Careers

Join the Arden Place of Grapevine family

An equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability, race, ethnicity, gender, religion, or otherwise. Minorities, veterans, and individuals with disabilities are encouraged to apply.

PRN RN Needed

POSITION PURPOSE
Work with physicians, implementing orders for medications, treatments and special tests. Supervise LPNs, LVNs and CNAs, providing them support in order that they may provide total nursing care for residents.

ESSENTIAL FUNCTIONS OF POSITION
Utilize the nursing process to assess resident care plans, implement interventions, and evaluate outcomes related to nursing care.
Interview applicants, recommend hires; participate in counseling to extent permitted by law
Initiate and lead team conferences to develop individualized nursing care plans; assess and document resident’s condition and nursing needs; assign team members who have the capabilities and qualifications to meet resident’s needs
Implement physicians’ orders; administer medications, start IVs, perform treatments, procedures and special tests and document treatment as required by company policy and local/state/federal rules and regulations
Ensure supplies are used economically and equipment is clean and maintained in a safe manner
Coordinate nursing care of residents scheduled for therapy or procedures by other departments
Report and record observations and reactions regarding residents
Assist or institute emergency measures for sudden adverse developments
Perform additional duties as assigned.

EDUCATION / REQUIREMENTS
Must be skilled in directing, motivating and training staff and able to work as a member of a team; able to communicate effectively with residents, family members and all levels of the organization and maintain confidentiality. Should be a graduate of an accredited RN School of Nursing with valid RN state license, and a minimum of 2 years nursing experience; or equivalent combination of education and experience.

An equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability, race, ethnicity, gender, religion, or otherwise. Minorities, veterans, and individuals with disabilities are encouraged to apply.

POSITION PURPOSE
Ensures that resident’s personal care needs are being met in accordance with Residents’ wishes and Care Plan Objectives.

ESSENTIAL FUNCTIONS OF POSITION
Answers signal lights, bells, or intercom system to determine residents’ needs and ensures call lights are within reach of resident.
Ensures that residents’ who are unable to call for help are checked frequently.
Gives direct resident care such as bathing, dressing, and grooming of residents.
Explains procedures to residents.
Assists residents as necessary in their activities of daily living.
Assists residents with bowel and bladder functions.
Assists residents in preparation for and transporting to appointments, activities and social programs.
Assists with lifting, positioning and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc., in keeping with specific resident safety needs.
Provides incontinent care as needed.
Dresses resident appropriate to the current weather.
Notifies Supervisor if resident needs clothing.
Changes bed linens.
Handles linens according to infection control guidelines.
Feeds residents requiring help and records meal intake.
Delivers and documents all snacks and supplements.
Offers fluids to residents frequently to ensure that residents are hydrated where designated by care plan.
Reviews and implements daily nursing needs as outlined by resident Care Plan or nurse managers.
Transports residents or assists residents with mobility needs.
Turns and repositions bedfast residents, alone or with assistance.
Takes and records temperatures, blood pressure, pulse rates, respiration rates, height, weight, and food and fluid
intake and output, as directed.
Monitors resident’s activities and reports any irregularities of resident performance to nurse managers.
Participates in and receives nursing report upon reporting and departing to/from work.
Reports all changes in residents’ conditions to supervisor.
Cleans instruments and equipment and returns to proper area after use.
Maintains cleanliness of residents units, central bathing area, treatment and supply rooms, workrooms, and linen
closets.
Provides post-mortem care as instructed.
Accurately records all care as directed.
Participates and attends periodic in-services and staff meetings.
Understands and adheres to the guidelines of “Residents Rights”.
Perform additional duties as assigned.

EDUCATION / REQUIREMENTS
Ability to communicate with residents and nursing staff. Ability to speak, read, and write English. Prior experience as LTC nursing assistant preferred; or equivalent combination of education and experience. Successful completion of State Approved Nursing Assistant Training and Competency Evaluation Program. Good standing in the state registry is required.

An equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability, race, ethnicity, gender, religion, or otherwise. Minorities, veterans, and individuals with disabilities are encouraged to apply.

PRN LPN

POSITION PURPOSE
Organizes and directs assigned unit duties to provide quality nursing care to residents.

ESSENTIAL FUNCTIONS OF POSITION
Responsible during the shift for the total nursing care of residents in the assigned unit.
Assumes responsibility for compliance with Federal, State, Local, and company regulations.
Explains procedures and treatments and care plan to resident.
Administers prescribed medications and treatments in accordance with approved nursing techniques.
Transcribes physician’s orders.
Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response to care.
Receives/gives report from/to nurse he/she is relieving/coming on and records sufficient information and implements appropriate follow-up action as necessary
Follows established procedures for charting and reporting all reports of incident/accidents for residents and employees.
Conducts frequent rounds to evaluate effectiveness of care delivery.
Prepares equipment and aids Physician during treatment and examination of resident.
Maintains awareness of comfort and safety needs of resident.
Observes resident, records significant conditions and reactions, and notifies supervisor or Physician of resident’s condition and
reaction to drugs, treatments, and significant incidents.
Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of resident.
Responds to emergency situations based upon nursing standards, policies, procedures, and protocol.
Assists in completion of the care plans (acute and long term) and is involved in the care conference as deemed necessary.
Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse.
Ensures that documentation is reflective of the care plan and that the approaches on the care plan are being followed.
Assures that assigned CNA’s are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care.
Monitors that CNA’s documentation is completed daily.
Takes report form CNA’s to facilitate accurate documentation in resident medical record.
Follows company policy and procedure in the event a restraint must be utilized.
Coordinates residents’ rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met.
Identifies residents at risk for nutritional problems and implements preventative measures.
Records new/changed diet orders. Forwards information to the Dietary Department.
Makes beds, bathes and feeds resident, when necessary.
Assures documentation is accurately completed for admission, discharge and transfer.
Supervises and evaluates implementation of the “Resident’s Rights”.
Participates in department or unit quality improvement activities.
Follows facility procedure requesting supplies and charges for items ordered through Central Supply.
Participates and attends periodic in-services and staff meetings.
Perform additional duties as assigned

EDUCATION / REQUIREMENTS
Current State of L VN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.

An equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability, race, ethnicity, gender, religion, or otherwise. Minorities, veterans, and individuals with disabilities are encouraged to apply.

POSITION PURPOSE
Assist the Activity Director with daily resident activity program.

ESSENTIAL FUNCTIONS OF POSITION
Plan, coordinate, and facilitate stimulating activities programming.
Create strong and active volunteer program.
Communicate regularly with resident families and entire care team.
Prepare and review monthly newsletter and activities calendar.
Lead group activities.
Report and document resident’s progress.
Visits with residents on a one to one basis as directed.
Evaluates and reassesses activity interventions based on interdisciplinary plan of care and makes revisions as appropriate.
Ensure documentation meets compliance with regulatory standards.
Reports to the Activities Director on residents responses and/or progress to specific approaches utilized and maintains appropriate documentation.
Effectively manages the care of assigned patients using knowledge, skills, judgment and decision making skills for the specific area. Effectively carries out Activities role as assigned
Perform additional duties as assigned.

EDUCATION / REQUIREMENTS
At least one year long-term care or assisted living experience; or equivalent combination of education and experience. Ability to produce stimulating programs. Strong communication skills required.

An equal opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability, race, ethnicity, gender, religion, or otherwise. Minorities, veterans, and individuals with disabilities are encouraged to apply.

Patient Care Coordinator, MDS RN

POSITION PURPOSE:
Responsible for the timely and accurate completion of the MDS process from admission to discharge. Coordinate information systems operations and education for the clinical department.
MOD obligation: In the presence of a structured/formal Manager on Duty agenda with paid overtime as necessary. (This is because it is not realistic in most situations to provide for alternate time off in a position such as this)

ESSENTIAL FUNCTIONS OF POSITION:
Review of all Medical Records and interview with patient/family/RP to ensure all comorbidities are documented. If needed communicate with Physician to obtain an order for patient’s chart.
PPS – Determination of Skilled need and appropriate category and primary ICD 10 code.
Review of hospital documentation for case mix optimization for all admit, readmit, ER visits.
Strategic ARD selection related to payer.
ICD 10 Coding for all of patient’s diagnosis.
Mapping/sequencing ICD 10 Codes for all Part A, MGD Care and Part B.
Check ADL coding daily for accuracy and holes. Educate staff when needed.
Accurate coding per the RAI Manuel for Section G (OBRA) and GG (PPS)
Timely and strategic Completion MDS sections as IDT staffing dictates (no SW, ACT, RD because of vacancy or vacation).
Chart audit for and IDT notification of missing DX, MD visits, IDT notes, Nursing documentation, possible incidents etc. during MDS completion.
IDT coordination for timely MDS completion. The expectation is that the assessment be completed the day after the ARD.
TSI alerts with the close of each MDS.
Address areas from TSI as necessary.
Review all Scrub Reports daily with the IDT during daily clinical meeting.
Correct any coding that was determined to be inaccurate during IDT collaboration.
MDS modification as appropriate.
CAA completion per the RAI Manual.
Detailed and personalized Care Plan development from comprehensive assessment and revision with other scheduled MDS assessments.
Ensure that Care Plans are updated by the team daily during the clinical meeting. IDT approach.
Weekly review of P, B and I RUGs in case mix states using the TSI Medicaid Check Report.
Case mix optimization as relates to setting early ARDs determining completion dates, use of weekly TSI Medicaid Check Report.
Send worked TSI Medicaid Check Report to RRN every Friday.
Daily IDT Skilled Meeting with IDT.
Weekly UR prep and meeting with IDT for Part A and B.
Weekly Part B Log.
Pull DCR report to address any ZZZ or missing RRR RUG values and alert BOM to concerns.
Completion and compliance with Physician certification for Medicare.
Assist with determination of Medical Necessity prior to admission to facility (TX)
Completion of Continued Skill form monthly for Central Billing.
Completion and delivery of denial letters for residents cut with remaining days, and other denial situations in the absence of a trained BOM and/or SW.
Identification/Collection of MDS specific documentation for ADRs and review of ALL documentation prior to sending to the Appeal Department.
Monthly QA meeting (expected to pull Casper reports 1-week prior for IDT analysis)
EOM billing preparation and MRA assessment completion with response to RRN preliminary findings.
Monthly Triple check meeting and completion of validation report as additional MDS completed.
LTCMI completion and submission within 48* (TX).
Check Simple at least weekly and follow up with any needs. Communicate with the BOM when necessary.
Weekly Level of Care Meeting (TX).
Call on any Pending Denial within 5 working days.
Notify RRN of any PCE needs so that correct dates can be verified.
Oversight and licensed documentation related to developed Restorative Nursing Programs.
Review of preliminary Case mix reports from M and S with correction and submission for finals. (LA, CO, NV).
Ongoing Managed care review/update.
Bi – Weekly Transmission of MDS.
Weekly review of Submission file to address rejections or warnings.
Monthly review of Missing Assessment Report from CMS.
Assist with education related to documentation.
ALL OTHER DUTIES AS ASSIGNED BY SUPERVISOR
PCC is not responsible for:
New Admission chart reviews as relates to clinical compliance. Can assist with this during the clinical meetings.
MD order monthly review
PASSR – depending on each facility’s need.
Managed Care preauthorization
Completion of UDAs
802/672 management

EDUCATION / REQUIREMENTS:
RN licensure within the State plus a minimum of two years MDS experience in long term care; or equivalent combination of education and experience. LVN or LPN may be considered with exceptional qualifications and CEO/CNO review and approval. Prefer RAC-CT certification. Must pass MDS competency test within 90 days of hire. Must demonstrate the knowledge and skills necessary to prove care appropriate to the age-related needs of the residents served. Must be a supportive team member, contribute to and be an example of teamwork and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines that pertain to long term care facilities. Must be organized and be able to meet deadlines.

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