Registered Nurse RN (Monmouth County)
Company: Home Instead Senior Care
Location: Freehold
Posted on: February 22, 2021
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Job Description:
Registered Nurse------------------------------------------ --
Compensation:--hourly rate or flat per visit----------Part-time or
per diem-- ----------------------------------Home Instead is
looking for a Nurse Supervisor to become a part of our team and
join our mission of enhancing the lives of aging adults throughout
our community. Home Instead provides a variety of services that
allow seniors to remain in their home and meet the challenges of
aging with dignity, care and compassion.Duties include, but are not
limited to:---Creating a Plan of Care based on in-home evaluation
of the patient-Monitoring and documentation of patient vital signs,
psycho-social review relevant to the Plan of Care, systems review
(neurologic, musculo-skeletal, integumentary, cardiovascular,
pulmonary, gastro-intestinal, genito-urinary), nutritional status
and advanced directives.-Performing in-home CHHA Orientation based
on the detailed Plan of Care-Monitoring all CHHA Activity
records-Executing a Home safety review, including fall risk
assessment-Emergency Planning-Periodic patient evaluation and
reassessment-Clinical oversight of Home Instead in-home health
care, personal care and companion services program including
services rendered by its employees (certified homemaker home health
aides and companions).Qualified candidates must have the
following:--Bachelor of Science Degree in NursingExperience working
as a Director of Nursing or Nurse Supervisor for a Healthcare
Service Firm is preferred but not mandatory.Understanding of the
Best Practices for Health Care Service Firms according to the New
Jersey Division of Consumer Affairs and applicable federal and
state regulations.May be required to be available on-call after
normal business hours and/or on weekends. On call means available
to respond to questions from CHHAs, companions, patients or
families concerning services via electronic communication or
telephone, but does not necessarily require that the on-call
individual be available to personally visit the client.New Jersey
Board of Nursing licensed Registered Nurse with education and
community health nursing experience with progressive
responsibilities in community health nursing.This is a part-time
position (Three to four days per week, 10 to 30 hours per week
during regular business hours plus on-call evenings/weekends as
needed, with competitive pay.--www.homeinstead.com/207EMPLOYMENT
APPLICATION--ELA Associates, Inc. d.b.a. an independently owned and
operated Home Instead franchise25 Main Street, Eatontown, NJ
07724732-542-9004 (Phone), 732-542-9060 (Fax)----INSTRUCTIONS: If
you need help filling out this application form or for any phase of
the employment process, please notify the person who gave you this
form and every reasonable effort will be made to meet your needs in
a reasonable amount of time.Please read "Applicant Note&rdquo
below. Complete all pages of this application.Print clearly.
Incomplete or illegible applications may not be accepted. If more
space is needed to complete any question, use comments section on
the back.Application will be valid for 60 days.--APPLICANT NOTE:--
This application form is intended for use in evaluating your
qualifications for employment with us, an independently owned and
operated Home Instead franchise. This is not an employment
contract. Please answer all appropriate questions completely and
accurately. False or misleading statements during the interview and
on this form are grounds for terminating the application process
or, if discovered after employment begins, terminating employment.
All qualified applicants will receive consideration and will be
treated throughout their employment without regard to race, color,
religion, sex, national origin, age, disability, or any other
protected class status under applicable law. Additional testing for
the presence of illegal drugs in your body may be required prior to
employment.------PERSONAL INFORMATION--Today's Date:
______________--Positions(s) Applied For:
____________________________________________________--Social
Security Number: _______-_______-_______--Name:
_______________________________--------
_________________________________--------
_____________________----------------------Last----------------------------------------------------------------------------------------------------------------------------------------------------
First--------------------------------------------------------------------------------Middle--Current
Address: _________________________________--------
_______________________-------- ______--------
____________--------------------------------------------------Street----------------------------------------------------------------------------------------------------------------------------------City--------------------------------------
State--------------------------Zip Code--Home Phone: (______)
___________________----------------------------------------------
Work Phone: (______) ______________________--Cell Phone: (______)
_____________________--------------------------------------------
Alternate Phone: (______)
____________________------------------------------------------------------
------
----------------------------------------------------------------------------------------------Other
Names or Social Security Numbers Previously
Used:--__________________________--------
_________________________-------- _____________--------
________________________------------------------------------------------------
------ Last----------------------------------------------
------------------------------------------------------------------First------------------------------------------------------------------------------
--------
Middle--------------------------------------------------------
Social Security Number--__________________________--------
_________________________-------- _____________--------
________________________------------------------------------------------------
------ Last--------------------------
--------------------------------------------------------------------------------------First------------------------------------------------------------------------------
--------
Middle--------------------------------------------------------
Social Security Number--Emergency Contact(s):--
____________________________________------------------------------
(______)
____________________----------------------------------------------------------------------------------------------------
----------Name--------------------------------------------------------------------------------------------------------------------------------------------------------
Phone----------------------------------------------------------------------------____________________________________----------------------
(______)
____________________--------------------------------------------------------------------------------------------------------------
Name--------------------------------------------------------------------------------------------------------------------------------------------------------
Phone--Have you ever submitted an application here before? Yes /
No---- If yes, when? _________________________________--Have you
ever been employed here before? Yes / No---- If yes, when?
________________________________________You have been given a copy
of the job description for the position for which you have applied.
Are you able to perform the essential functions of the job for
which you are applying with or without a reasonable accommodation?
Yes /
No--------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
----------------How did you hear about our Home Instead franchise
office? ______________________________________--Why are you
interested in employment with us?
___________________________________________________________________________________________________________________________________________________________--AVAILABILITY--Due
to the nature of the business, no guarantee can be made as to the
schedule or the amount of hours worked.--What date are you
available to begin work? ___________--Please complete all areas of
availability:--____Full-Time (30 or more hours/week)----
____Part-Time (less than 30 hours/week)-------- Hours/Week Desired:
_____--EDUCATIONPlease circle highest grade completed:Grade School:
6-- 7-- 8------------------ High School: 9-- 10-- 11--
12------------------ College: 13-- 14---- 15-- 16-- 16+--School
TypeSchool NameCity, StateMajor/Subject# Yrs AttendedGraduateHigh
School--------Y / NVocational/Technical--------Y /
NCollege/University--------Y / N--WORK HISTORYYour application will
not be considered unless all questions in this section are
answered. Since we will make every effort to contact previous
employers, the correct telephone numbers of past employers are
essential.----MOST RECENT EMPLOYER--Are you currently working for
this employer? Yes / No-------- If yes, may we contact? Yes /
No--__________________________________------
------________________________--------
------------------------------ _______--
-------------------------------------------------------------- --(
_____ )_______________________Company
Name--------------------------------------
------------------------------------------------------------City--------------------------------------------------------------------------------
---- State------------------ -------------------------- --Phone
Number--Dates Employed: From ___________ to ___________--------
_____________________________--------------------
______________________________________-------------------- Job
Title
------------------------------------------------------------------------------------------------------------Supervisor's
Name--______________________________________________________________________________________________________________________Duties--$_____________
per
__________________------------------------____________________________________________________________________________Salary------------------------------------------------
(Hour, Week, Month)-------------------- --------Reason for
Leaving--SECOND MOST RECENT
EMPLOYER--__________________________________------
------________________________--------
------------------------------ _______--
-------------------------------------------------------------- --(
_____ )_______________________Company
Name--------------------------------------
------------------------------------------------------------City--------------------------------------------------------------------------------
---- State------------------ -------------------------- --Phone
Number--Dates Employed: From ___________ to ___________--------
_____________________________--------------------
______________________________________-------------------- Job
Title
------------------------------------------------------------------------------------------------------------Supervisor's
Name--______________________________________________________________________________________________________________________Duties--$_____________
per
__________________------------------------____________________________________________________________________________Salary------------------------------------------------
(Hour, Week, Month)-------------------- --------Reason for
Leaving----THIRD MOST RECENT
EMPLOYER----__________________________________------
------________________________--------
------------------------------ _______--
-------------------------------------------------------------- --(
_____ )_______________________Company
Name--------------------------------------
------------------------------------------------------------City------------------------------------------------------
------------------------------ State------------------
-------------------------- --Phone Number--Dates Employed: From
___________ to ___________--------
_____________________________--------------------
______________________________________--------------------------------------------------------------------------------------------------------------------------------------------------------------------
Job Title
------------------------------------------------------------------------------------------------------------Supervisor's
Name--______________________________________________________________________________________________________________________Duties--$_____________
per
__________________------------------------____________________________________________________________________________Salary------------------------------------------------
(Hour, Week, Month)-------------------- --------Reason for
Leaving--BACKGROUNDAs a condition of employment all employees must
be &ldquoBondable&rdquo.--List states and counties of
residence for the past seven (7) years:--________________________--
____________________________---- ______________________------
____________________________State----------------------------------------------------------------------------
------
County----------------------------------------------------------------------------------State----------------------------------------------------------------------------
County--________________________--
____________________________------
______________________------------------------------
____________________________State----------------------------------------------------------------------------
----
--County------------------------------------------------------------------------------------State----------------------------------------------------------------------------
County--Have you had any moving traffic violations?-- Yes / No----
If yes, please describe: _______________________________Have you
been convicted of a felony or misdemeanor in the past seven (7)
years? Yes / No------ If yes, please
describe:--Incident---------------------------------- ----
--------------------------------City/State------------------------------------------------------
---------------------------------- --------------------------
Result ----------1)
_____________________________________________________________________________________________--------------2)
_____________________________________________________________________________________________--REFERENCES
(Do not include relatives)Please complete all six references. Your
application will not be considered unless six references are
provided. Since we will contact these references, please notify
them in advance.--Full NamePhone NumberBest Time of Day to
CallRelationshipNumber of Years Known1)H (---------------- )W
(---------------- )AM / PMAM / PM----2)H (---------------- )W
(---------------- )AM / PMAM / PM----3)H (---------------- )W
(---------------- )AM / PMAM / PM----4)H (---------------- )W
(---------------- )AM / PMAM / PM----5)H (---------------- )W
(---------------- )AM / PMAM / PM----6)H (---------------- )W
(---------------- )AM / PMAM / PM------CERTIFICATION AND RELEASE:--
I certify that I have read and understand the applicant note on
page one of this form and that the answers given by me to the
foregoing questions and the statements made by me are complete and
true to the best of my knowledge and belief. I understand that any
false information, omissions or misrepresentations of facts in this
application may result in rejection of my application or discharge
at any time during my employment. I authorize the company and/or
its agents, including consumer-reporting bureaus, to verify any of
this information including, but not limited to, criminal history
and motor vehicle driving records. I authorize all persons,
schools, companies and law enforcement authorities to release any
information concerning my background and hereby release any said
persons, schools, companies and law enforcement authorities from
any liability for any damage whatsoever for issuing this
information. I release this company from any liability which might
result from making such investigations. I also understand that the
use of illegal drugs is prohibited during employment. If company
policy requires, I am willing to submit to drug testing to detect
the use of illegal drugs prior to and during employment.--I
UNDERSTAND THAT THIS APPLICATION IS NOT A CONTRACT OF EMPLOYMENT.--
I ALSO UNDERSTAND THAT IF HIRED, REGARDLESS OF ANY ORAL
REPRESENTATIONS TO THE CONTRARY, THE EMPLOYMENT RELATIONSHIP
BETWEEN MYSELF AND ELA Associates, Inc. d/b/a Home Instead IS
TERMINABLE AT-WILL, SO THAT BOTH THE COMPANY AND I REMAIN FREE TO
CHOOSE TO END OUR WORK RELATIONSHIP AT ANY TIME FOR ANY OR NO
REASON.-- ANY CHANGES IN THIS EMPLOYMENT RELATIONSHIP MUST BE MADE
IN
WRITING.--________________________________________________________------------------------------------------------------------------
____________________--APPLICANT
SIGNATURE------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DATEEach Home Instead franchise is independently owned and
operated.
Keywords: Home Instead Senior Care, Brick , Registered Nurse RN (Monmouth County), Other , Freehold, New Jersey
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