FT CNA  position working a 64+ status per two week payperiod.  Is requred to have a minimum of one year experience working with the elderly.

This is a day position that requires flexibility to include different start times during the day and to work one evening until 9pm a week.  Shift also includes a weekend rotation for "on-call", one weekend every 4-5 weeks.  (All shifts can vary based on client need and staffing needs so flexibility is a must.)

Excellent pay based on experience and qualifications.  Full benefit package available offered with this position.

Have questions?  Please call 701-456-7387 and ask for Melisa.  She can provide more information on "The day in the life of a PACE CNA".

Overview

The CNA-NAR is responsible for providing resident care as required under the direct supervision of the RN or LPN. 

Responsibilities

Performs initial and ongoing data collection on all residents and documents the plan of care results. Completes assigned tasks to ensure timely, efficient and safe patient/resident care. Communicates and interacts with patients, residents, families and other health team members to assure resident safety and well-being.

Qualifications

Qualifications Required

• In good standing on the State Nursing Assistant registry or appropriate entity.

Qualifications Preferred

• Experience in health care or long term care.
• CPR certified.

EEO/AA/Vet Friendly

As the Certified Nurse Assistant you will provide physical assistance and attendant care to participants across care settings (clinic, center and home).  You will provide assistance with Instrumental Activities of Daily Living (IADLs) and nursing care, restorative therapies, activities and meals across care settings. 

Primary Responsibilities

• Supports participants with activities of daily living in the clinic, center and homes.
  • Support may include:  escorting, toileting, bathing, grooming, laundry, medication reminders and assistance with meals.
• Conducts daily physical activities in assisting frail elders in ergonomic manner to avoid injury
• Maintains personal care supplies as incontinence supplies and personal grooming items
• Carries out orders from the interdisciplinary team regarding personal care services and/or monitoring of participants status
• Communicates effectively with participants, families, staff and other agencies
• Completes documentation

 Employment Specifications:

The Primary Care Provider (PCP) provides primary care, continuous medical coverage, and directly provides primary care services to Northland PACE participants.  The PCP demonstrates the knowledge and skills necessary to assess, plan care for and provide services to frail elderly participants according to assigned responsibilities and Northland PACE standards.  The PCP directs participant medical care; assists/participates in quality improvement projects.

Within an Interdisciplinary Care Team setting, incumbent promotes and maintains the physical mobility and well-being for participants both in the day center and at home if needed.  Conducts assessment, treatment, teaching and counseling.  Trains restorative aides, center health aides and home care aids to support restorative care plans.

As the Clinic Case Manager, RN you are responsible for the general oversight, assessment, planning, and construction of the nursing care delivered to the PACE participant. You may delegate direct care to nursing assistants on the team but you retain responsibility for ensuring that interventions are carried out in accordance with the participant’s care plan and the orders of the participant’s medical providers.

Primary Responsibilities

• Completes RN assessment during initial, semi-annual, annual and significant change evaluations
• Assesses participant through obtaining history, performing appropriate tests, making or collecting observations from the participant and caregivers, and consulting with other members of the IDT.
• Ensures participants care plan is reflective of all nursing interventions and participant diagnoses
• Implements and carries out care plan interventions and testing, treatment, or other provider orders for participant
• Safely and effectively administers medications, tests and treatments as ordered in the PACE day center or participant home.
• Manages participants medications and refills with appropriate authorization by the PACE provider.
• Implements, directs, evaluates and provides oversight of nursing care and care provided by certified nursing assistants.
• Provides health teaching to participants, families, and caregivers
• Participates in Quality Improvement activities as requested
• Provides On-Call coverage to troubleshoot, advise, teach, coordinate and ensure participant care is delivered.

Employment Specifications

As the Director of Nursing, you will supervise Northland PACE nursing and CNA staff to ensure regulatory compliance and quality while maintaining an optimal level of independence for participants.  You will collaborate with the Interdisciplinary Care Team for implementation of nursing care plan and coordination of nursing and CNA services.

Primary Responsibilities

• Supervise nursing staff in accordance to the ND Board of Nursing and ANA Code of Ethics

• Coordinates with medical staff to develop and maintain clinical care plans and is responsible for ensuring delivery of medical service recording

• Ensure nursing assessments are completed according to regulatory requirements

• Audit nursing care plans to confirm all care plans are updated appropriately and include all current nursing services

• Provides technical, organizational and interpersonal skills necessary to efficiently and effectively coordinate the scheduling and communication of all aspects of the nursing team.

• Evaluate staff performance and make recommendations regarding hiring needs and retention in conjunction with the Clinical Services Director

• Designs systems for training, orienting, in servicing and supervising nursing staff according to program needs and regulatory requirements.

• Maintains timely and quality documentation of all nursing services provided.

• Provides treatments, medication administration, diagnostic and preventive measures and other services within the scope of nursing practice

• Establishes and maintains cooperative working relationships with other program staff, contact agencies and outside organizations.

• Participates in quality management program activities, including peer reviews.

• Ensures nursing staff communicate effectively with hospital departments to minimize hospital lengths of stay as appropriate, and allow for a smooth transition for the client as he/she moves from the hospital to alternative levels of care

• Provides utilization management through supervision of participant referrals to outside medical appointments and other services

• Provides supervision On-Call coverage to troubleshoot, advise, teach, coordinate and ensure participant care is delivered.

• Knows and adheres to the philosophy and values of Northland PACE.

• Participates in Northland PACE Committees as assigned

• Advises the Clinical Services Director in ways and means to establish better accountability of Northland PACE services to participants and referral sources.

• Informs Clinical Services Director of “unusual occurrences.”

• Identifies nursing service delivery problems and uses good judgment in their solution.

• Maintains applicable licensure and certification and pursues professional growth through continuing education process.

Job Summary: Responsible for all nursing services provided to participants in the home or day center per care plan.  

Primary Responsibilities: The Home Care Nurse’s duties shall include, but not be limited to:

• Completes nursing cares as scheduled in participants home and day center   
• Assesses participants’ medical needs as related to nursing scope of practice
• Participates in preventative nursing care procedures as appropriate for the participants’ care and safety.
• Collaborates with provider for participant needs 
• Triages and ensures assessments are completed on participants reporting any sudden illness or onset of illness at home.
• Maintains accurate records of all nursing services provided to participant in EMR
• Is flexible and able to adjust schedule to meet complex needs of participants.
• Provides coverage for On-Call as scheduled 
• Collaborates with nursing and home care coordinator 
• Assist with providing health teaching to participants with complex nursing needs
• Provides care to participants in a positive, nurturing, professional manner. 
• Understands and follows Northland PACE Program policies and procedures.

Employment Specifications:

Education:  Associate or Bachelor’s degree in nursing from an accredited college or university.

Experience:  At least two years as staff nurse; home and/or community health preferred.  One year’s experience with a frail or elderly population.

Licensure, registry or certification required:  Current North Dakota nursing license.  Current, valid North Dakota driver’s license.

Special Training:  Must be able to work effectively with an interdisciplinary team.  Must be able to communicate effectively.  Must possess strong interpersonal and organizational skills. Ability to adapt to change in a positive/professional manner. Must possess the ability to effectively handle difficult and unusual interpersonal situations. Must meet standardized competencies for standards of medical care and established for position.  Must be medically cleared for communicable diseases.  Must have all immunizations up to date before engaging in direct participant contact.

Physical Demands:  Must be able to see, hear, and verbally communicate.  Must be able to move about freely and possess manual dexterity and visual acuity.

Working Conditions:  Primarily inside, well-lit, climate controlled environment; however, will require travel in various weather elements (rain, snow, cold, warm temperatures etc). Frequent travel for home visits. Must have reliable transportation.  Potential exposure to infectious diseases and environmental hazards.