Join the GAHHA Family
At Guardian Angel Home Health Agency, we're more than just a team, we're a family! We're continuously on the lookout for passionate, dedicated, and qualified professionals who are ready to align with our mission of delivering compassionate, high-quality home health care. By joining our family, you become part of a supportive and dynamic network that values every member’s contribution towards enhancing patient lives. We offer a nurturing environment where you can grow professionally while making a real difference in the homes and lives of our patients.
Apply Now: Step into a role that empowers you to be the best in your field while truly making a difference. Join us in transforming home health care, one patient at a time.
Open Positions:
-
The Licensed Practical/Vocational Nurse is responsible for providing direct patient care under the supervision of aregistered nurse. Responsibilities include following the plan of care, providing treatments, and working collaboratively with the members of the team to help meet positive patient care outcomes.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1. Provides direct patient care as defined in State’s Name Nurse Practice Act.
2. Implements a plan of care initiated by the registered nurse.
3. Provides accurate and timely documentation consistent with the plan of care.
4. Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care.
5. Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines
(HHA, OT, PT, MSW, ST, Dietician) to the registered nurse and/or Clinical Supervisor/Nursing Supervisor.
6. Uses equipment and supplies effectively and efficiently.
7. Participates in personal and professional growth and development.
8. Performs other duties as assigned by the registered nurse.
The above statements are intended to be a representative summary of the major duties and responsibilities performed byincumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in thisdescription.
POSITION QUALIFICATIONS
1. Graduate of an accredited practical nurse or vocational nursing program.
2. Has three years nursing experience and, effective January 1, 1998, shall have one year prior professional nursingexperience in Community/home health or medical/surgical experience.
3. Currently licensed as a licensed practical nurse or licensed vocational nurse in the state.
4. Complies with accepted professional standards and practice.
5. Demonstrates good verbal and written communication, and organization skills.
6. Must be a licensed driver with an automobile that is insured in accordance with state and organization requirementsand is in good working order.
7. Possesses and maintains current CPR certification.
-
The home health aide is a paraprofessional member of the home care team who works under the supervision of a registered nurse or therapist and performs various personal care services as necessary to meet the patient’s needs. The home health aide is responsible for observing patients, reporting these observations and documenting observations and care performed. The home health aide will be assigned in a manner that promotes quality, continuity and safety of a patient’s care.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Responsibilities of the home health aide include, but are not limited to, the following:
Providing personal care including:
Baths
Back rubs
Oral hygiene
Shampoos
Changing bed linen
Assisting patients with dressing and undressing
Skin care to prevent breakdown
Assisting the patient with toileting activities
Keeping patient’s living area clean and orderly, as appropriate
Planning and preparing nutritious meals.
Assisting in feeding the patient, if necessary.
Taking and recording oral, rectal and axillary temperatures, pulse, respiration and blood pressure when ordered (with appropriate completed/demonstrated skills competency).
Assisting in ambulation and exercise according to the plan of care.
Performing range of motion and other simple procedures as an extensional therapy service as ordered (with appropriate completed/demonstrated skills competency).
Assisting patients in the self-administration of medication.
Doing patient's laundry, as appropriate.
Meeting safety needs of patients and using equipment safely and properly (foot stools, side rails, etc.).
Reporting on patient's condition and significant changes to the assigned nurse.
Adhering to the Organization's documentation and care procedures and standards of personal and professional conduct.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
POSITION QUALIFICATIONS
1. Meets the training requirements in accordance with State and Federal laws.
2. At least 18 years of age.
3. Ability to read and follow written instructions and document care given.
4. Self-directing with the ability to work with little direct supervision.
5. Empathy for the needs of the ill, injured, frail and the impaired.
6. Possesses and maintains current CPR certification.
7. Demonstrates tact, patience and good personal hygiene.
8. Licensed driver with automobile that is insured in accordance with Organization requirements and is in good working order.
{Note: Effective August 14, 1990, a person who has successfully completed a state established or other training program that meets the requirements of CFR 484.36(a) and a competency evaluation program, or state licensure program that meets the requirements of CFR 484.36(b), or a competency evaluation program or state licensure program that meets the requirements of S 484.36(b).}
JOB LIMITATIONS
The home health aide will not function in any manner viewed as the practice of nursing according to the State's Nurse Practice Act.
Specifically, the home health aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a nurse, such as sterile techniques.
-
The occupational therapist contracted or employed is responsible for the implementation of standards of care for occupational therapy services and for adherence to all conditions outlined in the Service or Employment Agreement.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1. Evaluates patients’ functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self-care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the individualized plan of care.
2. Develops a treatment program and establishes goals for improved function. Communicates plan of care to referring physicians and other organization professionals. Also as necessary will develop a program for caregivers energy conservation.
3. May teach new skills or retrain patient in once familiar daily activities that have been lost due to illness or injury, in accordance with organization policy.
4. May fabricate splints and instruct patients in the use of various types of adaptive equipment to improve function.
5. May train patients and family/caregivers in the use of prosthetic and/or orthotic devices.
6. Maintains appropriate clinical records, progress notes, and reports to the physician any changes in the patient's condition. Submits these records in accordance with organization policy.
7. Maintains contact/communication with team members in the patient's care to promote coordinated, efficient care.
8. Attends and contributes to in-services, interdisciplinary case conferences, and other meetings as required by organization policy to comprehensive assessments for the patients of the organization.
9. Instructs and educates patient's/family/caregiver and other team members in the patient's treatment regime.
10. Participates in a hospice personnel orientation program.
11. Actively participates in quality assessment performance improvement teams and activities.
12. Participates in discharge planning for patients.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
POSITION QUALIFICATIONS
1. A graduate of an occupational therapy curriculum accredited jointly by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association. Meets personnel qualifications stated in §418.114(b)(5).
2. Registered with the National Registration Examination of the American Occupational Therapy Association.
3. Two years of clinical experience as an occupational therapist.
4. Demonstrates good verbal and written communication, and organization skills.
5. Possesses and maintains current CPR Certification.
6. Understands hospice philosophy; issues of death/dying.
-
The medical social worker contracted or employed through the organization is responsible for the implementation of standards of care for medical social work services and for adherence to all conditions in the Service or Employment Agreement.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1. Assesses the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group.
Provides an assessment in the patient's identified residence and assistance when this is not safe and another plan is required.
2. Carries out social evaluations and plans intervention based on evaluation findings. Counseling patients and family/caregivers as needed in relationship to stress, and other identified coping difficulties.
3. Maintains clinical records on all patients referred to social work.
4. Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs.
5. Provides information to patients and families/caregivers and community agencies.
6. Serves as liaison between patients and families/caregivers and community agencies.
7. Maintains collaborative relationships with organization personnel to support patient care.
8. Maintains and develops contracts with public and private agencies as resources for patients and personnel.
9. Participates in the development of the individualized plan of care and attends regularly scheduled interdisciplinary group meetings.
10. Assists physicians and other team members in understanding significant social and emotional factors related to health problems and death/dying issues.
11. Actively participates in quality assessment performance improvement teams and activities.
12. Other duties as delegated by the Clinical Supervisor.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
POSITION QUALIFICATIONS
1. A graduate of a bachelor’s program in social work accredited by the Council on
Social Work Education. Meets personnel qualifications stated in §418.114(b) (3).
2. Minimum of one year's experience in health care, hospice experience preferred. Understands hospice philosophy, and issues of death/dying.
3. Experience in hospice care preferred.
4. Demonstrates good verbal and written communication, and organization skills.
5. Possesses and maintains current CPR Certification.
-
Collect and enter claim information.
Post insurance and patients and manage accounts.
Submit claims and follow up with insurance carriers on unpaid or rejected claims.
Answer patient inquiries on account status and charges.
Typically reports to the billing supervisor or Financial Officer.
Knowledge, Skills, & Abilities
Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Insures claim information is complete and accurate.
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
Answers patient questions on patient responsible portions, copays, deductibles, write-off, etc. Resolves patient complaints or explains why certain services are not covered.
Follows up with the insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.
Prepares appeal letters to insurance carriers when not in agreement with claim denial. Collect necessary information to accompany appeal.
Prepares patient statements for charges not covered by insurance. Insurance statements are mailed on a regular basis.
May work with patients to establish payment plans for past due accounts in accordance with provider policies.
Provides necessary information to collection agencies for delinquent or past due accounts.
Posts insurance and patient payments using medical claim billing software.
For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing by primary insurer.
Follows HIPAA guidelines in handling patient information.
Understands managed care authorizations and limits to coverage such as the number of visits. This is encountered often when billing for specialties.
May have to verify patient benefits eligibility and coverage.
Ability to look up ICD 9 diagnosis and CPT treatment codes from online service or using traditional coding references.
-
The physical therapist contracted or employed through the organization is responsible for providing physical therapy services and for adherence to all conditions outlined in the Service Employment Agreement.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Provides physical therapy services to patients according to a written individualized plan of care. This may include, but not be limited to:
Assessing and evaluating therapeutic/rehabilitative/functional status, and participation in the development of the total plan of care. Evaluates home environment.
Assesses for muscle strength, mobility, gait, ROM and transfer capabilities. Less a goal of rehab, more a focus on maintaining comfort.
Directing physical therapy treatment.
Instructing patients and families/caregivers in the use and care of therapeutic appliances.
Determining priority needs for physical therapy
Reporting to physician patient's reaction to treatment or changes in condition.
Initiates physical therapy program and instructs other personnel and/or family/ caregivers in certain phases of physical therapy with which they may work with a patient, as well as instructing them as to the goals of the physical therapy program for the patient by participating in case conferences.
May educate patients in the use of prosthetic devices.
Prepares and submits clinical and progress summaries based on the attainment of goals.
Participates in patient discharge planning. Prepares and submits a clinical progress summary based on the attainment of goals directed by organization policy.
Provides physical therapy consultation to families/caregivers, as appropriate.
Provides in-service education programs for nursing personnel as needed.
Participates in the interdisciplinary group.
Actively participates in quality assessment performance improvement teams and activities.
Participates in orientation programs for hospice team members.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
POSITION QUALIFICATIONS
1. Possesses a degree from a baccalaureate or master’s program in physical therapy approved by an accredited organization. Meets personnel qualifications stated in §418.114(b)(7).
2. Licensed to practice as a physical therapist within the state.
3. At least two years of appropriate experience as a physical therapist. Community/hospice experience is preferred.
4. Demonstrates good verbal and written communication, and organization skills.
5. Possesses and maintains current CPR certification.
6. Understands hospice philosophy, focus of care is comfort vs. rehab and to maintain care in their residence as long as possible.
-
The PTA contracted or employed through the organization is responsible for providing physical therapy services and for adherence to all conditions outlined in the Service Employment Agreement.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Provides physical therapy services to patients according to a written individualized plan of care. This may include, but not be limited to:
Assesses for muscle strength, mobility, gait, ROM and transfer capabilities. Less a goal of rehab, more a focus on maintaining comfort.
Following physical therapy treatment.
Instructing patients and families/caregivers in the use and care of therapeutic appliances.
Determining priority needs for physical therapy
Reporting to physician patient's reaction to treatment or changes in condition.
Follows physical therapy program and instructs other personnel and/or family/ caregivers in certain phases of physical therapy with which they may work with a patient, as well as instructing them as to the goals of the physical therapy program for the patient by participating in case conferences.
May educate patients in the use of prosthetic devices.
Prepares and submits clinical and progress summaries based on the attainment of goals.
Participates in patient discharge planning. Prepares and submits a clinical progress summary based on the attainment of goals directed by organization policy.
Provides physical therapy consultation to families/caregivers, as appropriate.
Participates in the interdisciplinary group.
Actively participates in quality assessment performance improvement teams and activities.
Participates in orientation programs for home care/hospice team members.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
POSITION QUALIFICATIONS
1. Possesses a degree from a AA or above program in physical therapy assistant approved by an accredited organization. Meets personnel qualifications stated in §418.114(b)(7).
2. Licensed to practice as a physical therapist assistant within the state.
3. At least two years of appropriate experience as a physical therapist assistant. Home health/hospice experience is preferred.
4. Demonstrates good verbal and written communication, and organization skills.
5. Possesses and maintains current CPR certification.
6. Understands home health/hospice philosophy, focus of care is comfort vs. rehab and to maintain care in their residence as long as possible.
-
Consultant shall provide the services of a qualified registered dietitian acceptable to and subject to the approval of the Agency. The registered dietitian shall assume the exclusive duties of providing consultation to the Agency. The registered dietitian shall give the guidance and counsel to the medical nutrition therapy service program.
DUTIES
Duties including the following:
Correlate and integrate the nutritional aspects of client care services to include directing the following:
The client’s medical history and assessing the client’s nutritional status
Interviewing and counseling the client and family
Recording pertinent client information in the medical record
Assessing, planning, and implementing medical nutrition therapy care for all appropriate clients
Developing nutritional care goals for the Plan of Care
Conferring and sharing specialized knowledge with other members of the client’s care team through case conferences
Developing and providing all nutrition screening, assessment, education, and counseling forms. Conduct nutrition in -service sessions when scheduled. Update Policy and Procedures Manual with the Director of Patient Care Services or Administrator when need is determined, at minimum annually. Submit proper documentation in patient clinical notes and progress notes within 48-72 hours.
The above statements are solely meant to be a representative summary of the major duties and responsibilities of the Registered Dietitian. Other job related tasks may apply.
QUALIFICATION REQUIREMENTS
The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Bachelor of Science degree in clinical nutritional/human nutritional or related science and passed the Board Examination given by the National Diatec Association.
Minimum of one year experience in a home health care agency, community health or public health setting. Valid CA driver’s license and automobile insurance. Sound knowledge of federal and state regulations governing home health agencies. Ability to solvepractical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
PHYSICAL DEMANDS
The physical demands here are representative of those that must be met to successfully perform the essential functions of this job.
Reasonable accommodations may be made to allow individuals with disabilities perform the essential functions. The registered dietitian must be able to communicate orally and in writing
WORK ENVIRONMENT
● General office. Community home environment. Exposure to infectious diseases. Extensive driving.
-
The RN provides nursing care to patients as requested by patients and as prescribed by the patient’s physician, as well as in compliance with applicable laws and regulations and policies of the Organization.
Seeks and obtains sufficient information necessary to function effectively in the health care setting where assigned.
Provides professional nursing care by utilizing all elements of the nursing process.
Reviews and implements plan of care
Regularly re-evaluates patient needs
Revises the plan of care as necessary.
Administers medications and treatments as prescribed by the physician.
Initiates and applies appropriate preventative, therapeutic, and rehabilitative nursing procedures and techniques and maintains communication regarding patient care with physician and supervisory personnel.
Completes, maintains, and submitted accurate and relevant clinical notes regarding patient’s condition and care given.
Uses supplies and equipment effectively and efficiently.
Observes the patient for changes in conditions, discusses changes with the patient or family/caregiver and reports changes, as necessary, to the attending physician.
Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and independence.
Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet, and other instructions as ordered by the physician. Recognizes and utilizes opportunities for health counseling with patients and family/caregivers.
Provides/maintains a safe environment for the patient.
Assists the patient and/or family/caregiver and other health care personnel in providing continuity of care.
Performs within the limits of preparation and experience.
Accepts responsibility of assignment to perform a specialized procedure, such as IV therapy, only when qualified with specialty training, proven competency, clinical background, and expertise in the specialty area.
Assumes responsibility for personal growth and development and maintains professional knowledge.
Fulfills the obligation of requested and/or accepted case assignments.
QUALIFICATION REQUIREMENTS
● A graduate of an accredited school of professional nursing. BSN preferred.
● A licensed RN through the California State Board of Nursing.
● Has at least one year of general nursing experience, with current home health, medical, surgical, or critical care experience.
● Complies with accepted professional standards and principles.
● Possesses and maintains good physical stamina and mental health. Has presented an employment physician’s health clearance, including a negative TB skin test and/or Chest X-ray and other tests are required by the Organization’s policy.
● Must be a licensed driver with an automobile that is insured in accordance with state and Organization’s requirements and is in good working condition.
● Possesses and maintains current CPR certification.
● Have satisfactory references from nursing school, previous (or current) employers, and/or professional peers.
● Has excellent observation, good nursing judgment, and good oral and written communication skills.
● Is self-directed with the ability to work with little supervision; has good organizational skills.
● Is flexible and cooperative in fulfilling role obligations.
WORK ENVIRONMENT
● General office. Community home environment. Exposure to infectious diseases. Extensive driving.
-
The speech–language pathologist is responsible for implementation of standards of care for speech language pathology services and for adherence to all conditions in the Service Agreement.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1. Conducts appropriate evaluative procedures, assesses home environment (as appropriate), and identifies equipment needs relative to speech/language function.
2. Identifies functional speech defects and establishes goals and plan of care to improve patient's function and participates in the development of the plan of care.
3. Administers speech therapy program utilizing specialized therapeutic technique and/or equipment.
4. Recommends communication devices/aids as indicated.
5. Confers with referring physicians and other organization personnel to ensure coordinated and comprehensive care with the interdisciplinary group.
6. As appropriate, participates in case conferences, in-services and other meetings required to ensure coordinated and comprehensive care.
7. Prepares and submits clinical and progress records per office policy or federal/state regulations.
8. Maintains clinical competency in speech language pathology practice and theory.
9. Instructs patient and family/caregiver and other team members in the patient's treatment regime as indicated.
10. Performs other duties as required to facilitate the delivery of speech language pathology services and swallowing assistive services.
11. Participates in the peer consultation process. Participates in orientation for hospice personnel.
12. May supervise hospice aide in procedures directly related to speech–language therapy.
13. Actively participates in quality assessment performance improvement teams and activities.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
POSITION QUALIFICATIONS
1. Possesses a degree that includes an internship from an approved master’s program in Speech–Language Pathology, or as required by applicable law and/or regulation. Meets personnel qualifications stated in §418.114(b)(4).
2. Meets the education and experience requirements for a Certificate of Clinical Competence in Speech–Language Pathology, granted by the American Speech–Language–Hearing Association (ASHA).
3. Is certified to practice Speech–Language Pathology.
4. A minimum of one year's clinical experience in Speech–Language Pathology.
5. Demonstrates good verbal and written communication, and organization skills.
6. Understands hospice philosophy and focus of patient care is comfort and maintenance of self in current residence.