Elara Capital

Manager

• Ensures that all activities performed align with the vision of Elara Caring’s board of directors, executive team, and the leadership of the Hospice team.
• Assesses hospice care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations.
• Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that may influence patient/family/caregiver health status.
• Communicates significant findings, problems, and changes in health condition, environment, or unsafe facility conditions to the Clinical Supervisor, physician, facility, and/or other personnel involved with patient care.
• Counsels, instructs, and includes the patient, facility, and family in following the Interdisciplinary Plan of Care.
• Teaches hospice philosophy and pain and symptom management to staff in alternate care settings (nursing homes, hospital, assisted-living facilities, etc.).
• Provides appropriate support at time of death and perform bereavement assessment.

Registered Nurse Case Manager

• Oversees ElaraConnect Transition program related to identification of potential hospice care needs across service lines
• Identifies best practices to identify and transition patients across care continuum
• Develops processes among all departments and disciplines to ensure coordinated, comprehensive quality services to the patients
• Oversees the ElaraConnect operations for HOS lead generation, referral qualification, admission conversion and eligibility and admission requirements
• Monitors and improves conversion rates for entire process from lead generation through admission
• Identifies growth opportunities based on staffing efficiencies or market penetration
• Adheres to staffing models and maintains appropriate staff productivity levels
• Establishes and implements key quality metrics to evaluate the quality of patient care
• Participates in ongoing continuous quality improvement education and training
• Ensures appropriate outcomes related data is appropriately collected and available for internal and external use
• Reviews financial indicators and implements action and modifications when warranted
• Supervises the direction and management of operational staff, including but not limited to training, mentoring, and counseling, as appropriate
• Works with and advises managers to improve and correct performance
• Performs other duties/projects as assigned

Senior Manager – Transitional Care

• Manage a dynamic caseload of patients in your local community
• Perform comprehensive assessments and develop individualized care plans
• Provide hands-on skilled nursing care and patient education
• Monitor patient progress and adjust care plans as needed
• Collaborate with physicians, therapists, and interdisciplinary teams
• Be a trusted partner for patients and families throughout their care journey

Home Health RN Case Manager

• Lead, coach, and support a team of field clinicians (RNs, LPNs/LVNs)
• Foster a positive, accountable, and patient-centered team culture
• Oversee onboarding, training, and ongoing clinical development
• Ensure timely, accurate, and compliant clinical documentation
• Partner with physicians and interdisciplinary teams to coordinate care
• Review plans of care, orders, and clinical documentation for quality and compliance
• Monitor productivity, scheduling, and utilization to support team success
• Address and resolve clinical, scheduling, and payroll-related issues
• Support quality assurance, audits, and regulatory compliance
• Investigate and resolve patient concerns, incidents, and infection control matters
• Assist with on-call support and step in for patient visits when needed

Home Health Clinical Team Manager, RN

• Manage a consistent caseload from admission through discharge
• Complete Start of Care, OASIS, recertifications, and routine visits
• Develop, implement, and adjust patient-centered care plans
• Identify clinical changes early and intervene appropriately
• Educate patients and caregivers to improve independence
• Collaborate with physicians and interdisciplinary teams
• Document efficiently using HomeCare HomeBase

RN Home Health – Case Manager

Therapist

• Evaluates the occupational therapy patient to determine the rehabilitation needs, potential for achievement, and develops a plan of care in accordance with the findings
• Participates in the implementation and development of the Plan of Care to ensure quality and continuity of care and proper discharge planning
• Makes the initial therapy evaluation visit and re-evaluates the patient's therapy needs during each visit
• Makes follow-up assessments according to OASIS and PPS regulatory guidelines
• Communicates significant findings, problems, changes in condition or environment to the appropriate supervisor, the physician, and other team members involved with patient care
• Initiates plan for patient safety, using the patient, family, and community resources
• Verifies the Plan of Care prior to each visit and provides care according to physician’s orders, assessment data, and established standards and guidelines
• Writes physician orders to cover additional visits and changes to the Plan of Care, per agency policy
• Incorporates patient care goals established in the Plan of Care, into therapy care, as evidenced by documentation in therapy notes
• Performs occupational therapy services in accordance with accepted standards of practice and certified by the patient’s physician
• Instructs and provides patients and/or their families with “activities of daily living” utilizing adaptive equipment as well as sensory integration and fine motor coordination skills
• Assists patient and/or caregiver in securing necessary equipment, which may include fabrication of custom-made splints
• Instructs the patient and/or caregiver in the therapy home program providing modification and clarification when necessary
• Counsels and instructs the patient and family in meeting therapy and related needs
• Supervises and/or provides clinical direction to the Certified Occupational Therapy Assistant (COTA), Home Health Aide (HHA), and clinical staff to ensure the therapy care plan is followed and quality of care is being provided
• Physically demanding, high stress environment
• Full range of body motion including handling, lifting and transfer of patients
• Potentially work irregular hours including call hours if applicable

Occupational Therapist, Home Health, PRN

• Promotes Elara Caring’s philosophy, mission statement and administrative policies to ensure quality of care
• Performs direct physical therapy services in accordance with accepted standards of practice and certified by the patient’s physician to ensure quality and continuity of care.
• Follows Plan of Care as established by Physical Therapist/being supervised by the Physical Therapist and immediate reporting of any changes in status back to Physical Therapist.
• Adheres to the State Practice Act Guidelines.
• Verifies the Plan of Care prior to each visit and provides care according to physician’s orders, assessment data, and established standards and guidelines.
• Incorporates patient care goals established in the Plan of Care, into therapy care.
• Instructs patients and/or their families in the appropriate and safe use of prosthetic, orthotic and assistive devices (canes, walkers, wheelchairs, etc.).
• Instructs the patient and/or caregiver in the therapy home program
• Physically demanding, high stress environment
• Full range of body motion including handling, lifting and transfer of patients
• Potentially work irregular hours including call hours if applicable

Physical Therapist Assistant, Home Health, PRN

Hospice Registered Nurse, Case Manager

• Provides oversight of all patient care services and personnel including making patient and personnel assignments, coordinating patient care, coordinating referrals, assuring patient needs are continually assessed, and assuring the development, implementation, and updates to the individualized patient plan of care.
• Plans, directs, and participates in delivery of home health services to provide diagnosis-specific patient care, including coordination of services with providers, vendors, or facilities.
• Ensures the timely start of patient care within recommended regulatory guidelines.
• Processes and coordinates physician orders, staff assignments, and communications between direct care team members, the patient and their family, and the physician and primary care physician (as appropriate).
• Reviews and approves plan of care and evaluates proposed changes to the plan of care for clinical appropriateness.
• Integrates orders from all relevant physicians involved in the plan of care and ensures the orders are approved by the responsible physician.
• Conducts regular OASIS reviews for all patients.
• Meets with all direct care team members on a regular basis providing guidance, coaching and communicating information related to specific issues or organizational changes
• Initiates hiring requests, interviews candidates and recommends hiring of direct care staff.
• Communicates frequently with the Branch Director or Administrator on key performance metrics.
• Remains available for field work, as needed.

RN Clinical Manager – Hospice

Administration

• Organizes and directs the day-to-day operations and maintains a liaison amongst the governing body/owner or personnel.
• Oversees the implementation and oversight of all patient care programs and achievement of both clinical and administrative outcomes.
• Oversees the financial performance of branches falling within the Administrator’s provider number.
• Implements an effective budgeting and accounting system that promotes the health and safety of the agency’s patients.
• Ensures adequate staffing levels at branch locations to meet patient needs.
• Ensures compliance of current Medicare, Medicaid, and third-party reimbursement regulations and changes.
• Identifies and reports potential payment/coverage problems.
• Supervises and coordinates utilization review activities.
• Participates in strategic development of Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed.
• Ensures accuracy of all public information, materials, and activities.
• Maintains availability by phone as directed by company policy or regulatory requirement.
• Participates in on-call rotations as scheduled.
• Identifies need for changes in program and services, develops proposals for consideration by Area Vice President or other supervisors, as appropriate.
• Investigates complaints and problems, ensures problem resolution and correction of deficiencies, and reports results to the Area Vice President.
• Ensures all documentation is accurate, complete, timely and adheres to Medicare guidelines.
• Assures compliance with the requirements of state licensure, Medicare certification, and any other applicable oversight agencies through policy and procedure development, staff education, and ongoing monitoring activities.
• Oversees the development of and implementation of plan of corrections in conjunction with state, federal, internal, or other auditing or regulatory bodies.
• Assures all QAPI recommendations are followed in branch locations for improvement of patient care or operational needs.
• Directs all aspects of operations and care delivery in accordance with the mission and values, legal and regulatory requirements, payer and accreditation standards, customer expectations, and agency policy.
• Approves and submits time and attendance files to payroll for processing, including final review of inputs (e.g., visits, mileage, hours worked, etc.) and corresponding rates (e.g., hourly rate, mileage reimbursement rate, pay-per-point scale, etc.)
• Implements the organization’s strategic and growth-related plans.
• Conducts staff performance appraisals accurately and in accordance with Elara Caring policy.
• Develops emergency preparedness plans appropriate to their branch(es)
• Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule.
• Performs other duties/projects as assigned.

RN Branch Administrator – Home Health

• Promotes Elara Caring’s philosophy, mission statement and administrative policies to ensure quality of care
• Performs direct physical therapy services in accordance with accepted standards of practice and certified by the patient’s physician to ensure quality and continuity of care
• Follows Plan of Care as established by Physical Therapist/being supervised by the Physical Therapist and immediate reporting of any changes in status back to Physical Therapist
• Adheres to the State Practice Act Guidelines
• Verifies the Plan of Care prior to each visit and provides care according to physician’s orders, assessment data, and established standards and guidelines
• Incorporates patient care goals established in the Plan of Care, into therapy care
• Instructs patients and/or their families in the appropriate and safe use of prosthetic, orthotic and assistive devices (canes, walkers, wheelchairs, etc)
• Instructs the patient and/or caregiver in the therapy home program
• Physically demanding, high stress environment
• Full range of body motion including handling, lifting and transfer of patients
• Potentially work irregular hours including call hours if applicable

Physical Therapist Assistant, Home Health, PRN/Part Time

• Promotes Elara Caring’s philosophy, mission statement and administrative policies to ensure quality of care
• Provides direct patient care, evaluates functional needs and outcomes, and consults with other specialists.
• Reviews patients’ functional needs and adjusts care plans to ensure optimal patient outcomes.
• Designs and implements a plan of care for patients based on a thorough assessment of potential development and incorporates participation by significant others whenever it seems appropriate.
• Conducts therapy practice within defined standards of care.
• Directs the assistance of support staff to achieve patients’ functional goals.
• Documents evaluations, treatment goals, and plans.
• Regularly updates documentation and maintains prescriptions and signatures.
• Provides direction and leadership to staff and acts as a resource to promote physical therapy in the community
• Physically demanding, high stress environment
• Full range of body motion including handling, lifting and transfer of patients
• Potentially work irregular hours including call hours if applicable

Physical Therapist, Home Health

• Promotes Elara Caring’s philosophy, mission statement and administrative policies to ensure quality of care
• Performs direct physical therapy services in accordance with accepted standards of practice and certified by the patient’s physician to ensure quality and continuity of care
• Follows Plan of Care as established by Physical Therapist/being supervised by the Physical Therapist and immediate reporting of any changes in status back to Physical Therapist
• Adheres to the State Practice Act Guidelines
• Verifies the Plan of Care prior to each visit and provides care according to physician’s orders, assessment data, and established standards and guidelines
• Incorporates patient care goals established in the Plan of Care, into therapy care
• Instructs patients and/or their families in the appropriate and safe use of prosthetic, orthotic and assistive devices (canes, walkers, wheelchairs, etc.)
• Instructs the patient and/or caregiver in the therapy home program
• Physically demanding, high stress environment
• Full range of body motion including handling, lifting and transfer of patients
• Potentially work irregular hours including call hours if applicable

Physical Therapist Assistant, Home Health

• Delivering high-quality, patient-centered physical therapy in the home
• Evaluating functional needs and developing customized plans of care
• Collaborating with physicians, caregivers, and interdisciplinary teams
• Adjusting care plans to optimize patient independence and outcomes
• Leading and mentoring support staff toward patient success
• Maintaining accurate, timely documentation and compliance standards
• Promoting physical therapy excellence within the community

Physical Therapist – Fleet Car Option

• Provides direct patient care, evaluates functional needs and outcomes, and consults with other specialists.
• Reviews patients’ functional needs and adjusts care plans to ensure optimal patient outcomes.
• Designs and implements a plan of care for patients based on a thorough assessment of potential development and incorporates participation by significant others whenever it seems appropriate.
• Conducts therapy practice within defined standards of care.
• Directs the assistance of support staff to achieve patients’ functional goals.
• Documents evaluations, treatment goals, and plans.
• Regularly updates documentation and maintains prescriptions and signatures.
• Provides direction and leadership to staff and acts as a resource to promote physical therapy in the community