Job description

Hilltop Home is currently seeking Direct Support Professionals, for a full-time (40 hrs. per week) job opportunities. We currently have 3 shifts available.

1st Shift 7a.m. -3 p.m.; 2nd Shift 3 p.m. to 11 p.m.; * 3rd Shift 11 p.m. to 7 a.m.*

More About Us: Hilltop Home is a private, nonprofit, Intermediate Care Facility (ICF/IID) serving a maximum of 22 young children who have severe to profound developmental disabilities and are medically fragile. Hilltop Home provides a comprehensive residential program that includes individualized medical, therapeutic and developmental/educational services. The program is designed to assist children with multiple disabilities and medical fragility to reach their fullest potential. The care includes medical, therapeutic and educational services provided in an intimate, homelike setting.

Job Description:

• Manage all aspects of the developmental program for children ages birth – 18 years.
• Implement appropriate developmental activities, and perform regular assessments and data collection for children’s residential goals and objectives.
• Follow through with lesson plans and/or activities adapted to match each child’s skill set. (I.e. basic sensory learning experiences.
• Provide all aspects of personal care such as: grooming, feeding, diapering, and repositioning, etc.

Requirements: High School diploma and at least 2 years of significant experience working with developmentally disabled and/or medically fragile children.

• Experience working with Trachs preferred.
• Ability to communicate effectively with others, including excellent oral and written communication skills. Competency in computer skills. Sound judgment and decision-making skills. Strong interpersonal skills, including ability to work within a team situation. Well-developed organizational skills and ability to manage/coordinate a variety of tasks and responsibilities concurrently.
• Ability to pass health registry check, criminal background check, driving record check, and drug screening. Valid NC Driver's License Ability to re-position, lift, and transfer residents safely using proper techniques up to 40 pounds unaided, up to 100 pounds aided.

Position Details: Compensation is commensurate with experience. A comprehensive benefits package including paid time off is available for full-time staff.

Hilltop Home is an equal opportunity employer

Hilltop Home is a private, nonprofit, Intermediate Care Facility (ICF/IID) serving a maximum of 22 young children who have severe to profound developmental disabilities and are medically fragile. Hilltop Home provides a comprehensive residential program that includes individualized medical, therapeutic and developmental/educational services. The program is designed to assist young children with multiple disabilities and medical fragility to reach their fullest potential. The care includes medical, therapeutic and educational services provided in an intimate, homelike setting. Hilltop Home provides around-the-clock nursing care by a professional caring staff, quality educational services through a certified non-public residential school, physical, occupational and speech therapy, and a home-style environment with all the resources needed to care for special children with low staff to patient ratios.

Open Position:

Full-time RN/LPN : 6:00pm-6:00am 3X per week; with the option to pickup additional hours.

Responsibilities and Duties:

• Provide comprehensive nursing care to children with severe/profound developmental disabilities who are medically fragile residing at Hilltop Home in Raleigh, NC.
• Administer medications according to the physician's orders while meeting the 6 rights of medication administration and administer enteral feedings according to the physicians orders
• Implement and monitor all treatments ordered for each resident by the physician, evaluating the outcomes and documenting as appropriate as well as implement the plan of care established for each resident
• Evaluate the effectiveness of the nursing interventions and achievement of expected outcome for each resident, and modify the plan of care as needed
• Follow the policy and procedures for emergency response if a residents health status declines
• Communicate with family members regarding residents conditions
• Monitor the care provided to the residents by the habilitation technicians/CNAs and LPNs
• Contribute positively to an interdisciplinary team approach, and maintain a family home atmosphere while respecting dignity and confidentiality of all residents
• Attend and participate in training and staff meetings as requested by the supervisor/management
• All other duties as required and requested by the supervisor

Qualifications and Skills

Graduation from an accredited school of nursing, RN or LPN, Current North Carolina RN or LPN license (or licensed in a compact state), Current Healthcare Provider BLS certification, ability to re-position, lift, and transfer residents safely using proper techniques up to 40 pounds unaided, up to 100 pounds aided, one or more years' experience working with pediatrics and/or ICF/IID is preferred, solid interpersonal, communication (verbal and written) and organizational skills required. Must submit to thorough pre-employment background check and drug screening.

RN Nurse Manager

Hilltop Home is currently seeking an RN Nurse Manager to provide leadership, professional skills, and services aimed at exemplary patient care, preventing disease, and maintaining good health.

More About Us:Hilltop Home is a private, nonprofit, Intermediate Care Facility (ICF/IID) serving a maximum of 22 young children who have severe to profound developmental disabilities and are medically fragile. Hilltop Home provides a comprehensive residential program that includes individualized medical, therapeutic and developmental/educational services. The program is designed to assist children with multiple disabilities and medical fragility to reach their fullest potential. The care includes medical, therapeutic and educational services provided in an intimate, homelike setting.

Position collaborates with:
• Residential Nurse Administrator
• Nurses
• Health Care Coordinator
• Medical Services Coordinator
• Direct Support Professionals
• Teachers
• Therapists
• Qualified Professional
• Program Director
• Parents/Guardians
• Program Specialists

Essential Functions: *Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Assist the Clinical Director in providing comprehensive care to the children and oversight of all nursing care provided in a residential facility.

2. Assist the Clinical Director in establishing policies, procedures, and protocols, and updating them as needed, regarding clinical standards of practice.

3. Take on call rotation with Clinical Director and cover on call when the Clinical Director on leave and in emergency situations to comply with all licensure requirements.
4. Participates in the recruitment and selection of appropriate skill levels and numbers of nursing service personnel.
5. Makes monthly schedule for nursing staff, dietary staff and health care coordinator and appointment coverage.
6. Tracks time and attendance for nursing department.
7. Approves time for nursing department staff to align with payroll deadlines.
8. Monitors absenteeism to ensure that an adequate number of nursing care personnel are always on duty.
9. Will work as the “floor nurse”, as needed (rotating among shifts/weekends for supervisory purposes) and the remainder of 40 hour week fulfilling administrative/quality assurance responsibilities.
10. Assist the Clinical Director with monthly, quarterly and annual assessments of the children.
11. Assist the Clinical Director with the necessary supervision, training and evaluations of nursing staff.
12. Perform medication pass quality checks.
13. Assist as needed with scheduling and attending medical appointments for residents.
14. Assist with the ordering of supplies as needed.
15. Assist with maintaining the children’s records and ensuring charting is completed as indicated.
16. Administer medications according to the physician’s orders while meeting the 7 rights of medication administration.
17. Administer enteral feedings according to the physicians’ orders.
18. Implement and monitor all treatments ordered for each child by the physician, evaluating the outcomes and documenting as appropriate.
19. Implement the plan of care established for each child.
20. Follow the policy and procedures for emergency response if a child’s health status declines.
21. Communicates with family members regarding children’s conditions.
22. Monitor the care provided to the children by the habilitation technicians/CNAs and Nursing staff.
23. Notify the physician of changes in the children’s health status.

24. Report and record all changes regarding the children’s health status.
25. Ensure staff follow appropriate infection control techniques.
26. Lift and transfer children according to positioning needs and schedules.
27. Adhere to safety and quality standards at all times.
28. Contribute positively to an interdisciplinary team approach.
29. Advocate on behalf of children’s rights and independence
30. Maintain a family home atmosphere while respecting dignity and confidentiality of all children.
31. Participate and support staff in the programs to enhance and increase a child’s independence.
32. Attend and participate in training and staff meetings as requested by the supervisor/management.
33. Must utilize all safety procedures and equipment when lifting children, moving equipment etc.
34. Ensure all emergency procedures are followed in the event of a fire drill, actual fire, or other emergencies.
35. Adhere to time and attendance policy and procedure.
36. Adhere to organizations policies and procedures.
37. All other duties as required and requested by the supervisor.
Competencies:
1. Ability to: perform nursing functions according to the Nurse Practice Act
2. Ability to: lift and transfer residents safely using proper techniques -up to 40 pounds unaided, up to 100 pounds aided
3. Ability to: hear, understand and follow directions
4. Ability to: act as a positive role model and communicate with others effectively as a team member
5. Ability to: complete tasks on time
6. Ability to: perform assigned duties using electronic technology to include proficiency with Microsoft Office Suites (Word, Excel, Outlook, Powerpoint), email, faxes, etc.

Work Environment:
This job operates in a setting where healthcare takes place. This role requires regular walking to various locations around the home/facility. This role also routinely comes into contact with residents who may have contagious illnesses.

Physical Demands:
While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; and talk or listen. The employee is frequently required to sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision.

Position Type and Expected Hours of Work:
This is an exempt position which may require working beyond the normal (40) hour work week at any given time, to fit the needs of the agency.

Required Education and Experience:

• Graduation from an accredited school of nursing with RN degree

• Current North Carolina Nurses License (or licensed in a compact state)
• Current HCP level CPR certification
• One year of nursing experience

Preferred Education and Experience:
One year of nursing experience with preference for pediatric and/or ICF-MR experience

Additional Eligibility Qualifications:

• Valid North Carolina Driver’s license
• First Aid/CPR
• Blood Borne Pathogens
• Tuberculosis screening
• Health Registry Check
• Drug Screening
• Driving Record Check
• Criminal Background Check

EEO Statement Hilltop Home, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Hilltop Home complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training.

Other Duties & Qualifications
To execute this job successfully, an individual must be able to perform each essential duty satisfactorily. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for their job. Duties, responsibilities, and activities may change at any time with or without notice.

COVID-19 considerations:
COVID-19 vaccination required.

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