CRMA Team Lead

at First Atlantic Healthcare in Ellsworth, Maine, United States

Job Description

Seaport Village Healthcare the Inn at Seaport Village in offer luxurious Assisted Living, state-of-the art Skilled Nursing , rehabilitation services not offered anywhere else in Maine. We are a 91 bed facility located in Ellsworth, Maine with all private rooms including Assisted Living, Skilled Nursing Long Term Care. Our employees are dedicated and loyal caregivers with may years of industry experience. Under the ownership of First Atlantic Healthcare, Seaport follows in First Atlantic’s long standing reputation for excellence in Long Term Care. Purpose of Job Position The primary purpose of your job position is to provide support to the licensed nurse in the coordination of resident care services. All related functions shall be in accordance with the applicable federal and state regulation, established standards, and company policies and procedures. Essential Function 1. Coordinates receipt of pre-admission resident care information .Physician orders including medications, treatments, diet, labs, code status, ect. . HP . Standing orders 2. Coordinates completion of monthly progress note including significant changes and implementation of the service plan. May be responsible for completion of some monthly progress notes as assigned. 3. Schedules/manages resident medical and other appointments 4. Completes and transmits pharmacy orders/reorders. For residents who use pharmacies other than the provider pharmacy, notifies responsible person of need for medication fill/refill and documents such notification according to facility policy. Tracks orders/ reorders to ensure timely provision of medication to residents. 5. Provides physician notification of significant changes in resident status as directed by nurse when available or as needed. 6. Transcribes physician orders (including any scheduling, cross reference updating, or signatures required). 7. Completes assigned sections of the MDS-RCA 8. Performs clinical software date entry: . Physician Orders (medications, treatments, diets, labs, etc.) . Resident Face Sheet . MDS-RCA . Service Plan 9. Files/purges medical records on a regular, systematic basis. 10. Print monthly MAR/TAR and care giver documentation record. 11. Conducts pre-implementation audit of MAR/TAR monthly (in conjunction with nurse where available) 12. Conducts post-audit of MAR/TAR for errors monthly. Forwards results to nurse consultant / RC Director. 13. Monitors/ ensures completion and appropriate documentation of weekly/ monthly weights and vital signs. 14. Monitors and coordinates renewal of ‘Do Not Resuscitate’ orders 15. Monitors and coordinates thoroughness and renewal of psychotropic drugs orders. 16. Monitors and coordinates completion of annual physical. 17. Monitors and coordinated completion of physician ordered labs. 18. Maintains/updates all assignment sheets and care schedules (bathing, vital signs, PCA/ CRMA/ CNA staff assignment sheets, ect) 19. Monitors and ensures cleanliness/ orderliness of all medication/ nursing supply areas 20. Reviews documentation from physician visits, hospitalizations, ect. To ensure diagnosis and allergy list for each resident is current. 21. Screens/ Acts as first responder for all telephone or in-person requests for “The Nurse” 22. Preforms direct resident care when assigned. 23. Provides medication administration when assigned and on-call rotation. 24. Provides supervision or assistance with Activities of Daily Living (ADLs) including transferring, mobility, locomotion, bathing, dressing, grooming, eating, toileting and personal hygiene. Will assist as needed with Instrumental Activities of Daily Living (IADLs) including, managing appointments, managing finances (on site personal funds, use of telephone, transportation, housekeeping, laundry, meal preparation/ service, and shopping as assigned or as necessary. 25. Provides supervision or accordance with each resident’s service plan and taking into account the residents personal goals, choice, and preferences, abilities and strengths in order to enhance the residents life experience and reduce the effect of losses. 26. Performs services in recognition of each residents rights 27. Conducts orientation and training with team leader as directed by Administrator/ RC Director 28. Attends required continuing education programs (in-services) to ensure that knowledge of current drugs, standards, policies and procedures, issues affecting the elderly, and facility policies and procedures is maintained. 29. Follows all established safety and infection control policies and procedures in caring out duties. 30. Immediately reports all accidents/ incidents and injuries to the RC Director and complete the appropriate incident reports. 31. Monitors for and immediately reports unsafe/ hazardous conditions/ equipment in accordance with the established company policies and procedures 32. Behaves and communicates in a manner that promotes a positive work atmosphere. 33. Participates in an On Call rotation to assist in the coverage of shifts