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Legal Medic LLC is hiring RNs for management roles. We also hire RNs, LPNs, TMAs, and CNAs for line staff roles.
Director of Nursing (DON)

Department: Administration
Contract
Employment Type: Regular Full Time
Core Schedule: Monday-Friday 8:00-4:30

Position Summary

The Director of Nursing is accountable for the development and maintenance of nursing service objective and standards of nursing practice. Has administrative authority, responsibility and accountability for functions, activities, and training of nursing staff. Is responsible for the planning, development, and implementation of care delivery systems. Orients, instructs, and supervises personnel and functions. Coordinates nursing services with other departments. Maintains supplies and adequate equipment. Maintains compliance with Federal, State, and local standards and regulations to assure quality outcome of care.

Essential Responsibilities and Duties

Responsibility: To Facilitate the Care of the Resident Through a Well-Defined Care Delivery System to Assure Quality Outcome of Care

  • Oversees the entire RAI process including electronic submission, assessment reference date and lock date.
  • Coordinates MDS and care planning process. Will develop plan of care in cooperation with nursing staff and interdisciplinary care plan team.
  • Serves as consultant on admitting and discharge policies and procedures in cooperation with Social Services and Administration and completes referrals in a timely manner. Attends or conducts patient care conferences as needed.
  • Maintains total nursing care of patients and the accuracy of the nursing care records thru management of nursing staff.
  • Implements procedures for general nursing care and for aseptic techniques by applying nursing policies and procedures.
  • Maintains updated written nursing procedure manuals at each nursing station, in cooperation with education directors.
  • Coordinates nursing services for the resident in the facility with other ancillary services and interdisciplinary team members.
  • Accompanies or assigns other qualified nursing personnel to accompany physicians when attending patients.

RESPONSIBILITY: Has Knowledge of and Consistently Applies Established Nursing Policies and Procedures According to State and Federal Regulations and Nurse Practice Act.

  • Is knowledgeable of and abides by the importance of the residents’ Bill of Rights. Knows and uses standards of care and specific policies to perform nursing care duties for residents.
  • Allows autonomous decision making for resident whenever possible.
  • Abides by and promotes the Continuous Quality Improvement Program.
  • Implement a medication administration procedure that assures accurate, timely medicine to all residents.
  • Meets with the pharmaceutical consultant routinely to assure proper medication disposition and follow-up recommendations for drug interactions.
  • Completes forms properly and timely as required by State and Federal agencies; i.e., QAR, MDH, etc.

RESPONSIBILITY: For the Staffing and Efficiency of the Nursing Department Works with budget as outlined by Administrator. Meets with sales representatives as needed.

  • Delegates and oversees inventories, orders and maintains supplies and equipment for the Nursing Department.
  • Reports equipment in need of repair to the Maintenance Director as necessary. Works with Administrator regarding purchase of high cost equipment.

RESPONSIBILITY: For the Ordering, Receiving and Storage of New Equipment and Supplies Works with budget as outlined by Administrator. Meets with sales representatives as needed.

  • Delegates and oversees inventories, orders, and maintains supplies and equipment for the Nursing Department.
  • Reports equipment in need of repair to the Maintenance Director as necessary. Works with Administrator regarding purchase of high cost equipment.

Facility Compliance

  • Promotes a highly positive workplace centered on strong customer service, inclusivity and ensuring staff feel welcome and supported.
  • Exhibits professional behavior that serves as a leader and role model for all staff, residents and visitors.
  • Promotes a positive and professional image both in the facility and in the community.
  • Always maintains resident confidentiality. Understands the need for complete privacy of all health care data.
  • Attends meetings as directed to include departmental meetings, Quality Assurance meetings, and others as directed by the Administrator.
  • Attends educational programs on Continuous Quality Improvement, customer satisfaction and other such programs. Further completes audits as designated.
  • Develops and conducts nursing staff meetings as needed.
  • Maintains and applies knowledge of current policies and procedures as it relates to your job responsibilities. Educate necessary personnel, as needed.
  • Attends continuing education/in-services pertinent to your departments and designated by the ADON.
  • Attends all staff education of the Rehabilitation Center relating to safety, infection control and disease process.

Qualifications

Education and Experience

  • Must be a Registered Nurse, currently licensed by the State of Minnesota, who has training in rehabilitation nursing, gerontology, nursing service administration, management, supervision and psychiatric or geriatric nursing before or within the first twelve (12) months after appointment as Director of Nursing Services.
  • Must possess the ability to communicate verbally and in writing when directing the care of residents.
  • Must be able to perform essential functions of the position with or without reasonable accommodation.
  • Must qualify for employment, after criminal background study, per guidelines of Minnesota Department of Human Services.

Preferred

  • Experience in healthcare, skilled nursing facility or assisted living community.
Required Skills and Abilities
  • Ability to effectively manage multiple tasks and pivot with sudden demands of your attention.
  • Resilience; ability to welcome constructive feedback, course correct and not take it personally Personability; ability to get along with all personality types and inspire trust with residents, staff, family.
  • High emotional intelligence (EQ)
  • Ability to actively listen, with the goal of understanding.
  • Ability to clearly speak and proficiently read and write in English.
  • Comfort in operating in ambiguous situations and with diverse populations.
  • Ability to thrive in an environment that is fast-paced and rapidly growing.
Physical Demands

The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

Rarely = not a regular part of this job

Occasionally = less than 1/3 of a shift

Frequently = 1/3 to 2/3 of a shift

Constantly = more than 2/3 of a shift

An essential part of the job regardless of frequency or duration.

Physical Activity
  • Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs.
  • Standing and Walking: Frequently needed throughout the day (ability to be mobile around the facility throughout the day).
  • Sitting: Frequently sits throughout the day
  • Using Hands: Constantly uses hands throughout the day.
  • Reaching: Frequently reaches throughout the day.
  • Climbing and/or Balancing: Rarely needs to climb or balance.
  • Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl
  • Talking: Frequently needs ability to talk throughout the day.
  • Hearing: Constantly needs to hear and listen throughout the day.

Vision

This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

Assistant Director of Nursing (ADON)

Department: Administration
Contract
Employment Type: Regular Full Time
Core Schedule: Monday-Friday 8:00-5:00

Position Summary

The ADON is accountable for assisting the DON in directing the activities of licensed and non-licensed personnel to ensure the delivery of quality care to the residents. The ADON oversees, facilitates, and manages occupational health and staff development functions within the facility alongside and in the absence of a Clinical Educator. The occupational health element of this position includes infection control, coordinating all elements of the employee injury management process, health care worker health programs and resident/employee safety. The ADON is responsible for surveillance, maintaining records, data collection, and assessment, evaluation of Incident Reports, reporting to Safety Committee, Infection Control Committee, and Quality Assessment/Assurance Committee. The ADON also facilitates staff development through orientation, hands-on training, competency evaluations, preceptorships, and audits. The ADON promotes quality care through the development of knowledge, skills and aptitude of staff.

Essential Responsibilities and Duties

Responsibilities: Resident Care

  • This position is responsible for assisting the Director of Nursing in planning, developing, and supervising the activities of licensed and non-licensed personnel who provide health care and nursing services to the nursing home residents.
  • Assists the Director of Nursing in the design, implementation and evaluation of nursing systems that ensure consistent delivery of care and maintains and promotes resident rights. • Assists the Director of
  • Nursing in the development, implementation and evaluation of facility policies, procedures and guidelines on an annual and on-going basis.
    In the absence of the Director of Nursing, the ADON performs the duties of the Director.

Responsibility: Staff Development

  • Works with the VP of Clinical Services to coordinate and facilitate orientation, preceptor, mentor, and leadership programs within the facility.
  • Maintains education records for employees through a learning management system. Utilizes e-learning to deliver most “teacher-centered” education.
    Facilitates the implementation of new policies and procedures within the facility. Plans for and facilitates professional, management, leadership, and personal growth opportunities.
  • Participates in staff competency evaluations and performance audits, and provides hands on, just-in-time training to appropriately respond to facility education needs.
  • Facilitates any requested/required in-house education sessions or department meetings as directed by the Facility Administrator.
  • Oversees student nurse/nursing assistant schedules for clinical experiences in the facility.

RESPONSIBILITY: Compliance with Injury Management Program

  • Promotes overall safety of employees and residents, collects and assesses safety and infection control data.
  • Coordinates and oversees the Employee-Right-To-Know Program and the AWAIR Program.
  • Coordinates the Continuous Quality Improvement Program.
  • Manages Health Care Workers Health Programs.
  • Participates in infection control campaigns in the facilities, including but not limited to influenza and pneumococcal vaccination for residents and employees.
  • Participates in policy and procedure development pertaining to infection control, Workers Compensation, Safety, Quality Assurance, Emergency Preparedness and others as assigned.

Responsibility: General

  • Performs other duties as assigned.
  • Accepts flexible working hours so that appropriate education programs and orientation follow-up can be provided to staff of all shifts.
  • Participate in Resident/Family Councils, family nights, etc., as requested.
  • May be expected to work as a staff nurse, if needed.

Facility Compliance

  • Promotes a highly positive workplace centered on strong customer service, inclusivity and ensuring staff feel welcome and supported.
  • Always maintains resident confidentiality.
  • Understands the need for complete privacy of all health care data.
  • Abides by and promotes the Continuous Quality Improvement Program.
  • Attends continuing education/in-services pertinent to your department.
  • Attends meetings as directed to include department director meetings, Quality Assurance meetings, etc.
  • Attends all staff education of the Rehabilitation Center relating to safety, infection control and disease process.
  • Attends educational programs on Continuous Quality Improvement, customer satisfaction and other such programs. Further completes audits as designated.
    Maintains current knowledge of Minnesota Department of Health regulations.
  • Maintains and applies knowledge of current policies and procedures as outlined.
  • Is knowledgeable of and abides by the importance of the Residents’ Bill of Rights.

Qualifications

Education and Experience

  • Must be a registered nurse, currently licensed by the State of Minnesota
  • Must have an interest in and knowledge pertaining to, safety regulations, accident prevention, disaster preparedness, microorganisms, infection, prevention, and control measures. Must have an interest in teaching both professional and non-professional staff.
  • Must have basic computer competencies or be willing to attend training to attain competency. Must be flexible with working hours and possesses the ability to work independently. Must be able to perform essential functions of the position with or without reasonable accommodation.
  • Must qualify for employment, after criminal background check, per guidelines of the Minnesota Department of Human Services.

Preferred

  • Experience in healthcare, skilled nursing facility or assisted living community

Required Skills and Abilities

  • Ability to effectively manage multiple tasks and pivot with sudden demands of your attention Resilience: ability to welcome constructive feedback, course correct and not take it personally Personability; ability to get along with all personality types and inspire trust with residents, staff, family.
  • High emotional intelligence (EQ).
  • Ability to actively listen, with the goal of understanding .
  • Ability to clearly speak and proficiently read and write in English.
  • Comfort in operating in ambiguous situations and with diverse populations.
  • Ability to thrive in an environment that is fast-paced and rapidly growing.
Physical Demands

The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

Rarely = not a regular part of this job

Occasionally = less than 1/3 of a shift

Frequently = 1/3 to 2/3 of a shift

Constantly = more than 2/3 of a shift

An essential part of the job regardless of frequency or duration.

Physical Activity
  • Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs.
  • Standing and Walking: Frequently needed throughout the day (ability to be mobile around the facility throughout the day).
  • Sitting: Frequently sits throughout the day.
  • Using Hands: Constantly uses hands throughout the day.
  • Reaching: Frequently reaches throughout the day.
  • Climbing and/or Balancing: Rarely needs to climb or balance.
  • Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl.
  • Talking: Frequently needs ability to talk throughout the day.
  • Hearing: Constantly needs to hear and listen throughout the day.

Vision

This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

Certified Nursing Assistant (CNA)

Department: Nursing
Contract

Position Summary

The CNA is responsible for providing residents with the highest quality of direct routine care in all activities of daily living, under the supervision of the LPN or RN and in accordance with the MDH Nursing Assistant Program standards, the Resident’s Bill of Rights and the facility Quality Assurance and Performance Improvement (QAPI) program. According to the Plan of Care for the resident, CNAs apply skills in basic nursing, personal care and basic restorative services while understanding the mental health and social service needs of the resident and being mindful of the needs in cognitively impaired residents. The CNA is part of the interdisciplinary care team that is dedicated to promoting independence, autonomous decision-making and facilitating residents to achieve and maintain the highest practicable physical, mental and psychosocial well-being.

Essential Responsibilities and Duties

Quality of Care

  • Provides ongoing resident care upholding and promoting the resident’s right to be free from abuse, mistreatment, neglect or misappropriation of resident property, immediately reporting any suspicions, reports or witnessed events to appropriate facility staff.
  • Forms quality relationships, communicating and interacting competently on a one-to-one basis while integrating the resident-centered Plan of Care.
  • Demonstrates sensitivity to physical, mental and psychosocial needs as well as maintaining dignity, while skillfully performing directed nursing, personal cares and restorative services.
    Supports and promotes residents’ rights and attainment of as much functional independence as possible.
  • Maximizes quality of living through continual monitoring, reporting and documenting of resident care.
  • Provides the highest quality of care to all residents, without regard to race, gender, sexual orientation, religion, age or differences in culture.
  • Maintains awareness of facility QAPI goals and abides by and promotes the QAPI program
  • Practices and promotes a strong culture of customer service, ensuring a resident-centered experience.

Basic Nursing, Personal Cares And Basic Restorative Services

  • Facilitates Plan of Care through completion of nursing responsibilities, clearly communicating resident needs to primary caregivers and reporting changes and responses to interventions to the LPN or RN.
  • Completes basic nursing cares as directed such as taking and recording vital signs; measuring and recording height and weight; recognizing abnormal changes in body functioning and reporting to the LPN or RN; and caring for residents who are actively dying.
  • Completes personal cares as directed such as bathing; grooming; mouth care; dressing; toileting; eating and hydration; proper feeding techniques; skin care; and transfers, positioning and turning.
  • Facilitates adequate nutritional intake for resident through assisting to and from the dining area; feeding or assisting to feed; monitoring and recording intake and output; passing water and offering fluids; passing and collecting trays; serving supplemental nourishment as directed by nurse; maintaining awareness of dietary restrictions; and following safety guidelines including wearing gloves when handling food or hydration.
  • Completes basic restorative services as directed such as training residents in self-care and according to the resident’s abilities; use of assistive devices in transferring, ambulation, eating, and dressing; maintenance of range of motion; proper turning and positioning in bed and chair; bowel and bladder training; and care and use of prosthetic and orthotic devices.
  • Assists nurse with special procedures as directed, including implementing and completing critical care sheets, participating in care conferences, etc.
  • Provides and ensures nursing care activities are practiced in accordance with the MDH Nursing Assistant standards while protecting residents’ dignity, privacy and when possible autonomous decision-making.
    Facilitates assistance in areas such as getting to and participating in activities as well as assistance in resolving any grievances or disputes.
  • Articulates meaningful discussion with residents based on their unique backgrounds, likes and dislikes.
  • Maintains care and security of residents’ personal possessions.
  • Interacts with resident’s family, support network, visitors and members of the interdisciplinary care team in a courteous and cooperative manner.
  • Recognizes limits of knowledge, skill and experience; facilitates situations beyond the CNA’s competency.

Compliance – Safety, Documentation, Hipaa

  • Ensures all call lights are promptly and courteously answered
    Uses proper body mechanics at all times and reminds other nursing staff or facilitates correction.
  • Constantly adheres to safety policies and procedures in lifting, positioning and equipment use, including use of transfer belts, Hoyer or mechanical lifts.
  • Strictly follows Standard Precaution infection control procedures and OSHA guidelines regarding bloodborne pathogens to provide safe nursing care to include proper handwashing; maintaining disinfection/cleaning schedules; wearing PPE such as gloves, face shield, fluid resistant gowns, etc.
  • Maintains a clean environment in resident rooms and facility following infection control procedures to bag infectious linens and equipment or proper disposal of them.
  • Avoids the need for restraints in accordance with DHS nursing home standards.
  • Ensures all cares are documented and that resident records are complete through systematic collection, reporting and documentation of data that is secure from unauthorized access and follows state and federal regulations, including HIPAA to ensure privacy and maintain confidentiality.
  • Promptly reports and documents incidents and errors involving residents, staff, visitors or self.
  • Prioritizes work assignments consistent with number and level of staff available and resident care acuity.
  • Reviews departing staff report at start of shift, ensures duties and delegated tasks are complete at end of shift and reports off to nurse when leaving.

Qualifications

Education and Experience

  • Completion of a Minnesota DHS-approved Nursing Assistant program.
  • Current certification and listing on the Minnesota Nursing Assistant Registry.

Required Skills and Abilities

  • Resilience; ability to welcome constructive feedback, course correct and not take it personally.
  • Personability; ability to get along with all personality types and inspire trust with residents, staff, family.
  • High emotional intelligence (EQ).
  • Ability to actively listen, with the goal of understanding.
  • Ability to clearly speak and proficiently read and write in English.
Physical Demands

The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

Rarely = not a regular part of this job

Occasionally = less than 1/3 of a shift

Frequently = 1/3 to 2/3 of a shift

Constantly = more than 2/3 of a shift

An essential part of the job regardless of frequency or duration.

Physical Activity
  • Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs.
  • Standing and Walking: Frequently needed throughout the day (ability to be mobile around the facility throughout the day).
  • Sitting: Frequently sits throughout the day.
  • Using Hands: Constantly uses hands throughout the day.
  • Reaching: Frequently reaches throughout the day.
  • Climbing and/or Balancing: Rarely needs to climb or balance.
  • Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl.
  • Talking: Frequently needs ability to talk throughout the day.
  • Hearing: Constantly needs to hear and listen throughout the day.

Vision

This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

LPN Care Coordinator

Department: Administration
Contract
Employment Type: Regular Full Time
Core Schedule: Monday-Friday 8:00-5:00

Position Summary

The LPN Care Coordinator is accountable for assisting the Director of Nursing/Assistant Director of Nursing and Nurse Manager, RN in the management and leadership of a specific nursing unit. This position, under the direction of the Director of Nursing and RN Nurse Manager, assists in the evaluation of available resources to assure quality outcomes of care. They also assist in the direction and implementation of the nursing process. This includes assisting the Director of Nursing and RN Nurse Manager with systematic data collection; assist with the development of care plan, and implementation of care plan and revision of plan. The Care Coordinator, LPN coordinates the management of the care of residents through a well-defined care delivery system.

Responsibility: To assist in the development of the Comprehensive Care Planning Process under the Direction of the RN
  • Systematically collects data about residents through interview of resident and family, observation, discussion with physician and review of medical records.
  • Gather data to assist with the assessment of residents and applies knowledge to facilitate the therapeutic plan of care.
  • Assists and is knowledgeable in the development of the MDS, RAPS and care plan in collaboration with the interdisciplinary team.
  • Assists in the implementation of the care plan by monitoring responsibility, developing communication systems and following up on outcomes.
  • Attends quarterly and annual care conferences under the direction of the RN, meeting the needs of the resident and family.
  • Monitors for changes of resident’s conditions, reports the changes to an RN, and revises the plan of care as delegated by an RN to reflect the current resident status consistent with facility protocols, and physicians’ orders.
  • Assist in the data gathering for completion of assessments: Tardive Dyskenesia, restraint, falls, pain, bladder, Braden scale, smoking, etc. as delegated by the RN.
  • Assists in the data collection for the completion of the functional care plans by other nursing personnel.

Responsibility: Has Knowledge of and Consistently Applies Established Nursing Policies and Procedures According to State and Federal Regulations and Nurse Practice Act

  • Is knowledgeable of and abides by the residents’ Bill of Rights.
  • Uses standards of care and specific policies to perform nursing care procedures for residents.
  • Allows and encourages autonomous decision making to resident whenever possible. Abides by and promotes the Continuous Quality Improvement Program of the Rehabilitation Center including audits as assigned.
  • Documents resident incidents and reports the incidents to an RN.
  • Attends in-service and reviews literature to maintain skills in gerontological nursing.

Responsibility: Provides Nursing Cares and Leadership

  • Articulates expectations and follows up on assignments given to subordinates and assures completion of duties, as directed by an RN or supervisor.
  • Monitors the performance of other LPN’s and nursing assistants and provides direction to ensure that staff performs safely and competently.
  • Prioritizes and updates work assignments consistent with the number and levels of staff available that shift and acuity of residents care necessary.
  • Takes the necessary steps to replace appropriate nursing staff to maintain proper staffing levels. This may include working as the staff nurse.
  • Works designated weekends as directed by DON.
  • Knows and can implement fire, tornado and disaster plans.

Responsibility: Has Knowledge and Consistently Follows Standards of Documentation and Written Communication

  • Completes charting in accordance with health information standards and facility policy, particularly for residents on Medicare Part A and those with behaviors.
  • Resident assessment data is systematically collected, is communicated through report and is clearly documented in the medical record.
  • Gathers and documents data on admissions and discharges.
  • Is knowledgeable in the procedure to facilitate all physician orders and completes procedures to assure accurate follow-up.
  • Assists with the initiation, reporting and documentation of nursing orders.
  • Provides report to CNA’s and other staff, verbally or written about daily resident care needs and/or significant changes in condition.
  • Follows up on recommendations of the Dietician.
  • Administers medications accurately according to policy, including handwashing and 5 rights. Complies with standard of remaining 95% free of medication errors.
  • Signs out medications and treatments including PRN’s according to policy.
  • Reviews and audits medication/treatment sheets monthly.
  • Uses proper procedure for label changes.
  • Follows proper emergency kit procedures.
  • Follows control substance policy.

Facility Compliance

  • Promotes a highly positive workplace centered on strong customer service, inclusivity and ensuring staff feel welcome and supported.
  • Provides Rehabilitation Center with current license and keeps updated.
  • Attends outside education/in-services pertinent to your department and designated by ADON.
  • Attends nurses’ meetings of the Rehabilitation Center.
  • Attends all staff education of the Rehabilitation Center relating to safety, infection control and disease process.
  • Attends educational programs on Continuous Quality.
  • Improvement, customer satisfaction and other such programs, and participates in inspections and audits as designated.
  • Maintains current knowledge of Minnesota Department of Health regulations.
  • Maintains and applies knowledge of current policies and procedures as outlined.

Qualifications

Education and Experience

  • Must have a current LPN registration in the state of Minnesota.
  • Must have successfully completed or seek certification in Cardiopulmonary Resuscitation and emergency care for the health care provider.
  • Must possess the ability to communicate verbally and in writing when coordinating the care of the residents.
  • Must be able to perform essential functions of the position with or without reasonable accommodation.
  • Must qualify for employment, after criminal background study, per guidelines of Minnesota Department of Human Services.

Preferred

  • Experience in healthcare, skilled nursing facility or assisted living community.
  • Knowledgeable about Medicare coverage and eligibility.

Required Skills and Abilities

  • Ability to effectively manage multiple tasks and pivot with sudden demands of your attention.
  • Resilience; ability to welcome constructive feedback, course correct and not take it personally.
  • Personability; ability to get along with all personality types and inspire trust with residents, staff, family.
  • High emotional intelligence (EQ).
  • Ability to actively listen, with the goal of understanding.
  • Ability to clearly speak and proficiently read and write in English.
  • Comfort in operating in ambiguous situations and with diverse populations.
  • Ability to thrive in an environment that is fast-paced and rapidly growing.
Physical Demands

The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

Rarely = not a regular part of this job

Occasionally = less than 1/3 of a shift

Frequently = 1/3 to 2/3 of a shift

Constantly = more than 2/3 of a shift

An essential part of the job regardless of frequency or duration.

Physical Activity
  • Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs.
  • Standing and Walking: Frequently needed throughout the day (ability to be mobile around the facility throughout the day).
  • Sitting: Frequently sits throughout the day.
  • Using Hands: Constantly uses hands throughout the day.
  • Reaching: Frequently reaches throughout the day.
  • Climbing and/or Balancing: Rarely needs to climb or balance.
  • Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl.
  • Talking: Frequently needs ability to talk throughout the day.
  • Hearing: Constantly needs to hear and listen throughout the day.

Vision

This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

Nurse Manager, RN

Department: Administration
Contract
Employment Type: Regular Full Time
Core Schedule: Monday-Friday 8:00-5:00

Position Summary

The Nurse Manager is accountable for the management and leadership of a specific nursing unit. This position evaluates available resources and delegates appropriately to assure quality outcomes of care. They also directs and implements the nursing process. This includes systematic data collection, assessment, development of care plan, implementation of care plan and revision of plan. The Nurse Manager manages and supervises the care of residents through a well-defined care delivery system.

Essential Responsibilities and Duties

 To Facilitate the Comprehensive Care Planning Process

  • Systematically collects data utilizing the MDS about residents through interview of resident and family, observation, discussion with physician and review of medical records.
  • Assesses residents and applies knowledge to facilitate the best therapeutic plan of care. May use nursing diagnosis as relevant.
  • Assists and is knowledgeable in the development of care plan using the CAAS in collaboration with the interdisciplinary team.
  • Implements care plan by assigning responsibility, developing communication systems and following up on outcomes.
  • Attends care conferences meeting the needs of the resident and family.
  • Monitor any change of condition and revises the plan of care to reflect the current resident status.
  • Assists in the monitoring for changes of condition and revises the plan of care to reflect the current resident status.
  • Assist and complete assessments. Supervises the completion of the functional care plans by other nursing personnel.

Responsibility: Has Knowledge of and Consistently Applies Established Nursing Policies and Procedures According to State and Federal Regulations and Nurse Practice Act.

  • Knowledgeable of and abides by the residents’ Bill of Rights.
  • Uses standards of care and specific policies to perform nursing care procedures for residents.
  • Allows and encourages autonomous decision making to resident whenever possible.
  • Abides by and promotes the Continuous Quality Improvement program of the Rehabilitation Center  Is involved in making necessary recommendations and changes to nursing administration that directly
    And indirectly affect care given to residents.
  • Attends in-service and reviews literature to maintain skills in gerontological nursing.
  • Draws lab or delegates this as appropriate.

Responsibility: Supervises and Manages RN’s, LPN’s and CNA’s. Manages all Staff When in Charge of Building

  • Articulates expectations and delegates appropriate job duties to subordinates, using clear and concise communication.
  • Follows up on directives given to subordinates and assures completion of duties. Complete performance appraisals as delegated by the DON.
  • Assesses knowledge and skill of supportive nursing personnel to assure safe practice of nursing staff.
  • Confronts, corrects and explains unprofessional behavior to these staff.
  • Prioritizes and updates work assignments consistent with the number and levels of staff available that shift and acuity of residents care necessary.
  • Take necessary steps to replace appropriate nursing staff to maintain proper staffing level. This may include working as the staff nurse.
  • Knows and can implement fire, tornado and disaster plans.
  • Works designated weekends and takes call as directed by the DON.

Responsibility: Has Knowledge and Consistently Follows Standards of Documentation and Written Communication

  • Completes charting in accordance with health information standards and facility policy, particularly for residents on Medicare Part A and those with behaviors.
  • Resident assessment data is systematically collected, is communicated through report, and is clearly documented in the medical record.
  • Gathers and documents data on admissions and discharges.
  • Is knowledgeable in the procedure to facilitate physician orders and completes procedures to assure accurate follow-up.
  • Is knowledgeable in and initiates reports and documents nursing orders.
  • Provides report to CNA’s and other professional staff, verbally or written about daily resident care needs and/or significant changes in condition.
  • Follows up on documented recommendations of the dietitian.

Responsibility: Complies with Pharmaceutical Policies

  • Administers medications accurately according to policy, including handwashing and 5 rights.
  • Complies with standard of remaining 95% free of medication errors.
  • Signs out medications and treatments including PRN’s according to policy.
  • Reviews medication and treatment sheets monthly.
  • Uses proper procedure for label changes.
  • Follows proper emergency kit procedures.
  • Follows control substance policy.
  • Destroys controlled medications with pharmacist and non-legend drugs with the DON.

Facility Compliance

  • Promotes a highly positive workplace centered on strong customer service, inclusivity and ensuring staff feel welcome and supported.
  • Provides Rehabilitation Center with current license and keeps updated.
  • Attends continuing education/in-services pertinent to your department.
  • Attends all staff education of the Rehabilitation Center relating to safety, infection control and disease process.
  • Attends educational programs on Continuous Quality Improvement, customer satisfaction and other such programs. Participates in inspections and audits as designated.
  • Maintains current knowledge of Minnesota Department of Health regulations. Identifies areas of problem/needs through surveys and communicates these at QA&A Committee meetings.

Qualifications

Education and Experience

  • Must have current registration, as a Registered Nurse, in the State of
  • Minnesota. Must have successfully completed or seek certification in
  • Cardiopulmonary Resuscitation and emergency care for the health care provider.
  • Must possess the ability to communicate verbally and in writing when directing the care of residents.
  • Must be able to perform essential functions of the position with or without reasonable accommodation.
  • Must qualify for employment, after criminal background study, per guidelines of Minnesota Department of Human Services.

Preferred

  • Experience in healthcare, skilled nursing facility or assisted living community Bachelor of Science Nursing Degree.

Required Skills and Abilities

  • Ability to effectively manage multiple tasks and pivot with sudden demands of your attention Resilience; ability to welcome constructive feedback, course correct and not take it personally Personability; ability to get along with all personality types and inspire trust with residents, staff, family.
  • High emotional intelligence (EQ).
  • Ability to actively listen, with the goal of understanding.
  • Ability to clearly speak and proficiently read and write in English.
  • Comfort in operating in ambiguous situations and with diverse populations.
  • Ability to thrive in an environment that is fast-paced and rapidly growing.
Physical Demands

The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

Rarely = not a regular part of this job

Occasionally = less than 1/3 of a shift

Frequently = 1/3 to 2/3 of a shift

Constantly = more than 2/3 of a shift

An essential part of the job regardless of frequency or duration.

Physical Activity
  • Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs.
  • Standing and Walking: Frequently needed throughout the day (ability to be mobile around the facility throughout the day).
  • Sitting: Frequently sits throughout the day.
  • Using Hands: Constantly uses hands throughout the day.
  • Reaching: Frequently reaches throughout the day.
  • Climbing and/or Balancing: Rarely needs to climb or balance.
  • Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl.
  • Talking: Frequently needs ability to talk throughout the day.
  • Hearing: Constantly needs to hear and listen throughout the day.

Vision

This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

MDS Coordinator

Department: Administration
Contract
Employment Type: Regular Full Time
Core Schedule: Monday-Friday 8:00-5:00

Position Summary

The MDS Coordinator is accountable for overseeing the completion, editing, locking and transmission process of all MDS assessments. The overall responsibility of this position is to help assure timely completion of the MDS with a focus on accuracy, case mix maximization, and regulatory compliance. He/she oversees the clinical and regulatory component of MDS completion related to reimbursement. This position also coordinates care plan completion with the Interdisciplinary Team (IDT), and renders clinical support to nursing staff to enhance accurate assessments, care plans and excellent quality of care.

Essential Responsibilities and Duties

To assure timely completion of the MDS with a focus on accuracy, case mix maximization, and regulatory compliance

  • Completes MDS in Electronic Clinical System based on observation of the resident, record review, data collection worksheets, NAR data, and interview with residents, families and staff.
  • Updates resident information on Point of Care documentation system as each resident’s assessment window opens and communicate that information to all staff responsible for entering resident data into Point of Care system, either directly or through the Nurse Managers.
  • Oversees timely completion of the MDS.
  • Completes Resident Assessment Protocol (RAP) documentation based on regulatory requirements, MDS information obtained, and in accordance with professional standards of practice.
  • Works with Interdisciplinary Team (IDT) to help assure care plans are comprehensive and completed on time.
  • Submits completed MDS within specified time frames; monitors validation reports for errors or other problems; corrects errors or problems, as needed.
  • Oversees completion of necessary paperwork including Medicare certification and recertification forms; required notice; demand bills (including required paperwork for medical assistance payor); clinical documentation to support Medicare coverage; Monitors for Medicare eligibility after resident is admitted, e.g. rehospitalization or 30-day window.
  • Oversees eligibility for payors such as MSHO or insurance, and completion of necessary paperwork to assure coverage.
  • Provides incidental direct care several times a week to monitor residents’ needs and staff interactions with the goal of increasing MDS coding accuracy.
  • Provides nursing care in emergency situations.
  • Takes on-call rotation as directed by the Director of Nursing
  • Assists with the training of staff, as needed, to help improve clinical care and accuracy of MDS coding.

Responsibility: Promotes and Establishes Healthy Relationships and Uses Professional Conduct with Supervisors, Other Health Care Professionals, Residents, Families and Visitors

  • Arrives at work area on time and ready to begin work. Is able to prioritize and be organized and efficient when interacting and communication.
  • Follows dress code, wears nametag, and limits personal phone calls.
  • Always maintains resident confidentiality. Understands the need for complete privacy of all health care data.
  • Follows policy on absenteeism, tardiness and call-ins as outlined in Personnel Policy Manual.
  • Is courteous and cooperative with residents, families, visitors, supervisors and coworkers.
  • Promotes a positive and professional image both in the facility and in the community applies knowledge of current policies and procedures as outlined.

Facility Compliance

  • Promotes a highly positive workplace centered on strong customer service, inclusivity and ensuring staff feel welcome and supported
  • Provides Rehabilitation Center with current license and keeps updated.
  • Attends continuing education/in-services pertinent to your department and designated by the ADON.
  • Attends nurses meetings at the Rehabilitation Center
  • Attends all staff education of the Rehabilitation Center relating to safety, infection control and disease process.
  • Attends educational programs on Continuous Quality Improvement, customer satisfaction and other such programs.
  • Participates in inspections and audits as designated.
  • Maintains current knowledge of Minnesota Department of Health regulations.
  • Maintains and applies knowledge of current policies and procedures as outlined.

Qualifications

Education and Experience

  • Must be a Registered nurse (RN) in the state of Minnesota
  • Must have successfully completed or seek certification in Cardiopulmonary Resuscitation and emergency care for the health care provider.
  • Must possess the ability to communicate verbally and in writing when directing the Resident Assessment Instrument (RAI) process and when performing and assessing care for residents.
  • Must be able to perform essential functions of the position with or without reasonable accommodation.
  • Must qualify for employment after criminal background study, per godliness of Minnesota Department of Humans services.

Preferred

  • Experience in healthcare, skilled nursing facility or assisted living community Experience with MDS and Resident Assessment Instrument (RAI).

Required Skills and Abilities

  • Ability to effectively manage multiple tasks and pivot with sudden demands of your attention Resilience; ability to welcome constructive feedback, course correct and not take it personally.
  • Personability; ability to get along with all personality types and inspire trust with residents, staff, family.
  • High emotional intelligence (EQ).
  • Ability to actively listen, with the goal of understanding.
  • Ability to clearly speak and proficiently read and write in English.
  • Comfort in operating in ambiguous situations and with diverse populations.
  • Ability to thrive in an environment that is fast-paced and rapidly growing.
Physical Demands

The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

Rarely = not a regular part of this job

Occasionally = less than 1/3 of a shift

Frequently = 1/3 to 2/3 of a shift

Constantly = more than 2/3 of a shift

An essential part of the job regardless of frequency or duration.

Physical Activity
  • Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs.
  • Standing and Walking: Frequently needed throughout the day (ability to be mobile around the facility throughout the day).
  • Sitting: Frequently sits throughout the day.
  • Using Hands: Constantly uses hands throughout the day.
  • Reaching: Frequently reaches throughout the day.
  • Climbing and/or Balancing: Rarely needs to climb or balance.
  • Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl.
  • Talking: Frequently needs ability to talk throughout the day.
  • Hearing: Constantly needs to hear and listen throughout the day.

Vision

This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

Registered Nurse (RN)

Department: Nursing
Contract

Position Summary

The RN manages and supervises resident care ensuring the highest quality of care is received in accordance with the Minnesota BON standards, is guided by the Residents’ Bill of Rights and abides by the facility Quality Assurance and Performance Improvement (QAPI) program. Through the collection and analysis of data, the RN is accountable for performing a comprehensive assessment to establish the baseline health status of residents as well as to create a detailed Plan of Care that includes individual needs and preferences. RNs oversee practical nurses, CNAs and nursing personnel through assessment of their knowledge, skill and capabilities; clarifying expectations and addressing behaviors to ensure the safety of residents and to attain the ultimate goal of achieving and maintaining the highest practicable physical, mental and psychosocial well-being of each resident.

Essential Responsibilities and Duties

Resident Health Status Assessment And Plans Of Care

  • Performs comprehensive assessment through the collection of data sourced from resident and family interviews, observation, review of medical records, etc., used to create an initial health status baseline.
  • Drafts an integrated, resident-centered Plan of Care, based upon comprehensive health status assessment and input from the interdisciplinary care team.
  • Facilitates the Plan of Care through assigning responsibilities and clearly communicating residents’ needs.
  • Maximizes quality of living through continual monitoring and evaluation of resident care and correlated recommendations, ensuring all goals and outcomes are thoroughly and accurately documented.

Ensuring Adequate And Proper Nursing Care

  • Ensures integration and effectiveness of resident’s Plan of Care while developing and implementing nurse interventions and evaluating correlated responses.
  • Collaborates with and coordinates the interdisciplinary care team to manage implementation of care, delegating nursing activities as needed.
  • Provides guidance on health promotion, disease prevention, care coordination and findings to the interdisciplinary care team, designing and implementing correlated resident teaching plans.
  • Supervises ongoing resident care under the scope the Residents’ Bill of
  • Rights, immediately reporting any suspicions, reports or witnessed events of abuse, neglect, misappropriation of resident property.
  • Maintains awareness of facility QAPI goals and abides by and promotes the QAPI program.
  • Displays and promotes a strong culture of customer service, ensuring a resident-centered experience.
  • Provides and ensures nursing activities are practiced in accordance with the Minnesota BON standards while protecting residents’ dignity, privacy and autonomous decision-making whenever possible.
  • Provides the highest quality care to all residents, without regard to race, gender, sexual orientation, religion, age or differences in culture .
    Interacts regularly with resident’s family or support network, reporting any changes in health, treatment, care, or living situation .
  • Completes nursing activities indicative of RNs such as inserting PICC lines, preparing IVs, administering IV medications, accessing IV ports, drawing or administering blood, providing resident education, accepting verbal orders or determining nursing diagnoses.
  • Recognizes limits of knowledge, skill and experience; facilitates situations beyond the RN’s competency.

Compliance – Safety, Documentation, Hipaa

  • Ensures all call lights are promptly and courteously answered or immediately facilitates.
  • Uses and guides other nursing staff on using proper body mechanics at all times.
  • Uses, observes and instructs nursing staff in safe lifting and care techniques including proper use of equipment.
  • Maintains knowledge of, promotes and follows safety policies, OSHA guidelines regarding bloodborne pathogens and Standard Precaution infection control policies to provide safe. nursing care.
  • Maintains a safe, clean environment in resident rooms and facility following procedure to bag infectious linens and equipment or proper disposal of them; proper handwashing, disinfection/cleaning schedules.
  • Ensures physician orders are strictly followed, and that provisions are in place to assure compliance.
  • Ensures resident records are complete through systematic collection of data, maintained and secure from unauthorized access, following all state and federal regulations, including HIPAA.
  • Gathers and documents data on admissions and discharges.
  • Accurately complies with pharmaceutical policies including sign out and administration of medications; reporting and documenting medication errors; obtaining and transcribing physician orders; proper procedure for label changes and expirations; following controlled substance policies and end of shift count; documenting PRNs.
  • Documents all nursing orders that have been initiated.

Supervision And Management

  • Manages, supervises and evaluates nursing practices, articulates expectations and provides corrective guidance as needed.
  • Prioritizes work assignments consistent with number and level of staff available and resident care acuity.
  • Ensures proper staffing level, working as staff nurse if needed.
  • Ensures duties are complete, following up with delegated tasks and reviews departing staff reports.
  • Provides nursing reports to staff regarding daily resident care needs and significant changes in condition.
  • Maintains knowledge of disaster procedures and implements if needed.
  • Promptly reports and documents incidents and errors involving residents, staff, visitors or self.

Qualifications

Education and Experience

  • Completion of a professional nursing education program approved by the Minnesota Board of Nursing.
  • Current Minnesota Registration as a Registered Nurse.
  • Current Certification in Cardiopulmonary Resuscitation (CPR) and emergency care.

Preferred

  • Experience in skilled nursing and/or assisted living facilities.

Required Skills and Abilities

  • Leadership; achieves established goals through inspiration and loyalty of staff.
  • Resilience; ability to welcome constructive feedback, course correct and not take it personally.
  • Personability; ability to get along with all personality types and inspire trust with residents, staff, family.
  • High emotional intelligence (EQ).
  • Ability to actively listen, with the goal of understanding.
  • Ability to clearly speak and proficiently read and write in English.
Physical Demands

The physical demands described below are representative of those that an employee in this position would encounter on the job. Reasonable accommodations may be made, when possible, to enable individuals with disabilities to perform essential functions.

Rarely = not a regular part of this job

Occasionally = less than 1/3 of a shift

Frequently = 1/3 to 2/3 of a shift

Constantly = more than 2/3 of a shift

An essential part of the job regardless of frequency or duration.

Physical Activity
  • Lifting Weight / Exerting Force: Frequently throughout the day will lift or exert force up to 50 lbs; Occasionally up to 100 lbs.
  • Standing and Walking: Frequently needed throughout the day (ability to be mobile around the facility throughout the day).
  • Sitting: Frequently sits throughout the day.
  • Using Hands: Constantly uses hands throughout the day.
  • Reaching: Frequently reaches throughout the day.
  • Climbing and/or Balancing: Rarely needs to climb or balance.
  • Stoop, Kneel, Crouch, Crawl: Occasionally needs to stoop, kneel, crouch or crawl.
  • Talking: Frequently needs ability to talk throughout the day.
  • Hearing: Constantly needs to hear and listen throughout the day.

Vision

This position requires the ability to use close-, distance-, peripheral-vision, depth perception and ability to adjust focus.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

Trained Medication Aide (TMA)

Department: Nursing
Contract

Position Summary

The TMA is accountable for all provisions within and performing the primary duties of the signed, attached CNA job description. The TMA will administer medications and treatments delegated by the Director of Nursing.

Additional Essential Responsibilities And Duties

Medication Administration

  • Accurately administers regularly scheduled medications to residents via oral, eye, ear, rectal, inhalant and topical routes delegated by the Director of Nursing.
    Assists resident with self-administration, if applicable.
  • Documents after administration the date, time, dosage and method of administration of all medications or reason for not administering the medication as ordered, including the signature of the nurse or physician who is authorized to administer or observe.
  • Complies with pharmaceutical policies including sign out and administration of medications; reporting and documenting medication errors; obtaining and transcribing physician orders; proper procedure for label changes and expirations; following controlled substance policies and end of shift count; documenting PRNs.
  • Understands the metric, apothecary, and medical abbreviations and their meanings.
  • Knows and follows proper procedure to access the ER Kit and contacts licensed nurse to follow through
  • Recognizes limits of knowledge, skill and experience; facilitates situations beyond the TMA’s competency.

Qualifications

Education and Experience in Addition to CNA Requirements

  • Completion of a standardized medication administration training program for unlicensed personnel in nursing homes through a Minnesota postsecondary educational institution.

Acknowledgement And Agreement

I have read this position description and understand that it should not be construed as an exhaustive list of duties and responsibilities required, but rather an overall snapshot of the job. Additional related duties, responsibilities and activities may be added or removed at any time with or without notice.

I agree that I am able to perform the duties as described above and in the attached addendum, if applicable. If I should need an accommodation in the future, I will bring the request to the person to whom I report and/or human resources to interactively discuss whether an accommodation can be made to enable me to effectively perform the required job duties.

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