Nursing Jobs in Cross Plains, TN

Caregiver

$16 - $25 / hour

Bring Your Compassion to Helping Hearts and Make a Difference! Experienced In-Home Caregivers Needed Company: Helping Hearts USA LLC Employment Opportunities: Full-time, part-time and PRN Available Shifts: Days, evenings, nights and overnights Shift Lengths: Generally range from 4 to 12 hours Weekend Availability: May be required depending on client needs At Helping Hearts USA LLC, we believe compassionate caregivers are the heart of everything we do. Every kind word, helping hand and dependable visit can bring comfort, dignity and peace of mind to a client and their family. We are growing and excited to welcome compassionate, experienced and dependable caregivers to our team. Whether you are assisting with personal care, providing companionship, preparing meals or helping a client remain safe and comfortable at home, your presence can make a meaningful difference. We are looking for caregivers who understand that exceptional care requires more than completing a list of tasks. It requires patience, professionalism, careful observation, consistent communication and genuine respect for every client. If caregiving is more than a job to you and you take pride in helping others feel safe, respected and valued, we would love to hear from you. Available Schedules Helping Hearts offers a variety of client assignments. Available shifts may include: Morning shifts Day shifts Evening shifts Night shifts Overnight shifts Weekday assignments Weekend assignments PRN and as-needed assignments Temporary assignments Recurring assignments Shifts ranging from 4 to 12 hours Shift lengths, start times, end times and available days depend on current client needs, care plans, locations and personal preferences. Applicants must provide their complete availability so they can be considered for appropriate assignments. Once a caregiver accepts a permanent, temporary or PRN assignment, dependable attendance and completion of the entire scheduled shift are required. Client Care Levels Helping Hearts supports clients with different levels of need. Assignments are matched according to the caregiver’s experience, skills, availability, location and ability to safely complete the approved care plan. Caregiver assignments may range from companionship and light housekeeping to complete personal care, dementia support, incontinence care, bedbound care and transfer assistance. Applicants must honestly disclose their experience and any limitations that could prevent them from safely completing an assignment. Companionship and Household Support Some clients may primarily need: Meaningful conversation and companionship Emotional support and reassurance Social engagement Recreational activities Assistance maintaining daily routines Safety observation and general supervision Meal preparation and cleanup Hydration reminders Grocery organization Approved errands Light housekeeping Laundry and linen changes Organization of the client’s immediate living space Medication reminders Transportation to approved appointments or activities Accurate documentation of completed responsibilities Caregivers should encourage appropriate independence while remaining attentive to the client’s safety and preferences. Personal Care and Activities of Daily Living Other clients may require hands-on assistance with: Bathing or showering Sponge baths and bed baths Personal hygiene Dressing and undressing Grooming and hair care Oral care Toileting assistance Incontinence care Changing protective undergarments Perineal care Meal assistance Feeding assistance Hydration reminders Walking and mobility assistance Wheelchair support Entering and exiting vehicles Repositioning in a bed or chair Changing bed linens Comfort and safety measures Maintaining dignity, privacy and independence Caregivers must explain personal-care tasks before beginning and provide assistance in a respectful, patient and professional manner. Dementia and Memory Care Support Some assignments may involve clients living with dementia, Alzheimer’s disease or other cognitive conditions. Responsibilities may include: Providing calm and consistent supervision Offering appropriate redirection and reassurance Supporting established routines Monitoring for confusion, agitation or wandering Observing changes in behavior Encouraging safe and appropriate activities Maintaining a quiet and supportive environment Following client-specific communication strategies Remaining aware of the client’s location and safety Immediately reporting significant behavioral or cognitive changes Documenting all concerns and completed care responsibilities Caregivers assigned to dementia or memory-care clients must remain patient, attentive and aware of the client’s safety throughout the entire shift. Mobility, Transfers and Higher-Assistance Care Some clients may have limited mobility, be at high risk for falls or require significant physical assistance. Depending on the care plan, caregiver experience and completed training, responsibilities may include: Assisting with walking and balance Supporting clients using walkers or other approved mobility devices Supporting wheelchair mobility Assisting with bed mobility Repositioning clients in a bed or chair Helping clients move between a bed, wheelchair, chair, commode or toilet Using an approved gait belt when directed Assisting with sit-to-stand and stand-to-sit transfers Completing approved one-person transfers Following all two-person transfer requirements Using a mechanical or Hoyer lift when required Checking equipment before use Following fall-prevention procedures Requesting assistance when care cannot be completed safely Caregivers must never attempt an unsafe transfer or use equipment they have not been trained and authorized to operate. Bedbound-Client Support Some clients may be bedbound or require extensive hands-on assistance. Responsibilities may include: Providing bed baths Completing personal hygiene Providing toileting and incontinence care Changing protective undergarments Assisting with perineal care Repositioning according to the care plan Using pillows or approved positioning supports Keeping bedding clean, dry and free from wrinkles Changing linens while the client remains in bed Monitoring common pressure areas Observing for redness, bruising or skin concerns Providing feeding and hydration assistance Maintaining the client’s dignity, comfort and privacy Reporting all changes in condition immediately Caregivers must use proper body mechanics and request assistance whenever a task cannot be completed safely. Meal Preparation and Hydration Depending on the assignment, caregivers may be responsible for: Planning meals according to client preferences Following approved dietary instructions Preparing meals and snacks Assisting with feeding Encouraging regular fluid intake Observing and documenting food and fluid intake Assisting with grocery organization Following safe food-handling practices Washing dishes Cleaning meal-preparation areas Reporting concerns related to appetite, swallowing or hydration Difficulty swallowing, coughing during meals, choking, vomiting or significant refusal to eat or drink must be reported immediately. Light Housekeeping Caregivers may be responsible for maintaining a clean, safe and organized client environment. Responsibilities may include: Tidying the client’s immediate living space Dusting Sweeping Vacuuming Mopping approved areas Washing dishes Cleaning frequently touched surfaces Laundry and linen changes Cleaning the client’s bathroom Organizing care supplies Removing trash Keeping walkways and emergency-access areas clear Reporting unsafe conditions or needed repairs Housekeeping responsibilities are limited to the client’s approved service area and assigned care-plan tasks. Non-Medical Health Support Helping Hearts provides non-medical personal support. Caregivers must remain within their authorized role and follow the client’s approved care plan. Depending on the assignment, responsibilities may include: Providing medication reminders Assisting with approved blood glucose monitoring Documenting readings when required Observing food and fluid intake Monitoring the client’s physical, emotional and behavioral condition Reporting pain, swelling, bruising, redness or skin concerns Reporting falls, injuries or changes in mobility Reporting confusion or unusual behavior Following established emergency procedures Contacting the Helping Hearts office immediately when concerns arise Completing accurate electronic documentation Caregivers must report concerns rather than independently diagnose or treat them. Caregivers must not assume that someone else has already reported a change in condition. Medication Reminders Medication support is limited to the responsibilities authorized in the client’s approved non-medical care plan. Caregivers may: Provide scheduled reminders. Assist with an approved prefilled medication planner. Place approved medications in a cup when directed. Remind the client to self-administer their medication. Document reminders and client responses. Report refusals, missed doses or other concerns. Caregivers must not independently administer medication, change medication instructions or provide medical advice outside their authorized scope. Transportation When required and authorized, caregivers may: Transport clients to appointments. Assist with approved errands. Transport clients to social activities. Help clients enter and exit the vehicle. Secure mobility equipment appropriately. Follow all client-specific transportation instructions. Maintain a clean, safe and insured vehicle. Report any transportation concern immediately. Caregivers may only transport clients when the assignment has been approved and all transportation requirements have been satisfied. Night and Overnight Shift Expectations Caregivers working night or overnight assignments must remain fully awake, alert and attentive throughout the entire shift. Nighttime responsibilities may include: Completing scheduled safety checks Monitoring the client’s condition Assisting with toileting and incontinence care Repositioning the client Providing medication reminders when authorized Responding immediately when the client needs assistance Completing approved nighttime housekeeping responsibilities Maintaining a clean and safe environment Preparing the client’s environment for the morning routine Documenting care and observations in real time Sleeping, napping, dozing, lying down to rest or closing your eyes for extended periods is strictly prohibited, even when the client is sleeping. Failure to remain awake and attentive may result in immediate removal from the assignment and additional corrective action. Physical Requirements Caregiving can be physically demanding. Applicants must be able to safely perform the essential responsibilities of an accepted assignment, with or without a reasonable accommodation. Physical responsibilities may include: Standing, walking or sitting for extended periods Frequently bending, reaching, turning and twisting Kneeling or squatting when necessary Using stairs in certain client environments Assisting clients with walking and balance Pushing or maneuvering a wheelchair Assisting with repositioning Supporting transfers according to the care plan Using approved transfer equipment Handling laundry, groceries, household supplies and care equipment Completing light housekeeping Wearing required personal protective equipment Responding promptly during falls, emergencies or changes in condition Remaining awake throughout night or overnight shifts Applicants must review assignment requirements before accepting a shift and disclose any limitation that could prevent them from safely providing the required care. Reasonable accommodations will be considered in accordance with applicable law. Client Environments Care may be provided in: Private homes Independent-living communities Assisted-living communities Memory-care communities Senior-living facilities Other company-approved settings Applicants should understand that: Some homes may have dogs, cats or other household pets. Some clients require non-smoking caregivers. Some client environments may not be completely smoke-free. Applicants must disclose allergies, pet restrictions and smoke sensitivities. Family members or other approved individuals may be present. Facility employees may be present. Approved safety cameras or monitoring equipment may be present. Caregivers must not move, unplug, cover or interfere with safety equipment. Caregivers must follow all household, facility, confidentiality and safety requirements. Transportation and parking conditions will vary. Caregivers must respect the client’s home, property, privacy and personal preferences. Unauthorized visitors, children and pets are not permitted during shifts. Hours and Assignment Disclaimer Specific hours and assignments depend on: Current client needs Requested service hours Client-care level Client location Caregiver experience Caregiver qualifications Caregiver availability Transportation and travel distance Client and family preferences Assignment compatibility Changes in the client’s condition or service needs Full-time, part-time or PRN status does not guarantee a specific client, assignment, schedule or number of weekly hours. Client schedules may increase, decrease, change or end based on the client’s needs and preferences. Clients and families may request a different caregiver when they believe another caregiver would be a better fit. Caregivers may also be considered for additional assignments when their experience, availability and location match current needs. Once a caregiver accepts an assignment, dependable attendance and completion of the entire scheduled shift are required. Employment Qualifications Applicants must: Be at least 18 years old. Possess a high school diploma, GED or equivalent. Have at least one year of professional caregiving, personal-care, home-care or related experience. Demonstrate compassion, patience and professionalism. Be dependable and punctual. Follow written care plans and verbal office instructions. Communicate professionally with clients, office staff and approved facility personnel. Complete accurate electronic documentation during every shift. Have reliable access to a smartphone. Maintain client confidentiality. Maintain professional boundaries. Remain attentive and awake throughout every assigned shift. Follow attendance and call-off procedures. Follow clock-in and clock-out requirements. Safely perform the essential responsibilities of accepted assignments. Complete required orientation and training. Complete assignment-specific instruction. Immediately report changes in condition, incidents, injuries and safety concerns. Follow all Helping Hearts policies and procedures. Transportation Requirements Applicants must have: A valid driver’s license Current automobile insurance Reliable personal transportation An acceptable driving record The ability to travel to assigned client locations The ability to transport clients when required and authorized Public transportation, rideshare services or transportation provided by another person may not satisfy the requirements of assignments requiring immediate or independent travel. Caregivers must immediately report any change affecting their driver’s license, insurance, vehicle availability or ability to transport clients safely. Attendance and Communication Expectations Dependability is essential in home care. Caregivers must: Arrive on time for every accepted assignment. Confirm assignments according to company procedures. Maintain reliable telephone communication. Respond promptly to scheduling messages. Notify the office immediately if an emergency affects attendance. Follow all call-off procedures. Clock in and out from the approved client location. Remain with the client until the scheduled end of the shift. Remain until properly relieved when continuous care is required. Never leave a client unattended when supervision is required. Never leave early without office authorization. Notify the office if a client or family asks them to arrive late, leave early or change the scheduled hours. Complete all required documentation before the end of the shift. Failure to report for an accepted shift, leaving a client without authorization or failing to follow safety procedures may result in removal from the assignment or additional corrective action. Documentation Requirements Caregivers must document services accurately and in real time. Required documentation may include: Completed care-plan tasks Personal care provided Meals and hydration Medication reminders Toileting and incontinence care Repositioning Blood glucose-related support Client behavior and mood Changes in condition Skin observations Incidents Office notifications Transportation Incomplete tasks and the reason they were not completed Caregivers must never mark a task complete when it was not performed. Background and Screening Requirements Applicants must: Complete a comprehensive background check covering up to 15 years, where legally permitted. Complete required abuse, neglect and sex-offender registry checks. Complete a pre-employment drug screening when applicable. Participate in random drug screening when required by company policy. Provide complete and accurate application information. Report criminal charges or legal changes that may affect their ability to provide safe care. Have no disqualifying history that would prevent safe employment, subject to applicable laws and individual review. Employment offers are contingent upon satisfactory completion of required screenings, employment verification, reference checks and onboarding requirements. Required Employment Information Applicants must provide: A complete five-year employment history Five professional references Current contact information for all references No friends or family members as professional references Proof of high school completion, GED or equivalent Complete and accurate application information Required payroll and tax information Any additional state, client or assignment-specific information Professional references should include former supervisors, managers, employers or other individuals who can verify the applicant’s reliability, work performance and caregiving experience. Important Physical Document Requirement Applicants must possess physical copies of all required employment documents before advancing through the interview and hiring process. Applicants must be prepared to present: A valid government-issued photo identification A valid and current driver’s license Current automobile-insurance documentation Proof of high school completion, GED or equivalent Social Security documentation when required for payroll and tax purposes A birth certificate or other acceptable proof of identity or age when legally permitted and applicable Any professional licenses or certifications applicable to the position Any additional state, client or assignment-specific documentation Applicants should not text or email photographs of Social Security cards, birth certificates or other sensitive identity documents. Helping Hearts will provide instructions for secure document verification. For federal Form I-9 verification, applicants may present any acceptable document or combination of documents authorized under federal law. Helping Hearts will not require a specific Form I-9 document when another legally acceptable option is provided. Professional Appearance and Uniform Caregivers must arrive clean, prepared and professionally dressed. The required uniform includes: Solid navy-blue scrubs Closed-toe and closed-heel shoes Clean and professional appearance Hair secured when necessary for safety Appropriate personal hygiene No strong fragrances Required personal protective equipment when applicable Caregivers must maintain the required professional appearance throughout every shift. Why Join Helping Hearts? At Helping Hearts USA LLC, caregiving is more than a job. It is an opportunity to bring comfort, dignity and meaningful support to individuals and families. We offer: Full-time, part-time and PRN opportunities Day, evening, night and overnight assignments Shifts generally ranging from 4 to 12 hours A variety of client-care levels Assignment matching based on experience and availability Orientation and ongoing training A supportive and team-focused work environment Opportunities for professional development The chance to build meaningful client relationships The opportunity to make a genuine difference How to Apply Submit your resume along with a complete description of your caregiving experience, qualifications and availability. Please include your experience with: Companionship Personal care Bathing and toileting Incontinence care Dementia or memory care Mobility and transfers Gait belts Hoyer or mechanical lifts Bedbound clients Blood sugar support Day shifts Night shifts Weekend availability To apply or learn more, call or text our main hiring number at 615-645-3999 anytime. Helping Hearts USA LLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive workplace for all employees. Ready to Make a Difference? Apply today and bring your compassion, dependability and experience to the Helping Hearts team!

RN

Full-time

6 days ago

Respiratory Registered Nurse

Gallatin Center for Rehabilitation and Healing Gallatin, TN

Schedule · 5 days a week 37.5 - 40 hours per week Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory therapist who has experience in a rehab center and possesses great communication skills to put the “therapy” into respiratory therapy. If you are looking for a challenging and rewarding opportunity, this opportunity can be for you. The position is within a Skilled Nursing facility. As a Post Acute and Long Term Care respiratory therapist, your role would involve providing specialized care and treatment to patients with cardio-pulmonary, respiratory conditions neurological disorders and physical conditions that manifest into respiratory disorders over an extended period. Your primary responsibility would be to assess, provide diagnostic testing, develop treatment plans, and provide treatment to our Skilled Nursing Facility population. Job Description ESSENTIAL JOB FUNCTIONS: 1. Provides patient treatments which meet patient needs and uses current treatment knowledge in accordance with facilities clinical procedures. This includes but is not limited to: · Performing accurate, comprehensive patient evaluations. · Developing an effective plan of treatment and obtaining appropriate approvals from a referring physician. · Communicating with supervisor and interdisciplinary team members regarding patient progress, problems, and treatment plans. · Instructing patient’s families and/or nursing staff in specified follow through programs. · Interviewing patients and families regarding previous level of functioning, lifestyle and current and future expectations for recovery. · Demonstrating knowledge of appropriate resources for problem-solving and clinical best practice. · Evaluating patients within the required timeframe as per facility policies. · Provides patient care as appropriate and necessary, following the position description for the applicable clinical discipline in which licensure or certification is held. 2. Writes accurate, complete, and clear documentation in accordance with the facility’s regulatory, licensing, payor, and accrediting requirements. This includes but is not limited to: · Recording Screens/Resident Needs Reviews, evaluations, daily treatment notes, discharge summaries and walking rounds in accordance with facility Policies and Procedures. · Recording treatment charges accurately and ensuring that documentation is consistent with billing data. · Writing specific, objective documentation that is outcome oriented and details the patient’s needs, potential to benefit from treatment, and progress achieved to date. Includes specific, objective measurable goals. 3 . Consistently demonstrates facility interdisciplinary approach to patient care. This includes but is not limited to: Integrating findings of other members of the interdisciplinary team in treatment assessment and recommendations. Integrating input from patient and family in treatment assessment and recommendations. Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. Collaborating with and informing facility staff in areas of patient progress. Educating members of the team in areas of expertise. Working with a facility to teach documentation practices which assist the respiratory therapy team. Communicating effectively with discharge planners. 4. Contributes to professional development of self. · Maintaining current professional status and licensure. · Adhering to professional standards of conduct and clinical code of ethics and practice. · Implementing in-services and training. · Maintaining a current body of knowledge in areas of clinical expertise through seminars, professional journals, and peers. · Meeting continuing education requirements of regulatory agencies. 5. Aids in building and maintaining the facility’s reputation as the unparalleled respiratory therapy provider by contribution as a professional member of the staff. · This includes but is not limited to oversight of the following departmental operations: · Consistently demonstrating the facility’s core values by interacting with co-workers, patients and families, with all other persons involved with the patient’s care. · Consistently demonstrating professional standards as outlined in the facility’s Employee Handbook and as communicated by the facility’s management. · Contributing to a positive work team by sharing information, using problem solving methods and accepting new ideas, constructive criticism, or advice from others. · Maintaining close communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. · Establishing and maintaining an effective rapport with the facility administrator, MDS, Rehab Director, DON, and medical director. o Demonstrating superior customer service through courtesy, consistent follow-up and positive communication. 6. Demonstrates safe working practices . This includes but is not limited to: Identifying and correcting safety hazards or notifying the facility or the admin so that safety hazards will be immediately remedied. Maintaining work areas in safe and orderly fashion. Maintaining equipment in safe working order by facilitation annual calibration. Using proper body mechanics during treatments of patients and during support activities. Using universal safety precautions. Wearing appropriate protective equipment. QUALIFICATIONS: Skills, Knowledge and Abilities: · Excellent written and verbal communication skills. · Knowledge of the respiratory community. · Skills applicable to clinical discipline. o Knowledge of medical terminology. o Knowledge of respiratory disease and diseases that affect the respiratory system. o Ability to use respiratory therapy equipment. o Ability to exercise judgment and discretion in devising, installing and interpreting rules, regulations, policies, or procedures . o Ability to express ideas and information, clearly, concisely, verbally and writing. o Ability to establish and maintain effective working relationships with superiors, and officials of other departments. · Program development and implementation · Management and administration of therapies as prescribed by a physician and according to the standard procedure. · Preferred experience with the following skilled interventions: o Oxygen weaning therapy o Omni flow – Biofeedback o Group respiratory therapy o Standardized respiratory testing o Aerosol therapy o Incentive Spirometry o Chest physiotherapy o Deep breathing and coughing o Bronchial hygiene therapy o PEP therapy o OPEP therapy o Postal Drainage o Positioning o Oro/Naso-pharyngeal suctioning o Airway clearance/management techniques o Trachea-bronchial suctioning o Tracheostomy care o Spirometry Bedside Testing o CPAP/BIPAP o High-Flow Oxygen o Cardiac Program o Pulmonary Program o 6-minute walk test o 2-minute walk test o Spirometry testing o Cardio-pulmonary resuscitation 10. Education and Experience: · Graduation from an accredited program for Respiratory Therapy preferred · Must possess and maintain a current license in the state of practice as required · Other education and experience may be considered.