Information Technology For Development Jobs in Durham

We are seeking an experienced, certified paralegal to join our plaintiffs’ litigation and workers’ compensation practice. This position plays a key role in supporting attorneys through all phases of case development, litigation, and trial preparation.

Responsibilities include:

·       Drafting correspondence, pleadings, and discovery documents

·       Assisting with case investigations and gathering supporting evidence

·       Communicating with clients, witnesses, and medical providers

·       Organizing case files and maintaining litigation calendars

·       Preparing materials for hearings, mediations, and trial

·       Assisting attorneys with general case management and other administrative duties as needed

Qualifications:

·       Paralegal certification and relevant litigation experience preferred

·       Experience with plaintiffs’ litigation and/or workers’ compensation is a plus

·       Strong organizational, communication, and time-management skills

·       Proficiency with Clio, Microsoft Outlook, Excel, and Adobe

·       Ability to manage multiple cases in a fast-paced environment while maintaining attention to detail

We are a small, supportive office where teamwork and professionalism are valued. This role offers the opportunity to work closely with attorneys and make a meaningful impact in clients’ cases.

Position Details:

·       Job Type: Full-time

·       Competitive compensation based on experience

·       Benefits package included

To Apply:

Please submit your cover letter and resume for consideration.

Take Control of Your Career – Work from Anywhere

We are seeking motivated, disciplined, and goal-driven individuals to join our high-performing insurance sales team. Whether you’re an experienced sales professional or looking for a career change, we provide everything you need to succeed—leads, training, mentorship, and an unmatched commission structure.

Why Join Us?

-100% Commission-Based – No salary cap! Your income potential is unlimited, based on your effort and results.

-Work Remotely – This is a remote opportunity, with the option for in-person client meetings if preferred.

-No Cold Calling – Leverage our unique platform that connects you with qualified leads actively seeking insurance.

-Flexible Schedule – Be your own boss and set your own hours. Work from home or on the go!

-Comprehensive Training – We provide scripts, tools, and one-on-one mentorship to help you close deals quickly.

-Career Growth – Promotions based on performance, not tenure, with leadership opportunities available.

What You’ll Do:

Get Licensed! You must have or be willing to obtain a life insurance license (we guide you through the process).

Meet with Clients (virtually or in-person) to assess their financial goals and insurance needs.

Present Tailored Solutions that help clients make informed decisions about life insurance.

Close Sales & Earn Big! Guide clients through the application process and celebrate your wins.

Build Long-Term Relationships and provide continuous client support.

Stay Informed on industry trends to position our products effectively.

What You Need to Succeed:

-Strong communication and sales skills

-Self-motivated and goal-oriented mindset

-Ability to work independently and manage your own schedule

-No experience required – we’ll help you get licensed!

-Reliable internet connection and phone access (for virtual meetings)

Compensation & Perks:

Uncapped commission-based pay with lucrative bonuses

Residual income on policy renewals

Comprehensive training & professional development

Fast-track promotion opportunities

Job Title : QC Laboratory Analyst

Duration 12 months

Locations: Research Triangle Park, NC 27709

PR: $28/hr to $30/hr on W2

Position Summary

The QC Analyst I, reporting to the Manager of Quality Control, will be responsible for serving as a performing routine GMP testing on analytical methods in the Quality Control laboratories.

Job Responsibilities

• Perform routine analytical testing including but not limited to cell-based potency assays, ddPCR, qPCR, ELISAs, limit tests using HPLC techniques.
• Prepare solutions and maintain cell lines for various clinical programs
• Prepares laboratory solutions, maintains cell lines, and other day to day laboratory activities.
• Maintains laboratory documentation including logbooks, test forms, LIMS data, and electronic data.
• Assist with revisions of work instructions, SOPs, forms, reports, and electronic laboratory notebook analytical records.
• Assist with management analytical test method supplies and samples as needed.
• Ensure lab areas are clean, organized, maintain equipment and consumables.
• Work closely with Analytical Development, Quality Control, Quality Assurance, Production staff and any other relevant departments.
• Strictly adheres to all applicable written Standard Operating Procedures (SOPs), company policies, and technical guidance documents, both internal and external.
• Participates in continuous improvement projects in the AD and QC labs.
• Support revisions to work instructions, SOPs, forms, protocols, and reports

Minimum Requirements

• Bachelor’s degree in biology or related field.

Akkodis is seeking Health & Safety Specialist in Durham NC 27703

Job Title: Health & Safety Specialist

Location: Durham NC 27703

Pay Range:$36/hr - 43.50/hr (The pay range may be negotiable based on experience, education, geographic location, and other factors)

Duration : 12 Months Contract

Job Description:

• Assist in the development and implementation of the site’s EHS programs and procedures to ensure compliance with local, state, federal requirements.
• Provide EHS-related training to colleagues and contractors, including new-hire EHS orientation and refresher training.
• Design and lead the EHS FOCUS program (including annual refresher training [Talk]; monthly Walk activities; supervisor inspections [Detect]; process confirmation [Check]; and award recognition [Together]). Analyze data to continuously improve the program. Provide routine reports to management.
• Develop and implement programs to improve the site’s EHS culture and compliance -- including behavior based safety; ergonomic awareness, evaluations and solutions; pre-shift workplace stretching; and good catch/near-miss/concern reporting.
• Manage the Durham site’s VPP Program application to successfully meet NC OSHA requirements for Carolina Star including hosting inspections, audits, document preparation, etc.
• Provide EHS expertise and support to dispersed workforce (e.g., technicians, sales force, veterinary staff, etc.) of Cattle, Poultry and Swine USA operations. Host monthly safety meetings with colleagues. Complete periodic ride-along visits to observe colleague’s field operations and ensure implementation of EHS programs. Provide recommendations for safety improvements aimed at reducing risks, improving safety culture, ensuring compliance, and reducing injuries. Manage injury logs, workers compensation filings and internal reporting requirements,
• Conduct routine site audits, safety walks, environmental inspections and other related evaluations (as needed) to identify systemic EHS management gaps. Develop and track corrective measures and implement solutions to sustain compliance.
• Manage and report EHS-related information (injury/illness, environmental metrics, risk assessments, EHS action items) into the Company’s EHS online system (Cority). Submit all EHS reports as required by regulatory authorities.
• Participate on injury/illness investigations and identify root cause and corrective/preventive actions. Provide coaching on practical EHS behaviors, work practices and solutions.
• Develops EHS notices, postings, newsletter and other communications, as requested.
• Participate on the site’s Emergency Response Team and Safety Committee.
• This role will report to the site’s EHS & Facility Manager and will interact with Operations, Manufacturing, R&D, Facilities, Engineering, Quality, Distribution and office operations including working with all levels of the organization and be visible in the operational areas to support a safe and compliant work environment.
• Bachelor’s degree in environment, safety, occupational health, ergonomics, engineering or a similar technical discipline.
• Minimum of five (5) year of EHS-related experience. (Open to new graduate with related internship or job shadow experience).
• Professional certification (CSP, CIH) preferred.
• Thorough knowledge and interpretation of federal and North Carolina safety and environmental regulations and programs including Carolina VPP Star.
• Strong interpersonal and diplomacy skills, leadership, analysis, judgment, creativity, practical problem solving, flexibility, as well as excellent written and oral communication skills.
• Solid computer capabilities including Microsoft Word, Excel, PowerPoint and SharePoint.
• Ability to facilitate meetings, perform multiple tasks simultaneously, work independently, easily make decisions, and handle emergency situations.

Equal Opportunity Employer/Veterans/Disabled

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs that are direct hires to a client.

To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

· The California Fair Chance Act

· Los Angeles City Fair Chance Ordinance

· Los Angeles County Fair Chance Ordinance for Employers

· San Francisco Fair Chance Ordinance

Puneet Rajput

Resource Development Manager

T

E

Akkodis is a commercial brand under which both AKKA & Modis entities operate.

This message is intended only for the designated recipient(s). It may contain confidential or proprietary information and may be subject to other contractual or confidentiality protection. If you are not a designated recipient, you may not review, copy or distribute this message. If you receive this message in error, please notify the sender by reply email and delete this message.

Akkodis, part of The Adecco Group North America located at 4800 Deerwood Campus Parkway, Building 800, Jacksonville, FL 32246, is committed to data privacy compliance. To learn more about how we collect and process personal information, please read our General Privacy Policy located on the website above

Job description:

Estimator/Project Manager

We are seeking a skilled and detail-oriented Estimator/Project Manager to join our small but growing asphalt milling and paving company. This role is responsible for preparing accurate and competitive cost estimates, developing bids, and supporting project teams from pre-construction through successful completion. The ideal candidate will possess strong analytical skills and experience in asphalt, concrete, and general paving operations.

Key Responsibilities:

Estimating & Bidding

• Review project plans, drawings, and specifications to prepare accurate cost estimates for paving and sitework projects.
• Perform detailed quantity takeoffs for materials, equipment, and labor.
• Develop and submit proposals, bids, and budgets in accordance with customer requirements and deadlines.
• Obtain pricing from suppliers and subcontractors; evaluate quotes for completeness and competitiveness.
• Analyze project risks, site conditions, and phasing considerations to ensure accurate scope and cost projections.
• Participate in bid reviews and strategy meetings with management.

Project Coordination

• Assist the field by providing budgets, clarifications, and technical information post-award.
• Update cost databases with current pricing and production rates.
• Support change order pricing and negotiations as needed.
• Communicate with clients, engineers, vendors and internal field crews to clarify project requirements and resolve discrepancies.

Technical & Administrative

• Prepare detailed reports, spreadsheets, and documentation to support estimate development.
• Maintain organized and accurate project files.
• Stay current with industry standards, construction methods, and market pricing.
• Communicate with accounting to support budgeting, forecasting, and related financial processes.
• Assist in preparing monthly work-in-progress and final invoices to customers
• Track daily crew quantities reported by the field

Qualifications:

Required

• 2–5 years of estimating experience in paving or related field
• Strong understanding of asphalt paving operations
• Proficiency in reading and interpreting plans, drawings, and specifications.
• Excellent analytical, mathematical, and problem-solving skills.
• High attention to detail with the ability to manage multiple bids under strict deadlines.
• Strong written and verbal communication skills, including negotiation ability.

Preferred

• Bachelor’s degree in construction management or related discipline.
• Experience with estimating software and digital takeoff tools.
• Knowledge of local DOT specifications and construction standards.
• Previous field experience in paving

Benefits:

• 401(k)
• 401(k) 3% Match
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Come join our awesome team as a Physical Therapist at the Senior Community Care of North Carolina PACE. Great Benefits, great work environment and work home balance!

Senior Community Care of North Carolina PACE is part of Volunteers of America National Services which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization.

Job Highlights:

• 
  
• 403(b) Retirement Plan;
  
• Career scholarships;
  
• Quality training, continuing career education and leadership programs;
  
• Medical, Dental and Vision Insurance
  
• Paid Time Off (Vacation, Holiday & Sick Days)
  

About the job:

Schedule: Monday-Thursday 8:00 AM-4:30 PM 64 hour pay period

ONLY 32 HOURS A WEEK

$3,000 Hiring Bonus 

The Physical Therapist under the supervision of the Center Manager, provides physical therapy services to program participants. Provides clinical physical therapy evaluation and treatment for program participants, on acute, restorative or maintenance levels as needed by Day Center, Nursing Home or in-home setting. Integrates the physical therapy treatment plan into the Interdisciplinary Team plan of care. Assists in the ordering, inventory, distribution and maintenance of durable medical equipment for participants.

Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 
  
• Graduate from a physical therapy curriculum approved by the American Physical Therapy Association and is currently licensed as a Physical Therapist in state where practicing
  
• Minimum of one-year experience working with a frail or elderly population required.
  
• Must clear the background check.
  
• Must have a valid driver’s license and have means of transportation.
  
• Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
  

Essentials: 

• 
  
• Conducts an in-person initial comprehensive physical therapy assessment on all participants upon enrollment. Coordinates with the Interdisciplinary Team to develop a comprehensive plan of care for each participant.
  
• Conducts an in-person physical therapy re-assessment minimally every six (6) months or as needed.
  
• Functions as a member of the Interdisciplinary Team. Maintains regular attendance at, and participates in, Interdisciplinary Team meetings; communicates participant changes, collaborates on plan of care decisions and coordination for twenty-four (24) hour care delivery.
  
• Provides treatment to participants and implements physical therapy procedures consistent in achieving identified goals. Grades activities to facilitate goals. Confers with Interdisciplinary Team on participants care issues.
  
• Evaluates participant’s needs. Follows-up with participants during treatment, explaining precautions to take. Discusses condition and treatment plans and recommends solutions to participants care problems with Interdisciplinary Team.
  
• Assesses the need for adaptive Durable Medical Equipment (DME), specialized shoes and prosthesis followed by recommendations to Interdisciplinary Team. Receives authorization prior to purchases. Assesses all newly issued orthotic shoes, braces and prosthetics for appropriateness and proper fit.
  
• Assists as liaison with Senior Community Care nursing home and assisted living staff regarding physical therapy needs of participants who are their residents.
  

About Senior Community Care of North Carolina:

Senior Community Care of North Carolina - PACE is part of Volunteers of America National Services which serves as the Housing and Healthcare affiliate of the Volunteers of America parent organization.

PACE is a Program of All-Inclusive Care for the Elderly. Our team members include clinical professionals, personal care providers, van drivers, activity assistants and culinary employees among others. Unlike some clinical environments, PACE centers offer employees flexible work schedules, with most positions only requiring occasional weekends. Team members have an opportunity to get to know their patients and build meaningful relationships. SCCNC helps foster a work-life balance by offering employees paid-time off benefits as part of our comprehensive benefits package.

With the internal slogan "The care you need to remain in the home you LOVE", this "one stop shop" prides itself in building relationships with the participants as well as their families, and creating personalized care plans that work for everyone. This vibrant, young, and diverse team lives in close proximity to the beach and the mountains, as well as surrounded by highly regarded colleges and universities and access to premier healthcare. Join us at Senior Community Care of North Carolina and become a part of a healthcare team that is dedicated to creating thoughtful, caring and flexible work environments for our team members.

Create happiness for those who need it. Join us today!

At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

The home health registered nurse Mentor uses the nursing process (assesses, plans,
implements, evaluates) to provide patient care in the home setting and to provide field   clinical training to new nursing hires to Home Health.  Provides
individualized patient care for patients in all developmental stages throughout the life
span including:  Adult - 18-72 years, Geriatric - 72 + years, according to
established policies, procedures, guidelines and nursing standards of care.  Provides additional precepting oversight to new hires. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse’s experience and competency evaluation.

PRIMARY JOB DUTIES

1.     Assesses, interprets, plans, implements and evaluates patients according to the patient’s age and diagnosis.

2.     Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.

3.     Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

4.     Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians

5.     Contributes to program effectiveness.

6.     Organizes and performs work effectively and efficiently.

7.     Maintains and adjusts schedule to enhance agency performance.

8.     Demonstrates a daily commitment to the values of the agency.

9.     Demonstrates positive interpersonal relations in dealing with all members of the agency.

10.   Maintains and promotes customer satisfaction.

11.      Effectively demonstrates the mission, vision, and values of the Agency on a

         daily basis.

1.0 30% QUALITY OF WORK:

1.1 7 %

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively manage the Plan of Care for each patient as evidenced by:

• Providing nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
• Providing and/or facilitating education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
• Providing developmental interventions appropriate to patient’s age and clinical status.
• In collaboration with the patient/family and the physician, the nurse performs and documents a thorough, timely initial assessment to determine the eligibility for home care and to identify needs and problems.
• Reassesses the patient at the minimum of every 60-62 days or when the patient demonstrates a significant change in clinical status, support system or care environment. Reviews and accurately updates the overall plan of care (CMS 485) at least every 60-62 days, incorporating all pertinent changes in the physician summary letter, concisely summarizes the significant facts of care and the progress toward achieving goals.
• Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.  Evaluate and revise the nursing and aide plans of care, when there are changes in the patient’s condition, psychosocial status, and home environment; when no progress toward stated goals is evident and when there is a change in physician orders.

1.2 6 %

Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.

• Supervises the home health aides every 14 days in accordance with federal/state guidelines and agency policy.
• Collaborates with and supervises the nursing care provided by the LPN.  Conferences with LPN on shared patients when there are changes in the plan of care or status of the patient.
• Conferences with other disciplines regarding the status of shared patients and consistently documents interdisciplinary coordination and communication activities in the clinical record.  Attends interdisciplinary conferences in accordance with agency policy.  Makes appropriate notifications in advance of the conference if unable to attend.
• Maintains patient caseload and keeps clinical manager informed of current caseload in accordance with agency guidelines.
• Appropriately informs the physician and other involved agency staff of any adverse changes in patient’s condition, safety issues, changes in plan of care and discharge plans.
• Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time.

1.3 7%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Completes all forms accurately and in accordance with agency guidelines/policies.
• Appropriately describes the patient’s functional limitations to justify homebound status.
• Documents all verbal orders for new or changed orders according to agency guidelines.
• Completes clinical notes in accordance with agency guidelines and time frames.
• Documents involvement of the patient and family in developing and revising the plan of care.
• Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.

1.4 4%

Contributes to program effectiveness as evidenced by:

• Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the home health mission.
• Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
• Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
• Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
• Promoting change and being proactive in suggesting ideas and new ways of doing things.
• Demonstrating ability to prioritize and enhance services during fluctuating patient census.

1.5      5%   Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians as evidenced by:

• Demonstrates process for SOC, ROC, Recert, Discharge and routine visits to clinicians during the orientation process and observes employee’s ability to perform
• Observes clinical skills and patient interaction of new clinicians and provides feedback to the clinician.
• Works with clinicians to review application of clinical protocols and programs
• Reviews orientation information with new clinicians to determine the clinician’s level of understanding and re-educate as necessary
• Collaborates with Field Clinical Manager weekly to review new hire progress and address deficiencies

2.0 20% PRODUCTIVITY/USE OF TIME:

2.1 10%

Organizes and performs work effectively and efficiently as evidenced by:

• Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
• Recognizing and performing duties in an independent manner.
• Accepting personal responsibility for the completion and quality of work outcomes.
• Meeting assigned deadlines.
• Meeting productivity expectations.
• Maintaining a clean and safe environment.

2.2 10%

Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.

3.0 25% TEAM WORK:

3.1 25%

Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Communicating in a positive and productive manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team.
• Maintaining positive attitude about assignments and team members.
• Promoting professional / personal growth of co-workers by sharing knowledge and resources.
• Working collaboratively and cooperating with other agency employees.

4.0 25% MISSION, VISION, VALUES:

4.1 15%

Maintains and promotes customer satisfaction.

• Responding to all customers in a courteous, sensitive and respectful manner.
• Abiding by the confidentiality and ethics policies of Well Care Home Health.
• Participates in community outreach activities that promotes goals and objectives of the agency.

4.2 10%

Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

• Practicing personal cost containment by responsible use of equipment, supplies, and resources.
• Completing the review period without a formal disciplinary action.*
• Presenting a clean and neat appearanc

The home health registered nurse Mentor uses the nursing process (assesses, plans,
implements, evaluates) to provide patient care in the home setting and to provide field   clinical training to new nursing hires to Home Health.  Provides
individualized patient care for patients in all developmental stages throughout the life
span including:  Adult - 18-72 years, Geriatric - 72 + years, according to
established policies, procedures, guidelines and nursing standards of care.  Provides additional precepting oversight to new hires. This position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse’s experience and competency evaluation.

PRIMARY JOB DUTIES

1.     Assesses, interprets, plans, implements and evaluates patients according to the patient’s age and diagnosis.

2.     Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.

3.     Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

4.     Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians

5.     Contributes to program effectiveness.

6.     Organizes and performs work effectively and efficiently.

7.     Maintains and adjusts schedule to enhance agency performance.

8.     Demonstrates a daily commitment to the values of the agency.

9.     Demonstrates positive interpersonal relations in dealing with all members of the agency.

10.   Maintains and promotes customer satisfaction.

11.      Effectively demonstrates the mission, vision, and values of the Agency on a

         daily basis.

1.0 30% QUALITY OF WORK:

1.1 7 %

Utilizing all aspects of the Nursing Process (assessment, planning, implementation, evaluation) with appropriate skill to effectively manage the Plan of Care for each patient as evidenced by:

• Providing nursing intervention based on physiological needs and clinical assessment appropriate for the patient’s age and developmental stage.
• Providing and/or facilitating education according to the Plan of Care and within the level of understanding and developmental age for both the patient and his/her family.
• Providing developmental interventions appropriate to patient’s age and clinical status.
• In collaboration with the patient/family and the physician, the nurse performs and documents a thorough, timely initial assessment to determine the eligibility for home care and to identify needs and problems.
• Reassesses the patient at the minimum of every 60-62 days or when the patient demonstrates a significant change in clinical status, support system or care environment. Reviews and accurately updates the overall plan of care (CMS 485) at least every 60-62 days, incorporating all pertinent changes in the physician summary letter, concisely summarizes the significant facts of care and the progress toward achieving goals.
• Obtains physician orders and utilizes data collected during the admission assessment; agency teaching guidelines and appropriate nursing skills to implement and follow an established plan of care.  Evaluate and revise the nursing and aide plans of care, when there are changes in the patient’s condition, psychosocial status, and home environment; when no progress toward stated goals is evident and when there is a change in physician orders.

1.2 6 %

Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.

• Supervises the home health aides every 14 days in accordance with federal/state guidelines and agency policy.
• Collaborates with and supervises the nursing care provided by the LPN.  Conferences with LPN on shared patients when there are changes in the plan of care or status of the patient.
• Conferences with other disciplines regarding the status of shared patients and consistently documents interdisciplinary coordination and communication activities in the clinical record.  Attends interdisciplinary conferences in accordance with agency policy.  Makes appropriate notifications in advance of the conference if unable to attend.
• Maintains patient caseload and keeps clinical manager informed of current caseload in accordance with agency guidelines.
• Appropriately informs the physician and other involved agency staff of any adverse changes in patient’s condition, safety issues, changes in plan of care and discharge plans.
• Informs supervisor of any potential or actual client concerns, risk management issues and referrals to Child/Adult Protective Services 100% of time.

1.3 7%

Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

• Completes all forms accurately and in accordance with agency guidelines/policies.
• Appropriately describes the patient’s functional limitations to justify homebound status.
• Documents all verbal orders for new or changed orders according to agency guidelines.
• Completes clinical notes in accordance with agency guidelines and time frames.
• Documents involvement of the patient and family in developing and revising the plan of care.
• Consistently describes interdisciplinary, interagency, and intragency communication and coordination of services as per agency guidelines.

1.4 4%

Contributes to program effectiveness as evidenced by:

• Demonstrating understanding of the interdisciplinary team approach and continuum of care in accordance with the home health mission.
• Incorporating recommendations and goals of other disciplines and patient/family into nursing visits.
• Demonstrating willingness and ability to accommodate agency needs in order to provide optimum patient care.
• Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
• Promoting change and being proactive in suggesting ideas and new ways of doing things.
• Demonstrating ability to prioritize and enhance services during fluctuating patient census.

1.5      5%   Provides practical clinical experience and guidance to field clinicians to include orientation of new clinicians as evidenced by:

• Demonstrates process for SOC, ROC, Recert, Discharge and routine visits to clinicians during the orientation process and observes employee’s ability to perform
• Observes clinical skills and patient interaction of new clinicians and provides feedback to the clinician.
• Works with clinicians to review application of clinical protocols and programs
• Reviews orientation information with new clinicians to determine the clinician’s level of understanding and re-educate as necessary
• Collaborates with Field Clinical Manager weekly to review new hire progress and address deficiencies

2.0 20% PRODUCTIVITY/USE OF TIME:

2.1 10%

Organizes and performs work effectively and efficiently as evidenced by:

• Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
• Recognizing and performing duties in an independent manner.
• Accepting personal responsibility for the completion and quality of work outcomes.
• Meeting assigned deadlines.
• Meeting productivity expectations.
• Maintaining a clean and safe environment.

2.2 10%

Maintains and adjusts schedule to enhance team performance as evidenced by:

• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule and time off to promote smooth agency operations.
• Assisting other team members to ensure completion of all work assignments.
• Demonstrating flexibility with changing workload/assignments.

3.0 25% TEAM WORK:

3.1 25%

Demonstrates positive interpersonal relations in dealing with all members of the team (i.e. co-workers, supervisors, physicians, etc.) as evidenced by:

• Communicating in a positive and productive manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team.
• Maintaining positive attitude about assignments and team members.
• Promoting professional / personal growth of co-workers by sharing knowledge and resources.
• Working collaboratively and cooperating with other agency employees.

4.0 25% MISSION, VISION, VALUES:

4.1 15%

Maintains and promotes customer satisfaction.

• Responding to all customers in a courteous, sensitive and respectful manner.
• Abiding by the confidentiality and ethics policies of Well Care Home Health.
• Participates in community outreach activities that promotes goals and objectives of the agency.

4.2 10%

Continuously and effectively demonstrates customer service standards of courtesy, efficiency, and presentation as evidenced by:

• Practicing personal cost containment by responsible use of equipment, supplies, and resources.
• Completing the review period without a formal disciplinary action.*
• Presenting a clean and neat appearanc

Salary Range: $74,880-$81,883.72*

*This range reflects our commitment to attracting top talent and is based on market rates and individual qualifications.

JOB SUMMARY

The home health registered nurse uses the nursing process (assesses, plans,

implements, evaluates) to provide patient care in the home setting.  Provides

individualized patient care for patients in all developmental stages throughout the life span including:  Adult - 18-72 years, Geriatric - 72 + years, according to

established policies, procedures, guidelines and nursing standards of care. This

position is responsible for the care and case management of patients in all stages of life in their homes based on the nurse’s experience and competency evaluation.

PRIMARY JOB DUTIES

1.     Assesses, interprets, plans, implements and evaluates patients according to the patient’s age and diagnosis.

2.     Effectively and efficiently manages the care of a caseload of patients and coordinates care with a multidisciplinary team.

3.     Appropriately communicates information in accordance with agency policies and procedures and discipline specific guidelines.

4.     Contributes to program effectiveness.

5.     Organizes and performs work effectively and efficiently.

6.     Maintains and adjusts schedule to enhance agency performance.

7.     Demonstrates a daily commitment to the values of the agency.

8.     Demonstrates positive interpersonal relations in dealing with all members of the agency.

9.     Maintains and promotes customer satisfaction.

10.   Effectively demonstrates the mission, vision, and values of the Agency on a

        daily basis.

JOB SPECIFICATIONS

  1.    Education:  Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.

  2.    Licensure / Certifications:  Current license to practice professional nursing in the State in which providing care (NC/SC).  CPR certification required.

  3.    Experience:  One year RN experience and a total of 2 or more years clinical experience is required.  Supplemental experience may include experience as LPN, CNA, military medic, EMT or related experience.  Home health experience preferred. Less than 1 year RN experience requires 1 year of clinical experience as LPN (Internal use only).  Therapy Assistants (PTA, OTA) with 1 year of Home Health experience and at least 6 months RN experience (internal use only).

  4.    Essential Technical / Motor Skills:  Hand/eye coordination in order to give injections, use computer, etc.  Must be able to communicate and be literate in the English language.  Able to manipulate patient care equipment, to properly transfer and guard patients.

  5.    Interpersonal Skills:  Ability to develop positive interaction with patients, patients’ families, physicians and staff in order to effectively care for the patients.

  6.    Essential Physical Requirements:  Ability to transfer and/or maneuver objects weighing at least 50 pounds in the assessment and implementation of patient care.  Requires frequent pushing, moving, lifting of patients.  Positioning of patients, giving patients baths and ambulating patients expending much physical effort.  Occasionally requires reaching overhead, stair climbing and fine motor manipulation.

  7.    Essential Mental Abilities:  Must be able to assess a patient’s condition, formulate a plan of care, select appropriate interventions, evaluate patient’s response to care/treatment, and to explain/teach patients about their condition/recovery.  Requires higher level of mental faculties accompanied by short-and long-term memory.  Able to prioritize duties, learn new skills and techniques in patient care.  Able to learn and use supportive services.

  8.    Essential Sensory Requirements:  Ability to visually assess patients and to utilize sight to implement and evaluate plan of care (changing dressings, starting IVs, regulating IV’s, maintain equipment as to readouts, etc.).  Utilize hearing to auscultate lung sounds, bowel sounds, hear alarms, and effectively communicate with patients, families, physician, and staff.

  9.    Exposure to Hazards:  Noise, exposure to blood borne pathogens and body fluids, infectious diseases, and needle puncture wounds.  May be exposed to dangerous animals and traffic hazards while home visiting.  May encounter patients and other situations which present a potential threat to personal safety.  May encounter temperature changes and weather extremes.

10.    Hours of Work:  Variable Monday - Friday, weekends and holidays as needed.  Flexible schedule to accommodate staffing needs.

11.    Population Served:  Adolescents, adults, geriatrics, and pediatrics.

12.      Must have a valid North Carolina driver’s license and an operational vehicle.