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Registered Nurse


TITLE OF POSITION: REGISTERED NURSE TITLE OF IMMEDIATE SUPERVISOR: DIRECTOR OF NURSING RISK OF EXPOSURE TO BLOODBORNE PATHOGENS – HIGH DUTIES To provide nursing care in accordance with the patient's plan of care to include comprehensive health and psychosocial evaluation, monitoring of the patient’s condition, health promotion and prevention coordination of services, teaching and training activities and direct nursing care. RESPONSIBILITIES Coordinates total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient's condition, promoting sound preventive practices, coordinating services and teaching and training activities. Evaluates the effectiveness of nursing service to the patient and family on an ongoing basis. Performs admission, transfer, and re-certification, resumption of care and discharge OASIS for the home care patient. Prepares and presents patient's record to the Clinical Record Review Committee as indicated. Consult with the attending physician concerning alterations of Patient Care Plans, checks with the appropriate supervisor and makes changes, as appropriate. Coordinates patient services. Submits clinical notes no less often than weekly and progress notes and other clinical record forms outlining the services rendered as indicated. Submits a tally of patient care visits made each day. Participates in case conferences, discuss with the supervisor problems concerning the patients and how they may best be handled. Discusses with the appropriate supervisor the need for the involvement of other members of the health team such as the Home Health Aide, the Physical Therapist, the Speech Therapist, the Occupational Therapist, The Medical Social Worker, etc. Obtains orders for paraprofessional service and submits a referral to the appropriate personnel. Participates in the patient’s discharge planning process. Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan. Participates in staff development meeting. Continually strive to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual research and reading. Participates in the development and periodic revision of the physician's Plan of Treatment and processes change orders as needed. Submits clinical notes weekly, and progress notes and other clinical record forms outlining the services rendered. Participates in the patient’s discharge planning process. Maintains an on-going knowledge of current drug therapy. Adheres to Federal, state and accreditation requirements including Medicare and Medicaid regulations. May be requested by Director of Nursing to fill in for the other nurses. COORDINATES THE ADMISSION OF A PATIENT TO THE AGENCY Conducts an initial and ongoing comprehensive assessment of the patient’s needs, including Outcome and Assessment Information Set (OASIS) assessments at appropriate time points. Obtains a medical history from the patient and/or a family member particularly as it relates to the present condition. Conducts a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc. Evaluates the patient, family member(s) and home situation to determine what health teaching will be required. Evaluates the patient's environment to determine what assistance will be available from family members in caring for the patient. Evaluates the patient's condition and home situation to determine if the services of a Home Health Aide will be required and the frequency of this service. Explains nursing and other Agency services to patients and families as a part of planning for care. Develops and implements the nursing care plan. May be requested by the Director of Nursing to fill in for other nurses who are on vacation or sick. PROVIDES SKILLED NURSING CARE AS OUTLINED IN THE NURSING CARE PLAN Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician. The initiation of preventative and rehabilitative nursing procedures as appropriate for the patient's care and safety. Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, as well as changes in the patient's physical or emotional condition. Teaching, supervising and counseling the patient and caregivers regarding the nursing care needs and other related problems of the patient at home. ASSUMES RESPONIBILITY FOR THE CARE GIVEN BY THE HOME HEALTH AIDE Supervises and evaluates the care given by the Home Health Aide as needed, and at a minimum of once every two weeks. Submits to the appropriate department/individual written evaluations of the Home Health Aides who are providing service to the patients in his/her geographical area. Participates in periodic conferences with the Home Health Aide supervisor concerning the Aide's performance. Charts those services rendered to the patient by the staff nurse and changes that have been noted in the patient's condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Home Health Aide, evaluates patient care and progress and closes charts of discharged patients. Evaluates the effectiveness of her nursing service to the individual and family. Consults with the attending physician concerning alteration of the plan of treatment in consultation with the supervisor. Submits clinical notes no less often than weekly and progress notes and other clinical record forms outlining the services rendered as indicated. Submit a tally of visits made each day. Participate in case conferences. Discusses with the supervisor problems concerning the patients and possible resolution. Discusses with the supervisor the need for involvement of other members of the health team such as the home health aide, physical therapist, speech therapist, occupational therapist, social worker, etc. Obtains orders for paraprofessional service and submits referral to appropriate personnel. Provide guidance and supervision to the LPN and supervises the LPN once monthly. Coordinates total patient care. Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan. Participates in staff development meetings. Participates in the educational experiences for student nurses. Continually strives to improve his/her nursing care by attending in-service education, through formal education, attendance at workshops, conferences, goal setting, active participation in professional and related organizations and individual research and reading. Participates in the planning, operation and evaluation of the nursing service. Participates in the development and periodic revision of the physician’s Plan of Treatment and processes change orders as needed. Participates in the patient’s discharge planning. Submits clinical notes no less often than weekly, and progress notes and other clinical record forms outlining the services rendered as indicated. Maintains an on-going knowledge of current drug therapy. Prepare the care plan for the Home Health Aide. JOB CONDITIONS Must have a driver’s license and be willing and able to drive to patient’s residences. The ability to access patients’ homes which may not be routinely wheelchair accessible is required. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform and demonstrate patient care. Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of patients and the turning of patients. The ability to communicate both verbally and in writing in English is required as frequent communication by telephone and in writing is involved. EQUIPMENT OPERATION Thermometer, B/P cuff, glucometer, penlight, hand washing materials. COMPANY INFORMATION Has access to all patient medical records, personnel records and patient financial accounts which may be discussed with the Director of Nursing. QUALIFICATIONS 1. Must be a graduate from an accredited School of Nursing. 2. Must be licensed in Pennsylvania as a Registered Nurse. 3. One or more years of experience in community/home health agency or in a hospital setting is preferred. 4. Must have knowledge of Medicare and Medicaid guidelines. 5. Must have a working knowledge of home health care and the principles and techniques of professional nursing and required documentation that pertains to it. 6. Should be skillful in organization and in the principles of time management and have knowledge of management processes. 7. Must be able to contribute to the quality of care being rendered through constructive communication with nursing managers and staff. 8. Must have a criminal background check. 9. Must have a current CPR certification. Online certification is not accepted. APPLY NOW




Data Entry Specialist


Data Entry Hours; Mon - Fri; 8:00 am - 4:30 pm The Data Entry Operator enters data from images into the data capture system. Inputs Appropriate data in prescribed format, utilizing basic knowledge of computer software or system. Cross References data to ensure accuracy and completeness; scans and edits for errors during entry. Primary Location: United States-Harrisburg-Pennsylvania Other Locations: United States Work Locations: Harrisburg-Pennsylvania Job: Associate Organization: Healthcare Provider APPLY NOW




Licensed Practical Nurse


TITLE OF POSITION: LICENSED PRACTICAL NURSE TITLE OF IMMEDIATE SUPERVISOR: DIRECTOR OF NURSING RISK OF EXPOSURE TO BLOODBORNE PATHOGENS – HIGH DUTIES Provides skilled nursing care under the direct supervision of the Registered Nurse. Performs selected skilled actions in the provision of curative, rehabilitative, palliative or preventative nursing care. Is responsible and accountable for making decisions that are based on the individual's nursing experience and educational preparation. RESPONSIBILITIES Assists the Registered Nurse in carrying out the plan of care. Assists the Registered Nurse in performing specialized procedures as directed by the Registered Nurse under physician's orders. Assists with the preparation, implementation and continuing evaluation of the patient care plan. Recognizes and understands the effects of social and economic problems upon patients and provides for the emotional and physical comfort and safety of patients. Helps teach the patient the appropriate self-care techniques. Fosters cooperative effort among personnel by understanding the functions of other persons involved in patient care and by active participation in team and staff conferences. Assumes responsibility for personal and vocational growth and development through active participation in nursing organizations and participating in in-service programs and other on the job learning. Prepares clinical and progress notes (not to include admission). Observes, records, and reports to the appropriate person patient symptoms, reactions and changes including: • The general physical and mental condition of patients and signs and symptoms which may be indicative of untoward changes. • Stresses in human relationships between the patients and staff personnel and between patients and their families and visitors. Observes records and reports to the appropriate person the general physical and mental condition of patients and signs and symptoms which may be indicative of changes in condition. Assists with the rehabilitation of patients according to the medical care plan by encouraging the interests and special aptitudes of the patient and encouraging patients to help themselves using their own capabilities. Further assist in rehabilitation by reporting any abnormality in the patient’s range of motion, body mechanics or body alignment. Actively participates in nursing organizations and promotes and participates in in-service programs. TREATMENTS AND PROCEDURES The Licensed Practical Nurse with the education and proven clinical competence may perform certain treatments/procedures provided the Home Health Agency’s policies and the State’s Regulatory Acts allow their performance. JOB CONDITIONS The ability to communicate well, both verbally and in writing in English is required. The ability to access patients’ homes which may not be routinely wheelchair accessible is required. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform patient care. Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of patients and the turning of patients. EQUIPMENT OPERATION Utilization of calculator, multi-line telephone, copy machine, basic medical equipment. COMPANY INFORMATION Has access to all patient medical records, personnel records and patient financial accounts which may be discussed with the Executive Director, Director of Reimbursement, Employee Relations and Quality Assurance department staff. QUALIFICATIONS 1. Graduation from an accredited School of Practical Nursing. 2. Must be licensed in Pennsylvania as a Licensed Practical Nurse 3. One or more years’ experience in home health agency or in a hospital setting, Home health experience preferred. 4. Must have a criminal background check. 5. Must have a current CPR certification. Online certification is not accepted.
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Occupational Therapist


TITLE OF POSITION: OCCUPATIONAL THERAPIST TITLE OF IMMEDIATE SUPERVISOR: DIRECTOR OF NURSING RISK OF EXPOSURE TO BLOODBORNE PATHOGENS – HIGH DUTIES Provides skilled occupational therapy service on an intermittent basis to patients in their homes in accordance with the physician's orders. RESPONSIBILITIES Assists the physician in evaluating the patient's level of function by applying diagnostic and prognostic procedures. Conducts initial and ongoing comprehensive assessments of the patient’s needs, including Outcome and Assessment Information Set (OASIS) assessments. Evaluates the patient's significant other(s), and the home situation to determine what instruction will be required and what family assistance will be available in caring for the patient, as well as what other Agency and community services will be required. Assures that the physician's orders are appropriate and discusses necessary changes. Assists in development and implementation of the interdisciplinary patient care plan to include Occupational Therapy in consultation with the physician. Guides and instructs the patient in prescribed therapeutic self-care and creative activities that are directed toward improving independence and physical and mental functioning. Instructs patient in care and use of wheelchairs, braces, splints, and prosthetic and orthotic devices. Teaches, supervises and counsels the family and patient in the total Occupational Therapy program and other related problems of the patient at home. Establishes goals based on the patient's current level of functioning and potential for improvement and performs re-evaluations as indicated. Makes arrangement for outpatient services when procedures are required that cannot be given in the home. Evaluates the effectiveness of occupational therapy intervention and updates the patient care plan as needed. Prepare clinical/progress notes on the day of the visit which are incorporated into the chart within 14 days. Communicates with the physician on a regular basis regarding patient's status, obtaining additional orders, if necessary. Communicates with other team members and, when appropriate, instructs them in Occupational Therapy techniques that they may use while working with the patient. Supervises the Home Health Aide every 2 weeks when Occupational Therapy is the only professional discipline involved in the patient's care. Supervise the Occupational Therapy Assistant: supervisory contact (face-to-face individual contact, telephone communication, contact through written reports or group conferences among a supervisor and two or more supervisees) with the OTA at least 10% of the time worked by the assistant in direct patient care. Face-to-face individual contact shall occur onsite at least once a month and shall include observation of the assistant performing occupational therapy. The specific mode, frequency and duration of other types of supervisory contact depend on the treatment setting, the occupational therapy assistant’s caseload, the condition of patients being treated by the assistant and the experience and competence of the assistant as determined by the supervisor. The supervisor shall ensure, however, that supervisory contact within each calendar month includes a combination of face-to-face, telephone and written communication Confirms, on a weekly basis, the scheduling of visits with the Director of Nursing in order to coordinate Agency visits. Participates with the staff, the patient, and the physician in discharge activities and completes an Occupational Therapy Discharge Summary. Assumes responsibility for self-development by continually striving to improve his/her health care knowledge through educational programs, attendance at workshops and conferences, active participation in professional and related organizations and individual research and reading. ASSISTS IN THE AGENCY ADMISSION PROCESS Obtains a medical history, particularly as it relates to the present condition. Evaluates the patient, the patient’s significant other(s) and the home situation to determine what instruction will be required, what assistance will be available from the family in caring for the patient, and what other Agency and community services will be required. Assures that the physician’s orders are appropriate and discusses necessary changes. JOB CONDITIONS The ability to drive and the ability to access patients’ homes which may not be routinely wheelchair accessible are required. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the patient's condition and to perform patient care. On occasion, may be required to bend, stoop, reach and move patient weight up to 250 pounds; lift and/or carry up to 30 pounds. Must be able to effectively communicate in English. EQUIPMENT OPERATION Occupational therapy equipment and other medical equipment will be utilized. Hand washing materials. COMPANY INFORMATION Has access to all patient medical records which may be discussed with Director of Nursing, the Administrator, the Executive Director, and the Quality Assurance department staff and government agencies. QUALIFICATIONS 1. Must have graduated from an Occupational Therapist curriculum accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA), or its successor organizations. 2. Must be licensed in the state of Pennsylvania. 3. Must have at least one year of institutional experience. 4. Must have a criminal background check. 5. Must have a current CPR certification. Online certification is not accepted. APPLY NOW





We are looking for caring and compassionate employees to work with a variety of pediatric and adult populations in and across the York, Lancaster, Harrisburg, Mechanicsburg, Carlisle, Camp Hill, and Duncannon Perry County area.

Currently hiring for the below positions:-
-Registered Nurse
-Occupational Therapist
-Physical Therapist Assistant
-Licensed Practical Nurse
-Certified Nursing Assistant
-Home Health Aide

 

Employee benefits while working with Shadai

Company build on the word of God

Medical, vision and dental insurance

Short-term disability insurance

Referral bonus

Flexible work schedules

Workforce Diversity

Personal touch leadership

Effective workplace communication

Strong teamwork

Quality employment experience

Growth opportunities


*Serious inquiries only*