Employment Opportunities

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Northland PACE – Bismarck

Full Time  -      : 11/29/2019

 

Job Summary: Provides coordination of all medical care, personal care, skilled nursing and in-home services.

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

  • Assumes responsibility for nursing care for Northland PACE Program participants at home.
  • Assesses participants’ home care and medication needs and plans appropriate nursing care during initial, semi-annual, annual and significant change evaluations; and on an as needed basis.
  • Communicates and works with home care nurse, medication nurse and CNA scheduler to schedule all home care needs.
  • Provides input to the physician/non-physician practitioner about medical and nursing needs.
  • Provides teaching and training to caregivers and Participants regarding home care needs and chronic disease management.
  • Communicates and engages the Participant and family members in their health care.
  • Works with social worker regarding family and caregiver stress in caring for homebound participants.
  • Triages participants who are not able to attend Day Center due to sudden illness, perception of illness at home, or inability to travel.
  • Is prepared for, participates and attends in weekly interdisciplinary team meeting by giving an accurate picture of participant home environment.
  • Is flexible and able to adjust schedule to meet complex needs of participants.
  • Provides teaching and training to homecare staff regarding needs of participants.
  • Maintains accurate records of all services provided to participants at home.
  • Updates weekend On-Call Nurse of any expected changes in service over weekends and holidays.
  • Communicates and collaborates with ER, SNF, Foster Care and Hospital Facilities as needed regarding the Participants needs and plan of care.
  • Completes level of care screenings for Participants annually.
  • Acts as a participant advocate for all assigned Participants.
  • Completes change forms for Participants for transitions of care.
  • Provides coverage for On-Call as scheduled by Director of Nursing.
  • Assumes responsibility for accurate information in the Participant's electronic medical record.
  • Documents home care assessments in electronic medical record for initial, semi-annual, annual and significant change evaluations and on an as needed basis.
  • Ensure accuracy of Participant’s allergies, medications and immunizations in the electronic medical record.
  • Assumes responsibility for Participant’s plan of care regarding home care and medical services.
  • Documents and delivers services for Participants’ outside medical appointments and nursing services that are provided in the home.
  • Follow-up on orders provided at outside medical appointments and internal orders as needed.
  • Document all services provided in a timely manner in the Participant’s medical record.
  • Assumes responsibility for professional activities and growth.
  • Keeps abreast of current nursing knowledge, especially in the field of geriatrics by attending professional conferences and in-services.
  • Participates in interdisciplinary team meetings, pre-care conferences, care conferences for assigned Participants
  • Participates in scheduled staff meetings.
  • Understands and follows Northland PACE Program policies and procedures.
  • Demonstrates service excellence to all participants in job performance.
  • Acts as a nursing consultant to other staff members.
  • Maintains accurate records of visits for self and Home Care Staff for data collection.
  • Other duties as assigned.

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Northland PACE – Bismarck

Full Time  -      : 11/29/2019

 

Job Summary: Coordinates all clinic services and cares that are provided to participants attending the PACE day center or that need to be seen in the PACE clinic for routine exams or problem focus needs.

Primary Responsibilities: The Clinic Nurse's duties shall include, but not be limited to:

  1. Assumes major responsibility of nursing care for participants enrolled in the Northland PACE Program.
  2. Assesses participants’ needs and plans appropriate nursing care during initial, semi-annual, annual and significant change evaluations and on an as needed basis.
  3. Triages participant needs in the day center and addresses needs that come up.
  4. Performs initial evaluation of episodic complaints. Refers to other providers as appropriate.
  5. Implements, directs, supervises, and evaluates nursing care for participants at the Day Center.
  6. Provides input to the Home Care Coordinators about teaching needs of participants and families regarding nursing issues at the Day Center that affect the home setting.
  7. Initiates preventative nursing procedures as appropriate for the participants’ care and safety.
  8. Reviews charts to coordinate participant care and sees that the plan of care is carried out.
  9. Schedules all initial, semi-annual, annual, significant change and problem focus assessments for MD and midlevel providers.
  10. Room and record vitals and subjective information as reported by the participants prior to clinic visits by PACE Providers.
  11. Coordinates with the midlevel providers, to provide all appropriate preventative health services for participants.
  12. Coordinates with midlevel providers and MD to ensure all routine immunizations are up to date and provides any needed immunizations in the clinic.
  13. Follows up with the MD/midlevel provider regarding plans and follow-up for specialty appointments and medical orders.
  14. Is flexible and able to adjust schedule to meet complex needs of participants.
  15. Communicates regularly with pharmacy regarding prescription changes.
  16. Provides coverage for On-Call as scheduled by Director of Nursing.
  17. Assists participants with personal care at the Day Center, to include toileting as needed.
  18. Empties Foley catheter bags as needed.
  19. Assists Participants with colostomy care as needed.
  20. Correctly collects and labels lab specimens and ensures that they are delivered to the lab for processing timely.
  21. Provides participants with routine cares including but not limited to catheter changes, nail care, ear cleaning and wound care.
  22. Assists participants with transfers and ambulation as needed.
  23. Clean and organize patient care rooms at the end of each day and as needed.
  24. Stock clinic supplies and monitor for reordering needs or outdating supplies and coordinate with Director of Nursing for supply needs.
  25. Administer routine and as-needed medications to participants as ordered by PACE Providers.
  26. Document all services provided in a timely manner in the Participant's medical record.
  27. Assumes major responsibility for safety and quality of care provided to participants at the Day Center.
  28. Is an advocate for participants enrolled in the Northland PACE program.
  29. Consults with Director of Nursing and Personal Care Attendants regarding problems that require increased nursing input.
  30. Provides health teaching to participants with complex nursing needs.
  31. Provides teaching and instruction to personal care attendants regarding changing needs of clients in the Day Center.
  32. Maintains a clean, neat environment to enhance participant safety.
  33. Ensures that supplies and equipment necessary for patient care are stored in an organized, efficient and safe manner.
  34. Assumes responsibility for professional activities and growth.
  35. Keeps abreast of current nursing knowledge, especially in the field of geriatrics, by attending professional conferences and in-services.
  36. Acts as a nursing consultant to other staff and to the physicians.
  37. Is prepared for and participates in scheduled interdisciplinary team meetings.
  38. Participates in pre-care conferences, care conferences and staff meetings.
  39. Understands and follows Northland PACE Program policies and procedures.
  40. Demonstrates service excellence to all participants in job performance.
  41. Other duties as assigned.

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Northland PACE – Bismarck

Full Time  -      : 11/29/2019

 

Job Summary:  Within an Interdisciplinary Care Team setting, Social Worker 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’s duties shall include, but not be limited to:

  1. Completes assessments at admission and for semi-annual care planning according to regulatory requirements and as condition change indicates.
  2. Determines participant and family needs related to social support, financial support, counseling and housing.
  3. Confers with participant and family to identify participant goals and expectations.
  4. Coordinates with the interdisciplinary team to develop a comprehensive care plan for each participant.
  5. Provides individual and group counseling to participants and their families as needed or prescribed in the care plan.
  6. Coordinates the completion of participant’s health care wishes and advance directives in cooperation with their primary care physician, the participant and their family.
  7. Provides discharge planning in the event of disenrollment.
  8. Facilitates communication between participant, family and Care Team to maximize or maintain participant support systems.
  9. Facilitates or participates in family meetings as required.
  10. May assist in facilitating the Participant Council to create a vehicle for dialogue between participants and the Care Team and empower participant responsibility.
  11. Conducts family support groups, education or training sessions and routine Family Caregiver meetings for education, support and dialogue.
  12. Ensures that the IDT is informed of care plan changes and requirements and logistics are appropriately arranged to include transportation, escorts, meals and appointments.
  13. 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.
  14. Coordinates with mental health-related providers including drug and alcohol treatment to arrange appointments and share pertinent information.
  15. Completes and ensures completion of documentation of clinical services reviewing medical record to continuity and completeness.
  16. Participates in quality studies according to the quality plan.
  17. Recommends studies for the annual quality plan.
  18. Participates in committees that support performance improvement.
  19. Provides discharge planning in the event of disenrollment; completing disenrollment paperwork, communicating with SAA and IDT as well as other relevant community agencies.
  20. Provides information to Skilled Nursing Facilities, Memory Care/Basic Care Facilities and Adult Family Foster Care Homes when looking for placement for participants.
  21. Petitions for guardianships when deemed appropriate by the interdisciplinary team.
  22. Understands and follows Northland PACE Program policies, procedures and protocols.

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Northland PACE – Fargo

 -      : 11/29/2019

 

Job Summary:  Within an Interdisciplinary Care Team setting, Social Worker 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’s duties shall include, but not be limited to:

  1. Completes assessments at admission and for semi-annual care planning according to regulatory requirements and as condition change indicates.
  2. Determines participant and family needs related to social support, financial support, counseling and housing.
  3. Confers with participant and family to identify participant goals and expectations.
  4. Coordinates with the interdisciplinary team to develop a comprehensive care plan for each participant.
  5. Provides individual and group counseling to participants and their families as needed or prescribed in the care plan.
  6. Coordinates the completion of participant’s health care wishes and advance directives in cooperation with their primary care physician, the participant and their family.
  7. Provides discharge planning in the event of disenrollment.
  8. Facilitates communication between participant, family and Care Team to maximize or maintain participant support systems.
  9. Facilitates or participates in family meetings as required.
  10. May assist in facilitating the Participant Council to create a vehicle for dialogue between participants and the Care Team and empower participant responsibility.
  11. Conducts family support groups, education or training sessions and routine Family Caregiver meetings for education, support and dialogue.
  12. Ensures that the IDT is informed of care plan changes and requirements and logistics are appropriately arranged to include transportation, escorts, meals and appointments.
  13. 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.
  14. Coordinates with mental health-related providers including drug and alcohol treatment to arrange appointments and share pertinent information.
  15. Completes and ensures completion of documentation of clinical services reviewing medical record to continuity and completeness.
  16. Participates in quality studies according to the quality plan.
  17. Recommends studies for the annual quality plan.
  18. Participates in committees that support performance improvement.
  19. Provides discharge planning in the event of disenrollment; completing disenrollment paperwork, communicating with SAA and IDT as well as other relevant community agencies.
  20. Provides information to Skilled Nursing Facilities, Memory Care/Basic Care Facilities and Adult Family Foster Care Homes when looking for placement for participants.
  21. Petitions for guardianships when deemed appropriate by the interdisciplinary team.
  22. Understands and follows Northland PACE Program policies, procedures and protocols.

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Northland PACE – Fargo

Full Time  -      : 11/29/2019

 

Job Summary:  Directs participant medical care; assists/participates in quality improvement and projects.

Primary Responsibilities: The Primary Care Physician takes care of the basic health care needs of Northland PACE participants by focusing on general wellness and prevention of ailments through assessments and health screenings.

  1. Promotes and explains the Northland PACE program to interested individuals, community groups and senior care agencies.
  2. Serves as a liaison between PACE and the primary care medical community.
  3. Works collaboratively with medical staff at all PACE sites.
  4. Attends Inter-Disciplinary Team (IDT) meetings, providing leadership for and collaboration with other required team members.
  5. Participates in meeting such as family meetings, care conferences, ITD and other meetings as necessary.
  6. Collaborates with the IDT, participant and family members to evaluate participant care, needs, preferences and wishes to develop a comprehensive plan of care.
  7. Performs initial participant assessment and, as necessary, periodic reassessments.
  8. Evaluates participant’s physical complaints and medical needs in order to appropriately diagnose and recommend a therapeutic plan of care.
  9. Conducts home visits inclusive of private homes, adult foster homes, assisted living facilities and basic care facilities, etc. as needed.
  10. Participates in overseeing the care needs of participants in Skilled Nursing Facilities.
  11. Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfil responsibilities.
  12. Shares on-call duties for non-office hours consistent with Northland PACE policies and procedures. 
  13. Maintains accurate and timely documentation of participant diagnosis.
  14. Maintains privileges at community based healthcare facilities.
  15. Maintains a professional appearance and manner in the clinical area and while representing the PACE program.
  16. Utilizes specialist referrals, supplies and equipment in accordance with medical necessity, IDT decisions and as recommended by the Utilization Management Committee.
  17. Knows and adheres to the philosophy and goals of the PACE program.
  18. Understands, follows and supports Northland PACE policies and procedures.
  19. Assists in development of PACE program policies and procedures and protocols for participant medical care.
  20. Provides education or in-service training as needed, including conducting clinical and geriatric sessions for participants and staff.
  21. Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.
  22. Maintains the confidentiality of all company procedures, as well as results, reports, discussion and information about participants and families.
  23. Delegates to and collaborates with clinic support staff to promote efficient time use, including processes such as scheduling, documentation, provider communications and order processing.
  24. Demonstrates service excellence through job performance to all participants.
  25. Performs other duties as required in a positive and helpful manner to ensure a smooth running work area.
  26. Demonstrates service excellence to all participants in job performance.

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Northland PACE – Bismarck

Full Time  -      : 11/29/2019

 

Job Summary: Primarily responsible for providing transportation/escort services for Northland PACE participants. To assist with the overall transportation coordination needs of participants, including scheduling rides.

Primary Responsibilities:

  1. Schedule and coordinate the route assignments of Northland PACE driver fleet.  Ensure communication is clear and drivers follow through as directed.  Organize routes and schedule daily transportation for participants to and from Day Center.
  2. Schedule transportation for all participant appointments outside of Day Center.  Respond appropriately to needs as identified by the Interdisciplinary Team.
  3. Assign drivers schedules Treat all people with respect, maintain confidentiality of participants and staff, and strive toward service excellence.
  4. Maintain viable system of driver-Day Center communication.
  5. Assists in transporting participants in a safe manner to and from Day Center as needed.
  6. Transports participants to and from physician or other medical appointments, as requested by the Interdisciplinary Team via the care plan as needed.
  7. Ensures that passengers wear safety belts and wheelchairs are locked into position.
  8. Immediately reports to Site Manager any vehicle operating problems, malfunctions or incidents out of the ordinary routine.
  9. Assists with program activities by transporting participants to and event, as coordinated by the activities director as needed.
  10. Provides courier service for supplies, interoffice mail, etc. as needed.
  11. Knows and adheres to the philosophy of Northland PACE.
  12. Keeps confidentiality of participant records, reports and discussions.
  13. Participates in Northland PACE Committees as requested by Site Manager.
  14. Attends and participates in scheduled staff meeting and client care meetings as requested.
  15. Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities.
  16. Informs Site Manager of “unusual occurrences.”
  17. Identifies service delivery problems and uses good judgment in their solution.
  18. Is professional in appearance and manner in the clinical area; recognizes own limits and seeks help and guidance from the Site Manager as appropriate.
  19. May serve as a role model for new trainees.

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Northland PACE – Bismarck

Full Time  -      : 11/29/2019

 

Job Summary: Assists in planning, coordinating and carrying out Northland PACE Program therapeutic recreational activities and Day Center Program.

Primary Responsibilities:
a.    Assists in the evaluation of participant’s educational, emotional and vocational needs.  
b.    Assists with planning and implementing relevant recreational programs to meet the needs of the participants, per the treatment plans developed by the Interdisciplinary Team.
c.    Builds within the Day Center a sense of community and a warm social atmosphere in which participants are able to identify a support team.
d.    Organizes and directs individual and group activities, reality orientation, exercises, discussions, clubs, field trips/outings, arts and crafts, music appreciation, etc.  Seeks input from the participants on programming they enjoy most as well as additional ideas they would like activities to pursue.
e.    Assists in orientation and supervision of staff/volunteers.  Fulfills administrative requirements; timely completion of evaluations/reassessments, charting, maintaining statistical records.  Active participation in the multi-disciplinary team meetings, fully appreciating importance of all voices as treatment plans are developed and enacted.
f.    Treats all people with respect, maintains confidentiality and strives toward service excellence.
g.    Participates in QI activities as appropriate.  Maintains current professional licensure by attending appropriate educational conferences.
h.    Knows and adheres to the philosophy of Northland PACE.
i.    Keeps confidentiality of participant records, reports and discussions.
j.    Participates in Northland PACE Committees as requested by Site Manager.
k.    Attends and participates in scheduled staff meeting and client care meetings as requested.
l.    Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities.
m.    Informs Site Manager of “unusual occurrences.”
n.    Identifies service delivery problems and uses good judgment in their solution.
o.    Is professional in appearance and manner in the clinical area; recognizes own limits and seeks help and guidance from the Site Manager as appropriate.
p.    May serve as a role model for new trainees.


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