Job Title: Certified Nursing Assistant (CNA) / Home Health Aide (HHA)

Supervised By: Director of Clinical Services / Registered Nurse Case Manager

Employee Name: _________________________________________________

Position Summary:

Provides personal care and supportive services to patients in their place of residence under the direction and supervision of a Registered Nurse, in accordance with physician-ordered plan of care, agency policies, State and Federal regulations and accreditation standards. Services are delivered in a manner that promotes patient safety, dignity, infection prevention and optimal outcomes.

Essential Duties and Responsibilities:

Plan of Care Implementation

• Delivers care strictly as outlined in the physician-ordered and RN-managed care plan.
• Verifies assigned tasks prior to each visit and reports inability to perform ordered services.
• Supports patient independence while encouraging safe participation in self-care.

Personal Care Services

• Provides assistance with activities of daily living, including:
  • Bathing, grooming, oral hygiene, skin and nail care per scope of practice
  • Dressing and undressing
  • Toileting and continence care and grooming assistance
  • Feeding and hydration assistance
  • Transfers, positioning, pressure injury prevention and ambulation assistance
• Utilizes proper body mechanics and fall-prevention techniques at all times.

Observation and Reporting

• Observes and reports changes in:
  • Physical condition, pain level, skin integrity, or functional status
  • Cognitive or psychosocial status
  • Home safety concerns or environmental risks
• Immediately reports significant findings to the supervising RN.
• Recognizes and reports suspected abuse, neglect or exploitation per agency policy.

Vital Signs and Infection Control

• Obtains/reports and records vital signs when assigned and within scope of practice.
• Follows infection prevention and control standards, including hand hygiene and PPE use.
• Maintains a safe care environment in the patient’s home.

Documentation

• Completes accurate, objective and timely documentation in the EMR within Agency deadlines.
• Communicates patient observations to licensed staff to support care coordination.
• Complies with supervisory visit requirements or as required by regulation.

Compliance, Quality and Safety

• Adheres to all applicable:
  • State and Federal regulations
  • Accreditation standards
  • Agency policies and procedures
• Participates in Quality Assessment and Performance Improvement (QAPI) activities.
• Demonstrates accountability for patient safety and risk reduction.

Professional Responsibilities

• Maintains patient confidentiality and HIPAA compliance at all times.
• Complies with all organizational policies, procedures and ethical business practices.
• Completes all required education, training, evaluations and maintains current knowledge and competency through continuing education.
• Completes required in-services, competencies and annual performance evaluations.
• Reports to work on time and completes assigned tasks within designated timeframes.
• Adheres to agency dress code and professional appearance.

Qualifications and Regulatory Requirements

• Maintains an active CNA certification in accordance with state requirements.
• Completes:
  • Initial orientation and competency validation
  • Ongoing in-service education
  • Attends at least 80% of in-services/meetings
• Maintains a minimum of 12 hours of annual continuing education, or as required by:
  • State and Federal regulations
  • Accreditation standards
  • Agency policy
• High school diploma or equivalent preferred.
• One year of experience within the last two years as a CNA or HHA in:
  • Home health
  • Skilled nursing facility
  • Hospital 
• Graduation from a State-approved CNA program within the last two years.

Skills and Competencies:

• Knowledge of CNA scope of practice.
• Ability to follow written and verbal instructions.
• Basic computer and EMR documentation skills.
• Effective communication and observational skills.
• Ability to prioritize tasks and manage time effectively.

Physical and Environmental Demands:

• Ability to stand, walk, bend and lift for extended periods.
• Ability to lift, push and move up to 50 pounds.
• Ability to assist with patient transfers and mobility.
• Manual dexterity and hand-eye coordination required to perform assigned duties.
• Ability to safely operate durable medical equipment in the home.
• Ability to communicate effectively in English, both verbally and in writing. Communication in additional languages is preferred.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.