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Home Health Aide

Certified Home Health Aide, VNA of Cape Cod

Cape Cod Healthcare Dennis, MA

Maintains open communication with case manager and/or Team Leader/Assistant Team Leader regarding health, safety and environment status of patients. Reports all changes in a timely manner. Complies with State/Federal regulatory acts. Perform all skills with competency, as indicated on the skills checklist. Communicates with Clinical Coordinator regarding all scheduling concerns relating to patients which may include, but not limited to changes such as times, days, patient absences and discharges. Communicates with case manager, and if not available, the Team Leader/Assistant Team Leader regarding any case concerns, patient problems, planned time off or other general schedule changes. Completes and submits required documentation, i.e., patient and employee time sheets, etc., accurately and on a timely basis. Report all concerns of possible patient abuse or neglect to the case manager and/or the Team Leader. Establishes and maintains a therapeutic relationship with patients. Perform only those tasks as prescribed by the case manager on the home health aide plan of care. Encourage patient in achieving an optimum level of independence by encouraging his/her participation in personal care and in interests and activities in the home, family and community. Provides or assists with post mortem care after pronouncement. Perform additional tasks as may be assigned by the Team Leader and/or case manager, depending on the specific situation or on the Home Health Aide’s experience and capabilities. Example: routine uncomplicated colostomy case and decubitus care. Provides understanding and emotional support to patient and significant others. If eligible, may participate in the Patient Transportation program for the Private Services department. All other duties as assigned. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. Possess and maintain certification as a Home Health Aide or equivalent as approved by the Agency. One year satisfactory employment history preferred. Experience in care of the elderly preferred. Satisfactory completion of Skill Assessment Test. Able to record messages and keep records. Purpose of Position Under the direction of the Paraprofessional Team Leader the Certified Home Health Aide (CHHA) performs assigned duties in the patient’s home in a safe and considerate manner as prescribed by the case manager. Schedule Details 30 hrs. per week, 8:30a-2:30p, Mon-Fri, Rot. Weekends & Holidays. Area: Mid Cape Organization Visiting Nurse Association Primary Location Massachusetts-South Dennis Department VNA-Paraprofessional HHA Annual/Hourly Hourly Hiring Pay Range 18.5

RN Float MNA , VNA of Cape Cod

Cape Cod Healthcare Falmouth, MA

Sign-On Bonus Eligible! Maintain annual HHRG values at the National Standard as appropriate. Utilize HHRG values to establish visit frequency and to establish appropriate interdisciplinary utilization. Annual outcomes meet National Benchmarks. Refers to community resources as appropriate. Evaluates the clinical needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care; addresses all problems in the plan of care and documents accordingly. Participates in inter-disciplinary patient case conferences; evaluates effectiveness of established plan of care. Instructs and provides documented supervision of the Home Health Aide plan of care every 14 days. Notifies MD/other involved care providers of significant changes in the patient’s condition. Completes admission and other paperwork on a timely basis. Records narrative documentation to reflect skilled care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. Obtains and clarifies valid MD orders for all care delivered. Plans and coordinates discharges appropriately and informs patient/MD and records disposition of patient in the discharge summary. Completes all appropriate discharge paperwork. All other duties as assigned. Successful passage of VNA pre-hire medication test Current RN license in Mass. and other related credentials to meet specialty. Minimum one (1) year of nursing experience required or 6 months of nursing experience with a BSN. CPR certification required. Home care and IV experience, computer skills and BSN preferred. Purpose of Position Performs a comprehensive nursing assessment upon admission of the patient including physiological, physiopsychological and environmental factors as well as health history to provide for the safety and quality of care treatment or services. Integrates all pertinent data gathered on assessment and identifies problems that form the basis of a plan of care, adhering to case management objectives. Schedule Details Weekend Baylor, 30 hrs. per week (Paid for 37.5), 8a-6p, 30-minute unpaid lunch, Every Saturday and Sunday, 1 weekday 8a-6p, TBD, Rot. Holidays, Area: Upper Cape *Sign-On Bonus Eligible! Organization Visiting Nurse Association Primary Location Massachusetts-Falmouth Department VNA-RN Hourly Union Annual/Hourly Hourly Hiring Pay Range 33.7

RN, Med Surg

Cape Cod Healthcare Barnstable, MA

Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in at least four-unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested his/her immediate supervisor. Ability to read, write, and communicate in English Graduate of an accredited School of Nursing (RN) - Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts (BLS) - Current Basic Life Support certification CCHC Pharmacology Exam (pass prior to start date) CCHC Basic Arrhythmia Exam (pass prior to start date) RN Residency & Transition (job code: 6004), must be completed within 3 months from start date Med/Surg experience in an acute care facility within the last (2) two years (Preferred) - Bachelor’s degree in nursing (BSN) (Preferred) - Experience in the management of cardiac patients (Preferred) - ACLS, recent telemetry experience, Med/Surg. certification Purpose of Position Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Schedule Details 36 Hrs per week, Rot. nights, 7p-7:30a, E/O weekend and Rot. holidays (Mugar 3) *Sign-On Bonus Eligible! Organization Cape Cod Hospital Primary Location Massachusetts-Hyannis Department CCH-Mugar 3 Annual/Hourly Hourly Hiring Pay Range 38.36

RN, ICU

Cape Cod Healthcare Falmouth, MA

Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested by his/her immediate supervisor. Registered Nurse, ICU Ability to read, write, and communicate in English Graduate of a School of Nursing (RN) - Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts (BLS) - Current Basic Life Support certification (ACLS) – Advanced Cardiac Life Support certification CCHC Pharmacology Exam (successfully passed) CCHC Basic Arrhythmia Exam (successfully passed) One to two years recent critical care experience required (De-escalation) - Completion of an approved De-escalation Certification Course (obtain within 4 months, offered within) (Preferred) – A Bachelor of Science in Nursing (BSN) (Preferred) CCRN Certification Purpose of Position Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Schedule Details 72PP (36hrs. per week), Rotating Nights, 7p-7a, E/O Weekend & Rot. Holidays *Sign-On Bonus Eligible! Organization Falmouth Hospital Association Primary Location Massachusetts-Falmouth Department FHA-Intensive Care Unit Annual/Hourly Hourly Hiring Pay Range 38.36

RN, Med Surg

Cape Cod Healthcare Barnstable, MA

Sign-On Bonus Eligible! Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in at least four-unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested his/her immediate supervisor. Ability to read, write, and communicate in English Graduate of an accredited School of Nursing (RN) - Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts (BLS) - Current Basic Life Support certification CCHC Pharmacology Exam (pass prior to start date) CCHC Basic Arrhythmia Exam (pass prior to start date) RN Residency & Transition (job code: 6004), must be completed within 3 months from start date Med/Surg experience in an acute care facility within the last (2) two years (Preferred) - Bachelor’s degree in nursing (BSN) (Preferred) - Experience in the management of cardiac patients (Preferred) - ACLS, recent telemetry experience, Med/Surg. certification (Preferred) - Orthopedic certification Purpose of Position Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Schedule Details 36 Hrs per week, Rot nights, 7p-7:30a, E/O Weekend & Rot Holidays (Mugar 6) *Sign-On Bonus Eligible! Organization Cape Cod Hospital Primary Location Massachusetts-Hyannis Department CCH-Mugar 6 Annual/Hourly Hourly Hiring Pay Range 38.36

Manager/Supervisor

Program Manager, Staff Development RN

Cape Cod Healthcare Falmouth, MA

Plan, organize, and direct staff growth and development and assist with Quality Assurance and Performance Improvement (QAPI). Plan, develop, organize, implement, coordinate, and direct programs designed to enhance the quality of resident care, in accordance with current Department of Public health and CMS rules, regulations, and guidelines. Develop training objectives, strategies, policies, and programs to enhance the development of the employees of the facility. Assists licensed nursing personnel (RNs, LPNs, and C.N.A.’s) in obtaining in-service training to keep their license current in accordance with state law. Provide in-service training as necessary/required. Coordinates the annual Employee Education fair in conjunction with each departmental area building wide. Establish and maintain tracking systems for recommendations of groups involved in staff training and development. Develop staff mentors and trainers. Evaluate a variety of in-house and outside training and educational programs for future use in staff growth and development. Conducts needs evaluation and designs curricula and courses to meet those needs. Liaises with management to ensure training and educational programs achieve corporate goals. Ensures all new employees complete orientation/general instructional sessions. Develops touchpoints for follow up with these new employees weekly for a month and monthly for three months to insure the necessary supports are in place for employee success. Prepares reports as necessary. Serve on various committees of the facility (e g safety committee, clinical task force etc.) as needed. Performs nursing care and consultation functions as out lined in job description including but not limited to: Monitoring medication passes and treatments, admission process, input of orders, care plan development and facilitating the discharge process. Assists in the nursing care plan function development, implementation, and maintenance of a written plan of care (preliminary and comprehensive) for each resident in isolation or on infection control precautions that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Assists with budgetary and budgetary planning projection process as needed for staff development. Must maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Resident’s rights. Assists with Safety and Sanitation included by not limited to identifying, evaluate, and classify routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Performs other work related duties as assigned in job description or requested. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects JML’s commitment to CARES: compassion, accountability, respect, excellence and service. RN license required. Must possess, as a minimum, two (2) years college. Sufficient previous experience in clinical health care including direct experience in Performance Improvement. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such action in a timely fashion. Must be a supportive team member, contribute to and be an example of teamwork and team concept. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of Quality Assurance and Performance Improvement (QAPI), staff development and infection control procedures. Must possess leadership and supervisory ability and the willingness to work harmoniously with other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the goals, objectives, policies, procedures, etc., for quality management and outcomes. Must have patience, tact, a cheerful disposition and enthusiasm as well as the willingness to handle difficult residents and staff. Must be willing to seek out new methods and principles and be willing to incorporate them into existing practices. Must be able to relate information concerning a resident’s condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Must be able to lift a minimum of 50 pounds and meet all other Physical and Sensory requirements of the job. Purpose of Position Plan, organize, develop, coordinate, and direct our facility’s staff growth and development in accordance with current applicable federal, state, and local standards, guidelines and regulations, and as may be directed by senior administration, to assure that the highest degree of quality resident care and safety can be maintained at all times. Schedule Details 24 hrs. per week, Monday-Friday, Occ. Evenings, Weekends, & Holidays Organization JML Care Center Primary Location Massachusetts-Falmouth Department JML-Administration Annual/Hourly Unassigned Hiring Pay Range 0

Clinical Resource RN (One Shift)

Cape Cod Healthcare Barnstable, MA

Rounds on all med-surg patient care areas, assisting as needed and providing expertise, guidance and coaching. Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Care for patients in all designated areas as deployed by the Nursing Supervisor. Administers and monitors patient responses to all medications. Transports and assists patients in radiology locations. Seeks out less experienced nursing staff and provides mentoring. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Communicates with Nursing Education to be aware of new initiatives/education. Serves as a resource on new initiatives/education. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers. Performs other work-related duties and activities as assigned or requested his/her immediate supervisor Graduate of an accredited School of Nursing Valid and Current MA RN License required Basic Life Support Certification (BLS) required Advanced Cardiac Life Support Certification (ACLS) required Successful passage of CCHC Pharmacology exam Successful passage of CCHC Basic Arrhythmia Program challenge exam CPI (Crisis Prevention Intervention) Certification required within 3 month of hire and must maintain certification 3-5 Years of Med/Surg. experience in an acute care facility within the last 2 years required Telemetry experience required BSN preferred Must read, write and communicate in English Purpose of Position Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Schedule Details 8 hrs per week, Rot. Days/Eves, 7a-3:30p or 3p-11:30p, E/O weekend, Occ. Holidays Organization Cape Cod Hospital Primary Location Massachusetts-Hyannis Department CCH-Float Pool Annual/Hourly Hourly Hiring Pay Range 38.36

RN Float MNA, VNA of Cape Cod

Cape Cod Healthcare Dennis, MA

Sign On Bonus Eligible! Maintain annual HHRG values at the National Standard as appropriate. Utilize HHRG values to establish visit frequency and to establish appropriate interdisciplinary utilization. Annual outcomes meet National Benchmarks. Refers to community resources as appropriate. Evaluates the clinical needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care; addresses all problems in the plan of care and documents accordingly. Participates in inter-disciplinary patient case conferences; evaluates effectiveness of established plan of care. Instructs and provides documented supervision of the Home Health Aide plan of care every 14 days. Notifies MD/other involved care providers of significant changes in the patient’s condition. Completes admission and other paperwork on a timely basis. Records narrative documentation to reflect skilled care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. Obtains and clarifies valid MD orders for all care delivered. Plans and coordinates discharges appropriately and informs patient/MD and records disposition of patient in the discharge summary. Completes all appropriate discharge paperwork. All other duties as assigned. Successful passage of VNA pre-hire medication test Current RN license in Mass. and other related credentials to meet specialty. Minimum one (1) year of nursing experience required or 6 months of nursing experience with a BSN. CPR certification required. Home care and IV experience, computer skills and BSN preferred. Purpose of Position Performs a comprehensive nursing assessment upon admission of the patient including physiological, physiopsychological and environmental factors as well as health history to provide for the safety and quality of care treatment or services. Integrates all pertinent data gathered on assessment and identifies problems that form the basis of a plan of care, adhering to case management objectives. Schedule Details 37.5 hours per week, 8a-4p, Rot. Days, E/O Weekend, E/O Holiday, Area: Mid Cape.. *Sign On Bonus Eligible* Organization Visiting Nurse Association Primary Location Massachusetts-South Dennis Department VNA-RN Hourly Union Annual/Hourly Hourly Hiring Pay Range 33.7

RN, ICU

Cape Cod Healthcare Falmouth, MA

Sign-On Bonus Eligible Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested by his/her immediate supervisor. Registered Nurse, ICU – Grade: FHMNA30/MN1, Job Code: 00330 (Per Diem: 00331) Ability to read, write, and communicate in English Graduate of a School of Nursing (RN) - Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts (BLS) - Current Basic Life Support certification (ACLS) – Advanced Cardiac Life Support certification CCHC Pharmacology Exam (successfully passed) CCHC Basic Arrhythmia Exam (successfully passed) One to two years recent critical care experience required (De-escalation) - Completion of an approved De-escalation Certification Course (obtain within 4 months, offered within) (Preferred) – A Bachelor of Science in Nursing (BSN) (Preferred) CCRN Certification Per Diem: (2) Two years of previous acute care ICU services department experience required Purpose of Position Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Schedule Details 72PP (36 Hours Per Week), Rotating Eves/Nights, 7p-7a, Every Other Weekend & Rotating Holidays *Sign-On Bonus Eligible Organization Falmouth Hospital Association Primary Location Massachusetts-Falmouth Department FHA-Intensive Care Unit Annual/Hourly Hourly Hiring Pay Range 38.36

RN, Adult Psych

Cape Cod Healthcare Barnstable, MA

Properly utilizes the nursing process in caring for patients by maintaining relevant, accurate and current patient records as evidenced by Nursing PI activities. Provides documentation of assessment of the patient throughout the Hospital admission including physical, psychological, social dimensions and discharge plans. Summarizes assessment data and initiate plan of care with communication of pertinent data to allied patient care providers as evidenced by Nursing PI activities. Understands, assumes, and demonstrates proficiency in the role of charge nurse. Demonstrates proficiency in Computerized Nursing Informatics (information systems). Assumes role of resource person regarding patient care, orientation and teaching staff. Participates in at least four-unit staff meetings per year, attends mandatory programs and obtains three hours of Patient Care Assessment Committee (PCAC) credit per year. Participates in identification of the aspects of care for the patient, indicators used to monitor the quality and appropriateness of care, and the evaluation of that care. Adheres to safety, blood/body fluid policies and procedures. Assesses personal learning development needs. Maintains documentation of current and ongoing professional development activities. Regularly up-dates knowledge of techniques and regulations appropriate to the age of the patient served. Shows a willingness to participate on Nursing Committees. Represents hospital in the community and within the hospital by maintaining confidentiality regarding patients and hospital matters and by presenting the hospital in a manner that will best market the services provided. Performs other work-related duties and activities as assigned or requested his/her immediate supervisor. Must read, write and communicate in English Graduate of an accredited School of Nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification Successful passage of CCH’s Psychiatric Pharmacology exam Crisis Prevention Intervention Training required within 3 months of new position Psychiatric experience preferred BSN Preferred Purpose of Position Delivers patient care through the nursing process of assessment, planning, implementation and evaluation. Administers and monitors patient responses to all medications. Directs and guides patient care, teaching and activities of ancillary personnel while maintaining standards of professional nursing within the realm of Hospital Policy. Maintains and delivers the highest quality customer service standards. Schedule Details 32 hrs. per week, rotating nights, 11:00pm - 7:30am, every other weekend, and rotating holiday Organization Cape Cod Hospital Primary Location Massachusetts-Hyannis Department CCH-Adult Psych Unit Annual/Hourly Hourly Hiring Pay Range 38.36

Nursing Assistant or Will-Train/Trainee, Med Surg

Cape Cod Healthcare Falmouth, MA

Primary Duties And Responsibilities Must be courteous to patients, customers, clients, and other employees of the organization. Identify and locate needed accessories to facilitate transport. Answering call lights. Making beds both empty and occupied. Setting up all equipment routinely used on their home base units. Preparing room for admission. Assist with patient discharges Removal of linens. Answering telephone. Must wear facility provided identification badge. Consistently provides service excellence to all patients, family member, visitors, volunteers, and co-workers. Facilitate communication to RNs to provide best care possible for patients Performs other work-related duties and activities as assigned or requested by his/her immediate supervisor. Additional NURSING ASSISTANT PRIMARY DUTIES AND RESPONSIBILITIES Transports patients via wheelchairs and stretchers. Vital signs, oxygen saturation, weights, and non-invasive specimen collection. Turning and positioning patients, range of motion, ambulation, and toiletry. Assistance with all ADL's and complete care as needed. Setting up, assisting and educating patients, with commodes, bedpans, urinals, sitz baths, walkers, wheelchairs, slings, venodyne boots, crutches, specific precautions- with input from PT as needed Appropriate emptying and/or recording of all drainage devices. Postmortem care. Patient Care Tech Other duties may be assigned. Must be courteous to customers, clients, and other employees of the organization. Takes and records patients' vital signs. Dresses wounds, gives enemas, douches, alcohol rubs, and massages. Applies compresses, ice bags, and hot water bottles. Observes patients and reports adverse reactions to medication or treatment to medical personnel in charge. Administers specified medication, orally or by subcutaneous or intermuscular injection, and notes time and amount on patients' charts. Assembles and uses such equipment as catheters, tracheotomy tubes, and oxygen suppliers. Collects samples, such as urine, blood, and sputum, from patients for testing and performs routine laboratory tests on samples. Sterilizes equipment and supplies. Prepares or examines food trays for prescribed diet and feeds patients. Records food and fluid intake and output. Bathes, dresses, and assists patients in walking and turning. Cleans rooms, makes beds, and answers patients' calls. Washes and dresses bodies of deceased persons. Assists in delivery, care, and feeding of infants. Inventories and requisitions supplies. Performs tracheotomy care, colostomy care, wound care and dressing changes. Demonstrates through clinical practice the use of universal precautions, understands the OSHA Bloodborne Pathogens Standards. Demonstrates a thorough knowledge and/or practice in the prevention of TB transmission and adheres to all other infection control policies. Must wear facility provided identification badge at all times Nursing Assistant Trainee (Apprenticeship Program) – Grade FHS5, Job Code: 00351 Ability to read, write and communication in English Obtain BLS Certification upon completion of the Apprenticeship Program The Nursing Assistant Registered Apprenticeship Program: 1. Includes a classroom curriculum with an accredited Nursing Assistant Program 2. Includes on-the-job training 3. Must successfully complete Program within 6 months of hire into Trainee role Upon completion of the Falmouth Hospital Nursing Assistant Apprenticeship Program, incumbent will transfer into the Nursing Assistant, Grade FHS5A, Job Code: 00333. Nursing Assistant, Will-Train – Grade FHS5, Job Code: 00444 Ability to read, write and communication in English Obtain BLS Certification upon completion of the Will-Train program Upon completion of the Falmouth Hospital Nursing Assistant Will-Train program, successful passage of the Falmouth Hospital written competency exam for Nursing Assistant Upon completion of the Falmouth Hospital Nursing Assistant Will-Train program, incumbent will transfer into the Nursing Assistant, Grade FHS5A, Job Code: 00333 Nursing Assistant – Grade FHS5A, Job Code: 00333 Ability to read, write and communication in English Must meet at least one of the following qualifications: a) Successful completion of a Nursing Assistant Program b) Successful completion of a Medical Assistant Program c) Successful completion of an EMT Program d) Successful completed of an LPN Program e) Equivalent clinical Military experience f) Completed at least one year of an accredited Nursing School Program g) Successful completion of the Falmouth Hospital Nursing Assistant Will-Train or Trainee program Current Basic Life Support Certification Successful passage of CPI training within 6 months from hire and must maintain recertification annually Purpose of Position Nursing Assistant Performs as a member of the Nursing Team various duties assisting Staff Nurses in the treatment and care of patients in accordance with established policies and procedures. Patient Care Tech Responsible for EKG's, phlebotomy, gluco scans, suctioning, and the collection of sputum by means of suctioning. Schedule Details 48PP (24 Hrs per week), Rot. Days, 7a-3p, E/O Weekend & Holidays (Med Surg 2) Organization Falmouth Hospital Association Primary Location Massachusetts-Falmouth Department FHA-Med / Surg 2 Annual/Hourly Hourly Hiring Pay Range 15.73

LPN McCarthy Care Center, (Per Diem)

Cape Cod Healthcare Sandwich, MA

Assesses patient and family needs, reports new or pertinent findings to RN and physician. Follows prescribed plan of care as completed by the RN in order to address identified needs. Adheres to daily patient assignments as directed by the Clinical Manager/RN Supervisor providing personal care, observation, procedures, and medication administration. Demonstrates the skills and judgments to implement the medical plan of care, nursing interventions and procedures as necessary for the care of the patient, within the guidelines of his/her licensure. Assess, evaluates and reassesses the identified issues/symptoms patients are exhibiting, care provided and patient's response on a continuing basis. Meets the safety needs of the patient using equipment safely and properly. Collaborates and communicates on a regular basis with the RN/Clinical Manager and members of the interdisciplinary team as needed. Assists patients and families in accessing appropriate community resources. Records documentation to reflect patient care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. Knowledgeable about and adheres to the VNA compliance plan, policies and procedures. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. All other duties as assigned. Graduate of an approved LPN school of nursing. Current LPN license in MA. CPR certification required. Minimum one (1) year recent experience in an acute care facility. Homecare and computer skills preferred. Purpose of Position Under the direction of the Clinical Manager/ RN Supervisor and within the Agency policies and procedures, the LPN follows the plan of care on individual patients within the guidelines of his/her licensure to provide for the safety and quality of care treatment or services. Schedule Details Per Diem Hours McCarthy Care Center, Mon-Fri shifts 7a-3p, 3p-11p, 11p-7a, wknds 12 hr 7-7. Occ. Weekends & Holidays Organization Visiting Nurse Association Primary Location Massachusetts-East Sandwich Department VNA-Hospice Annual/Hourly Hourly Hiring Pay Range 28

LPN/RN, Pulmonology (Hyannis)

Cape Cod Healthcare Barnstable, MA

Under the direct supervision of the clinician, department supervisor or designee, assists in providing clinical care to office patients Manages clinicians’ daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation). Inputs pertinent clinical information into the electronic health record timely and with accuracy and performs a complete medication reconciliation Assists clinicians with clinical procedures and/or additional tests specific to the department. May advise patient of preparation required for exam or additional testing and keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a physician, administers routine injections when delegated, and documents in real time and with accuracy Ensures telephone calls are answered timely and clinicians receive necessary information Coordinates care when clinicians are not immediately available, ensuring that telephone calls are triaged appropriately per established protocols Assists in resolving patient concerns by acting as an advocate, as appropriate Participates in practice and department meetings, trainings, etc. to promote continuous improvement and quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system while continuously participating in self-assessment of skills Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Assists with the assessment of patient needs and coordinates care under the direction of the clinician Verifies and implements clinician’s orders for testing and/or procedures (EKG’s, dressing changes, spirometry, Holter monitors, etc.) Provides effective and evidence-based patient and family teaching, using health promotion and health teaching methods in collaboration with the patient’s values, beliefs, health practices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status Triages walk-in patients per established protocols Maintains communication and collaboration with interprofessional team and others to facilitate safe transitions and continuity of care delivery Lpn (p015) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited Practical Nursing program Currently licensed as a Licensed Practical Nurse in the state of Massachusetts Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) A Minimum of two years’ experience in a clinical setting preferred Rn (x21a) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited school of nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Purpose of Position Under the direction of the clinician, department supervisor or designee, provide the highest standards of clinical support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with clinical support in accordance with MACC’s policies and procedures. Schedule Details 40 hours per week, Monday-Friday 8a-4p, No Weekends & No Holidays Organization Medical Affiliates of Cape Cod Primary Location Massachusetts-Hyannis Department MAC-Slater Practice Annual/Hourly Hourly Hiring Pay Range 37.04

RN, Vascular Surgery - Traditional Rooming (Hyannis)

Cape Cod Healthcare Barnstable, MA

Under the direct supervision of the clinician, department supervisor or designee, assists in providing clinical care to office patients Manages clinicians’ daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation). Inputs pertinent clinical information into the electronic health record timely and with accuracy and performs a complete medication reconciliation Assists clinicians with clinical procedures and/or additional tests specific to the department. May advise patient of preparation required for exam or additional testing and keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a physician, administers routine injections when delegated, and documents in real time and with accuracy Ensures telephone calls are answered timely and clinicians receive necessary information Coordinates care when clinicians are not immediately available, ensuring that telephone calls are triaged appropriately per established protocols Assists in resolving patient concerns by acting as an advocate, as appropriate Participates in practice and department meetings, trainings, etc. to promote continuous improvement and quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system while continuously participating in self-assessment of skills Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Assists with the assessment of patient needs and coordinates care under the direction of the clinician Verifies and implements clinician’s orders for testing and/or procedures (EKG’s, dressing changes, spirometry, Holter monitors, etc.) Provides effective and evidence-based patient and family teaching, using health promotion and health teaching methods in collaboration with the patient’s values, beliefs, health practices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status Triages walk-in patients per established protocols Maintains communication and collaboration with interprofessional team and others to facilitate safe transitions and continuity of care delivery Lpn (p015) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited Practical Nursing program Currently licensed as a Licensed Practical Nurse in the state of Massachusetts Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) A Minimum of two years’ experience in a clinical setting preferred Rn (x21a) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited school of nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Purpose of Position Under the direction of the clinician, department supervisor or designee, provide the highest standards of clinical support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with clinical support in accordance with MACC’s policies and procedures. Schedule Details 32 hrs. per week, Monday-Friday, 9a-5p, No Weekends & Holidays *Sign on Bonus Eligible! Organization Medical Affiliates of Cape Cod Primary Location Massachusetts-Hyannis Department MAC-Stephen Brooks, MD Annual/Hourly Hourly Hiring Pay Range 37.04

LPN McCarthy Care Center, (Per Diem)

Cape Cod Healthcare Sandwich, MA

Assesses patient and family needs, reports new or pertinent findings to RN and physician. Follows prescribed plan of care as completed by the RN in order to address identified needs. Adheres to daily patient assignments as directed by the Clinical Manager/RN Supervisor providing personal care, observation, procedures, and medication administration. Demonstrates the skills and judgments to implement the medical plan of care, nursing interventions and procedures as necessary for the care of the patient, within the guidelines of his/her licensure. Assess, evaluates and reassesses the identified issues/symptoms patients are exhibiting, care provided and patient's response on a continuing basis. Meets the safety needs of the patient using equipment safely and properly. Collaborates and communicates on a regular basis with the RN/Clinical Manager and members of the interdisciplinary team as needed. Assists patients and families in accessing appropriate community resources. Records documentation to reflect patient care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. Knowledgeable about and adheres to the VNA compliance plan, policies and procedures. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. All other duties as assigned. Graduate of an approved LPN school of nursing. Current LPN license in MA. CPR certification required. Minimum one (1) year recent experience in an acute care facility. Homecare and computer skills preferred. Purpose of Position Under the direction of the Clinical Manager/ RN Supervisor and within the Agency policies and procedures, the LPN follows the plan of care on individual patients within the guidelines of his/her licensure to provide for the safety and quality of care treatment or services. Schedule Details Per Diem Hours McCarthy Care Center, Mon-Fri shifts 7a-3p, 3p-11p, 11p-7a, Weekends-12 hr- 7a-7p., 7p-7a, Occ. Weekends & Holidays Organization Visiting Nurse Association Primary Location Massachusetts-East Sandwich Department VNA-Hospice Annual/Hourly Hourly Hiring Pay Range 28

Certified Medical Assistant, PCP (Osterville)

Cape Cod Healthcare Barnstable, MA

Sign-On Bonus Eligible! Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Ability to read, write and communicate in English Medical Assistant - Certification from either the American Association of Medical Assistants (AAMA) or the National Healthcare Association (NHA) Completion of a post-secondary medical assisting program required for PCP Office (Preferred for Specialty Office) Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Purpose of Position Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Schedule Details 40 hrs. per week, Mon-Fri, 7a-5p, No Weekends & No Holidays *Sign-On Bonus Eligible! Organization Medical Affiliates of Cape Cod Primary Location Massachusetts-Osterville Department MAC-Robinson, Barbara NP Annual/Hourly Hourly Hiring Pay Range 24.4

LPN McCarthy Care Center

Cape Cod Healthcare Sandwich, MA

Assesses patient and family needs, reports new or pertinent findings to RN and physician. Follows prescribed plan of care as completed by the RN in order to address identified needs. Adheres to daily patient assignments as directed by the Clinical Manager/RN Supervisor providing personal care, observation, procedures, and medication administration. Demonstrates the skills and judgments to implement the medical plan of care, nursing interventions and procedures as necessary for the care of the patient, within the guidelines of his/her licensure. Assess, evaluates and reassesses the identified issues/symptoms patients are exhibiting, care provided and patient's response on a continuing basis. Meets the safety needs of the patient using equipment safely and properly. Collaborates and communicates on a regular basis with the RN/Clinical Manager and members of the interdisciplinary team as needed. Assists patients and families in accessing appropriate community resources. Records documentation to reflect patient care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. Knowledgeable about and adheres to the VNA compliance plan, policies and procedures. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. All other duties as assigned. Graduate of an approved LPN school of nursing. Current LPN license in MA. CPR certification required. Minimum one (1) year recent experience in an acute care facility. Homecare and computer skills preferred. Purpose of Position Under the direction of the Clinical Manager/ RN Supervisor and within the Agency policies and procedures, the LPN follows the plan of care on individual patients within the guidelines of his/her licensure to provide for the safety and quality of care treatment or services. Schedule Details 37.5 hrs. per week, Mon-Fri, 11p-7a, Occ. Weekends Organization Visiting Nurse Association Primary Location Massachusetts-East Sandwich Department VNA-Hospice Annual/Hourly Hourly Hiring Pay Range 28

LPN Palliative Care, VNA of Cape Cod

Cape Cod Healthcare Falmouth, MA

Provide palliative care services including symptom management, education on medications and lifestyle changes to enhance quality of life, while collaborating closely with palliative specialist and community providers. Work with MSW to initiate discussions on advanced directives and goals of care to ensure a smooth and timely transition to hospice. Assesses patient and family needs, reports new or pertinent findings to the Palliative Specialist RN and MD. Follows prescribed plan of care as completed by the RN in order to address identified needs. Demonstrates the skills and judgments to implement the medical plan of care, nursing interventions and procedures as necessary for the care of the patient, within the guidelines of his/her licensure. Evaluates and reassesses the identified problems, care provided and patient's response on a continuing basis. Identifies ancillary services needed by patients and families and reports findings to RN. Collaborates and communicates on a regular basis with the members of the inter-disciplinary team as needed. Assists patients and families in accessing appropriate community resources. Records narrative documentation to reflect skilled care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. All other duties as assigned. Sign-On Bonus Eligible! Graduate of an approved LPN school of nursing. Current LPN license in MA. CPR certification required. Minimum one (1) year recent experience in an acute care facility or the equivalent. Homecare and computer skills preferred. Purpose of Position Under the direction of the Palliative Specialist and within the Agency policies and procedures, the LPN follows the plan of care on patients with a serious or life-limiting illness within the guidelines of his/her licensure to provide for the safety and quality of care treatment or services. Schedule Details 37.5 hrs. per week, Mon-Fri, 8a-4p, Occ. Weekends & Occ. Holidays. *Sign-On Bonus Eligible* Organization Visiting Nurse Association Primary Location Massachusetts-Falmouth Department VNA-LPN Hourly Annual/Hourly Hourly Hiring Pay Range 28

Certified Medical Assistant, PCP (Osterville)

Cape Cod Healthcare Barnstable, MA

Sign-On Bonus Eligible! Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Ability to read, write and communicate in English Medical Assistant - Certification from either the American Association of Medical Assistants (AAMA) or the National Healthcare Association (NHA) Completion of a post-secondary medical assisting program required for PCP Office (Preferred for Specialty Office) Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Purpose of Position Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Schedule Details 40 hrs per week, Mon-Fri, 7a-5p, No Weekends & No Holidays *Sign-On Bonus Eligible! Organization Medical Affiliates of Cape Cod Primary Location Massachusetts-Osterville Department MAC-Rittel, Mathew MD Annual/Hourly Hourly Hiring Pay Range 24.4

RN/LPN, PCP (Osterville)

Cape Cod Healthcare Barnstable, MA

Sign-On Bonus Eligible! Under the direct supervision of the clinician, department supervisor or designee, assists in providing clinical care to office patients Manages clinicians’ daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation). Inputs pertinent clinical information into the electronic health record timely and with accuracy and performs a complete medication reconciliation Assists clinicians with clinical procedures and/or additional tests specific to the department. May advise patient of preparation required for exam or additional testing and keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a physician, administers routine injections when delegated, and documents in real time and with accuracy Ensures telephone calls are answered timely and clinicians receive necessary information Coordinates care when clinicians are not immediately available, ensuring that telephone calls are triaged appropriately per established protocols Assists in resolving patient concerns by acting as an advocate, as appropriate Participates in practice and department meetings, trainings, etc. to promote continuous improvement and quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system while continuously participating in self-assessment of skills Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Assists with the assessment of patient needs and coordinates care under the direction of the clinician Verifies and implements clinician’s orders for testing and/or procedures (EKG’s, dressing changes, spirometry, Holter monitors, etc.) Provides effective and evidence-based patient and family teaching, using health promotion and health teaching methods in collaboration with the patient’s values, beliefs, health practices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status Triages walk-in patients per established protocols Maintains communication and collaboration with interprofessional team and others to facilitate safe transitions and continuity of care delivery Lpn (p015) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited Practical Nursing program Currently licensed as a Licensed Practical Nurse in the state of Massachusetts Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) A Minimum of two years’ experience in a clinical setting preferred Rn (x21a) - Education/Experience/Training Ability to read, write and communicate in English Graduate of an accredited school of nursing Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts Basic Life Support Certification for Health Care Providers Experience with current office technology and proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Purpose of Position Under the direction of the clinician, department supervisor or designee, provide the highest standards of clinical support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with clinical support in accordance with MACC’s policies and procedures. Schedule Details (1x) 10-hr shift per week, between Tues-Fri, 7a-5p, No Weekends & No Holidays. *Sign-On Bonus Eligible! Organization Medical Affiliates of Cape Cod Primary Location Massachusetts-Osterville Department MAC-Osterville Annual/Hourly Hourly Hiring Pay Range 27.55

Nursing Assistant or Will-Train/Trainee, Med Surg

Cape Cod Healthcare Falmouth, MA

Primary Duties And Responsibilities Must be courteous to patients, customers, clients, and other employees of the organization. Identify and locate needed accessories to facilitate transport. Answering call lights. Making beds both empty and occupied. Setting up all equipment routinely used on their home base units. Preparing room for admission. Assist with patient discharges Removal of linens. Answering telephone. Must wear facility provided identification badge. Consistently provides service excellence to all patients, family member, visitors, volunteers, and co-workers. Facilitate communication to RNs to provide best care possible for patients Performs other work-related duties and activities as assigned or requested by his/her immediate supervisor. Additional PATIENT SERVICE ASSISTANT PRIMARY DUTIES AND RESPONSIBILITIES Transports patients via wheelchairs and stretchers. Vital signs, oxygen saturation, weights, and non-invasive specimen collection. Turning and positioning patients, range of motion, ambulation, and toiletry. Assistance with all ADL's and complete care as needed. Setting up, assisting and educating patients, with commodes, bedpans, urinals, sitz baths, walkers, wheelchairs, slings, venodyne boots, crutches, specific precautions- with input from PT as needed Appropriate emptying and/or recording of all drainage devices. Postmortem care. Patient Care Tech Other duties may be assigned. Must be courteous to customers, clients, and other employees of the organization. Takes and records patients' vital signs. Dresses wounds, gives enemas, douches, alcohol rubs, and massages. Applies compresses, ice bags, and hot water bottles. Observes patients and reports adverse reactions to medication or treatment to medical personnel in charge. Administers specified medication, orally or by subcutaneous or intermuscular injection, and notes time and amount on patients' charts. Assembles and uses such equipment as catheters, tracheotomy tubes, and oxygen suppliers. Collects samples, such as urine, blood, and sputum, from patients for testing and performs routine laboratory tests on samples. Sterilizes equipment and supplies. Prepares or examines food trays for prescribed diet and feeds patients. Records food and fluid intake and output. Bathes, dresses, and assists patients in walking and turning. Cleans rooms, makes beds, and answers patients' calls. Washes and dresses bodies of deceased persons. Assists in delivery, care, and feeding of infants. Inventories and requisitions supplies. Performs tracheotomy care, colostomy care, wound care and dressing changes. Demonstrates through clinical practice the use of universal precautions, understands the OSHA Bloodborne Pathogens Standards. Demonstrates a thorough knowledge and/or practice in the prevention of TB transmission and adheres to all other infection control policies. Must wear facility provided identification badge at all times Nursing Assistant Trainee (Apprenticeship Program) – Grade FHS5, Job Code: 00351 Ability to read, write and communication in English Obtain BLS Certification upon completion of the Apprenticeship Program The Nursing Assistant Registered Apprenticeship Program: 1. Includes a classroom curriculum with an accredited Nursing Assistant Program 2. Includes on-the-job training 3. Must successfully complete Program within 6 months of hire into Trainee role Upon completion of the Falmouth Hospital Nursing Assistant Apprenticeship Program, incumbent will transfer into the Nursing Assistant, Grade FHS5A, Job Code: 00333. Nursing Assistant, Will-Train – Grade FHS5, Job Code: 00444 Ability to read, write and communication in English Obtain BLS Certification upon completion of the Will-Train program Upon completion of the Falmouth Hospital Nursing Assistant Will-Train program, successful passage of the Falmouth Hospital written competency exam for Nursing Assistant Upon completion of the Falmouth Hospital Nursing Assistant Will-Train program, incumbent will transfer into the Nursing Assistant, Grade FHS5A, Job Code: 00333 Nursing Assistant – Grade FHS5A, Job Code: 00333 Ability to read, write and communication in English Must meet at least one of the following qualifications: a) Successful completion of a Nursing Assistant Program b) Successful completion of a Medical Assistant Program c) Successful completion of an EMT Program d) Successful completed of an LPN Program e) Equivalent clinical Military experience f) Completed at least one year of an accredited Nursing School Program g) Successful completion of the Falmouth Hospital Nursing Assistant Will-Train or Trainee program Current Basic Life Support Certification Successful passage of CPI training within 6 months from hire and must maintain recertification annually Purpose of Position Nursing Assistant Performs as a member of the Nursing Team various duties assisting Staff Nurses in the treatment and care of patients in accordance with established policies and procedures. Patient Care Tech Responsible for EKG's, phlebotomy, gluco scans, suctioning, and the collection of sputum by means of suctioning. Schedule Details 64PP (32 Hrs per week), Rot. Days, 7a-3p, E/O Weekend & Rot. Holidays (Med Surg 3) Organization Falmouth Hospital Association Primary Location Massachusetts-Falmouth Department FHA-Med / Surg 3 Annual/Hourly Hourly Hiring Pay Range 15.73

RN Primary MNA, VNA of Cape Cod

Cape Cod Healthcare Tisbury, MA

Responsible for direct patient care for assigned patients Evaluates the clinical needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care; addresses all problems in the plan of care and documents accordingly. Utilizes clinical grouping guidelines including guidelines for appropriate interdisciplinary utilization to capture and data enter the initial visit frequency Ensures OASIS assessment accurately reflects documentation and vice-versa. Updates the Clinical Manager regarding referrals to community resources as appropriate. Participates in inter-disciplinary patient case conferences; assists in evaluating effectiveness of established plan of care. Instructs and provides documented supervision of the Home Health Aide plan of care every 14 days. Notifies MD/other involved care providers and Clinical Team Manager of significant changes in the patient’s condition. Completes admission and other paperwork on a timely basis. Records narrative documentation to reflect skilled care. Documentation is clear, concise, complete and captures and addresses the specifics of teaching, direct care and response of patient / caregiver. Obtains and clarifies valid MD orders for all care delivered. In collaboration with Clinical manager and interdisciplinary team, plans and coordinates discharges appropriately and informs patient/MD and records disposition of patient in the discharge summary. Completes all appropriate discharge paperwork. All other duties as assigned. Sign-On Bonus Eligible! Successful passage of VNA pre-hire medication test Current RN license in Mass. and other related credentials to meet specialty. Minimum one (1) year of nursing experience required or 6 months of nursing experience with a BSN. CPR certification required. Home care and IV experience, computer skills and BSN preferred. Purpose of Position Responsible for direct patient care for assigned patients. Performs a comprehensive nursing assessment upon admission of the patient including physiological, physio psychological and environmental factors as well as health history, to provide for the safety and quality of care treatment or services. In collaboration with the clinical team manager and utilizing VNA interdisciplinary team care standards, integrates all pertinent data gathered on assessment and identifies problems that form the basis for patient care Schedule Details 30 hrs. per week, 8a-4p,, Mon-Fri, Rot. Weekends & Holidays, Area: Martha's Vineyard. *Sign-On Bonus Eligible* Organization Visiting Nurse Association Primary Location Massachusetts-Vineyard Haven Department VNA-RN Hourly Union Annual/Hourly Hourly Hiring Pay Range 33.7

Certified Medical Assistant, PCP (Hyannis)

Cape Cod Healthcare Barnstable, MA

Assists in providing clinical care to office patients as delegated by supervising provider Manages provider’s daily schedule and patient flow to expedite care and maximize clinical time Greets and escorts patients to exam rooms, and checks two-patient identifiers Communicates status of delegated task completion to supervising provider Obtains relevant information and takes vital signs as indicated (i.e. height, weight, blood pressure, heart rate, respiratory rate, oxygen saturation) Inputs pertinent clinical information into the electronic health record timely and with accuracy and collects home medication lists Assists clinicians with clinical procedures and/or additional tests specific to the department. Keeps patients informed of visit status, unforeseen delays and other relevant information pertaining to the patient’s visit Prepare and maintain exam rooms for patient arrivals. Clean and/or maintain inventory of supplies (medical included) and equipment throughout the practice. Notifies supervisor to order clinical supplies, clinical equipment and pharmaceuticals as appropriate Under the supervision of a provider, administers routine injections when delegated, and documents in real time and with accuracy Participates in practice and department meetings, trainings, etc. to promote continuous improvement of quality patient care Takes initiative to learn, understand, and stay current with community resources and the greater healthcare system Maintains patient rights and abides by all confidentiality obligations pursuant to CCHC and HIPAA Provides clerical/office support as necessary (i.e. scheduling appointments, greeting and registering patients, scanning incoming medical records and paperwork, preparing medical records, answering phone calls and taking messages, faxing, etc.) Ability to float to other MACC practices when required Performs other work-related duties and activities as assigned or requested Ability to read, write and communicate in English Medical Assistant - Certification from either the American Association of Medical Assistants (AAMA) or the National Healthcare Association (NHA) Completion of a post-secondary medical assisting program required for PCP Office (Preferred for Specialty Office) Basic Life Support Certification for Health Care Providers Strong interpersonal, customer service, time management skills Experience with current office technology, proficient with computer office applications (Electronic Medical/Health Records, MS Office, etc.) Minimum of two years’ experience in a clinical setting preferred Purpose of Position Under the direction of the supervising provider to provide the highest standards of support to the MACC practice. Delivers excellent customer service to patients through participation in a medical care team. Demonstrates a high level of competence with support in accordance with MACC’s policies and procedures. Schedule Details 32 hours per week, Monday-Friday 8a-4p No Weekends & No Holidays Organization Medical Affiliates of Cape Cod Primary Location Massachusetts-Hyannis Department MAC-Mullin, Catherine NP Annual/Hourly Hourly Hiring Pay Range 24.4

RN (Per Visit), VNA Of Cape Cod, Nantucket

Cape Cod Healthcare Nantucket, MA

Maintain annual HHRG values at the National Standard as appropriate. Utilize HHRG values to establish visit frequency and to establish appropriate interdisciplinary utilization. Annual outcomes meet National Benchmarks. Refers to community resources as appropriate. Evaluates the clinical needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care; addresses all problems in the plan of care and documents accordingly. Participates in inter-disciplinary patient case conferences; evaluates effectiveness of established plan of care. Instructs and provides documented supervision of the Home Health Aide plan of care every 14 days. Notifies MD/other involved care providers of significant changes in the patient’s condition. Completes admission and other paperwork on a timely basis. Records narrative documentation to reflect skilled care. Documentation is clear, concise and addresses specifics of teaching, direct care and response of patient / caregiver. Obtains and clarifies valid MD orders for all care delivered. Plans and coordinates discharges appropriately and informs patient/MD and records disposition of patient in the discharge summary. Completes all appropriate discharge paperwork. All other duties as assigned. Successful passage of VNA pre-hire medication test Current RN license in Mass. and other related credentials to meet specialty. Minimum one (1) year of nursing experience required or 6 months of nursing experience with a BSN. CPR certification required. Home care and IV experience, computer skills and BSN preferred. Purpose of Position Performs a comprehensive nursing assessment upon admission of the patient including physiological, physiopsychological and environmental factors as well as health history to provide for the safety and quality of care treatment or services. Integrates all pertinent data gathered on assessment and identifies problems that form the basis of a plan of care, adhering to case management objectives. Schedule Details RN Per Visit, Mon.-Fri., Occ. Weekend, Occ. Holiday, Occ. Overnight call Hospice and Home Health. Area: Nantucket Organization Visiting Nurse Association Primary Location Massachusetts-Nantucket Department VNA-RN Per Visit MN Annual/Hourly Unassigned

Home Health Aide

Certified Home Health Aide, Nantucket (Per Diem), VNA of Cape Cod

Cape Cod Healthcare Nantucket, MA

Maintains open communication with case manager and/or Team Leader/Assistant Team Leader regarding health, safety and environment status of patients. Reports all changes in a timely manner. Complies with State/Federal regulatory acts. Perform all skills with competency, as indicated on the skills checklist. Communicates with Clinical Coordinator regarding all scheduling concerns relating to patients which may include, but not limited to changes such as times, days, patient absences and discharges. Communicates with case manager, and if not available, the Team Leader/Assistant Team Leader regarding any case concerns, patient problems, planned time off or other general schedule changes. Completes and submits required documentation, i.e., patient and employee time sheets, etc., accurately and on a timely basis. Report all concerns of possible patient abuse or neglect to the case manager and/or the Team Leader. Establishes and maintains a therapeutic relationship with patients. Perform only those tasks as prescribed by the case manager on the home health aide plan of care. Encourage patient in achieving an optimum level of independence by encouraging his/her participation in personal care and in interests and activities in the home, family and community. Provides or assists with post mortem care after pronouncement. Perform additional tasks as may be assigned by the Team Leader and/or case manager, depending on the specific situation or on the Home Health Aide’s experience and capabilities. Example: routine uncomplicated colostomy case and decubitus care. Provides understanding and emotional support to patient and significant others. If eligible, may participate in the Patient Transportation program for the Private Services department. All other duties as assigned. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects VNA’s commitment to CARES: compassion, accountability, respect, excellence and service. Possess and maintain certification as a Home Health Aide or equivalent as approved by the Agency. One year satisfactory employment history preferred. Experience in care of the elderly preferred. Satisfactory completion of Skill Assessment Test. Able to record messages and keep records. Purpose of Position Under the direction of the Paraprofessional Team Leader the Certified Home Health Aide (CHHA) performs assigned duties in the patient’s home in a safe and considerate manner as prescribed by the case manager. Schedule Details Per Diem Hours, Rot. Days, Occ. Weekends & Holidays. Area: Nantucket Organization Visiting Nurse Association Primary Location Massachusetts-Nantucket Department VNA-Paraprofessional HHA PD Annual/Hourly Hourly Hiring Pay Range 19

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