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

Job Summary: The Occupational Therapist promotes and maintains the functional status, physical mobility and well-being for participants, both in the Day Center and at home if needed.  Conducts assessments, treatment, teaching and counseling.  Trains restorative aides, center health aides and home care aides to support restorative care plans.

Primary Responsibilities:  The Occupational Therapist’s duties shall include, but not be limited to:

1. Conducts initial assessments and reassessments, upon referral from team, of participant’s and functional status.
2. Develops treatment program when indicated, sets goals and provides treatment.
3. Records and signs treatments in participant’s medical record; records, signs and dates “Progress Notes.”
4. Reviews assessments and discharges participants when appropriate.
5. Actively functions as a member of the Interdisciplinary Team; participates in case conferences when necessary.
6. Provides training to family members, friends, representatives and staff for those parts of the treatment plan that will need to be carried out by them.
7. Provides supervision to program aides and other staff who are implementing the OT treatment plan.
8. Performs duties as assigned.

Employment Specifications:

Education/Experience:  Graduate of an approved OT curriculum with a Bachelor’s degree in OT.  

Licensure, registry or certification required:  Current North Dakota Occupational Therapy License 

Special Training:  Must be able to work effectively within a team environment.  Must be able to treat patients of all ages, including geriatric patients.

Physical Demands:  Must be able to move about freely, have manual dexterity and visual acuity to see, be able to hear and orally communicate.  Frequent travel with in service area and occasional travel beyond service area.  

Working Conditions:  Primarily inside climate controlled area with travel between sites regularly.

Reporting to the CEO, the Controller has overall financial reporting responsibility for all Northland Healthcare Alliance divisions. This includes budgeting, cash flow monitoring, financial statement preparations, analysis and presentation. 

Primary Responsibilities: 

• Oversight and monitoring of all financial and general accounting activity for all Northland Healthcare Alliance companies, including:  A/R, A/P, Payroll, Depreciation, AJES, Banking, etc.
• Preparation of internal financial statements including AJEs and bank reconciliations on a monthly basis for all Northland affiliated companies.
• Management, preparation and presentation of annual budgets/forecasting for all Northland companies.
• Serve as the lead for the internal audit to assist with final preparation of audited financial statements.
• Overseeing regulatory reporting, frequently including tax planning and compliance.
• Reporting to the CEO and Board of Directors on a regular basis providing information on the financial status of Northland companies.
• Serve as an advisor to the CEO in relation to financial analysis and status of all companies as well as its effect on operational activities within the company.
• Provide analysis as well as serve as an advisor to the CEO and Management staff on the operational functionality of the business and new business endeavors.
• Provide leadership as it relates to the strategic goals of Northland as well as its quality initiatives including policy development and revision.
• Planning and reporting as it relates to grants, new programs and services offered by Northland Healthcare Alliance and companies.
• Oversee the payroll and benefit management for all employees of Northland along with the Human Resources Director.
• Responsible for licensure/accreditation as it applies to specific services of Northland (NIS, PACE, etc.)
• Responsible for contract oversight and negotiations across all Northland entities.
• PACE Program Specific Responsibilities: 
  • Responsible for the coordination and supervision of all financial services, including third party billing system, payroll, benefits administration, billing of CMS and Medicaid, and required financial data submission.

Job Summary:  Responsible for providing safe transportation to participants in a timely, competent manner and communicating important information relevant to the overall care plan to the interdisciplinary team.

Primary Responsibilities: Under limited supervision, and in accordance with all applicable federal, state and local laws/regulations:

1. Transports in a safe manner participants to and from the Day Center on each day they are scheduled to attend, in compliance with ND Department of Motor Vehicle licensing regulations and local statues.
2. Provides physical assistance to each participant when needed and they board and disembarks from the program’s vehicles.
3. Ensures that emergency medical information is available for those participants being transported.
4. Maintains the first aid kit in the vehicle, replacing supplies as they are used or become outdated.
5. Ensures that all passengers wear safety belts and wheelchairs are locked into position
6. Maintains vehicle in neat and clean condition anticipating needed mechanical service so appointments can be arranges that are convenient to program operations.  Keeps vehicle maintenance records current; coordinate and schedule routine episodic vehicle maintenance.
7. Immediately reports to Site Manager any vehicle operating problems, malfunctions or incidents out of the ordinary routine.
8. Maintains accurate daily records of number of trips, individuals transported, miles and gallons of gas.  Complies all necessary information to meet reporting requirements.
1. Transports participants to and from physician or other medical appointments, as requested by the Interdisciplinary Team via the care plan.
10. Assists with program activities by transporting participants to an event, as coordinated by the activities director.
11. Provides courier services for supplies, interoffice mail, etc.
50. Knows and adheres to the philosophy of Northland PACE.
1000. Keeps confidentiality of participant records, reports and discussions.
14. Participates in Northland PACE Committees as requested by Site Manager.
15. Attends and participates in scheduled staff meeting and client care meetings as requested.
16. Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities.
17. Informs Site Manager of “unusual occurrences.”
18. Identifies service delivery problems and uses good judgment in their solution.
19. Is professional in appearance and manner in the clinical area; recognizes own limits and seeks help and guidance from the Site Manager as appropriate.

Job Summary: Promotes and maintains the health of enrolled participants through nursing assessment, treatment, teaching and counseling.  Responsible for completing enrollment and periodic assessments of health needs to contribute to the individual’s plan of care. Responsible for the implementation of nursing care plan and coordination of nursing with other services.   

Primary Responsibilities:  Under limited supervision and in accordance with all applicable federal, state and local laws/regulations:

1. Completes RN assessment during initial, semi-annual, annual and significant change evaluations
2. Ensures participants care plan is reflective of all nursing interventions and participant diagnoses
3. Initiates preventative nursing care procedures as appropriate for the participants’ care and safety
4. Completes participant cares scheduled within the day center and in participants’ homes as needed
5. Collaborates with the Home Care Nurse about teaching needs of participants and families 
6. Implements, directs, evaluates and provides oversight of nursing care and care provided by certified nursing assistants. 
7. Collaborates with provider to facilitate PACE appointments, participant needs and plans/follow-up for specialty appointments and medical orders
8. Assists with preparation for interdisciplinary team meetings and ensuring that all updates for participants and needed appointments are added to the schedule 
9. Communicates regularly with pharmacy regarding prescription changes and ensuring that participant MAR is up to date
10. Provides care to participants in a positive, nurturing, professional manner. 
11. Provides health teaching to participants with complex nursing needs
12. Triages and ensures assessments are completed on participants reporting any sudden illness or onset of illness at home.
13. Is flexible and able to adjust schedule to meet complex needs of participants.
14. Consults with other staff members regarding any concerns about appointments, complaints or other anticipated/discovered needs identified during assessments.
15. Works with social worker regarding family and caregiver in caring for homebound participants.
16. Maintains accurate records of all nursing services provided to participant in EMR
17. Participates in Quality Improvement activities as requested
18. Collaborates with hospital for any participant hospitalized
19. Collaborates with nursing facility weekly for any participants residing in nursing facility

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. 

Within an Interdisciplinary Care Team setting, Social Worker/Counselor promotes and maintains the mental and social health of enrolled participants through assessment, treatment, teaching and counseling.  Provides basic casework and consultation for Northland PACE participants.  Facilitates communication between participants, their family and the Care Team.  Responsible for the implementation of social work care plan and coordination of social work with other services.

Primary Responsibilities: The Social Worker/Counselor’s duties shall include, but not be limited to:

• Completes assessments at admission and for semi-annual care planning according to regulatory requirements and as condition change indicates.
• Determines participant and family needs related to social support, financial support, counseling and housing.
• Confers with participant and family to identify participant goals and expectations.
• Coordinates with the interdisciplinary team to develop a comprehensive care plan for each participant.
• Provides individual and group counseling to participants and their families as needed or prescribed in the care plan.
• Coordinates the completion of participant’s health care wishes and advance directives in cooperation with their primary care physician, the participant and their family.
• Provides discharge planning in the event of disenrollment.
• Facilitates communication between participant, family and Care Team to maximize or maintain participant support systems.
• Facilitates or participates in family meetings as required.
• May assist in facilitating the Participant Council to create a vehicle for dialogue between participants and the Care Team and empower participant responsibility.
• Conducts family support groups, education or training sessions and routine Family Caregiver meetings for education, support and dialogue.
• Ensures that the IDT is informed of care plan changes and requirements and logistics are appropriately arranged to include transportation, escorts, meals and appointments.
• Works with Site Manager to provide orientation and in-service programs for Care Team to enhance understanding of psychosocial issues and meet regulatory requirements and support performance improvement.
• Coordinates with mental health-related providers including drug and alcohol treatment to arrange appointments and share pertinent information.
• Completes and ensures completion of documentation of clinical services reviewing medical record to continuity and completeness.
• Participates in quality studies according to the quality plan.
• Recommends studies for the annual quality plan.
• Participates in committees that support performance improvement.
• Provides discharge planning in the event of disenrollment; completing disenrollment paperwork, communicating with SAA and IDT as well as other relevant community agencies.
• Provides information to Skilled Nursing Facilities, Memory Care/Basic Care Facilities and Adult Family Foster Care Homes when looking for placement for participants.
• Petitions for guardianships when deemed appropriate by the interdisciplinary team.
• Understands and follows Northland PACE Program policies, procedures and protocols.

Job Summary: The Nurse Practitioner promotes and maintains the health of enrolled participants through medical assessment, treatment and teaching. Responsible for completing periodic assessments of health needs and problem focused visits to contribute to the individual’s plan of care. Responsible for the implementation of the care plan and coordination of outside medical appointments.

Primary Responsibilities: Under limited direction and in accordance with all applicable federal, state and local laws/regulations and policies, procedures and guidelines:

• Completes RN assessment during initial, semi-annual, annual and significant change evaluations
• Completes provider visits as needed.
• Provides evaluation and treatment of participants during acute illness.
• Determines the need for and facilitating referrals to other medical specialists when deemed necessary.
• Assists with preparation for interdisciplinary team meetings and ensuring that all updates for participants and needed appointments are added to the schedule
• Communicates regularly with pharmacy regarding prescription changes and ensuring that participant MAR is up to date
• Collaborates with nursing staff to ensure participant is receiving appropriate nursing interventions.
• Exercises judicious utilization of specialist consultations.
• Participates in rotating night and weekend call with other Northland PACE staff.
• Participates in the development and revision of the participant’s plan of care as a member of the interdisciplinary team.
• Integrates the Clinic Case Manager treatment plan into the overall plan of care developed by the interdisciplinary team.
• Interacts with other team members to meet emergent and acute needs of participants. Participates in discharge planning.
• Maintains quality documentation of all services provided.
• Collaborates with provider to facilitate PACE appointments, participant needs and plans/follow-up for specialty appointments and medical orders
• Conducts home visits as needed.
• Collaborates with hospital for any participant hospitalized
• Collaborates with nursing facility weekly for any participants residing in nursing facility
• Knows and adheres to the philosophy and goals of Northland PACE.
• Keeps confidentiality of client records, reports and discussions.
• Attends and participates in scheduled staff meetings and client care meetings as requested.
• Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities.
• Informs the Medical Director of “unusual incidents”.
• Is professional in manner in the clinical area; recognizes own limits and seeks help and guidance from the Medical Director as appropriate.
• Maintains licensure and certification and pursues professional growth through continuing education.

The Facilities Manager/Driver, maintains and oversees the company’s grounds, buildings, equipment and vehicles to ensure that the workspace is safe and functional. Their duties include negotiating contracts with service providers, inspecting facilities to meet safety regulations and coordinating renovations and updates.  The Facilities Manager/Driver is responsible for providing safe transportation for PACE participants in a timely, competent manner and communicating important information relevant to the overall care plan to the interdisciplinary team.

The PACE Certified Nurse Assistant provides physical assistance and attendant care to participants across care settings (center, home, transportation).  Provides assistance with Instrumental Activities of Daily Living (IADLs).  Provides assistance with nursing care, restorative therapies, activities and meals across care settings.  Demonstrates the knowledge and skills necessary to participate in assessing, planning and care for providing service to participants according to assigned responsibilities and Northland PACE Program standards.

Primary Responsibilities: Under the limited supervision and in accordance with all applicable federal, state and local laws/regulations and policies, procedures and guidelines:

• Provides physical assistance and attendant care to participants across care settings (center, home, transportation).
• Provides basic personal care assistance and/or supervision (bathing, grooming, toileting, feeding) and assistance with any other Activities of Daily Living (ADLs).
• Provides assistance with Instrumental Activities of Daily Living (IADLs) across care settings.  
• Performs homemaking, meal preparation, light cleaning and other household duties, shopping and other chore service for participants.
• Provides assistance with nursing care, restorative therapies, activities and meals across care settings.
• Participates in assessing, planning care for and documenting care for participants as member of interdisciplinary team.
• Knows and adheres to the philosophy and goals of the Northland PACE Program.
• Maintains a quiet and safe environment for participants, visitors and staff.
• Keeps confidentiality of participant records, reports and discussions.
• Participates in Northland PACE Program Committees as requested by Director of Nursing (DON).
• Maintains flexibility in schedule and responds to unexpected emergencies and change in workload in order to fulfill responsibilities.
• Utilizes supplies and equipment economically.
• Informs Director of Nursing of “unusual occurrences.”
• Identifies services delivery problems.
• Is professional in appearance and manner in the clinical area; recognizes own limits and seeks help and guidance from the Director of Nursing as appropriate; serves as a role model for students and staff members.
• May serve as a role model for new trainees.
• Pursues professional growth through the continuing education process.
• Maintains certification and pursues professional growth through continuing education process.

1. Answer, screen and transfer inbound calls
2. Receive, monitor and direct participants and visitors to the PACE site
3. General clerical duties including copying, faxing, emailing, filing, creating correspondence, etc.
4. Maintain office, medical and housekeeping supply inventory
5. Reconcile expense reports and credit card accounts
6. Sort and distribute mail
7. Coordinate repairs for office equipment
8. Schedules Participant appointments
9. Maintains Participant Medical Records:
   1. Scans documents in a timely manner into the electronic medical record, using established processes to ensure information is available for participant care.
   2. Performs quality control to ensure the integrity, completeness and legibility of scanned patient health records by validation of the paper records to the scanned images.
   3. Purges and archives medical records on an as needed basis.
   4. Ensures access to participant medical records, for continuity of care, while maintaining security and confidentiality of the medical record.
   5. Prepares for PACE provider clinic appointments by printing summary information for the provider prior to the appointment.
   6. Facilitates submission of PACE clinic and nursing home visit reports to the coding vendor and retrieval of completed coding summaries from the coding vendor for all three sites.
   7. Reviews and enters ICD-10 diagnoses codes, from the coding vendor, in to the electronic medical record.
   8. Works with providers to ensure risk adjustment data is complete, accurate, and timely.
   1. Obtains past medical records for potential enrollees as part of the intake process, using access to the NDHIN, external EMR systems, and release of information requests for all applicable facilities.
   10. Accesses outside facility electronic records for reports of emergency care and hospitalizations for scanning to the PACE electronic medical record system, obtaining the reports via record request to facilities which do not provide PACE access to the electronic record.
   11. Obtains office visit documentation for all outside medical appointments, using NDHIN, external EMR systems, and release of information requests.
   50. Monitors the completion of assessment documentation for all care conferences, sending emails communications, per policy.
   1000. Performs monthly chart audits and CAPS assessment audits to support QAPI activities. 
   14. Monitors, regularly, for the accurate entry and delivery of emergency room, ambulance, and hospitalization services into PCO, as well as for completion of associated change forms.
   15. Provides support for the quality audits by retrieving data from PCO on a monthly basis for the on-call log audit.
   16. Performs the Release of Information function for PACE in accordance with established policies and procedures, adhering to confidentiality policies and HIPAA regulations.
   17. Maintains the Health Outcomes Survey-Modified contact spreadsheet, for Medicare eligible PACE Participants, for provision to the Centers for Medicaid and Medicare Services survey vendor.

The Medical Scheduler assists and supports the Clinic Department to manage participant appointments.

Primary Responsibilities:

1. Schedules Participant appointments.
2. Coordinates transportation for participant for outside medical appointments. 
3. General clerical duties including copying, faxing, emailing, filing, creating correspondence, etc.
4. Taking referral sheets from appointments and inputs new appointments.
5. Assists medical records department in calling for medical records
6. Takes calls for nursing department and directs call to appropriate staff

Education:  Minimum High Schoold Diploma.  

Experience: Proficiency with Microsoft Office Suite product.  1-2 years clerical or administrative expereince preferably.

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. Must have a background in medical terminology. Ability to adapt to change in a positive/professional manner.

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.  Sedentary for long periods of time. 

Working Conditions:  Primarily inside, well-lit, climate controlled environment. 

Job Summary: Principal accountabilities include, planning, supervising, directly participating in and documenting all aspects of the nutritional care of Northland PACE participants.  Performs nutritional assessment and provides nutrition education for Northland PACE participants requiring intervention.  Acts as a resource to IDT.  Coordinates serving of meals, monitors/coordinates kitchen facilities to ensure standards are met.  Coordinates with catering services to ensure catered meals meet needs of Northland PACE participants.  Participates in Quality Assurance actives and committees, where appropriate.  Provides education to other health care professionals, as well as groups, as appropriate.

Primary Responsibilities:

1. Performs initial nutrition screening upon assessment, developing care plans and monitoring participant progress.  Reassessment is done every six (6) months thereafter.  Interacts with IDT members, as appropriate, to accomplish these tasks at day center, nursing home or participant’s homes.

2. Monitor monthly weights, taking into account medical diagnosis, drug nutrient interactions, changes in chewing, swallowing, mood changes, hydration status, intake, skin breakdown.

3. Provides nutrition counseling for Northland PACE participants, using appropriate materials.  Discusses diet principles and other information as appropriate about shopping, food preparation, etc.

4. Participates in educational activities, developing or presenting monthly group classes; developing or selecting/improving educational materials; or presenting in-services to own department or other departments.

5. Participates in patient care conferences, multidisciplinary team actives, committees, etc. as appropriate.  Consults with MD/RNP and staff, making appropriate recommendations; treats all people with respect, maintains confidentiality of Northland PACE participants, and strives towards excellence.

6. Monitor portion control; appropriate serving of food.

7. Works on projects for the department, small or large, as appropriate; participates in department quality improvement activities.

8. Understands and follows Northland PACE Program policies and procedures.

Employment Specifications:

Education/Experience:  Minimum of Bachelor of Science in nutrition, and Registered Dietitian.  Minimum of 3-5 years’ experience as a registered dietician, including clinical and administrative responsibilities preferably in geriatrics.

Licensure, registry or certification required:  Registered Dietitian with the Commission on Dietetic Registration of the American Dietetic Association.

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. 

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. Moderate amount of walking.

Working Conditions:  Primarily inside, well-lit, climate controlled environment.  Hazards of institutional kitchens and potential exposure to infectious diseases and environmental hazards.  Occasional home visits.  Occasional visits to other PACE sites.  May be required to use personal vehicle for business purposes.

Supervises Northland PACE nursing and CNA staff to ensure regulatory compliance and quality while maintaining an optimal level of independence for participants.  Collaborates with Interdisciplinary Care Team for implementation of nursing care plan and coordination of nursing and CNA services.