan shall include the anticipated and measurable, functional outcomes,
based upon what is important to and for the beneficiary as reflected in his or her personcentered goals in his or her PCSP and a schedule of approved physical therapy services to
be provided.
5. The therapy plan shall be submitted by the agency to the patient or authorized
representative, and the case manager before services are delivered
6. PT services shall consist of the following ongoing activities:
a. conducting an initial assessment and annual re-assessment;
b. consulting with the beneficiary, his or her family,
c. caregivers and interdisciplinary team to develop the therapy plan;
d. implementing therapies described in the therapy plan;
e. recording progress notes during each visit which shall contain the following:
progress in meeting each goal in the therapy plan; any unusual health or
behavioral events or change in status; the start and end time of any services
received by the beneficiary; and any matter requiring follow-up on the part of the
service provider, case manager, or DHCF.
f. developing quarterly reports based on the progress notes and indicating progress
in meeting each goal in the therapy plan, and any progress made on matters
requiring follow-up in the progress notes;
g. submitting quarterly reports to DHCF, which shall be uploaded in the EPD
Waiver electronic case management system;
h. routinely assessing (at least annually and more frequently as needed) the
appropriateness and quality of adaptive equipment to ensure it addresses the
beneficiary’s needs;
i. completing documentation required to obtain or repair adaptive equipment in
accordance with insurance guidelines and Medicare and Medicaid guidelines,
including required timelines for submission, conducting periodic examinations (at
least annually and more frequently as needed) and modified treatments for the
beneficiary, as needed to determine which services are most appropriate to
enhance the beneficiary’s well-being and meet the therapeutic goals;
j. and updating the therapy plan and communicating with the case manager to make
any updates to the PCSP with any modifications to the therapy plan.

POSITION DESCRIPTION:

The Licensed practical nurse (LPN) is experienced in nursing, with emphasis on home healthcare. The LPN uses clinical judgment, critical thinking, policies and procedures to support and meet the needs of
patients and provides services in compliance with policies of the Agency, the District of Columbia and federal regulations related to their scope of practice.

The Agency shall comply with the practical nurse examiner’s rules relating to the following:

1. Educational Program Requirements
2. Licensure
3. Continuing Education Requirements
4. Contested Case Procedure/Unprofessional Conduct
5. Peer Review and Reporting
Registered Nurses will assign Licensed Practical Nurses to deliver patient care based on the RN’s
assessment of the patient’s condition, and the RN’s assessment of the LPN’s ability.

DUTIES AND RESPONSIBILITIES:

1. Provide direct and individualized nursing care to patients based on the application of scientific
nursing principles.
2. Maintains comfortable, orderly, safe and clean environment for patients
3. Measures & records patients’ vital signs (such as height, weight, temperature, blood pressure,
pulse, respiration) records input and output
4. Assists with bathing, dressing, and personal hygiene of patient, assists with bed positioning,
standing and walking of patients
5. Prepares and gives injections and enemas, monitors catheters, cares for wounds
6. Collects samples for testing, performs routine laboratory tests as directed by supervisor
7. Prepares and administers (orally, subcutaneously, through an IV) and records prescribed
medications.
8. Reports adverse reactions to medications or treatments in accordance with the policy regarding
the administration of medications by a licensed practical nurse
9. Assists in relevant health teaching for patient and family/significant other
10. Records all care information concisely, accurately and completely, in a timely manner, in the
appropriate format and on the appropriate forms
11. Supervision of the LPN by the RN will depend on the severity or complexity of the case, but will
occur at least once every two (2) weeks.

Qualifications:

1. Graduate from an approved practical nursing program by the Board of Nursing
2. Licensed in the District of Columbia
3. Minimum of two (2) years of clinical experience in long-term care setting (preferably home care)
and relevant certification

POLICY:

Occupational Therapy shall be provided by licensed occupational therapist or an occupational therapy assistant who is licensed to practice as an occupational therapy, pursuant to the HealthCare and Community Residence Facility, Hospice and Home Care Licensure Act of 1983, effective February 24, 1984 (D.C. Law 5-48; D.C. Official Code, §§ 44-501 et seq.), and implementing rules;

The agency must obtain prior authorization from the DHCF or its designee prior to providing, or allowing any professional to provide occupational therapy services. In its request for prior
authorization, the agency shall document the following: the EPD Waiver patient’s need for occupational therapy services as demonstrated by a physician’s order; and the name of the professional or home care agency that will provide the occupational therapy services.

The OT shall participate in the PCSP and interdisciplinary team meetings to provide consultative services and recommendations specific to the expert content with a focus on how the patient is
doing in achieving the functional goals that are important to him or her.

The agency shall maintain the following documents for monitoring and audit reviews: a
physician’s order; a copy of the occupational therapy assessment and therapy plan developed in accordance with the requirements of this section; and any documents required to be maintained by DHCF per Section 4255 (Audits and Monitoring/Oversight Reviews).

DUTIES AND RESPONSIBILITIES:

1. OT services shall be designed to maximize independence, prevent further disability,
maintain health, and the patient’s functionality.
2. OT services shall be provided in accordance with the patient’s PCSP and delivered in the
patient’s home or in a day service setting.
3. The OT shall conduct an assessment of the occupational therapy needs within the first
four (4) hours of service delivery, and develop a therapy plan (Plan of Care) to provide
services.
4. The therapy plan shall include the anticipated and measurable, functional outcomes,
based upon what is important to and for the beneficiary as reflected in his or her personcentered goals in his or her PCSP and a schedule of approved occupational therapy
services to be provided, and shall be submitted by the agency to the case manager before
services are delivered.
5. Occupational therapy services shall consist of the following ongoing activities:
a. conducting an initial assessment and annual re-assessment;
b. consulting with the beneficiary, his or her family, caregivers and interdisciplinary
team to develop the therapy plan;
c. implementing therapies described in the therapy plan;
d. recording progress notes during each visit, which shall contain the following:
progress in meeting each goal in the therapy plan; any unusual health or
behavioral events or change in status; the start and end time of any services
received by the beneficiary; and any matter requiring follow-up on the part of the
service provider, case manager, or DHCF.
e. developing quarterly reports based on the progress notes and indicating progress
in meeting each goal in the therapy plan, and any progress made on matters
requiring follow-up in the progress notes;
f. submitting quarterly reports to DHCF, which shall be uploaded in the EPD
Waiver electronic case management system;
g. routinely assessing (at least annually and more frequently as needed) the
appropriateness and quality of adaptive equipment to ensure it addresses the
beneficiary’s needs;
h. completing documentation required to obtain or repair adaptive equipment in
accordance with insurance guidelines and Medicare and Medicaid guidelines,
including required timelines for submission;
i. conducting periodic examinations (at least annually and more frequently as
needed) and modified treatments for the beneficiary, as needed to determine
which services are most appropriate to enhance the beneficiary’s well-being and
meet the therapeutic goals; and
j. updating the therapy plan and communicating with the case manager to make any
updates to the PCSP with any modifications to the therapy plan.

PURPOSE:

To assure that medical social services are delivered by licensed social workers following accepted professional standards.

POLICY:

Medical social services provided through the Agency will be guided by accepted standards of
care and comply with the plan of care by a qualified social worker.

DUTIES AND RESPONSIBILITIES:

1. Discuss all social service/referrals with the RN to ascertain physician orders,
including the date of the visit.
2. Assessing the patient’s psychosocial status, including:
a. Social and emotional factors related to illness
b. Response to treatment
c. Need for wrap-around (supplemental) services by the patient
3. Assisting (consultant) other team members in understanding the social and
emotional factors related to health problems
4. Participating in the development of the plan of care in collaboration with
multidisciplinary team to include:
a. Short and long-term goals
b. Frequency of visits and process of obtaining community resources
c. Reporting treatment plan to RN within forty eight (48) hours
5. Preparing and documenting clinical notes to include
a. Strength and weaknesses of family and social support
b. Problems that require continued intervention and follow-up visits
c. Description of interventions
d. Specify social work goals, proposed changes in patient functioning and
treatment
6. Involving the family in the plan of care, as needed and utilizes/provides family
with appropriate community resources
7. Discharge planning and summary
a. Patient’s status at discharge
b. Impact of interventions
c. Recommendations
8. Participating in in-service programs
9. Social worker will participate in all case conferences called by the case manager
to assess patient’s conditions and needs. This may be done in person, in writing,
or by phone.
10. Comply with all policies and procedures.
11. All changes in patient’s condition or changes in the treatment plan or in the
frequency or dates of visit (missed visit) will be reported to the RN and the
physician as appropriate.
12. Delegate portions of patient care to & provide supervision of the social worker
assistant including: supervise the social worker assistant at least every thirty
(30) days to determine patient’s progress; the MSW will co-sign all social
worker assistant documentations;

Qualification and Experience:

1. Must have at least a master’s degree in clinical social work from a university accredited
by the Council on Social Work Education
2. Must be licensed in the District of ColumbiaPURPOSE:
To assure that medical social services are delivered by licensed social workers following
accepted professional standards.

POLICY:

Medical social services provided through the Agency will be guided by accepted standards of
care and comply with the plan of care by a qualified social worker.

DUTIES AND RESPONSIBILITIES:

1. Discuss all social service/referrals with the RN to ascertain physician orders,
including the date of the visit.
2. Assessing the patient’s psychosocial status, including:
a. Social and emotional factors related to illness
b. Response to treatment
c. Need for wrap-around (supplemental) services by the patient
3. Assisting (consultant) other team members in understanding the social and
emotional factors related to health problems
4. Participating in the development of the plan of care in collaboration with
multidisciplinary team to include:
a. Short and long-term goals
b. Frequency of visits and process of obtaining community resources
c. Reporting treatment plan to RN within forty eight (48) hours
5. Preparing and documenting clinical notes to include
a. Strength and weaknesses of family and social support
b. Problems that require continued intervention and follow-up visits
c. Description of interventions
d. Specify social work goals, proposed changes in patient functioning and
treatment
6. Involving the family in the plan of care, as needed and utilizes/provides family
with appropriate community resources
7. Discharge planning and summary
a. Patient’s status at discharge
b. Impact of interventions
c. Recommendations
8. Participating in in-service programs
9. Social worker will participate in all case conferences called by the case manager
to assess patient’s conditions and needs. This may be done in person, in writing,
or by phone.
10. Comply with all policies and procedures.
11. All changes in patient’s condition or changes in the treatment plan or in the
frequency or dates of visit (missed visit) will be reported to the RN and the
physician as appropriate.
12. Delegate portions of patient care to & provide supervision of the social worker
assistant including: supervise the social worker assistant at least every thirty
(30) days to determine patient’s progress; the MSW will co-sign all social
worker assistant documentations;
Qualification and Experience:
1. Must have at least a master’s degree in clinical social work from a university accredited
by the Council on Social Work Education
2. Must be licensed in the District of Columbia

Position Description:

A Home Health Aide/certified nursing assistant is a licensed member of the home care team who assists the client with the tasks of daily living as outlined in a written care plan that is established by a
registered nurse and kept in the client’s home. Home Health Aides/certified nursing assistants are supervised by the registered nurse and receive scheduling direction from the staffing Coordinator.

Duties and Responsibilities:

1. Take vital signs (temperature, blood pressure, pulse, and respiratory rate).
2. Provide personal care such as assisting with bathing, grooming, assisting with bedpan, eating,
dressing, toileting and walking. Assist patient in meal preparation following recommended
dietary guidelines.
3. Turn and reposition bed-ridden patients to prevent skin breakdown, assist patient with transfer,
ambulation and exercise as prescribed.
4. Caring for dentures and prosthetic devices (as recommended).
5. Record the amount of oral intake and measure urinary output.
6. Remind patients and assist with oral administration of medications.
7. Change non-sterile dressings (not requiring nursing licensed nursing skills).
8. Supply and empty bedpans and urinary drainage bags.
9. Give emotional support to patients and family members, and accompany and assist the patient
to community events, their job and their appointments (doctor’s visits, etc.)
10. Document and keep a record of the care provided.
11. Observe and report any change in physical and emotional condition or any concerns to the staff
member who is managing the case.
12. Follow infectious disease precautions to prevent the spread of organisms and injury prevention.
13. Allow patients to make their own decisions without coercion.
14. Assist patients with activities that are directly supportive of skilled therapy services.
15. Provide light housekeeping duties when ordered, simple errands, pick up mails and medications.

Qualifications:

Must be at least 18 years of age.
Must have completed training as a Home Health Aide or nursing assistant and have a valid and active
license, in accord with state/local regulations.
Must be physically able to perform the duties of the position, including light weightlifting
Must exhibit responsible behavior and understand the need for patient confidentiality.
Must be able to read, write and speak English.
Must maintain credentials, including CPR/First Aide, TB Test, Physical, Fingerprint and in-services

Dietician/Nutritionist, shall perform duties including, but not limited to, the following:

1. Assesses and evaluates the nutritional status of clients.
2. Assists the physician and nursing personnel to determine the dietary needs of the client.
3. Prepares and calculates therapeutic diets to meet specific requirements of the client and
confers with the physician to establish dietary treatment.
4. Assists the client and family to understand and follow dietary modifications ordered by the
physician.
5. Instructs on dietary restrictions and drug/nutrient interactions as appropriate.
6. Observe, and reports to the physician and nurse supervisor the client’s response to dietary
treatment and any related changes in the client’s condition and revises nutritional plan as
indicated by client’s condition.
7. Participate in case conferences as required by the agency.
8. Participates in Quality Improvement activities as assigned and communicates information
that enables collection and analysis of data to identify opportunities for improvement.
9. Maintain records and reports in accordance with the policy of the AGENCY, including visit
reports and observations on the progress of the patient. Make available all relevant records
and information applicable to each patient to be treated. All such records, including
information and notes added by the Dietician/Nutritionist shall be property of the AGENCY.
10. Participates in the development of periodic revision of the physician’s plan of treatment
keeping him/her informed of the patient’s status and obtaining additional orders if necessary.
11. Instruct other health team personnel including, when appropriate, Home Health Aides and
family/caregivers in procedures which Dietician/Nutritionist deems appropriate for the home
health aide or family/caregiver to deliver. Such instructions will be documented by the
Dietician/Nutritionist.
12. Instruct the patient and/or family/caregivers on the goals, procedures, benefits and risks of
services provided and solicit patient and/or family/caregiver participation.
13. Participates in Performance Improvement activities of the Agency.
14. Participates with staff, client, and physician in discharge activities and completes a Dietary
Discharge Summary.
15. Submit clinical documentation, on Agency approved forms, with the invoice for these
services on a weekly basis, by mail on Wednesday of the following week of service unless
otherwise arranged. The week shall be considered as the period starting on Sunday and
ending on Saturday. Under no circumstances, will the Dietician/Nutritionist bill the
client/patient for any services rendered.
16. Adhere to the Civil Rights Act of 1964.
17. Adhere to the Social Security Act section 1861(w).

PERSONNEL QUALIFICATIONS

Each Dietician/Nutritionist providing services to a patient of the AGENCY will meet whatever licensing criteria that exist in the Agency’s state of operation and will adhere to the policies and procedures of the AGENCY.

1. Dietician/Nutritionist, prior to the commencement of this agreement will provide The
AGENCY with verification of licensing, educational and training requirements.
2. Dietician/Nutritionist will provide THE AGENCY evidence of current licenses,
certifications, or registration to the extent such are required.
3. Dietician/Nutritionist will have and maintain appropriate clinical knowledge and experience
to provide the level of care necessary to accomplish physician’s order and plans of care for
assigned patients.
4. Dietician/Nutritionist will ensure that he/she will, at a minimum, meet the requirements
outlined in the job description provided by the AGENCY.
5. Dietician/Nutritionist will have an ongoing process to ensure that competence of all staff
members is assessed, maintained, and improved on a continuous basis.
6. Dietician/Nutritionist will train care staff on all areas covered in the orientation program
provided by the AGENCY and will maintain ongoing in-service education to meet
AGENCY requirements.
7. Dietician/Nutritionist will be free of communicable disease, oriented to infection control
procedures, OSHA Blood Borne Pathogens Standards, home health safety procedures and
confidentiality of patient information, and trained in patient/caregiver education related to
nursing. Documentation in support of these requirements will be made available to the
AGENCY.

SUMMARY:

This position is responsible for the coordination and oversight of the daily patient-care staffing (employees and contract) requirements of the Agency, including skilled nurses, physical/occupational therapists, clinical social workers and home health aides. This position works closely with clinical services supervisors and human resource assistants to assure the maintenance of databases for agency staff and patients. This position assures that all referrals are processed and staffed in a timely manner.

ESSENTIAL FUNCTIONS AND BASIC DUTIES

1. Enters clinical staff and patient information into a database and maintains confidentiality;
2. Uses staff and patient databases to create and maintain work schedules for clinical staff
(employees and contractors);
3. Maintains and updates weekly staffing planners and provides management with complete and
comprehensive staffing schedule (Thursday for the weekend schedule and Friday for the next
week schedule);
4. Assures that patients and/or their caregivers update(s) when new staff is assigned or other
changes (hours of service) are anticipated;
5. Assures that staff receive timely updates of their schedules (courtesy calls);
6. Calls staff to confirm and assures patients of the weekend schedule on Friday by close of
business;
7. Participates in staff orientation program,
8. Assures adequate and appropriate backup patient-care staffing;
9. Tracks and resolves staffing-related issues;
10. Informs management of staffing needs and/or deficiencies;
11. Completes monthly, quarterly and yearly reports regarding patient-care staffing (deficiencies and
excesses);
12. Works closely with clinical supervisors to assure that referral requests are processed in a timely
manner;
13. Receives reserve pool on staff availability from HR every week,
14. Uses SMS or oral broadcast to alert staff of the agency’s staffing needs;
15. Update clients’ contact information, including address and phone number,
16. Assures that staff is provided with phone number of colleagues (those who work for the same
client),
17. Performs miscellaneous clerical functions and special projects, as assigned;

KNOWLEDGE, SKILLS AND ABILITIES:

The incumbent must have proficient knowledge in the following areas:
1. At least associates (baccalaureate preferred) degree plus two years related experience in
training/human resources; or equivalent combination of education and experience;
2. Ability to write routine reports and correspondence;
3. Knowledgeable in office software (e.g., Word, Excel, PowerPoint, Clip organizer, Picture
Manager, One Note, Adobe, etc.);
4. Demonstrate excellent written, oral communication and interpersonal skills;

Risk management includes clinical and administrative activities undertaken to identify, evaluate, prevent, and control injury to patients, staff, visitors, volunteers, and others and reduce loss to the
organization. Activities include the process of making and carrying out decisions that will prevent or minimize clinical, business, and operational risks.

The position will work closely with and reports to the director of Compliance.

Essential Duties and Responsibilities

1. Conducts routine site visits (at least twice weekly) to assure that services are provided by
field staff, in accord with the plan of care,
2. Compiles report on site visits for the review by the supervisor and other Agency staff, in
accord policies and procedures,
3. Assists staff with completion of incident/accident reports,
4. Conducts and compiles staff and client satisfaction surveys,
5. Assures that tools/equipment are available to mitigate/prevent injury to staff and clients,
6. Works closely with senior management to assure that there are effective emergency
protocols in place,
7. Assists with fraud mitigation training, and
8. Other duties as assigned.

Qualifications and skills

1. Communicate effectively, verbally and in writing, to a diverse audience.
2. Maintain confidentiality of sensitive information, and
3. Experience with Microsoft Office suites

Summary:

This position primarily provides support to the clinical supervisors and assures that services are
provided to meet highest standards set by management and in accord with applicable policies and
regulations. The position reports to the director of nursing.

Duties/Responsibilities:

1. Schedules skilled staffing meetings, including the agenda,
2. Assigns workload to field (supervisory visit) registered nurses,
3. Assist with preparation of in-service material,
4. Prepares packages for the use by skilled staff, including admission, resumption of care
documents,
5. Assures recertification by requesting from physician and uploading PoF/F2F on DCCC,
6. Assures that plans of care are uploaded on DCCC for the review by Comagine,
7. Assures that medication administration records are prepared and delivered to nursing
staff at least one week before the month begins,
8. Submits new authorizations from health services from children with special needs, in
compliance with applicable policies,
9. Assures that plans of care are sent to the referring physician and signed copies are
received by the agency within thirty (30) days,
10. Compiles and forward list of non-compliant plans of care and other documents to the
supervisory registered nurse for further review and action,
11. Assist clinical staff with the development of the plan of care and ensuring that input from
case management agency/manager is incorporated, as necessary,
12. Provides additional support, as requested.

Qualifications and knowledge

1. Experience with Microsoft Office Suites required
2. Good communication and interpersonal skills.
3. Excellent analytical skills
4. Two years administrative or clerical support required

Position Summary:

The admissions nurse is a Registered Nurse who provides direct and indirect patient care services. The primary responsibility of the admissions nurse is to complete a comprehensive assessment of the patient, the environment, and the support system. The admissions nurse will initiate a plan of care with the goal of helping the patient her/his desired outcomes. The admission nurse is also responsible for recertification and resumption assessment of all patients. This position reports to the director of nursing.

AREAS OF RESPONSIBILITY:

1. Admits patients to service by assessing their physical, psychosocial, environmental, safety and
developmental needs,
2. Initiates and individualized and person-centered plan of care based on the assessment,
3. Obtains informed consent from patients and families and assists in completing forms required for
home health services, per regulations,
4. Works closely with the care management coordinator to assure a care approach that meets the
patient’s unique needs,
5. Assesses patient, provides and documents appropriate skilled nursing care, including teaching,
family support and other actions as needed,
6. Assesses the patient’s environment; physical mental and social status and eligibility for services
in accordance with third-party payee regulations,
7. Coordinates care with the patient’s case manager, informing him/her of significant changes in the
patient’s condition and needs and documents these communications,
8. Responsible for the developing the skilled nursing and home health aide care plan after
admission,
9. Responsible for updating the skilled nursing and home health aide care plan, in accord with
regulations or changes in the patient’s health status,
10. Provides patients and their families with guidance regarding health care decision-making and
options for making advance directives in coordination with the social worker,
11. Assesses all aspects of the patient’s pain and other symptoms and develops an individualized
symptom management plan,
12. Promotes, maintains and documents communication with other disciplines regarding patient care
and agency function,
13. Anticipates prevents and treats undesirable symptoms or secondary symptoms including the use
of non-pharmacologic measures,
14. Documents nursing assessments, problems, appropriate goals, care interventions, patient and
family outcomes, and evaluation of these in the electronic record,
15. Accesses electronic device during patient visit and documents during or immediately after the
visit or per regulation,
16. Performs other duties and responsibilities, as assigned.
Requirements
1. Licensed in the District of Columbia and in good standing,
2. At least 2 years of home health nursing experience required,
3. Excellent written and verbal documentation skills,
4. Current CPR Certification,

Summary:

This administrative assistant is responsible for providing clerical and administrative support to management and employees. As the first point of contact with visitors, employees, customers and other
stake holders, the administrative assistant responds to routine questions, provides general information, manages phone calls, electronic calendars of events, performs data entry amongst others. The position reports directly to the director of operations.

Duties and Responsibilities:

1. Organizes and schedules meetings and appointments,
2. Responsible for the content and distribution of monthly patient and staff newsletters.
3. Answers and routes phone calls to the appropriate staff,
4. Retrieves messages and forwards to appropriate personnel daily,
5. Greets and attends to visitors courteously,
6. Orders supplies,
7. Maintains and updates bulk texting contact list, including daily entry and deletion of duplicate
entries,
8. Ensures reception area is tidy and has relevant information (brochures, newsletter, etc.) about the
agency,
9. Coordinates mail flow in and out of office, (needs access to mailboxes),
10. Receives and distributes documents/letters,
11. Documentation of minutes of meetings,
12. Maintain a professional appearance and courteous attitude,
13. Other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

The incumbent must have proficient knowledge in the following areas:
1. Multi-tasking, telephone skills, customer service, time management, attention to details,
scheduling and professionalism,
2. Demonstrates familiarity with computers and relevant software (Excel, Power Point, Word,
Outlook, Publisher, etc.),
3. Demonstrates excellent written and oral communication and interpersonal skills,
4. GED required,

Summary

This position has overall responsibility for the HR function, including staff relations, compensation and benefits, personnel record-keeping, etc. The position is also responsible for the application of employment, the Agency’s policies on hiring, discipline, employment termination, training, compensation, leave, equal opportunity and other human resources issues. This position reports to the director of operations.

Duties and responsibilities

1. Prepares and maintains accurate records, files and reports, including personnel records, personnel action
forms, and timesheets, contracts, and consultant agreements
2. Accurately follow verbal and written directions from senior management
3. Recommends and clarifies personnel procedures and policies
4. Conducts research regarding employment issues, benefits, and personnel procedures and, working with
senior management, applies the conclusions to Agency’s personnel policies and procedures
5. Assists in hiring, including developing job descriptions and job advertisements, and screening and
interviewing candidates
6. Maintains knowledge of and ensures compliance with employment-related laws and regulations
7. Maintains all personnel files, I-9 records, drug screening and background investigation results, and other
personnel records, and ensures Agency is in compliance with all DC and federal laws and regulations and
demonstrates “best practices” in regard to personnel information management
8. Assists with periodically updating Agency’s Personnel Manual
9. Maintains inter- and intradepartmental work flow by providing information to and cooperating with coworkers
10. Works with senior management on matters related to benefits, employee safety and workers
compensation issues
11. Develops, implements and participates in employee recognition programs
12. Enhances job performance by applying up-to-date professional and technical knowledge gained from
seminars and conferences
13. Performs other duties as assigned by the President or other senior management.

Qualifications and skills

1. Bachelor’s degree in HR Management or related discipline preferred.
2. At least 3- years of professional experience across all HR disciplines, including employment, benefits,
compensation, employee relations, training and development, workers compensation and conflict
resolution.
3. Communicate effectively, verbally and in writing, to a diverse audience.
4. Assign and supervise the work of others.
5. Maintain confidentiality of sensitive information.
6. Experience with Microsoft Office suites

Summary

The position will develop and administer all human resource initiatives and provide HR support to all departments within MEIGER Health. The position will also be responsible for the management of office operations. By developing and implementing various systems and maintaining positive relationships with regulatory agencies, clients and staff, the position will assist MEIGER Health to function effectively and efficiently.

Duties and responsibilities

1. Develops and maintains personnel policies and procedures and provides guidance and interpretation to staff,
2. Assures regulatory compliance with HR policies and procedures,
3. Maintains knowledge of industry trends and make recommendations for improvement of the agency’s
policies, procedures and practices on personnel matters.
4. Reviews job descriptions as necessary,
5. Prepares and maintains handbooks,
6. Responsible for the recruitment of new employees, including placing advertisements, developing contacts
with recruiting sources, interviewing, consulting with department managers
7. Manages orientation and in-service trainings in collaboration with department managers,
8. Assures that employee files and folders are properly maintained, in accord with applicable policies and
procedures,
9. Recommends new approaches, policies and procedures to effect continual improvements in efficiency,
10. Oversees performance evaluation procedures
11. Manages and oversees office services functions including office equipment, supplies and staff,
12. Serves as contact person for employees and vendors regarding office operations,
13. Manages and approves vacation (time-off) requests by staff and provides copies to staffing coordinator,
14. Assures that all the Agency’s licenses and certificates are current,
15. Serves as purchasing agent for Agency,
16. Monitors and maintains staff attendance records,
17. Provides other duties and responsibilities, as assigned.

QUALIFICATIONS:

BA degree in Business Administration or related field,
Minimum of 3 years of experience in a Human Resources Generalist capacity,
Working knowledge of MS Office (accounting software knowledge a plus),
PHR/SPHR certification a plus,
Strong written and verbal communications skills,
Strong interpersonal skills and adept at employee relations including conflict resolution,
Highly organized and self-motivated.

Summary:

This position primarily provides support to human resources services to assure accurate and
timely processing of payroll and other HR-related programs. This position also works closely
with the billing coordinator, in order that accurate information is provided for billing purposes.
The position reports directly to the human resources coordinator.

Duties/Responsibilities:

1. Collects signed timesheets from receptionist (all timesheets must be collected by 2:00
pm on Tuesday of the billing week)
2. Verifies that all timesheets are completed accurately,
3. Generates weekly invoices for the use by billing agent,
4. Generates biweekly payroll for staff,
5. Assists staff with payroll questions, including clock-in/out,
6. Requires that staff provide/complete missing or erroneous information, as necessary,
7. Verifies with scheduling coordinator that staff hours on the timesheets accurately reflect
the staff’s assignment,
8. Review time sheets and other information to detect and reconcile discrepancies,
9. Provides support to billing agent to assure accurate and timely billing for services
provided by patient-care staff,
10. Verifies that timesheets are original and not photocopies,
11. Assures that timesheets are secured in the respective client’s folder,
12. Assist aides with obtaining new NPI number,
13. Provides additional support, as requested.

Qualifications and knowledge

1. Experience with Microsoft Office Suites required
2. Good communication skills with staff.
3. Must hold at least a GED.
4. Excellent analytical skills
5. Two years administrative or clerical support required

Summary:

The operations coordinator performs a variety of administrative functions, including claims
reconciliation, authorization requests, supplies, and resolution of a variety of problems, and reports to the
director of operations.

Essential duties and responsibilities:

1. Obtains data of unpaid (expired authorization, non-compliance with 16 hours rule, expired
Medicaid, etc. from billing contractors,
2. Contacts field staff, billing contractor and other home health agencies to resolve unpaid claims
that result from non-compliance with 16 hours work rule,
3. Works with billing, payroll and administrator to assure reversal when there is evidence of
overbilling,
4. Reviews DCCC daily for status update on recertification requests and notifies clinical
coordinators to address pending issues/concerns,
5. Follows-up with clients, case managers, legal guardians to assure that clients with expired
Medicaid comply with recertification requirements,
6. Assures that other departmental needs, including supplies are met,
7. Assures that DHCF authorization requests are submitted at least two (2) months prior to the
expiration date ,
8. Assures that HSCSN authorization requests are submitted one (1) month prior to the expiration
date,
9. Assures that case management agencies complete recertification requests for their clients, as
required/indicated,
10. Provides other duties and responsibilities as assigned.

Qualifications and skills:

1. Proficiency with Microsoft Office suites,
2. Ability to manage relationship with patients and third party payers,
3. Ability to perform intermediate level mathematical operations,
4. At least associates degree in accounting or related field required.

Summary

The position will develop and administer all administrative and payroll support services at MEIGER
Health. By developing and implementing various systems and maintaining positive relationships with
regulatory agencies, clients and staff, the position will assist MEIGER Health to function effectively and
efficiently

Duties and responsibilities:

Responsibilities include but are not limited to the following:
1. Works with the chief executive officer and department heads to influence the creation and
communication of MEIGER Health strategy, business priorities and ensures there are systems in
place to meet goals,
2. Uses open feedback mechanisms from other departments to ensure the integration of the
MEIGER Health strategy,
3. Reviews financial data and supports the department heads in providing realistic input into the
budgets and goals,
4. Takes decisions on matters relating to the day to day retail operation within their defined work
area including the strategic planning of resources,
5. Ensures that the operations comply to all policies and procedures relating to Safety; influences
any changes necessary to meet statutory requirements, ensuring minimum risk to staff and
clients,
6. Works closely with the chief executive officer and negotiates agreements/contracts on behalf of
MEIGER Health,
7. Works with the HR manager to ensure people management issues are satisfactorily resolved and
relevant HR policies and procedures are adhered to,
8. Works closely with payroll coordinator to assure that MEIGER Health payroll and other relevant
services are completed in a timely manner,
9. Regularly produces and presents a range of financial options/reports for the chief executive
officer, as necessary,
QUALIFICATIONS:
BA degree in Business Administration or related field,
Minimum of 3 years of experience in managerial position,
Working knowledge of MS Office (accounting software knowledge a plus),
Strong written and verbal communications skills,
Strong interpersonal skills and adept at employee relations including conflict resolution,
Highly organized and self-motivated.

Summary:

This is a clinical management position responsible for the direction of clinical activities at the Agency.
The director of nursing provides leadership on nursing, physical therapy, occupational therapy and
medical social services to patients in their private residence, and works with the health care team,
including the referring physician to provide health care services. The director of nursing identifies
appropriate resources to provide education to the patients, their families and staff members. In addition,
the director of nursing coordinates and supervises program activities such as immunizations, CLIA
Waived labs and accreditation, establishes linkages with agencies which are or may be a source for
clinical materials, develop communication with groups regarding formulation and implementation of the
clinical programs and protocols. May practice nursing functions on a daily basis as needed and set up
training for RN and LPN, as required by Agency policies and procedures. The director of nursing reports
directly to the chief operating officer (COO)
Role of the DON shall include but not be limited to:
1. Be available at all times during usual working hours, and may be available via
telecommunication,
2. Assure that services offered by the Agency are available to all patients and quality is maintained,
3. Collaborates with special events coordinator on symposia, in accord with mission and
vision of the agency,
4. Coordinates clinically relevant and interdisciplinary patient case conferences, including the
approval of person-centered care plan,
5. Responsible for the establishment of training curriculum for clinical staff (skilled and
unskilled),
6. Establishes protocols to assure that the agency meets goals for each patient, reduce barriers
to care and frequent hospitalizations,
7. Collaborates with the CMP director to identify and implement goals for each patient,
8. Assure that an assessment/re-assessment of the patient’s needs is performed by the appropriate
health care professional when there is a significant health status change in the patient’s
condition, at the physician’s request, or after hospitalization,
9. Assures appropriate follow-up and re-evaluation of change in patients’ condition change by an
RN or therapist when necessary,
10. Facilitates professional growth of staff by accurately assessing learning needs, barriers to
learning and coordinating learning opportunities, and make sure that staffing is adequate to meet
needs of the Agency,
11. Responsible for the periodic feedback, including field and administrative support staff,
12. Will identify resources needed to implement his/her responsibilities and notify the administrator
of such needs,
13. Establish service rules in compliance with statutes, OSHA guidelines for patient safety, universal
precautions and infection control,
14. Familiarity with Outcome and Assessment Information Set (OASIS) collection and data
transmittal,
15. Submits and assures approval of Forms 719A for all clients receiving skilled nursing services, in
accord with applicable rules,
16. Assures periodic transmittal of OASIS data, per protocol,
17. Participates in and performs other duties, as assigned.

Position qualifications include:

1. Be a licensed registered nurse (BSN preferred) in the District of Columbia.
2. Has at least two years clinical experience in acute/long-term care setting, with one year in a
supervisory position.
3. Has at least one year of experience in acute mental health setting.
4. Demonstrate effective knowledge of the regulations governing home health care industry
5. Effective communication skills
6. Ability to organize work procedure, assume responsibility and effectively supervise others

Summary:

This position is responsible for the oversight, and management of the development, implementation and
maintenance of an effective quality, compliance and performance program. The position provides risk
assessment, compliance training, protocols, investigations and plans and implements these programs, and
has authority to review documents and information relevant to audit, quality, risk management, and
performance improvement activities within the agency. The position functions as an independent and
objective reviewer and evaluator of the Agency’s compliance with applicable state and federal rules and
regulations. The position reports directly to the chief executive officer.
Roles and Responsibilities
1. Develops, maintains, and revises policies and procedures for the general operation of the risk
management, compliance and performance improvement program,
2. Guides the integration of risk management and performance improvement with other planning
and management activities,
3. Identifies training needs to mitigate risks, improve performance and oversees the development of
competency and awareness,
4. Evaluate the adequacy of the agency’s internal control framework in addressing and
accomplishing established goals, mission and vision,
5. Develops and periodically reviews and updates standards of conduct to ensure relevance in
providing guidance to management, employees and contractors,
6. Collaborates with other departments to direct compliance issues to appropriate existing channels
for investigation and resolution,
7. Responds to alleged violations of rules, regulations, policies, procedures, and standards of
conduct by evaluating or recommending the initiation of investigative procedures and develops
and oversees a system for uniform handling of such violations,
8. Acts as an independent reviewer and evaluator to ensure that quality and performance
issues/concerns within the agency are appropriately evaluated, investigated and resolved,
9. Monitors, and as necessary, coordinates quality, compliance and performance activities of other
departments to remain abreast of the most current standards,
10. Identifies potential areas of quality, compliance and performance vulnerability and risk;
develops/implements corrective action plans for resolution of problematic issues, and provides
general guidance on how to avoid or deal with similar situations in the future,
11. Works with other department, as appropriate to develop an effective training program, including
training for new employees as well as ongoing training,
12. Reports on a regular basis to the chief executive officer on the progress of implementation, and
assisting these components in establishing methods to improve efficiency and quality of services,
and to reduce the vulnerability to fraud, abuse, and waste
13. Coordinates internal quality, compliance and performance review and monitoring activities,
including periodic reviews throughout all departments,
14. Acts as point of contact for all internal (employees and contractors) and external (patients and
their families and regulatory agencies) investigations and queries,
15. Responsible for supervision and evaluation of satisfaction surveys on all patients served,
16. Serves as the de facto chair of the agency’s safety/risk management committee that is
composed of representatives from different departments.

Qualifications

1. At least baccalaureate degree (Master’s preferred) in relevant field (nursing, social work, etc.)
with leadership experience,
2. Minimum 2-3 years of progressive experience in Quality Improvement in a healthcare facility,
preferably long-term care,
3. Must demonstrate integrity, sound judgment, and strong interpersonal skills,
4. Experience working with disadvantaged populations helpful and knowledge of health disparities
highly desired.

POSITION SUMMARY:

The position is effectively responsible for coordinating services across all departments and with
external providers involved in the care of the client.

ESSENTIAL FUNCTIONS:

1. Coordinates the interdepartmental new admission/assessment protocol,
2. Documents hospital visits and admissions on DCCC and notifies legal guardian/powers
of attorney, etc.,
3. Assist with identifying homecare needs for each client,
4. Creates and maintains list of active clients, including the names of case management
agency/manager for each client,
5. Identify risks, gaps in care and prevent negative outcomes,
6. Visits clients to assess need for wraparound and other services,
7. Creates and maintain client profile
8. Maintains log of admitted/denied clients
9. Works closely with clients, legal guardians and case managers to assure timely filing of
fair hearing,
10. Assures that ancillary services, including interpreter are available to low English
language proficiency (LEP),
11. Coordinates care management meetings, including DHCF weekly calls (state plan)
and monthly meetings (EPDW),
12. Perform other duties as assigned
Qualifications and knowledge
1. Experience with Microsoft Office Suites required
2. Good communication and interpersonal skills.
3. Master’s degree in social sciences preferred
4. Excellent analytical skills

The Clinical Laboratory Improvement Act (CLIA) Waived tests include a battery of clinical tests cleared by the FDA for home use. Generally, CLIA Waived tests are simple enough and expose very low risks of erroneous results and serious health con sequences to the client. To decrease the risk of erroneous results, the test needs to be performed correctly, by trained personnel and in an environment where good laboratory practices are followed. Please call our office to find out which CLIA Waived tests are available through MEIGER Health. The list of approved CLIA Waived tests includes:

• Dipstick or Tablet reagent urinalysis for the following:
  Bilirubin, Glucose, Hemoglobin, Ketone, Leukocytes, Nitrite, pH, Protein, among others.
• Fecal occult blood
• FSH and TSH
• Urine pregnancy tests – visual color comparison tests
• ESR
• Hemoglobin and Hematocrit
• Blood glucose by glucose monitoring devices cleared by the FDA specifically for home use
• Toxicology tests (Cannabis, barbiturates, amphetamine, cocaine, opiates, etc.)
• HIV
• Influenza A/B
• Trichomonas vaginalis
• HBA1c

Our home health aides, under the direct supervision of the registered nurse (RN), assist elderly and disabled patients with activities of daily living and/or instrumental activities of daily living. Home health aide services include:

• Bathing
• Dressing
• Grooming
• Personal Hygiene
• Nail Care
• Hair Care
• Skin Care

• Toileting
• Ambulation
• Transfer
• Errands
• Light housekeeping
• Companionship

All candidates for home health aide positions must have the following:

• First Aid License
• CPR License
• Home Health Aide License from District of Columbia
• Home Health Aide Certification from District of Columbia
• PPD/chest x-ray test within 6 months
• Skill check list from Home Health Aide school where they graduated
• Two forms of identification including authorization to work in the United States

It’s not easy to deal with a crisis alone. When you experience the loss of a loved one, severe sickness, disability, accident, treatment of developmental illness, and other problems, you need someone who knows expertly about what to do and whom to approach. Meiger Health‘s medical social workers assess the person’s physical, emotional, and mental needs and the family’s support system. We then find the person and/or his family the assistance that he needs. We help provide financial assistance in the case that the afamily could not afford medication or household bills. We also provide counseling to depressed, emotionally unstable, and any other developmentally incapacitated individuals. We connect the family to agencies, institutions, government programs, and other organizations or persons that could assist in finding solutions.

Occupational therapy services are provided for the purpose of promoting health and wellness and to those who have or are at risk of developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.

Occupational therapy addresses physical, cognitive, psychosocial, sensory, communication, and other areas of performance in various contexts and environments in everyday life activities that affect health, well-being, and quality of life. The overarching goal of occupational therapy is to support health and participation in life through engagement in occupations. Services include:

• Promoting functional skills for persons with developmental disabilities
• Training individuals with structural disability to be able to function independently, including the use of artificial limbs
• Providing retraining for individuals with traumatic brain injury, training and education towards the use of prosthetic devices for amputations