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Provides executive management of daily operations of a skilled nursing facility.: Oversees and determines the effectiveness of operations and ensures compliance with laws, regulations, policies, and procedures. Plans, installs, directs, coordinates, and evaluates an administrative management organization within the facility to integrate functions such as fiscal planning and controls, staffing, procurement and storekeeping, grounds and building maintenance, transportation, communication, housekeeping, dietary, and safety programs. Ensures continuity and consistency in delivery and quality of services. Develops and implements an annual business plan that achieves financial goals while meeting reasonable customer expectations. Prepares staffing schedules to ensure that adequate numbers of appropriately trained professional and auxiliary personnel are on duty at all times to meet the needs of residents. Resolves problems encountered by nursing home staff, medical staff, visitors, or residents. Manages, coordinates, and evaluates the staff and services for the nursing facility. Implements programs and changes to enhance resident satisfaction and provide for new or prospective resident needs. Maintains high occupancy by developing and implementing marketing strategies. Develops, maintains and implements policies and procedures. Hires, trains and motivates a qualified staff. Prepares and manages the operational budget. Confers and cooperates with management personnel in formulating administrative and operational policies and procedures. Approves requisitions for equipment, materials, and supplies. Maintains and communicates policies and procedures that govern the operation of the facility. This position typically requires a college degree in a related field and five years of experience in continuing care operations management.

Skilled Nursing Certified Nursing Assistant

Assists nurses by performing various basic care activities related to services essential to caring for the personal needs and comfort of patients in a skilled nursing facility. Provides simple or uncomplicated patient care in a skilled nursing facility by performing the following functions for patients: dressing, grooming, bathing, feeding, toileting, taking vital signs, providing oral care, providing nail care, providing catheter care, answering call lights, assisting patients in wheel chairs, transporting patients, turning bedridden patients, reporting patient changes, filling linens, and taking out trash. This position typically requires completion of an approved Nursing Assistant Certification program.: Assists nurses by performing various basic care activities related to services essential to caring for the personal needs and comfort of patients in a skilled nursing facility. Provides simple or uncomplicated patient care in a skilled nursing facility by performing the following functions for patients: dressing, grooming, bathing, feeding, toileting, taking vital signs, providing oral care, providing nail care, providing catheter care, answering call lights, assisting patients in wheel chairs, transporting patients, turning bedridden patients, reporting patient changes, and filling linens. This position typically requires completion of an approved Nursing Assistant Certification program. Promptly answers patient call bells. Bathes and dresses bed patients, combs hair, and otherwise attends to their comfort and personal appearance. Cleans room and changes bed linen. Takes and records temperature, pulse, and respiration rate. Gives medication as directed by Physician or Nurse and makes notation of amount and time given. Gives enemas, douches, massages, and alcohol rubs. Applies hot and cold compresses and hot water bottles. Sterilizes equipment and supplies, using germicides, sterilizer, or autoclave and assists in maintaining a safe and clean environment. Observes patients for changes in condition or behavior and promptly reports these changes to appropriate licensed nursing personnel. Prepares food trays, feeds patients, and records food and liquid intake and output. May give injections.

Nurse Licensed Practical

Provides prescribed medical treatment and personal care services to ill, injured, convalescent, and disabled patients in such settings as hospitals, clinics, private homes, schools, sanitariums, and similar institutions. Takes and records patients' vital signs. Dresses wounds, gives enemas, douches, alcohol rubs, and massages. Applies compresses, ice bags, and hot water bottles. Observes patients and reports adverse reactions to medication or treatment to medical personnel in charge. Administers specified medication, orally or by subcutaneous or intermuscular injection, and notes time and amount on patients' charts. Requires an LPN or LVN license.: Assembles and uses such equipment as catheters, tracheotomy tubes, and oxygen suppliers. Collects samples, such as urine, blood, and sputum, from patients for testing and performs routine laboratory tests on samples. Sterilizes equipment and supplies, using germicides, sterilizer, or autoclave. Prepares or examines food trays for prescribed diet and feeds patients. Records food and fluid intake and output. Bathes, dresses, and assists patients in walking and turning. Cleans rooms, makes beds, and answers patients' calls. Washes and dresses bodies of deceased patients. In home care environment, serves as a liaison between the client and the private duty staff, and assesses the client's condition and the home environment. Provides health care instruction to patient and family members. May provide medical treatment and personal care to patients in private home settings. May assist in delivery, care, and feeding of infants. May inventory and requisition supplies.

Home Care LPN

Provides prescribed medical treatment and personal care services to ill, injured, convalescent, and disabled persons in home care e settings. Cares for a broad range of patients and provides preventative and rehabilitative nursing care under supervision of a Registered Nurse.: Under supervision of a Registered Nurse, delivers daily routine nursing care and services to patients. Assists in the implementation of a nursing care plan for patients in their home to help patients deal with their illness. Participates in the implementation of preventative and rehabilitative nursing procedures. Dresses wounds, gives enemas, douches, alcohol rubs, and massages. Applies compresses, ice bags, and hot water bottles. Observes patients and reports adverse reactions to medication or treatment to medical personnel in charge. Records patient vital signs and administers specified medication, orally or by injection, and notes time and amount on patients' charts. Assembles and uses such equipment as catheters, tracheotomy tubes, and oxygen suppliers. Collects samples, such as urine, blood, and sputum, from patients for testing and performs routine laboratory tests on samples. Sterilizes equipment and supplies, using germicides, sterilizer, or autoclave. Prepares or examines food trays for prescribed diet and feeds patients. Records food and fluid intake and output. Bathes, dresses, and assists patient in walking and turning. Cleans rooms, makes beds, and answers patient’s calls. Washes and dresses bodies of deceased persons. Serves as a liaison between the client and the private duty staff, and assesses the client's condition and the home environment. Provides health care instruction to patient and family members. Provides instruction to patients and their families on health care. Treats common ailments and dresses wounds. Observes and reports unusual or abnormal symptoms so that appropriate modifications may be made in the health care plan. This position typically requires graduation from an accredited LPN course and current state licensure with previous home care nursing experience. May administer prescribed medicines or start intravenous fluids.

Medical Licensed Practical Nurse

Nurse Practical

Provide basic patient care under direction of nursing staff. Perform duties, such as feed, bathe, dress, groom, or move patients, or change linens. Exclude 'Home Health Aides' (31-1011) and 'Psychiatric Aides' (31-1013).

Per Diem Clerk

Compiles and computes freight and passenger charges payable to participating carriers on interline business: examines waybills and ticket sales records to compute number of miles each carrier transported freight or passengers. Computes freight or passenger charges payable to each carrier, using basic rates from rate table and calculating machine. Records results of calculations on special forms. Reviews statements submitted by other companies to determine if portion of charges received is correct. May distribute, to appropriate airlines, revenue from passengers traveling on more than one carrier on through passage and be designated passenger-interline clerk. May compile records of daily freight car rental fees due to other carriers and be designated per diem clerk.

Nursing Skilled Nursing Facility Director

Directs administrative and clinical functions provided by a skilled nursing facility or a division of a skilled nursing facility.: This position requires license as a Registered Nurse with five years of clinical nursing experience in a skilled nursing facility. Must be skilled to work with a wide range of staff as part of an interdisciplinary team including physicians, nurses, and ancillary staff. Performs in a leadership capacity for clinical practice, supervision, teaching, and research. Coordinates activities of the nursing specialty units under management with other patient care units. Provides oversight and direction in establishing and maintaining a system for developing, reviewing, approving and disseminating standards of clinical practice. Assists in reviewing and making recommendations on policy issues regarding clinical practice within specific nursing disciplines within the organization. Identifies problem areas in areas of responsibility and takes corrective action. Manages daily operations and budget. Develops and coordinates plans and policies, resources, and goals for the department. Ensures compliance with nursing care standards and applicable laws, regulations, and/or institution rules, standards and guidelines. Hires, trains and motivates a competent nursing staff.

Licensed Practical Nurse

LPN

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