Adoray Home Health & Hospice has been in existence since 1995. We are a Home Health & Hospice organization providing health services to the counties of Saint Croix, Pierce, Western Dunn, and Polk. We have approximately 300+ volunteers and nearly 80 employees who work as Field Clinicians, Office Staff, and Treasure’s Store employees. Nearly half of our staff possess over 4 years of commitment & service to our mission! Many companies may talk about their culture and how wonderful it is to work there, but the proof is in the tenure!

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Hospice DirectorNursesHome Health AidePhysical Therapist
Social Worker - Masters

Hospice Director
Full-Time - Salaried/Exempt

The Adoray Hospice Director, is responsible for the day to day management of the Hospice Program. The Director works under the supervision of the CEO of Adoray Home Health and Hospice in supervising the care of hospice patients. In the absence of the CEO, serves as the substitute Administrator for Hospice. The Hospice Director is responsible for monitoring care of Hospice patients through day-to-day contact with field staff, chart audits, supervisory visits and quality reports. The individual must have a very strong customer service orientation. The Hospice Director is highly involved in human resource functions for the clinical staff including hiring, performance management of staff, productivity, annual reviews, overall performance, etc. The individual is responsible for staying current with state and federal hospice regulations and implementing new or changed policies and procedures as needed related to these regulations.

Qualifications:

  • RN, BSN preferred.
  • Minimum of one year clinical home care and/or hospice experience required. Two years preferred.
  • Management experience preferred.
  • Current Wisconsin license required.
  • Current Wisconsin driver’s license.
  • Excellent communication skills.
  • Strong leadership skills.
  • Strong customer service orientation.
  • Ability to work autonomously and make independent judgments.
  • Ability to creatively problem-solve.
  • Can effectively prioritize and organize.
  • Excellent writing skills.
  • Basic computer skills.
  • Strong public speaking skills and willingness to attend public events.

Supervision:

Minimal supervision received from Adoray Home Health Clinical Coordinator and Administrator. Performance measured by direct observation, communication, patient outcomes, documentation reviews, payment denials, supervisory home visits, patient/family communication.

Physical Demands/Working Conditions:

The Hospice Director is regularly required to hear and talk, stand, sit, walk, and drive a motor vehicle. The Hospice Director spends significant amount of time on the computer. The Hospice Director may be exposed to filthy conditions, virus, disease and infection from patients in the working environment. The Hospice Director duties include office work and travel to patient’s homes, and may include difficult driving conditions including, rain or snow, road construction, etc. The Hospice Director will occasionally lift, carry or move up to 10 pounds.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Core Competencies: 20%

  • Strictly maintains professional boundaries in all patient and family situations, and adheres to Adoray Standards of Conduct.
  • Demonstrates commitment to the mission and values of Adoray Home Health and Hospice by both word and deed.
  • Demonstrates a working knowledge of and follows the established policies, procedures and guidelines of Adoray Home Health and Hospice.
  • Always maintains patient confidentiality and abides by agency’s HIPAA policies and procedures.
  • Helps the team to develop and grow: listens, motivates and participates in team efforts, actively works to generate respect and enthusiasm, cooperates with others through sharing duties, is perceived as a supporter and promoter of intra-team and inter-team relationships.
  • Is perceived as available and responsive to team members, seeks ways to improve individual contributions, and increase the level of responsibility of self and others.
  • Takes the initiative to identify problems, find solutions and follow through on solutions in a timely manner as appropriate.
  • Sets a positive example for desired work ethic and attitude, shares skills with other team members, and actively learns from other team members.
  • Develops and demonstrates a customer service focus at all times in the following ways:
    • Maintains a clean, neat, and appropriate appearance by adhering to dress code policy. The employee wears a nametag at all times so identification can easily be made.
    • Respects the individuality and wishes of others by such actions as extending a warm welcome, introducing self, making eye contact, addressing people by the name they prefer, and/or by honoring cultural differences.
    • Attends all staff meetings or reads and signs off on staff meeting minutes of those not attended.
    • Accepts special assignments as directed.

Job Duties

  1. Leadership & Supervisory: 20%
    1. Is member of the overall management team of Adoray, participates in staff meetings, management meetings, advisory board meetings and other meetings as assigned.
    2. Actively participates in goal setting activities for Adoray and takes the lead in implementing goals as assigned.
    3. Networks with other hospice agencies staff and participates in state hospice organization as able.
    4. Oversees orientation for all new hospice staff, in conjunction with Human Resources Director and Education Coordinator and Aide Supervisor.
    5. Participates in and/or leads staff meetings, IDT meetings, management meetings and other meetings as assigned.
    6. Takes leadership role in the development, implementation, and revision of hospice clinical standards and procedures as needed.
    7. Conducts performance reviews/coaching/disciplinary meetings and supervisory visits with staff as required.
    8. Audits hospice charts, noting problems in the quality of care, documentation or regulatory compliance related to individual staff members, and respectfully communicates these problems to staff.
    9. Participates in performance reviews/disciplinary meetings with other Directors as requested.
  2. Regulatory: 15%
    1. Maintains up-to-date knowledge of State and Federal hospice regulations, and implements policy and/or procedure changes as necessary.
    2. Ensures terms of all contracts are met, including required hospice education.
    3. Assumes Hospice Administrator role in absence of Adoray CEO.
    4. Serves as liaison with State/Federal Hospice Surveyor(s) as necessary.
    5. Ensures that necessary pharmaceutical information is submitted as required.
    6. Responsible for overall QAPI program.
    7. Ensures HIS and CAHPS information is submitted regularly and in a timely manner.
  3. Clinical Coordination: 15%
    1. Assures compliance with universal precautions and standard infection control protocols and general safety policies and procedures at all times.
    2. Coordinates assignment of new referrals to Adoray staff in consultation with other staff as needed.
    3. Serves as a back-up for hospice clinical coordinators.
    4. When problems are identified related to patient care, implements solutions in consultation with other staff as needed.
    5. Serves as resource for discharge planners from other facilities related to Adoray Hospice services.
    6. Thoroughly documents all clinical coordination activities.
    7. Serves as a resource to all Adoray staff regarding hospice - related issues.
  4. Quality Improvement: 15%
    1. Takes overall leadership role in implementation of quality improvement activities in Hospice.
    2. Prepares annual QI report to be presented to Adoray’s Advisory Board and/or Governing Board.
    3. Oversees data collection on all hospice quality indicators.
    4. Analyzes QI results on an ongoing basis, making process recommendations and/or changes, as appropriate.
    5. Monitors patient survey results and takes and/or recommends appropriate action when deemed necessary.
    6. Along with agency CEO, develops and updates QI indicators at least annually based on chart reviews (i.e., OASIS data), patient survey results, regulatory recommendations, staff input, and OBQI reports, etc.
    7. Periodically communicates with staff regarding results of QI studies and recommendations for action.
    8. Educates individual staff members regarding areas for improvement. Ensures hospice QI plan is developed, implemented and revised on an ongoing basis.
    9. Ensures QI data is collected and analyzed on an ongoing basis.
    10. Ensures results of QI data analysis is utilized, and necessary changes are made in policies and/or procedures and/or processes.
  5. Financial: 15%
    1. Develops hospice annual operating and capital budgets along with CEO and CFO.
    2. Monitors staff productivity and ensures staff are meeting standards, working with individuals for improved efficiency as needed.
    3. Serves as a resource to staff regarding appropriateness of hospice coverage for medications, equipment, treatments, procedures, labs, etc.
    4. Ensures bills are reviewed from contracted providers for accuracy and assists with troubleshooting problems as requested from reviewer.
    5. Participates in fundraising activities as requested.
    6. Monitors department’s financial performances on an ongoing basis and immediately consults with CEO and initiates corrective action when expenses exceed revenues.

ADORAY Home Health and Hospice, is located in Baldwin just, 45 minutes east of the Minneapolis-St. Paul metropolitan area and 40 miles west of Eau Claire, Wisconsin at exit 19 along I-94.

Click here to print an application and mail to ADORAY.

Send resume and cover letter to:

t.harrington@adorayhomecare.org

ADORAY Home Health and Hospice
Attn: Teresa Harrington
2231 Highway 12, Suite 201
Baldwin, WI 54002
Call:  715-684-5020 or 800-359-0174

Fax: 715-688-6477



Registered Nurse
Part-Time & Casual Call (Cross Training Positions also Available)

The Adoray Home Health and Hospice Registered Nurse acts as a case manager for assigned case load. She/he is responsible for providing skilled nursing care and teaching to patients and their families in their place of residence. The nurse is responsible for ensuring the physician’s orders are carried out on a timely basis. The nurse completes all necessary documentation and participates in other activities as assigned.

Qualifications:

  • BSN or minimum of two years of home care experienced preferred.
  • Minimum of two years of clinical experience.
  • Current Wisconsin license required.
  • Current Wisconsin driver’s license.
  • Able to take on call responsibilities on rotating basis.
  • Excellent communication skills.
  • Working knowledge of community resources.
  • Working knowledge of Home Health and Hospice.
  • Ability to work autonomously and make independent judgments.
  • Ability to creatively problem-solve.

Supervision:

Minimal supervision received from Adoray Home Health Clinical Coordinator and Administrator. Performance measured by direct observation, communication, patient outcomes, documentation reviews, payment denials, supervisory home visits, patient/family communication.

Physical Demands/Working Conditions:

The Registered Nurse is regularly required to hear and talk, stand, sit, bend, squat, kneel, walk, use the hand to finger, handle or feel objects, tools and controls. The RN is required to reach with hands and arms, to lift and/or support patient, and to perform nursing techniques utilizing proper body mechanics. The RN must be able to drive a motor vehicle. The RN must be able to read medical instruments and files, including close vision and ability to adjust focus. The RN spends significant amount of time on the computer documenting visits. S/he may be exposed to filthy conditions, virus, disease, and/or infection from patients and specimens in the working environment. The Registered Nurse will occasionally be exposed to cleaning chemicals. The Registered Nurse will frequently lift, carry or move up to 30 pounds, occasionally lift up to 50 pounds. The RN duties include office work and travel to patient’s homes, and may include difficult driving conditions including, rain or snow, road construction, etc.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Core Competencies: 20%

  • Strictly maintains professional boundaries in all patient and family situations, and adheres to Adoray Standards of Conduct.
  • Demonstrates commitment to the mission and values of Adoray Home Health and Hospice by both word and deed.
  • Demonstrates a working knowledge of and follows the established policies, procedures and guidelines of Adoray Home Health and Hospice.
  • Always maintains patient confidentiality and abides by agency’s HIPAA policies and procedures.
  • Helps the team to develop and grow: listens, motivates and participates in team efforts, actively works to generate respect and enthusiasm, cooperates with others through sharing duties, is perceived as a supporter and promoter of intra-team and inter-team relationships.
  • Is perceived as available and responsive to team members, seeks ways to improve individual contributions, and increase the level of responsibility of self and others.
  • Takes the initiative to identify problems, find solutions and follow through on solutions in a timely manner as appropriate.
  • Sets a positive example for desired work ethic and attitude, shares skills with other team members, and actively learns from other team members.
  • Develops and demonstrates a customer service focus at all times in the following ways:
    • Maintains a clean, neat, and appropriate appearance by adhering to dress code policy. The employee wears a nametag at all times so identification can easily be made.
    • Respects the individuality and wishes of others by such actions as extending a warm welcome, introducing self, making eye contact, addressing people by the name they prefer, and/or by honoring cultural differences.
    • Consistently identifies self in a clear, concise, and friendly manner in all telephone contacts.
    • When appropriate, offers an explanation regarding procedures, treatments, etc. in a clear, concise, friendly and patient manner.
    • Demonstrates respect of customers, uses sound judgment regarding personal conduct, and exhibits professional image in customer situations.

Job Duties

  1. Planning & Assessment: 15%
    1. Makes initial assessment visit to patient to determine appropriateness for home health services. Questions when an admission may not be appropriate by contacting supervisor for direction.
    2. Determines need for other disciplines (aide, PT, OT, SpT, SW) or services, and obtains order and notifies office staff.
    3. Determines frequency of visits for patients and receives minimal recommendations for changes from supervisor when reviewed.
    4. Assesses for and implements disease-specific care paths as Adoray’s home health procedures require.
    5. Develops and updates realistic, measurable patient goals with patient and/or caregiver.
    6. Conducts ongoing planning and assessment activities based on patient’s condition.
  2. Patient Care: 15%
    1. Implements home health plan of care as outlined on the 485.
    2. Follows established home health care pathways as indicated.
    3. Performs medication reconciliation at the SOC, ROC, recertification and any other time there are multiple changes in medications.
    4. Demonstrates effort is put forth in ensuring patient hospitalizations are avoided by exhibiting exemplary nursing judgment and by doing such things as: making extra nursing visit(s) as warranted; contacting MD of any significant changes and ensures there is follow-up with the MD when there is no response; following up with the patient and/or caregiver timely by phone or visit when there is initiation of a treatment or medication change, etc.
    5. Exhibits sound nursing judgment which positively affects individual patient outcomes, as evidenced by quality improvement reports.
    6. Implements new physician orders timely and accurately.
    7. Assesses for and provides patient and family teaching related to patient’s health situation on an ongoing basis (i.e., medications, disease processes, treatments, etc.) and provides written teaching information as appropriate.
  3. Communication: 15%
    1. Contacts all other disciplines involved in home health patient’s care with update within 48 hours of admission (or sooner if patient’s condition warrants it) as well as ongoing.
    2. Ensures there is appropriate follow-up with MD if there are discrepancies with medications or treatment protocols.
    3. Updates the MD with changes in home health patient’s condition, including such things as patient blood level results; vital signs or weights that are outside established parameters; compliance issues; etc.
    4. Ensures supervisor or clinician covering the office is notified if call is placed to physician with update, in case there are call-backs and office staff follow-up is necessary.
    5. Updates supervisor on regular basis regarding status of patients, including a consultation prior to any discharges.
    6. When case managing, assures that all caregivers receive necessary information for appropriate patient care, coordinating with them regularly, as outlined in agency policies.
    7. Provides thorough communications to other team members and coverage staff to ensure continuity of patient care.
  4. Documentation: 15%
    1. Thoroughly documents comprehensive assessment for home health admits.
    2. Documents towards patient goals based on home health POC at each visit.
    3. Completes required home health recertification paperwork within allotted 5 day window.
    4. Supervises home health aide at least every two weeks and documents supervision.
    5. Documents coordination of care of assigned case load with all other disciplines involved in patient’s care weekly.
    6. Develops accurate and individualized 485 POC within 48 hours of admission.
    7. Ensures medication profile is complete (i.e., “new” vs. “changed”, start and stop dates, all coumadin doses, IV meds, reason for prn meds, etc.) and consistent with physician’s orders.
    8. Documents all medication reconciliation activities.
    9. Thoroughly documents teaching provided to patient and/or caregivers (including paid help).
    10. Documents all coordination activities with caregivers (including paid help).
    11. Ensures any wound care, edema, IV, pain, etc. assessments are completed thoroughly and accurately per agency policy.
    12. Documents evidence of updates to physician for home health patients whenever there is a change in status.
    13. Ensures all home health documentation to be included in the medical record (except 485 as noted) is turned in within 72 hours of visit.
    14. Ensures all documentation included in the home health medical record is thorough, complete and accurate.
    15. Turns MD verbal orders into office within 24 hours of receipt for processing and mailing.
    16. Completes medical supply worksheets timely and accurately.
    17. Completes payroll paperwork timely and accurately.
    18. Keeps visit schedule in EMR current.
  5. Productivity: 20%
    1. Meets productivity standards as annually established.

ADORAY Home Health and Hospice, is located in Baldwin just, 45 minutes east of the Minneapolis-St. Paul metropolitan area and 40 miles west of Eau Claire, Wisconsin at exit 19 along I-94.

Click here to print an application and mail to ADORAY.

Send resume and cover letter to:

t.harrington@adorayhomecare.org

ADORAY Home Health and Hospice
Attn: Teresa Harrington
2231 Highway 12, Suite 201
Baldwin, WI 54002
Call:  715-684-5020 or 800-359-0174

Fax: 715-688-6477



Home Health Aide (CNA)
Casual Call

The Adoray Home Health and Hospice Aide provides personal care and related services to assigned patients under the direction and supervision of the patient’s case manager. The aide is responsible for documenting all care provided and communicating regularly to other members of the patient care team regarding the patient’s status.

Qualifications:

  • Satisfactory completion of training program or competency test for Home Health aide which meets the requirements of the State of Wisconsin Department of Health as well as Medicare (CNA).
  • Home health and/or hospice experience preferred.
  • Current Wisconsin driver’s license.
  • Name is listed on the Wisconsin and Minnesota registries as current and eligible to provide home health and hospice care.
  • Excellent communication skills.
  • Evidence of attendance of hospice training class or willingness to attend.
  • Believes in and has a working knowledge of the hospice philosophy of care.
  • Commits to work at least 18 hours per month to maintain competency.
  • Basic Computer skills.

Physical Demands/Working Conditions:

The Aide is regularly required to hear and talk, stand, sit, bend, squat, kneel, walk, use the hand to finger, handle or feel objects, tools and controls. The Aide is required to reach with hands and arms, to lift and/or support patient, and to perform personal care techniques utilizing proper body mechanics. The Aide must be able to drive a motor vehicle. The Aide spends some time on the computer documenting visits. The Aide must be able to read medical instruments and files, including close vision and ability to adjust focus. S/he may be exposed to filthy conditions, virus, disease and infection from patients and specimen in the working environment. The Aide will frequently be exposed to cleaning chemicals. The Aide will frequently lift, carry or move up to 30 pounds. The Aide duties include office work and travel to patient’s homes, and may include difficult driving conditions including, rain or snow, road construction, etc.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

ADORAY Home Health and Hospice, is located in Baldwin just, 45 minutes east of the Minneapolis-St. Paul metropolitan area and 40 miles west of Eau Claire, Wisconsin at exit 19 along I-94.

Click here to print an application and mail to ADORAY.

Send resume and cover letter to:

t.harrington@adorayhomecare.org

ADORAY Home Health and Hospice
Attn: Teresa Harrington
2231 Highway 12, Suite 201
Baldwin, WI 54002
Call:  715-684-5020 or 800-359-0174

Fax: 715-688-6477



Physical Therapist
Full-time, Part-time, or Casual Call

The ADORAY Physical Therapist organizes and conducts medically prescribed physical therapy services and occasionally acts as a case manager. The Physical Therapist is responsible for providing skilled physical therapy services and teaching to patients and their families in their place of residence. The Physical Therapist is responsible for ensuring the physician’s orders are carried out on a timely basis, coordinating with other disciplines involved in the patient’s care, on a regular basis. The Physical Therapist completes all necessary documentation and participates in other activities as assigned.

Qualifications:

  • Graduate of a physical therapy program with curriculum approved by the American Physical Therapy Association or equivalent (as outlined in the Federal Register defining qualifications).
  • Minimum of two years of clinical experience preferred.
  • Current Wisconsin Physical Therapist license required, and Minnesota preferred.
  • Current Wisconsin driver’s license.
  • Excellent communication skills.
  • Working knowledge of community resources.
  • Working knowledge of Hospice and Home Health.
  • Ability to work autonomously and make independent judgments.
  • Ability to creatively problem solve.
  • Evidence of attendance of hospice training class or willingness to attend.
  • Basic computer skills.

Supervision:

Clinical therapy coordination and supervision received from Therapy Coordinator, with additional oversight from Home Health & Hospice Managers and Administrator as appropriate. Performance measured by direct observation, communication, patient outcomes, document reviews, payment denials, supervisory home visits, patient/family communication.

Physical Demands/Working Conditions:

The Physical Therapist (PT) is regularly required to hear and talk, stand, sit, bend, squat, kneel, walk, use the hand to finger, handle or feel objects, tools and controls. The PT is required to reach with hands and arms, to lift and/or support patient, and to perform therapy techniques utilizing proper body mechanics. The PT must be able to drive a motor vehicle. The Physical Therapist must be able to read medical instruments and files, including close vision and ability to adjust focus. The PT spends significant amount of time on the computer documenting visits. S/he may be exposed to filthy conditions, virus, disease, and/or infection from patients and specimens in the working environment. The PT will occasionally be exposed to cleaning chemicals. The Physical Therapist will frequently lift, carry or move up to 30 pounds, occasionally lift up to 50 pounds. The PT duties include office work and travel to patient’s homes, and may include difficult driving conditions including, rain or snow, road construction, etc.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

ADORAY Home Health and Hospice, is located in Baldwin just, 45 minutes east of the Minneapolis-St. Paul metropolitan area and 40 miles west of Eau Claire, Wisconsin at exit 19 along I-94.

Click here to print an application and mail to ADORAY.

Send resume and cover letter to:

t.harrington@adorayhomecare.org

ADORAY Home Health and Hospice
Attn: Teresa Harrington
2231 Highway 12, Suite 201
Baldwin, WI 54002
Call:  715-684-5020 or 800-359-0174

Fax: 715-688-6477



Social Worker - MSW
Casual Call (.4 to 16 hours)

The ADORAY Home Health and Hospice MSW Social Worker provides services to both the hospice and home health programs. The individual performs psychosocial assessments and planning; and implements and evaluates care. She/he is an active participant in the Hospice Inter-disciplinary Teams meetings. The individual provides support and education to patients, families, staff, and the communities we serve. Additionally, this individual will provide emotional support to the patients and their families.

Qualifications:

  • Graduate of a school of social work holding a master’s degree from a social work curriculum accredited by the Council on Social Work Education.
  • One year of social work experience in a medical or mental health field required.
  • One year of Hospice experience preferred.
  • Believes in and has working knowledge of the hospice concept of care.
  • Current Wisconsin license required.
  • Valid Driver’s license.
  • Willing to be available during non-scheduled work hours for occasional consultation or visits.
  • Basic computer skills.
  • Excellent communication skills.
  • Working knowledge of community resources.
  • Working knowledge of Hospice and Home Health.
  • Ability to work autonomously and make independent judgments.
  • Ability to creatively problem solve.
  • Evidence of attendance of hospice training class or willingness to attend.

Supervision:

Minimal supervision received from ADORAY Hospice and/or Home Health Manager. Performance measured by direct observation, communication, patient outcomes, documentation reviews, supervisory home visits, patient/family communication.

Physical Demands/Working Conditions:

The MSW Social Worker is regularly required to hear and talk, stand, sit, walk, and drive a motor vehicle. The MSW Social Worker spends significant amount of time on the computer documenting visits. The MSW Social Worker may be exposed to filthy conditions, virus, disease and infection from patients in the working environment. The MSW Social Worker duties include office work and travel to patient’s homes, and may include difficult driving conditions including, rain or snow, road construction, etc. The MSW Social Worker will occasionally lift, carry or move up to 10 pounds.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

ADORAY Home Health and Hospice, is located in Baldwin just, 45 minutes east of the Minneapolis-St. Paul metropolitan area and 40 miles west of Eau Claire, Wisconsin at exit 19 along I-94.

Click here to print an application and mail to ADORAY.

Send resume and cover letter to:

t.harrington@adorayhomecare.org

ADORAY Home Health and Hospice
Attn: Teresa Harrington
2231 Highway 12, Suite 201
Baldwin, WI 54002
Call:  715-684-5020 or 800-359-0174

Fax: 715-688-6477




Last Updated: January 30, 2015