$29/hour

$29.50/hr if Bilingual Spanish speaking

The Bi-Lingual (English/Spanish) LPN at the Adult Family Care Program provides nursing oversight and assists Caregivers in all aspects of medical health concerns pertaining to the Member, including advocating with physicians and other health care providers.  The LPN provides case management, medical teaching and training to Caregivers and Members. 

• Under the direction and supervision of the AFC provider RN, the licensed practical nurses will:
• Ensure that the program meets and complies with all applicable Adult Foster Care Medicaid regulations: oversee compliance of Caregivers with mandated trainings.
• Complete all nursing assessments and coordination of all other applicable clinical assessments that are required in the intake and admission process for AFC Services.
• Participate in the evaluation of Caregivers. 
• Develop positive relationships with Members, Caregivers, and monitor, assess and supervise placements in conjunction with the Social Worker/Case Manager.
• Act as a liaison with other agencies involved in providing services to the Members we support, such as day programs.
• Notify member’s primary care physician (PCP) of changes of health status.
• Maintain accurate medical records, documentation, and reviews; to include the PCP Order Form, daily log, vital signs when appropriate, medication sheet, monthly nursing notes, and health records. 
• Develop, complete, and maintain, Member’s semi-annual health status report, Plan of Care including implementation, and annual assessment tools as designated by MassHealth.
• Train and supervise participating Caregivers on all aspects of their responsibilities, including the Member’s medical and personal care needs, as well as their overall health status. Conduct an orientation for each AFC Caregiver before the AFC Caregiver begins personal care; and provide ongoing training to AFC Caregivers on health and aging.
• Oversee program’s medication management policy and procedures.
• Monitor the Member’s health status on an ongoing basis through contact with the Caregiver and home visits with each Member at the qualified setting bimonthly (alternating with the bimonthly visit by the care manager) for Level I, and monthly or more often as the Member’s condition warrants for Level II.
• Complete a nursing progress note corresponding with each on-site visit or encounter, or more often as the Member’s condition warrants.
• Oversee grievance policy for Caregivers and Members.
• Plan and implement discharges from the Adult Family Care Program.
• Support the development and growth of all Members served in the program.
• Actively participates in discharge planning as needed.
• Provide crisis intervention which may include 24 hour on call responsibility.
• Attend and actively participate in supervision, team meetings and multi-disciplinary team.
• Attend and actively participate in trainings as assigned.  Maintain all current certifications and licenses.
• Adhere to all principles related to the Advocates Way.
• Ensure that individuals we support are treated with dignity and respect in accordance with Advocates’ Human Rights Policy.
• Perform all duties in accordance with the agency’s policies and procedures.

• Current licensure in the Commonwealth of Massachusetts as a Licensed Practical Nurse and in good standing with the Board.
• Two years recent experience in the direct care of the elderly or adults with disabilities.
• Bilingual in English/Spanish required
• Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations.
• Must have strong oral and written communication skills with Members, Caregivers, funding sources, consultants, the community at large, and the program and administrative staff.
• Must be able to perform each essential duty satisfactorily.
• Must have sensitivity to the needs of the population.
• Must have intermediate computer skills and knowledge of Microsoft Office products
• High energy level, superior interpersonal skills, and ability to function in a team atmosphere
• Must hold a valid drivers’ license.  Must have access to an operational and insured vehicle and pass a Motor Vehicle Record check.
• Must be able to pass a CORI, SORI, and OIG check
• Must not be a direct Caregiver or be legally responsible for the member receiving AFC.
• Must have satisfactorily completed a pre-employment physical examination and received a tuberculosis screening within the previous 12 months.

Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience.