Documente Prosumator Ppc Jobs in Usa

The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to insure commensurate reimbursement of clinical severity and services rendered to patients with a DRG based payer (Medicare, Medicaid). Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. Reviews inpatient medical records for identified payer populations as within one business day of admission and throughout hospitalization to identify opportunities for physician documentation.
Analyzes clinical status of patient, current treatment plan, and past medical history and identifies potential gaps in MD documentation and leaves physician query to obtain complete, accurate clinical documentation.
Works closely with HIM coding staff to assure documentation of discharge diagnosis and any co-existing co-morbidities is a complete reflection of the patient’s clinical status and care
Maintain a DRG worksheet to assist coders on identifying all documented POA/HAC, diagnosis and procedures
Updates DRG worksheet to reflect any changes to inpatient status/procedure/treatment and confers with the physician to finalize diagnosis.
Demonstrates basic knowledge about HIM coding standards and applies to ongoing evaluation of medical record documentation for accuracy of physician documentation to support the acuity of illness.
Performs chart review on expired patients to identify severity of illness and risk of mortality for performance improvement activities.
Develops and implements plans for both formal and informal education of physician, nursing, and other clinical staff on clinical documentation opportunities, coding and reimbursement as well as performance improvement methodologies.
Collaborate with case manager regarding cases with length of stay outside of the expected GMLOS, to ensure documentation identifies severity of illness and maximizes reimbursement potential.
Coordinates and assures complete and accurate data collection and validation for public reporting data initiatives for Premier, CMS and JCAHO.
Helps identify problems, offers solutions, and participates in their resolution.
Coordinates with quality department by: providing concurrent review for core measures documentation, providing retrospective chart audits as needed, and educating nursing and medical staff of improvement and current status of quality initiates.
Performs follow-up to document physician response to queries. Tracks and trends patterns of physician responses and reports monthly to director.
Designs and implements collaboration with physician leadership specific tools to support medical record physician documentation.
Work collaboratively with the coding staff to ensure that documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient’s clinical status and care.
Review final DRG and compare with clinical data gathered to ensure the DRG assigned is appropriated and that all co-morbidities are captured.
Communicates with Case Management Director and/or Vice President of Medical Affairs regarding program barriers/success/outcomes of CDI program.
Assists in collection and organization of data for analysis by appropriate medical and hospital committees.
Associate's Degree in Nursing
RN License in state of employment or compact
PRN
Per Diem As Needed

The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation of care provided and coded for coordination, abstraction and submission of accurate data required by CMS. Facilitates concurrent modifications to clinical documentation to insure commensurate reimbursement of clinical severity and services rendered to patients with a DRG based payer (Medicare, Medicaid). Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. Reviews inpatient medical records for identified payer populations as within one business day of admission and throughout hospitalization to identify opportunities for physician documentation.
Analyzes clinical status of patient, current treatment plan, and past medical history and identifies potential gaps in MD documentation and leaves physician query to obtain complete, accurate clinical documentation.
Works closely with HIM coding staff to assure documentation of discharge diagnosis and any co-existing co-morbidities is a complete reflection of the patient’s clinical status and care
Maintain a DRG worksheet to assist coders on identifying all documented POA/HAC, diagnosis and procedures
Updates DRG worksheet to reflect any changes to inpatient status/procedure/treatment and confers with the physician to finalize diagnosis.
Demonstrates basic knowledge about HIM coding standards and applies to ongoing evaluation of medical record documentation for accuracy of physician documentation to support the acuity of illness.
Performs chart review on expired patients to identify severity of illness and risk of mortality for performance improvement activities.
Develops and implements plans for both formal and informal education of physician, nursing, and other clinical staff on clinical documentation opportunities, coding and reimbursement as well as performance improvement methodologies.
Collaborate with case manager regarding cases with length of stay outside of the expected GMLOS, to ensure documentation identifies severity of illness and maximizes reimbursement potential.
Coordinates and assures complete and accurate data collection and validation for public reporting data initiatives for Premier, CMS and JCAHO.
Helps identify problems, offers solutions, and participates in their resolution.
Coordinates with quality department by: providing concurrent review for core measures documentation, providing retrospective chart audits as needed, and educating nursing and medical staff of improvement and current status of quality initiates.
Performs follow-up to document physician response to queries. Tracks and trends patterns of physician responses and reports monthly to director.
Designs and implements collaboration with physician leadership specific tools to support medical record physician documentation.
Work collaboratively with the coding staff to ensure that documentation of discharge diagnoses and co-morbidities are a complete reflection of the patient’s clinical status and care.
Review final DRG and compare with clinical data gathered to ensure the DRG assigned is appropriated and that all co-morbidities are captured.
Communicates with Case Management Director and/or Vice President of Medical Affairs regarding program barriers/success/outcomes of CDI program.
Assists in collection and organization of data for analysis by appropriate medical and hospital committees.
Associate's Degree in Nursing
RN License in state of employment or compact
PRN
Per Diem As Needed

Description

Summary:

The Physical Therapist has the responsibility and accountability for assessing, planning, evaluating and implementing care for the patients assigned physical therapy. The Physical Therapist is responsible for adhering to all standards of Physical Therapy Practice Act as they apply to providing technical therapy care, supplies, equipment and interventions to a designated patient population.

This position requires providing services to Therapy Patients, ages between children/adolescents to geriatrics in a manner that demonstrates an understanding of the functional/developmental age of the individuals served. This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St. Patrick Hospital. It is expected that the associate demonstrate behavior consistent with the Core Values. The associate shall support the CHRISTUS St. Patrick’s strategic plan.

May require push/pull/lifting of 50-100 pounds. May require partial lift or supporting of weight from 100-150 pounds during transfers or assisting patients in stance. Work requires sitting, bending, stretching, and walking. May require prolonged standing and walking, lifting and moving patients, equipment and supplies. Subject to danger of infection from disease-bearing specimens, exposed to odorous chemicals and specimens. Exposed to all patient elements: infectious diseases, chemicals, radiation, sharp tools / instruments, antineoplastic agents, combative patients / visitors, and electric shock.

Current degree standards and Louisiana licensure required. CPR training is required. Visual acuity and perceptive mental abilities are necessary. Will supervise PTA and Physical Medicine Aides. Decision making skills are needed to carry out patient treatment and consult with physician and other providers. Required to work Monday through Friday and weekends as scheduled.

Responsibilities:

• Healthstream (HLC) modules completed by assigned date.
• Complete Associate Self-evaluation and give to Supervisor by assigned date.
• Attend at least 2 Quarterly Associate Forums.
• Attendance at 50% of Monthly department meetings and educational inservices.
• May require push/pull/lifting of 50-100 pounds. May require partial lift or supporting of weight from 100-150 pounds during transfers or assisting patients in stance. Work requires sitting, bending, stretching, and walking. May require prolonged standing and walking, lifting and moving patients, equipment and supplies. Subject to danger of infection from disease-bearing specimens, exposed to odorous chemicals and specimens. Exposed to all patient elements: infectious diseases, chemicals, radiation, sharp tools / instruments, antineoplastic agents, combative patients / visitors, and electric shock.
• Responsible for the evaluation, treatment, treatment planning and goal setting of patients ordered therapy servcies. Responsible for discharge recommendations within the continuum of care. Responsible for daily documentation and billing of services.
• Patient Care – Completes evaluation and administers patient care as specified by the treatment plan and goals. Productivity adheres to the hospital standard. Flexible and adaptive to changes in the work environment/function. Uses resources in a cost effective manner.
• Records Progress – Records patient evaluations, treatment documentation, discharge documentation, education documentation, billing in a timely manner, maintaining accuracy and updating as appropriate.
• Safety/Infection Control – follows all safety and infection control policies. Uses appropriate therapeutic delivery. Recognizes adverse reactions and takes steps to remedy them.
• Insures Quality – Insures a quality approach in the treatment of patients. Communicates effectively and regularly with medical staff, department directors and Administration, as well as other departments and outside stakeholders as necessary and appropriate. Seeks consults from other disciplines when indicated. Assists in PT/OT/ST scheduling coordination.
• Accepts feedback and modifies actions as necessary. Actively seeks methods to improve performance. Seeks opportunity for personal/professional growth.
• Time Management – Will maintain own work schedule and utilize good time management skills. Works as a team member to get the job done. Initiates helping others when personal workload decreases or, if not needed in other areas, will exercise option of leaving early.
• Departmental Education – Attends department meetings and educational inservices. Participates in department education through organizing or providing education opportunities.
• Hospital Mission – Adheres to the hospital mission statement. Is consistent and fair in relationships will all members of the department. Works with courtesy and cooperation with co-workers in providing a good work environment. Treats each patient, family members, and visitors with courtesy and concern. Respects patient confidentiality. Avoids discussing patient care issues except when appropriate. Conducts and presents self in professional manner.

Requirements:

• Master, or Doctor of Physical Therapy required from an accredited school.
• LA licensure.
• BLS required.
• CPR certification, CPI Certification, FIM Certification.
• Must complete all required CEU in order to maintain licensure.
• New graduates accepted.

Work Schedule:

7AM - 5PM

Work Type:

Part Time

Overview:

Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from the best and accelerate your career with Vi.

What We Offer:

• Competitive pay
• Exceptional benefits
• Generous Paid Time Off - start accruing on day one
• 401k with company match
• Paid maternity and paternity benefits
• Award-winning training and development
• Tuition Reimbursement
• Luxury work environment
• Meaningful and rewarding work

 

Vi at Bentley Village is located at 2315 Leisure Lane, Naples, FL 34110

Responsibilities:

Clinical Reimbursement Manager - MDS RN

Full-Time Onsite Position 

 

Collaborates with the DON, Clinical Reimbursement Specialist (where applicable) and various disciplines to complete the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. With guidance and oversight from the DON, the CRM ensures completion of the assessment within the timeframe as mandated by federal regulations and company policies. The CRM also manages the overall process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center. Responsibilities also include assisting with the coordination of the resident care planning processes. Performs other duties as assigned. This is a safety sensitive position.

 

Principal Accountabilities / Essential Job Functions:

• Reviews the clinical records, MD progress notes, therapy and nursing documentation in order to capture all care and services for optimal reimbursement.
• Ensures that participants in the assessment process complete an accurate and comprehensive assessment and collaborates with the Clinical Reimbursement Specialist (where applicable)or DON to address concerns.
• Tracks Medicare/Managed Care beneficiaries to determine continued and appropriate Medicare eligibility and benefit period by determining skilled level of need.
• Performs concurrent and ongoing MDS review to ensure appropriate PDPM category is achieved through the capture of appropriate clinical information.
• Manages the coordination of ICD-10 coding for Medicare and Managed Care billing.
• Directs the interdisciplinary team process to communicate opportunities to ensure capturing of all care, services, and diagnosis.
• Coordinates with rehabilitation services Program Director, Corporate Director of Clinical Reimbursement and Central Billing Office as needed to communicate case mix data required for accurate claim billing at month end.
• Reviews additional document requests by local Medicare Administrative Contractors, insurance carriers or auditors to ensure appropriate documentation is submitted timely for review.

• Encourages staff to report changes in the resident's status and involves the DON in addressing concerns.
• Confirms that residents and their families are actively involved in the information sharing and decision-making process.
• Completes resident assessment protocol documents within scope of practice.
• Assists with the completion of the resident care plan and the care plan conferences per requirements as requested by the DON.
• Provides resident and family education as needed.
• Identifies and reports deviations from safe practice to the DON. Adheres to policies and guidelines of regulatory agencies (i.e. OSHA, CMS).
• Manages emergency situations based on the Company’s safety and disaster policies.
• Communicates and collaborates with other members of the healthcare team to resolve resident care problems and to enhance care delivery.
• Participates in quality assessment/performance improvement activities and audits.
• Maintains minimum data set competencies and attends annual educational programs.
• Attends/participates in care center meetings, in-services and committee meetings.
• May perform CPR, use Automated External Defibrillator (AED), and render first aid in emergency situations.

 

Physical Requirements:

• Constant: Walking, must have the ability to operate in a constant state of alertness and in a safe manner.
• Frequent: Standing
• Occasional: Handling medical supplies and equipment, pushing up to 120 lbs.
• Seldom: Bending, crouching, pulling, reaching up to 36 in., lifting Residents (70 lbs. to 300 lbs.) with use of assistive device

 

Sensory Requirements:

• Balance, tactile, hearing, smelling, near, midrange, color and peripheral vision

 

Working Conditions:

• Regular on-site physical presence is required.

Qualifications:

Key Competencies:

• Maintains a courteous and professional manner through interactions with others.
• Uses a resident and customer-focused approach to problem solving and goal setting.
• Uses discretion in handling confidential information, incorporating all Federal, State and local privacy and confidentiality requirements.
• Must possess knowledge of regulatory compliance and Continuing Care Retirement Community operations.
• Excellent knowledge of Case-Mix, and the Federal Medicare PPS process as required.
• Thorough understanding of the Quality Indicator Process, and OBRA regulations.

• Excellent oral and written communication skills and ability to interface and maintain effective relationships with all departments and employees in a team-oriented environment.
• Computer proficiency using Microsoft Office.
• Must be sensitive to the needs of older adults and enjoy working with a senior population.

 

Education and Experience:

• Education: Graduation from a School for Registered Nurses is required.
• Work Experience: Minimum 3 years of previous experience in an MDS/Clinical Reimbursement Nurse role is required.
• Licensure / Certification, where required: Current State Licensure as a Registered Nurse in the state where practicing is required. Current CPR and Automated External Defibrillator (AED) certifications are required. Current First Aid certification is required or must be willing and able to become First Aid certified. Food handlers certification, where required.

The application window is anticipated to close within 30 days of the date of the posting.

 

This position requires compliance with Florida’s Care Provider Background Screening process. Please see the Clearinghouse screening information here: Pay Range: USD $82,487.45 - USD $107,228.73 /Yr.

TITLE:  Shift Leader (SL)

PURPOSE OF THE POSITION:  The person holding this supervisory position is considered a part time team member and is responsible and accountable for:  the daily operation of the restaurant, assisting the RGM with hiring and training team members, directing the activities of team members, and rewarding or disciplining team members in consultation with the RGM; and, performing these functions in ways that assure compliance with all Company policies and procedures, customer satisfaction, a high level of team member morale and the attainment of sales and profit objectives.  The Shift Manager reports directly to the RGM, and holds the second highest position in the restaurant if there is not an Assistant Manager.  In restaurants with an Assistant Manager, the Shift Manager is the next highest position.

ESSENTIAL FUNCTIONS:  The following accountabilities are essential to this position and a high degree of performance must be achieved in each in order for the incumbent to be successful.  These accountabilities are organized according to our six Key Result Areas.

When the word "policies" or the phrase "policies and procedures" or similar language is used in any of the Company's documents, the term refers to all policy and procedure bulletins, manuals, training materials, memoranda, newsletters, communications on the “Document Viewer” on the computer, and all other documents and oral discussions with team members' supervisors, which relate to the restaurant.  The management team shall be responsible for ensuring that all team members, including the manager himself/herself, comply with all Company policies and procedures and all Pizza Hut standards at all times and take immediate steps to correct actions not in accordance with such policies, procedures and standards.

I. PROFITABILITY

A.Planning

1.Executes the RGM’s plans and overall Daland Corporation plans to achieve consistent sales growth and profit growth.

2.Achieves planned/budgeted profits, as communicated by the RGM.  This involves:

- a.Using established control systems and procedures to measure actual results and to identify deviations from planned results.
- b.Assisting the RGM, as requested, in developing and implementing corrective action plans to assure actual results conform to plan.

B.Policies:  Complies with all Company policies and procedures, including but not limited to, those relating to inventory, cash, payroll, food handling, interactions with guests, team members, and vendors, and legal compliance.

C.Manages and Controls Cash:  In conjunction with the RGM and other managers, ensures that that all cash and checks, minus the change fund is correctly deposited, credit card transactions are correctly settled, and cash over or short is minimized.

1. Performs Banking Transactions

- a. Assures that two deposits daily are prepared and deposited in the bank (more than two may be required in higher volume units.)
- i. The intent of the first deposit is to remove from the unit an amount approximately equal to the total of cash plus checks, minus the amount of the change fund.
- ii. The first deposit is to be made after 4:00 p.m., when the opening manager is ready to leave for the day.
- iii. The final deposit will be all remaining cash plus checks, minus the change fund.
- iv. The managers may take such deposits to the bank, using his/her personal vehicle, and depending on the time of day, make the deposit in the bank lobby or in the night depository.
- v. Assure the “Weekly Deposit Log” is completed for each deposit made.
- b. If requested by the RGM, the other managers shall perform the following tasks. These are the responsibility of the RGM, but may be delegated to other managers.
- i. Picks up validated deposit slips at the bank.
- ii. Verifies bank validated deposit amounts to sales and cash reports as well as the “Weekly Deposit Log,” and assures all appropriate signatures are on the “Weekly Deposit Log”.
- iii. Sends a copy of the “Weekly Deposit Log” to the Home Office with all other weekly paperwork.

D.Controls cash drawers and team member “banks”, following all established manual and computer procedures.

1. Establishes the correct number of cash drawers.  Number of cash drawers in use at one time may vary from one to four depending on size of the restaurant, sales volume, method of delivering services to customer.  Amount of cash in each drawer is recorded and kept in the drawer for the duration of the shift, or until “dropped” from the cash drawer to the safe.
2. Establishes cash banks for delivery drivers.
3. As needed, will operate cash drawer following established procedures for cash drawer operation.
4. As necessary, money is removed from cash drawers from time to time and secured in the safe.
5. Throughout the shift, cash drawer transactions, such as paid outs, miscellaneous receipts (paid ins), discounts and promotions are properly accounted for, including all documentation; transactions are properly entered into the computer; and, all documentation is organized and secured for transmitting to the Home Office.
6. Assures cash drawers are counted and balanced at the end of each shift or when there is a change in cashiers.
7. Records tips for servers and drivers on credit card/gift card transactions and correctly settles all credit card/gift card transactions.
8. Inform the RGM anytime cash short exceeds $5 for a day.
9. Reviews reports and otherwise takes actions to ensure that team members properly report actual sales and actual tips, and ensures that team members do not falsify credit card receipts or other Company documents.  This requires due diligence on the part of the managers.

E.Assists the RGM in Managing and Controlling Cost of Sales:  The actual cost per the P&L must be equal to or between Ideal Cost and Allowable Cost as calculated in the Product Cost Analysis report and Bonus Calculation Sheet.   This includes these processes:

1.Utilizes manuals and/or automated procedures approved by the Company, orders all approved products used in the restaurant.

2.Properly accepts deliveries and properly stores inventory items used in the restaurant.  This involves these processes:

- a.Checks in products as received off of delivery vehicles to verity product quality and verifies that amounts charged for on delivery receipt/packing slips are for amount of goods received. 
- b.Uses a two-wheeled hand truck to unload and products, assists and oversees other team members in proper storage of products.  Weight of items varies from 10 to 50 pounds.  Full load on two-wheeled hand truck may exceed 500 pounds.  Generally, ensures that more than one person is available to perform this task. 
- c.“Autoposts” inventory received, or enters on inventory record the amount and cost of each product item received, as noted on delivery receipt/packing slip.

3.Accurately accounts for all product coming into the restaurant, used to prepare products, or transferred out of the restaurant.

4.Assures the proper execution of all recipes and specifications for preparing ingredients and assembling products.

5.Manages waste which involves maintaining a FIFO (First In, First Out) system and marking all products with a Made – Ready – Discard label.

6.Assures the correct order entry procedures are followed by all order takers.

7.Assures compliance with team member consumption policies.

8.Performs a Daily Product Usage Analysis on critical inventory items to assure usage meets guidelines.

9.Communicates goals to team members and follows up with team members to ensure goals are being met.

10.The following tools are used to aid in controlling Cost of Sales:

- FMS Product Cost Analysis Report
- FMS Daily Ideal Usage Report
- FMS Weekly Worksheet Report
- Bonus Calculation Sheet
- Profit and Loss Statement
- The General Ledger
- Prep Variance Report
- Daily Prep Variance Report

F.Assists the RGM in Managing and Controlling Cost of Labor:  Ensures that “Flow-thru” targets/goals are achieved; actual hours used do not exceed the established labor model/matrix; and, team member productivity is maximized.  This includes these processes:.

1.Ensuring the accuracy and completeness of team member timekeeping records, including tips and team member meals.  Updates team member records as needed.

2. Minimizing edits to clock-in/clock-out transactions by assuring team members properly    clock in at the beginning of their shift and clock out at the end of their shift.

3. Assuring team members do not clock in earlier than five (5) minutes prior to their scheduled shift.

4. Assuring the man-hours used for opening and closing the restaurant do not exceed   established targets.

5.Analyzing actual labor hours used versus earned allowable labor hours and calculating the variance; and, using this information to appropriately manage labor each shift.

6.Communicating and cooperating with the Home Office Payroll Department to assure accuracy in payroll, including information about new hires, raises, promotions, and terminations.

7.Making appropriate recommendations to the RGM regarding wages within Company guidelines.

8.Eliminating overtime hours for team members who are paid on an hourly basis.

9.Eliminating supplemental tip credit pay.

10.Improving team member productivity using the measurements and tools available through the Company, as well as the following:

- Assuring the Back of the House (BOH) is “optimized”:
- i. Organized … a place for everything, and everything in its place
- ii. Lineal Flow … eliminate or minimize back tracking
- iii. Have all items located closest to the next step in the product assembly process
- iv. Minimize the number of steps taken and the reach needed for all items
- Assuring that team members are thoroughly trained.
- Ensuring that “prep levels’ are adequate for the forecasted volume of business for the day, including:  products thawing/tempering; raw product prep; preassembled pizza and other products; and so on.
- Ensuring that food preparation areas, make table, cut table, and service areas are stocked appropriately before each shift and maintained during peak volume periods.
- Ensuring products are prepared quickly in accordance with time standards.
- Ensuring that tables vacated by customers are cleared, cleaned, sanitized and reset quickly.

11. Reduces turnover by managing all aspects of the restaurant professionally and in accordance with Company standards.

12. If the RGM has delegated scheduling to the Shift Manager, the Shift Manager uses established procedures to produce a sales forecast to be used in the scheduling process.

G.Managing Other Operating Expenses and Semi-Variable Expenses to Budget or less.

II. CUSTOMER SATISFACTION

A.Maintains positive customer relations, which includes:

1. Assuring personal behaviors and team member behaviors toward all customers are courteous, attentive, respectful, and enthusiastic.

2. Assuring a comfortable environment for customers.

3. Executing "Floor Management" by directing activities and greeting and interacting with customers on each shift worked.

4. Immediately resolving customer complaints by apologizing first and then assuring the satisfaction of the customer.  Complaints may be received in person, by phone, or in writing.  Consult with the RGM if the customer is not satisfied with your suggested resolution.

- a. B.L.A.S.T. is the acronym we use for our complaint resolution process:
- Believe the customer
- Listen to the customer
- Apologize to the customer
- Satisfy the customer
- Thank the customer

5. Immediately contacting the RGM (or DM if the RGM is not available immediately) regarding any incidents in which customers are injured or in which customers claim some harm done to them.

B. Ensures customers receive prompt, quality service.  This includes:

1. If the RGM has delegated scheduling to the Shift Manager, scheduling the correct number of team members for forecast sales volume; and deploying those Team members in the correct job roles.
2. Following established service guidelines and procedures to assure all Hospitality Standards are achieved.
3. Directing team member activities to assure speed of service standards are met or exceeded, including product preparation times and delivery times. 
4. Personally serving customers as required to meet the demand of the volume of business.
5. Ensuring customers are greeted properly and seated as quickly as appropriate.
6. Recognizing and dealing effectively with the special needs of customers.
7. Ensuring that customer orders are taken promptly, prepared accurately, and served quickly.
8. Ensuring customer follow-up, which means servers check back with customers   frequently to see if there is anything else needed. 
9. Ensuring immediate attention is given to customers ready to pay, either by prompting servers to complete the table cashout procedure or by performing the transaction of cashing out customer as needed.
10. Ensuring the phone is answered promptly and courteously, following the Telephone Service Essentials.
11. Responding to customers at pickup counter and drive-thru window; finding order; collecting money for the order; verifying order to customer; and, thanking customers.
12. Dispatching orders for delivery customers as required to meet the demands of the volume of business, grouping orders by geographical destination and instructing drivers as they arrive and depart which orders to take with them and where to go.
13. Delivering pizzas as necessary to meet the demands of the business.
14. Ensuring customers are thanked for their business.

C.Ensures quality ingredients are used to prepare all products.  This includes:

1. Maintaining Food Safe Temperatures for all ingredients and products.
2. Ensuring food preparation utensils and food contact surfaces are property cleaned and sanitized.
3. Ensuring that procedures for receiving, handling and storing ingredients are followed.
4. Recognizing and correcting any raw ingredients or product problems.
5. Maintaining inventory levels which assure product freshness and no outages.
6. Eliminating the potential for cross contamination.
7. Ensuring that proper procedures are followed to prepare ingredients (dough, sauces, meats, cheeses, and vegetables).
8. Ensuring salad bar is maintained according to standards of operation (restaurant only).
9. Personally preparing ingredients as necessary.

D. Ensures quality products, which includes:

1. Planning dough, ingredient and product preparation to meet sales volumes and personally preparing these items, as necessary, to meet the demand of the business.
2. If deemed appropriate by the RGM, performing a product cookability test to verify proper oven and belt speed.
3. Following proper procedures to process customer orders.
4. Personally preparing and cooking menu items as required to meet the demands of the volume of business.
5. Taking every appropriate action, in consultation with the RGM, including driving to another restaurant to pick up product, to resolve outage or potential outage situations. 
6. Maintaining inventory levels which assure product freshness and no outages.
7. Planning dough, ingredient and product preparation to meet sales volumes and personally preparing these items, as necessary, to meet the demand of the business.
8. Assuring all products are prepared according to exact specifications, recipes and procedures.
9. Personally preparing and cooking menu items as required to meet the demands of the volume of business.

E.Ensures that all standards for cleanliness and sanitation are met or exceeded, with particular attention to:

1. Restrooms.
2. Table tops; booth backs and seats; and chair seats.
3. Silverware, plateware, and glassware.
4. Dining room floors.
5. Salad bar.

F.Implements new or approved changes in policies, procedures and/or operation standards.  This involves:

1. Attending training sessions.
2. Reading "Rollout Guides" or other resources.
3. Assisting the RGM with training restaurant team members of new procedures or changes.
4. Participating in crew training and other actions in the restaurant to assure full and correct implementation.
5. If requested by the RGM, assisting with updating all manuals, resources and job aids as required.

III.PEOPLE

A.Maintains positive team member relations and a positive and productive workplace, which involves:

1. Building relationships with team members based on mutual trust and respect.
2. Communicating and following the Daland “5 Star” Vision and Core Beliefs.
3. Promoting teamwork.
4. Being familiar with benefits available to team members, and referring appropriate questions to the RGM regarding these benefits.
5. Informing the RGM of all team member grievances.
6. Performing correct and consistent administration of team member disciplinary procedures, and discussing all recommended discipline with the RGM.
7. Assuring compliance with various governmental regulations, such as ensuring that all team members are clocked in while working, complying with overtime laws, child labor laws, alcoholic beverage laws, anti-discrimination and anti-harassment laws, FLSA, EEO, etc.
8. Performing consistent administration of and compliance with Company policies and procedures.
9. Communicating effectively with the crew and management team.
10. Assuring team member understanding of the Daland Corporation organization structure and career opportunities within the Company.

B. Assists the RGM with managing the size and quality of staff.  The following are responsibilities of the RGM, but if requested by the RGM, the Shift Manager may assist with the following:

1. Planning, recruiting, and hiring to assure a full staff at all times and to assure adequate time for processing MVR's (motor vehicle reports), background checks, etc.  Only the RGM is authorized to hire new team members; and Shift Managers are only permitted to interview applicants if authorized by the RGM.
2. Continuously recruiting and taking applications from job candidates.
3. If requested by the RGM, utilizing staffing tools, such as the Pizza Hut Hiring Zone and the team member Assessment; interviewing job candidates; and, checking their references.
4. If requested by the RGM, making recommendations to the RGM regarding the best qualified candidates.
5. Complying with Company employment practices and governmental regulations, including EEO, ADA Title I, etc.

C.Assisting the RGM in training newly hired team members and team members preparing for promotions.  This involves:

1. Following Company training policies and meeting Pizza Hut Training Standards.
2. Utilizing on-line training, trainer's guides, checklists, job aids, tests and other training resources to assure a thorough job of training.
3. Using the four step training process of:  (1) Preparation (2) Show & Tell; (3) Guided Practice; and (4) Follow-up to assure the trainee can perform all tasks up to required standards prior to being allowed to perform the tasks "solo."

D. Manages team member performance and supervises work.  This includes:

1.Utilizing Coaching for Results, which includes:

- a.Activating team member behavior.
- (1)Providing guidance, direction, and reassurance to all team members.
- (2)Communicating non-negotiable standards of performance to team members.
- (3)Conducting team member meetings, group training sessions and Jump Start meetings.
- (4)Assigning Team members tasks from the Opening, Closing and Maintenance checklist. 
- (5)Communicating job assignments for each shift to team members and assuring each team member works their assignment.
- (6)Giving instructions to team members that are clear and assure understanding.
- (7)Assigning team members to breaks.
- (8)Sending team members home early if not needed due to business conditions.
- (9)Calling team members in early, or calling extra team members to work to cover unanticipated surges in business volume.
- (10)Assuring all opening, shift, and closing job duties are completed and performed correctly.
- b.Evaluating team member behavior.
- (1)Observing team member performance each shift.
- (2)Working along side team members and assisting in the performance of their tasks, as needed.=
- (3)Monitoring team member meals and signing team member meal guest checks.
- (4)Ensuring adherence to alcoholic beverage laws of the local community
- (5)Conducting regular, written performance appraisals on all subordinates, using the procedure and forms provided by the Company and within the time specified in compensation plans.
- c.Responding to team member behavior with consequences.
- (1)Taking action (corrective or positive reinforcement) to assure team member performance meets or exceeds standards.
- (2)Providing ongoing counseling that gives praise and recognition to team members for jobs well done; identifies areas of performance needing improvement and methods for improving; and, if required, gives reprimands that are job focused.

2.Handling non-routine occurrences/emergencies and informing the RGM of such occurrences/emergencies.

E. Assists RGM with developing promotable team members in his/her restaurant and promotable management for Daland.  This includes:

1. Using Company training programs and resources to prepare candidates for promotions and to assure that the management team is 100% certified in management processes, systems, policies, and procedures.
2. Making recommendations to the RGM regarding which team members are eligible for promotion to Shift Manager/Leader.

F. Assists RGM with personnel administration functions, which includes:

1. Assuring team members complete all required personnel documents such as W-4's, I-9's, Team member Acknowledgment, Arbitration Agreement, Delivery Driver Statement, New Driver Checklist, etc.; and, that these required documents are transmitted to the Home Office.
2. Documenting required payroll data for team members, including accurate recording of hours;
3. Managing worker's compensation claims, etc. in accordance with Company policies and procedures.
4. Maintaining personnel files on all team members, which includes filing all personnel documents; recording training dates, vacation dates, evaluation dates, pay increases, and absences; etc.

IV. MARKETING

A.Implements marketing programs to increase business.  This includes:

1. Engaging in positive community/public relations for Pizza Hut.
2. Providing input for promotional ideas.
3. Displaying and maintaining Point of Purchase (P.O.P.) and other elements of national, co-op or local marketing programs;
4. Properly executing authorized marketing programs, including new product tests.
5. Taking initiative to recommend new opportunities for increasing business.

V. FACILITIES

A.Maintains a quality environment for our customers and team members.  This includes:

1. Conducting routine Preventive Maintenance on the facility and equipment.
2. Taking corrective actions pursuant to the RGM’s safety inspections.
3. Advising the RGM regarding non-routine problems and following up to assure such problems are corrected.
4. Maintaining cleanliness and sanitation in all areas of the restaurant.
5. Organizing all work space to ensure ease of operation.
6. Providing a quality work environment that is safe and complies with all OSHA regulations.
7. Cleaning and organizing refrigeration units.  
8. Ensuring floors are clean and free from obstruction.
9. Keeping HVAC vents and filters clean.
10. Ensuring trash is disposed of promptly and according to security procedures.
11. Ensuring parking lot and grounds are free of trash and debris and taking action to correct deficiencies.
12. Ensuring all equipment is used according to proper operational procedures.
13. Keeping restrooms cleaned and stocked.
14. Keeping food prep areas cleaned and sanitized according to approved procedures.
15. Ensuring the daily cleaning and maintenance of all equipment.
16. Correcting any unsafe conditions.
17. Following up to ensure all Scheduled Maintenance and Daily CM&A items are completed.

VI. ADMINISTRATION

A.Effectively manages time, allocating an appropriate amount to each Key Result Area.

B.Manages all paperwork, documentation, written reports, etc. and assures these are always submitted on time and that they are accurate, complete and organized.

C.If requested by the RGM, orders inventory items used in the restaurant.  This involves these processes:

1. Review of the Inventory on Hand is performed.  The Inventory on Hand is compared to the Weekly Ideal Usage, which is obtained from the Product Cost Analysis report, and a determination is made as to the amount of each particular item to order.  The order is then recorded on an order sheet, or is entered into the computer for electronic transfer of order information.
2. Amount ordered of each item may be adjusted upward or downward based on projections of upcoming sales trends, coupon impact, weather changes or other extra-restaurant environmental changes.
3. Calls in orders for supplies on the phone, or electronically submits order via computer.

D.If requested by the RGM, conducts weekly inventory of all food, paper and beverage products used in the unit.  This involves these processes:

1. Physically reviewing and counting the inventory on hand (which involves climbing shelves, bending, kneeling, etc.).
2. Rearranging inventory to assure proper rotation (first in, first out) and to make it easier to count and control.
3. Recording amounts of inventory on hand on the inventory form.

E.If requested by the RGM, prepares the weekly labor schedules.  This involves these processes:

1. Updating Guest Check Comments file in the restaurant computer to assist in forecasting labor hours.
2. Reviewing Guest Check Comments file and upcoming promotions that may affect sales during the upcoming week.
3. Forecasting anticipated sales volume by shift, by day and by week.  The forecast is based on knowledge of any outside events that may influence sales such as coupons, promotions, etc.  Particular consideration must be given to how sales are generated--that is, dine-in business contrasted to carry-out business or delivery business.
4. Updating sales forecasts in the FMS (computer system) based on outside events that may influence sales.
5. Reviewing requests for days off that have been turned in by team members and when possible allowing for requested days off.
6. Using experience, past schedules, Black Book information, Guest Check Comments, knowledge of team members' abilities, labor goals, and FMS (computer system) recommended labor schedule to assist in scheduling the proper number of team members each shift to meet sales volume and labor hour guidelines.
7. Obtaining the RGM's approval of the schedule, then posting the final schedule in accordance with Daland Corporation's policies and procedures.

F.Performs daily accounting procedures.  This includes these processes:

1. At close of business day requests a sales report from the FMS computer to determine total sales entered into the cash drawers throughout the system.
2. Any cash paidouts or miscellaneous deposits from the day are verified with what is in the system.
3. Cash on hand is counted and reconciled against total sales.
4. Total deposit is calculated, and a deposit is prepared.
5. Dough waste and PPP waste is documented and calculated on the form provided and filed for use in forecasting future prep levels.
6. All gift checks are counted and verified against prior counts less current gift check sales on the Gift Check Tracking form.

G.If requested by the RGM, performs weekly accounting procedures.  This includes these processes:

1. Completing, as required, the Weekly Sales Analysis and analyzing it.
2. Completing the Weekly Inventory.
3. Completing the payroll functions.
4. Analyzing the Daily Business Summary Report to determine performance in key measurement areas.
5. Preparing the weekly packet for the home office, using the checklist provided to assure all required items are included.
6. Calling any needed FRS numbers or statistics to the District Manager.

H.Meets all deadlines and assures that subordinates meet their deadlines.

I.Manages all paperwork, documentation, written reports, etc. and assures these are always submitted on time and that they are accurate, complete and organized.

J.Maintains and updates required files, manuals, and reports.

NON-ESSENTIAL FUNCTIONS:  The "non-essential" functions are routinely performed by the person holding the Shift Manager's position and they are essential to the effective operation of the restaurant.  However, these functions are considered "non-essential" to the position. The Manager on Duty is then accountable for assuring the delegated functions are correctly performed.

A.Receives and stores inventory items used in the unit.  This involves these processes:

1. Checking in products as received off delivery vehicles to verify product quality and that amount charged for on the delivery receipt/packing slip is correct when compared to amount received.  Signing the delivery receipt/packing slips for amount of goods received.
2. Using a two-wheeled hand truck, assists and oversees other employees in proper storage of products.  Weight of items varies.  Generally, more than one person is available to perform this task.
3. Entering on inventory screen of the computer the amount and cost of each product item received as noted on the delivery receipt/packing slip.

MINIMUM QUALIFICATIONS/REQUIREMENTS:  The following are the qualifications and minimum requirements necessary for a person to perform this job.

A.Ability to work a minimum of three (3) days and at least 30 hours per week, but must be available to work more than 30 hours per week if necessary due to business necessity. In addition to having the flexibility to work a variety of shifts, including late nights and weekends.

B.Valid driver's license, insurance and automobile.  Position involves taking large amounts of cash receipts to the bank at different times of the day including at night.  Banks are generally at a distance requiring a person to drive to the bank. Position may also need automobile to pick up product, make pizza deliveries, etc.

C.Able and willing to travel.  Position requires occasional travel for training, new store openings and meetings, which may be held at a distance from home not feasible to drive daily.  Overnight stays at an out-of-town location may be required during the training sessions, new store opening, and meetings for up to one week at a time.

D.Telephone (cellular or land line) at residence.  There are circumstances that may arise at the restaurant of which the manager must be informed while off duty.

E.Sufficient physical agility to perform the functions of the position. This includes these processes:

1. Sufficient physical strength to lift most items used in the operation of the restaurant.
2. Sufficient communication skills.  Position involves communicating with team members, superiors and customers.  
3. Ability to move at a fairly quick pace and to remain stationary for periods of six to eight hours at a time.  The position requires person to perform all of the above at different times and intervals as needed by the realities of the environment and the position.

F.Ability to maintain a state of self-composure under conditions of stress and anxiety.  Position routinely involves stress resulting from work overload, role ambiguity, conflicting demands from various customers, and team members.  Person in this position must be able to function effectively under these conditions.

G.Previous experience with this Company as a Shift Manager/Leader; or previous restaurant management experience with another Company.

H.Sufficient mental and cognitive ability to perform the calculations and fill in the sales and product tracking forms used by the Company.  Estimate is that ability to read, write and perform arithmetic procedures at the 12th grade level will be sufficient.

I.Ability to perform all of the duties of the hourly team members and supervisors under this person's supervision.  As time and circumstances dictate the person in this position may have to assist or take over the duties of an hourly team member in order to expedite good customer service.  Also necessary in order to train new team members in this function.

J.Ability to communicate effectively with a large variety of persons with diverse backgrounds.  Position is one where incumbent provides direction and supervision to a variety of subordinates with diverse levels of education, differences in ages, and experience.  Must be able to express ideas and concepts to these persons to assure teamwork through organization and leadership.

EQUIPMENT USED:

Standard restaurant office equipment such as calculator, telephone, and computer.

"Pizza Wheel".  This is a device with a handle and a round stainless steel blade that is used to cut certain types of pizza dough crusts.

"Rocker Knife".  This is a device about two feet long with a stainless steel handle that extends across the top of a stainless steel blade fashioned in a curve.  It is used to cut certain types of pizzas by placing on the pizza and rocking the blade across the pizza surface.

"Vegetable Chopper".  This is a hand operated mechanical device used to slice whole raw vegetables into smaller pieces for use on the make table.

"Crock".  A generic term used to describe a variety of containers used to hold food items served on a salad bar.  Knives, spoons, spatulas and other common utensils.

"Make Table".  An open topped, refrigerated, compartmented table for the storage of food items used in the preparation of products for customer orders.  Has doors which allow access to interior refrigerated section below the table top where additional food items are stored as back-up for the items stored on top of the table.

"Cut Table".  A stainless steel table where cooked pizzas are cut into slices and where other products are assembled prior to serving them to the customer.

"Oven".  A power driven device operating at high temperatures used to bake food products.

"Automatic Dishwasher".  A mechanical device consisting of:  (1) a dirty dish/rinse table, used to rinse and prepare dishes for washing; (2) dishwasher compartment, where dishes are washed with hot water, soap, sanitizing chemical and pressurized water; and, (3) clean dish/drain table, where clean dishes drain, dry and are sorted for storage.

"Dough Proofer".  A metal cabinet heated to approximately 95 degrees Fahrenheit, in which panned dough is placed to obtain the correct rise in the dough.

"Three Compartment Sink".  A stainless steel sink, separated into three compartments used to wash, rinse and sanitize all kitchen tools, and smallwares not washed in the automatic dishwasher.

"Pan Gripper".  This is a mechanical device used to grip certain types of pizza pans for purposes of lifting or carrying when they have been heated to a high temperature.

"Portion Cups".  These are pre-measured cups used by Pizza Hut restaurants for portioning cheese and toppings for pizzas.

"Scales".  This is a small table model scale used to weigh and portion ingredients used in the recipes of various products.

"Pan Separators".  These are plastic items, of varying shape, diameter and circumference, used to separate pans filled with dough to protect the dough inside the pan from contamination and to allow pans to be stacked for storage.

"Dough Perforator".  This is a mechanical device consisting of a handle attached to a small wheeled drum that is dotted with metal protrusions.  It is used to perforate certain types of dough prior to topping to prevent formation of bubbles during baking.

"Cutting Board".  This is a hard surface board, rectangular or square in shape, on which pizzas and other food products are cut.

"Reach In".  A refrigerated piece of equipment with doors which open to allow dough or pizza ingredients to be stored inside for easy access.

"Scraper Block".  A device with a stainless steel blade and a wooden handle in a rectangular shape used to cut dough for portioning, and scraping the make table/cut table surfaces off for cleaning.

"Prep Table".  A table about 34 to 36 inches high, with a stainless steel top.  The table is used as a work surface for the preparation of many ingredient items used in the Pizza Hut.

“Kitchen and Dining Utensils".  Such as knives, spoons, spatulas, etc.

"Plates, Bowls, Mugs, Tumblers".  and other items to serve food and beverages to customers.

"Spoon".  A stainless steel device with a long handle and a curved end used for applying sauce to prepared dough.

"Pan".  A round metal device with a raised edge for holding dough prior to topping and baking.

"Walk-in".  A refrigerated compartment of sufficient size to allow the individual to actually walk into the refrigerated compartment to obtain or store perishable items.  Compartment may be sufficiently cold to freeze items.

"Freezer".  A refrigerated box maintained at sufficient cold temperatures so as to freeze items stored inside.

"Ice Machine".  A device that automatically receives water, freezes it, and stores it as ice in an attached storage bin.

"Soda Dispenser" (pop machine).  A device that mixes syrup and carbonated water and dispenses carbonated soft beverage (soda, pop).

"Point of Sale Computer".  Electronic device used in tracking orders, inventory, payroll information.  Contains cash drawer used to make change for customer transactions, track paidouts, delivery orders, dispatching.

"FMS"  Field Management System.  Software used on the point of sale computer that provides management information necessary in managing the day to day operations of the restaurant.

Miscellaneous equipment such as a telephone, carry-out boxes and bags, hand towels, etc.

Serving tray, ticket book, bus tub, flatware and other small items.

Note:  Many restaurants have additional equipment such as beer boxes, spaghetti magic machine, etc.

PLACES WHERE WORK IS PERFORMED:  This work is performed on the employer's premises.  Location of premises may vary throughout the employer's Company.  This job description was developed by observing the work in process and from information provided by the management of Daland Corporation.

Description:

Position Summary:

The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordance with AdaptHealth’s policies and procedures. Respiratory care will be preventative, rehabilitative, and palliative in nature. The RT will utilize all the resources available within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 

Essential Functions and Job Responsibilities:

• Utilizes various sources of information to attain greater competence about his or her position, including attending educational events (including attending optional in-services) and asking questions.
• Utilizes acquired knowledge to increase his or her competencies.
• Consistently demonstrates ability to adequately complete all documentation and charting procedures in compliance with company policy and procedures.
• Maintains complete and accurate patient files by updating all documents per company policy and procedures.
• Reviews Plan of Treatments and Care Plans to assure they are accurate and up to date.
• Documents procedures including how the patient tolerated a procedure, side effects and other pertinent information.
• Assists with authorization for Ventilator referrals for patients. 
• Shows adequate knowledge of respiratory equipment and displays ability to utilize knowledge in the clinical setting.
• Displays knowledge of assessment skills and demonstrates application of clinical skills during set-ups, follow-ups, and in-services.
• Participates in discharge planning of highly technical cases.
• Performs clinical assessments as needed and reports results and recommendations to the referral and physician.
• Participates in highly technical discharges and prepares in advance to assure the patient and caregivers have a smooth transition to the home setting.
• Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature.
• Follows up with physician and referrals regarding patient status and documents accurately and in a timely manner.
• Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling. 
• Works to promote AdaptHealth by new program development, operational backup, personal visits, coordination of educational activities, etc.
• Assume on-call responsibilities during non-business hours in accordance with company policy.
• Uses clinical expertise in evaluating vent patients records once a ventilator set up has been completed by the branch Respiratory Therapist.   
• Ensures accuracy of prescriptions and plan of care was followed and documented. Also reviews delivery tickets, home inspection, ventilator check, and patient equipment competencies are complete and documented. 
• Maintains proficient knowledge of ventilator patients including compliance software, new technology, units, and supplies supported by Adapthealth.
• Ability to demonstrate and instruct on use of vent units and supplies. Ability to make decisions for patients based on compliance data and assessment.
• Communicates with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 
• Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation.  
• Electronically documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards.
• Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely manner.
• Responsible for accuracy, clarity, and timeliness of verbal and written communications as it relates to role.
• Responsible for documentation that supports data collection to track and trend outcomes.
• Assists in establishing clinical documentation when needed for third party reimbursement or justification.
• Uses knowledge in working with referral sources to educate about best practice standards.
• Works collaboratively and pro-actively with peers and other team members to resolve issues and assure optimum outcomes for patients, referral sources and staff.
• Acts as a resource on practices and processes to provide appropriate guidance.
• Develop and maintain working knowledge of current HME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Completes assigned compliance training and other educational programs as required.
• Maintains compliant with AdaptHealth’s Compliance Program.
• Perform other related duties as assigned during and outside of normal business hours as needed.

Competency, Skills, and Abilities:

• Experience with ventilator patients 
• Competent in Ventilator, Airway Clearance, and Oxygen therapy administration and management
• Able to perform clinical assessments.
• Equipment troubleshooting and maintenance skills.
• Decision making skills.
• Expert communication and interpersonal skills
• Ability to prioritize tasks and manage multiple projects.  
• Strong analytical and problem-solving skills with attention to detail
• Proficient use of Microsoft Office Suite – Excel, Word, and PowerPoint
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
• Knowledge of the regulatory requirements at the state, federal, and local level
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.

Requirements:

Education and Experience Requirements:

• Associates degree from an AMA approved respiratory program,
• Valid and unrestricted RT clinical license in all states serviced by the branch.
• Must be CPR certified,
• One (1) year of clinical experience as a Health Care RT, HME RT or clinical nursing with Vent experience. 
• Valid and unrestricted driver’s license

Physical Demands and Work Environment:

• Must be able to lift 50 pounds, stand, bend, stoop, and be able to sit at a computer for extended periods of time.
• Must be able to perform one-man CPR.
• Ability to perform repetitive movements of the upper extremities’ motions of wrists, hands, and/or fingers due to extensive computer use.
• May be exposed to unsanitary conditions in some home settings.
• Work environment may be stressful at times, as overall office activities and work levels fluctuate.
• May be exposed to high crime areas within the service community. 
• Subject to long periods of sitting and exposure to computer screen.
• May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.
• May be exposed to angry or irate customers or patients.
• Must be able to drive and travel as needed.
• Physical and mental ability to provide clinical assessments.
• Requires travel throughout service area.
• Mental ability to communicate both verbally and in writing.
• Must be able to access the patient’s residence.
• Ability to work outside of normal business hours.
• Physical and mental ability to provide clinical assessments.

PI3c4cb8fa4a16-37344-39704771

Description:

Position Summary:

The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordance with AdaptHealth’s policies and procedures. Respiratory care will be preventative, rehabilitative, and palliative in nature. The RT will utilize all the resources available within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 

Essential Functions and Job Responsibilities:

• Utilizes various sources of information to attain greater competence about his or her position, including attending educational events (including attending optional in-services) and asking questions.
• Utilizes acquired knowledge to increase his or her competencies.
• Consistently demonstrates ability to adequately complete all documentation and charting procedures in compliance with company policy and procedures.
• Maintains complete and accurate patient files by updating all documents per company policy and procedures.
• Reviews Plan of Treatments and Care Plans to assure they are accurate and up to date.
• Documents procedures including how the patient tolerated a procedure, side effects and other pertinent information.
• Assists with authorization for Ventilator referrals for patients. 
• Shows adequate knowledge of respiratory equipment and displays ability to utilize knowledge in the clinical setting.
• Displays knowledge of assessment skills and demonstrates application of clinical skills during set-ups, follow-ups, and in-services.
• Participates in discharge planning of highly technical cases.
• Performs clinical assessments as needed and reports results and recommendations to the referral and physician.
• Participates in highly technical discharges and prepares in advance to assure the patient and caregivers have a smooth transition to the home setting.
• Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature.
• Follows up with physician and referrals regarding patient status and documents accurately and in a timely manner.
• Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling. 
• Works to promote AdaptHealth by new program development, operational backup, personal visits, coordination of educational activities, etc.
• Assume on-call responsibilities during non-business hours in accordance with company policy.
• Uses clinical expertise in evaluating vent patients records once a ventilator set up has been completed by the branch Respiratory Therapist.   
• Ensures accuracy of prescriptions and plan of care was followed and documented. Also reviews delivery tickets, home inspection, ventilator check, and patient equipment competencies are complete and documented. 
• Maintains proficient knowledge of ventilator patients including compliance software, new technology, units, and supplies supported by Adapthealth.
• Ability to demonstrate and instruct on use of vent units and supplies. Ability to make decisions for patients based on compliance data and assessment.
• Communicates with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 
• Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation.  
• Electronically documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards.
• Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely manner.
• Responsible for accuracy, clarity, and timeliness of verbal and written communications as it relates to role.
• Responsible for documentation that supports data collection to track and trend outcomes.
• Assists in establishing clinical documentation when needed for third party reimbursement or justification.
• Uses knowledge in working with referral sources to educate about best practice standards.
• Works collaboratively and pro-actively with peers and other team members to resolve issues and assure optimum outcomes for patients, referral sources and staff.
• Acts as a resource on practices and processes to provide appropriate guidance.
• Develop and maintain working knowledge of current HME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Completes assigned compliance training and other educational programs as required.
• Maintains compliant with AdaptHealth’s Compliance Program.
• Perform other related duties as assigned during and outside of normal business hours as needed.

Competency, Skills, and Abilities:

• Experience with ventilator patients 
• Competent in Ventilator, Airway Clearance, and Oxygen therapy administration and management
• Able to perform clinical assessments.
• Equipment troubleshooting and maintenance skills.
• Decision making skills.
• Expert communication and interpersonal skills
• Ability to prioritize tasks and manage multiple projects.  
• Strong analytical and problem-solving skills with attention to detail
• Proficient use of Microsoft Office Suite – Excel, Word, and PowerPoint
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
• Knowledge of the regulatory requirements at the state, federal, and local level
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.

Requirements:

Education and Experience Requirements:

• Associates degree from an AMA approved respiratory program,
• Valid and unrestricted RT clinical license in all states serviced by the branch.
• Must be CPR certified,
• One (1) year of clinical experience as a Health Care RT, HME RT or clinical nursing with Vent experience. 
• Valid and unrestricted driver’s license

Physical Demands and Work Environment:

• Must be able to lift 50 pounds, stand, bend, stoop, and be able to sit at a computer for extended periods of time.
• Must be able to perform one-man CPR.
• Ability to perform repetitive movements of the upper extremities’ motions of wrists, hands, and/or fingers due to extensive computer use.
• May be exposed to unsanitary conditions in some home settings.
• Work environment may be stressful at times, as overall office activities and work levels fluctuate.
• May be exposed to high crime areas within the service community. 
• Subject to long periods of sitting and exposure to computer screen.
• May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.
• May be exposed to angry or irate customers or patients.
• Must be able to drive and travel as needed.
• Physical and mental ability to provide clinical assessments.
• Requires travel throughout service area.
• Mental ability to communicate both verbally and in writing.
• Must be able to access the patient’s residence.
• Ability to work outside of normal business hours.
• Physical and mental ability to provide clinical assessments.

PI322fe88b7c1d-3631

Description:

Position Summary:

The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordance with AdaptHealth’s policies and procedures. Respiratory care will be preventative, rehabilitative, and palliative in nature. The RT will utilize all the resources available within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 

Essential Functions and Job Responsibilities:

• Utilizes various sources of information to attain greater competence about his or her position, including attending educational events (including attending optional in-services) and asking questions.
• Utilizes acquired knowledge to increase his or her competencies.
• Consistently demonstrates ability to adequately complete all documentation and charting procedures in compliance with company policy and procedures.
• Maintains complete and accurate patient files by updating all documents per company policy and procedures.
• Reviews Plan of Treatments and Care Plans to assure they are accurate and up to date.
• Documents procedures including how the patient tolerated a procedure, side effects and other pertinent information.
• Assists with authorization for Ventilator referrals for patients. 
• Shows adequate knowledge of respiratory equipment and displays ability to utilize knowledge in the clinical setting.
• Displays knowledge of assessment skills and demonstrates application of clinical skills during set-ups, follow-ups, and in-services.
• Participates in discharge planning of highly technical cases.
• Performs clinical assessments as needed and reports results and recommendations to the referral and physician.
• Participates in highly technical discharges and prepares in advance to assure the patient and caregivers have a smooth transition to the home setting.
• Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature.
• Follows up with physician and referrals regarding patient status and documents accurately and in a timely manner.
• Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling. 
• Works to promote AdaptHealth by new program development, operational backup, personal visits, coordination of educational activities, etc.
• Assume on-call responsibilities during non-business hours in accordance with company policy.
• Uses clinical expertise in evaluating vent patients records once a ventilator set up has been completed by the branch Respiratory Therapist.   
• Ensures accuracy of prescriptions and plan of care was followed and documented. Also reviews delivery tickets, home inspection, ventilator check, and patient equipment competencies are complete and documented. 
• Maintains proficient knowledge of ventilator patients including compliance software, new technology, units, and supplies supported by Adapthealth.
• Ability to demonstrate and instruct on use of vent units and supplies. Ability to make decisions for patients based on compliance data and assessment.
• Communicates with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 
• Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation.  
• Electronically documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards.
• Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely manner.
• Responsible for accuracy, clarity, and timeliness of verbal and written communications as it relates to role.
• Responsible for documentation that supports data collection to track and trend outcomes.
• Assists in establishing clinical documentation when needed for third party reimbursement or justification.
• Uses knowledge in working with referral sources to educate about best practice standards.
• Works collaboratively and pro-actively with peers and other team members to resolve issues and assure optimum outcomes for patients, referral sources and staff.
• Acts as a resource on practices and processes to provide appropriate guidance.
• Develop and maintain working knowledge of current HME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Completes assigned compliance training and other educational programs as required.
• Maintains compliant with AdaptHealth’s Compliance Program.
• Perform other related duties as assigned during and outside of normal business hours as needed.

Competency, Skills, and Abilities:

• Experience with ventilator patients 
• Competent in Ventilator, Airway Clearance, and Oxygen therapy administration and management
• Able to perform clinical assessments.
• Equipment troubleshooting and maintenance skills.
• Decision making skills.
• Expert communication and interpersonal skills
• Ability to prioritize tasks and manage multiple projects.  
• Strong analytical and problem-solving skills with attention to detail
• Proficient use of Microsoft Office Suite – Excel, Word, and PowerPoint
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
• Knowledge of the regulatory requirements at the state, federal, and local level
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.

Requirements:

Education and Experience Requirements:

• Associates degree from an AMA approved respiratory program,
• Valid and unrestricted RT clinical license in all states serviced by the branch.
• Must be CPR certified,
• One (1) year of clinical experience as a Health Care RT, HME RT or clinical nursing with Vent experience. 
• Valid and unrestricted driver’s license

Physical Demands and Work Environment:

• Must be able to lift 50 pounds, stand, bend, stoop, and be able to sit at a computer for extended periods of time.
• Must be able to perform one-man CPR.
• Ability to perform repetitive movements of the upper extremities’ motions of wrists, hands, and/or fingers due to extensive computer use.
• May be exposed to unsanitary conditions in some home settings.
• Work environment may be stressful at times, as overall office activities and work levels fluctuate.
• May be exposed to high crime areas within the service community. 
• Subject to long periods of sitting and exposure to computer screen.
• May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.
• May be exposed to angry or irate customers or patients.
• Must be able to drive and travel as needed.
• Physical and mental ability to provide clinical assessments.
• Requires travel throughout service area.
• Mental ability to communicate both verbally and in writing.
• Must be able to access the patient’s residence.
• Ability to work outside of normal business hours.
• Physical and mental ability to provide clinical assessments.

Compensation details: 30-40 Hourly Wage

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Description

Summary:

Responsible for patient assessment, patient care planning, and provision of quality nursing care to an assigned group of patients for a defined work period. Provides direction and supervision to LVN/LPNs, nursing assistants, unit secretaries, and other clinical/clerical associates. By assignment, may function as a charge nurse for the unit. Involves provision of patient care/service to older adolescents, young adults, adults, geriatric and pediatric patients.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Patient Care Planning
• Develops a comprehensive nursing care plan which addresses all significant needs and problems identified through nursing assessment.
• Prepares nursing elements of the interdisciplinary care plan prior to the initial team conference.
• Reviews and updates nursing care plan and collaborates with team members as changes occur.
• Patient Care Provision
• Implements patient care as planned in nursing care plan and interdisciplinary care plan.
• Sets priorities based on knowledge of patient acuity and patient needs.
• Provides safe and therapeutic care and seeks resources when appropriate.
• Safely performs and accurately documents procedures, consistent with established nursing policy and procedure.
• Patient Care Evaluation
• Evaluates patient response to interventions and attainment of goals in collaboration with interdisciplinary team.
• Evaluates progress toward nursing goals and revises goals as needed on a weekly basis.
• Completes nursing progress note for assigned patients on a daily basis.
• Completes nursing flow sheets for assigned patients on a daily basis.
• Teaching
• Evaluates education needs of patient and significant others and documents their response to teaching.
• Utilizes, adapts, and revises teaching resources to meet patient education needs.
• Explains procedures, tests, and disease process to patients and families as needed.
• Acts as role model for health care students and other team members.
• Acts as preceptor to assigned orientees.
• Assists in the orientation of new staff by sharing knowledge and experience.
• Patient Care Communication
• Reports and documents accurately and concisely to appropriate persons the patient's condition.
• Maintains patient confidentiality.
• Applies basic verbal and nonverbal skills to maintain open, effective communication among care team members, patients, and significant others.
• Encourages direct discussion between staff members when differences occur and seeks assistance to arbitrate differences as needed.
• Gives and accepts constructive feedback appropriately.
• Identifies actual and potentially unsafe patient care practices, reports them in the designated manner, and suggests alternatives.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• Six months to a year of experience as a licensed RN or holder of an active GN permit

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact
• Graduate Nurse Permit
  • Associates with an unsuccessful licensure application or on the 75th day following the effective date of the temporary permit;
    will be transferred to another position within CHRISTUS Health

Position Requirements:

Education/Skills

• All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
• New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a MedSurg specific competency validation.
• All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program’s tracking software.
• Completion of all annual competency verification requirements.

Experience

• One year of experience in a related nursing specialty preferred.

Licenses, Registrations, or Certifications

• Current ACLS certification required

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

Credential Grace Periods:

If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.

• Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
• Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.

Credential

Grace Periods for
Experienced Associates

Grace Periods for
New Graduates & Experienced Associates New to the Specialty

Basic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time

Description

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments;
  monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members and/or care givers;
  identify issues and resources.

CORE COMPETENCIES

Standard I: Utilizes the Nursing Process

• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families
• Communicates findings to appropriate healthcare team members
• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice
• Implements patient care and therapeutic procedures;
  monitors and documents progression of treatment and teaching goals
• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)
• Performs timely reassessment and documentation
• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population

Standard II. Patient Throughput & Patient Flow Process

• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow
• Utilizes appropriate systems of communication and tools to facilitate the discharge process
• Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy

Standard III. Unit Operations

• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift
• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies
• Assesses departmental staffing needs;
  actively participates in resourcing efforts.
• Educates and trains others on the operations, ethics, and regulations within the industry

Standard IV. Safe Practice/Quality Care/Regulations

• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes
• Demonstrates accountability for nursing research and quality improvement activities
• Provides evidence-based nursing care
• Communicates patient information effectively across the continuum of care
• Educates and trains others on the operations, ethics, and regulations within the industry
• Knowledge of federal, state and local healthcare-related laws and regulations;
  ability to comply with these in healthcare practices and activities

TECHNICAL COMPETENCIES

Clinical Policies and Standards

• Follows a specific set of standards and associated clinical procedures
• Analyzes policy and standards documentation and ensures organizational compliance
• Provides feedback for improvement of procedures
• Assists in the development and implementation of specific procedures
• Works with control and monitoring mechanisms, tools and techniques

Health Information Documentation

• Shares experiences with maintaining paper and electronic patient documentation
• Walk through the steps and procedures for receiving, validating and updating patient records
• Describes the flow of information between various stations or units
• Discusses the functions, features and document flow of electronic documentation
• Transcribes verbal orders;
  explains techniques forensuring their accuracy
• Explains health information documentation best practices and their rationale across health care practices

Medical Equipment

• Describes experience with basic medical equipment used in own unit or facility
• Uses standard diagnostic tools and techniques to resolves common equipment problems
• Educates patients about the appropriate use of home medical equipment
• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety
• Inspects, troubleshoots and evaluates incoming equipment

Medical Order Processing

• Shares experiences with processing medical orders for one or more groups of patients or conditions
• Describes functions and features of the system used to enter, validate, update and forward medical orders
• Discusses common errors, their sources and procedures for correcting
• Explains considerations for entering and following standing orders
• Differentiates between standing orders and preprinted orders and considerations for each

Patient Chart Reading and Interpretation

• Describes experiences in reading and interpreting patient charts for patients on unit and under own care
• Reviews patients’ charts for completion and accuracy;
  identifies and alerts to mistakes or omissions
• Recognizes unexpected readings and alerts nursing or medical staff
• Relates examples of mis-readings or misinterpretations and lessons learned
• Reviews, discusses and validates own interpretation with others

Patient Safety

• Shares experiences with ensuring safety for one or more patient groups or settings
• Explains key features of safety guidelines and procedures for those groups and settings
• Listens and responds to safety inquiries from patients and family members
• Recognizes and addresses physiological and psychological signs of problems
• Describes considerations for patients who can cause to harm to self, versus harm to others
• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

MULTIPLE SHIFTS AVAILABLE

Work Type:

Full Time