Provides supervision and medical oversight to ensure that clients are being served effectively and safely and supervises all client care and services.
Responds to calls within 30 minutes Conducts supervisory visit at least once every 60 days Ensures services are delivered as indicated on the client’s care plan Conducts initial evaluation of clients Assesses, evaluates, and monitors clients’ needs, current status, and environment Implements appropriate interventions Documents accurately, appropriately, and in a timely manner Prepares progress notes Documents, signs, and dates supervisory visits notes Documents evaluation of client’s health status and needs Documents interventions and outcome of those interventions Completes client’s discharge summary when indicated Maintains clients’ clinical records in accordance with acceptable professional standards and guidelines Conduct audit on clients’ record monthly (end of month) Ensures clients’ records are readily accessible and organized Ensures confidentiality of clients records Instructs staff on proper charting protocols Reviews, signs, and dates all entries made by non-licensed staff Reviews Level of Care and Placement Instrument at least Maintains ongoing and effective communication with Care Coordinators, clients, caregivers, staff, physicians, and all other relevant parties Communicates problem approaches, changes to client care plans, and other pertinent information to staff Communicates recommendations for changes in the clients’ care to Care Coordinator Obtains Care Coordinator’s approval prior to making changes in client’s services Reports problems regarding clients’ health services to Care Coordinator in timely manner Submits notification of start of care to Care Coordinator within 2-3 days Monitors client’s medications Is aware of all client’s prescription and over-the-counter medications Reports concerns about client’s medications to Care Coordinator and client’s physician Instructs staff on level of assistance clients needs with medications Reviews, signs, and dates client’s medication administration record at least every 60 days Provides written instructions to staff regarding signs and symptoms of potential drug reactions Records any client reactions to medications in the client’s clinical record Initiates, reviews, and revised Client’s Care Plan Coordinate supervisory visit every 60 days Initiates client’s care plan within 60 days of initial evaluation of client Reviews, signs, and dates client’s care plan at least every 60 days Ensures client’s care plan identifies specific physical, mental, and social health problems / needs Lists personal care tasks needed on client’s care plan Re-writes the client’s care plan at least once per year Coordinates and participates in learning opportunities for staff and clients Conduct interview for potential LPN and RN with General Manager Schedules, coordinates, and presents monthly in-service training to staff Ensures appropriate health related topics are presented to staff Instructs client and other care-givers about clients’ health needs Assists with continuous quality improvement program Evaluates quality of client care during face-to-face evaluation with clients Conducts monthly compliance visits Reviews policies and procedures at least twice per year Recommends revisions to policies and procedures as needed Reviews at least 10% of client clinical records each month Ensures staff compliance with infection control policies and procedures Ensures staff compliance to fire and safety policies and procedures Presents neat, professional appearance Demonstrates positive attitude Promotes teamwork Powered by JazzHR
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