Employment Application – Caregiver

Before completing the online application, please read the following job description.  The text of this description will be included within the email submission and is therefore implied that you understand and agree to the terms of this job description.

JOB DESCRIPTION – Caregiver

SUPERVISOR:      Regional Director / Regional Administrative Staff

QUALIFICATIONS:       The ability to read, write and comprehend written and oral instructions; the ability to document services, time, travel and other related service information on proscribed forms; must have reliable access to transportation including adequate liability insurance as stated in the Lifeline Homecare Employee Handbook; must undergo Tuberculin Skin Test prior to initiating work and on an annualized basis; must pass a drug screening administered before hire and submit to random drug screenings; must be cleared by the Nurse’s Aide Registry; must be available for emergency assignments; must attend all scheduled trainings; must have the ability to lift over 50 lbs. on a regular basis; must have proper driving credentials; must have a clear conviction record from an annual criminal background check conducted through the Administrator of Kentucky Courts, or a company that conducts a search of criminal record information maintained by the Justice and Public Safety Cabinet or the Administrative Office of the Courts.

DUTIES AND RESPONSIBILITIES:

1. Performs the assigned tasks services as given on a weekly work schedule. The services stated on the weekly work schedules must correspond to the services, as defined, in the Lifeline Homecare, Inc. employee Handbook and Policy/Procedure Manual and specific work order

2. Submits accurate and timely time and travel sheets and flow sheet/progress notes

3. Reports immediately all emergencies to the supervisor, including workplace related injuries

4. Wears identifying photo ID badge at all times

5. Completes company orientation and initial training with a passing grade and attends on-going annual training

6. Treats Clients and family members with the utmost respect at all times

7. Immediately reports any suspected incident of abuse or neglect

8. Insures proper appearance at all times following Company guidelines

9. Performs, at a minimum, the following services:

A. PERSONAL CARE:

Sponge bath, tub bath, shower, oral care, shampoo hair and skin care. Under no condition shall aides perform nail clipping. If the work order reflects no homemaking, then only cleaning within the bathroom area and changing bed linens for sanitation purposes is allowed. (Lifting and transferring of client, if required and physically possible.)

B. HOMEMAKING/HOME MANAGEMENT:

a. General cleaning: sweep, mop, dust, vacuum, remove trash, wash and dry clothes, check for food spoilage, sanitize bathrooms and kitchen, wash dishes, and any other general cleaning and up-keep of the home.

b. Should the washing and drying of clothes require use of a commercial Laundromat, the client shall provide funds for coin machines.

c. Meal preparation and planning.

d. Shopping assistance (pick-up and delivery only) shall require approval.

e. Medication assistance as ordered by the CM & limited by legal protocol.

C. RESPITE:

Services consists of fulfilling all of the primary needs of the client in the absence of the primary caregiver. When performing specific tasks, the aide shall always remain in the vicinity of the client (no shopping pick-up thereby leaving client unattended).

D. ESCORT:

Provide personal accompaniment of an eligible client who is physically, mentally, or developmentally disabled and who requires such assistance for reasons of personal security or protection to and/or from a visit to his/her physician, dentist, or other necessary service.

E. CHORE:

This service is usually performed over a short period of time (spring and fall cleaning) and for new clients in the program dependent upon their situation. Yard mowing is not allowed. The lifting and movement of heavy objects shall be performed only if it is physically possible.

F. HOME REPAIR:

Installation of minor home adaptations, such as hand rails, etc… Additionally, will include the delivery of supplies and equipment.

10.  OTHER SERVICES/DUTIES AS ASSIGNED

Working Conditions/Job Hazards:

Caregivers’ daily routines may vary. Most Caregivers work in the homes of a number of different clients during the course of a day or week

  • Surroundings and working conditions will differ. Some homes are neat while others may be untidy or cluttered and difficult to navigate
  • Some clients’ homes are in remote or rural areas that are not readily accessible.

Physical Demands:

Caregivers perform physical activities that require considerable use of the arms and legs and moving the body, such as climbing, lifting (up to 50 pounds), balancing, walking, stooping and handling materials.


Application

What date would you be available for work (mm/dd/yyyy):

Over 18? YESNO


Contact Information

Your Name ( First MI Last ):
Your Email:
Your Phone ( ###-###-#### ):
Your Mailing Address:

Which office are you applying for?


Employment Situation

Have you ever filed an application with Lifeline Homecare before?
YESNO

Have you ever been employed with Lifeline Homecare before?
YESNO

Are You Currently employed?
YESNO

Are You on lay-off status subject to recall?
YESNO

Are you prevented from lawfully becoming a citizen of the United States of America because of visa or immigration status?
YESNO

Do you have reliable transportation?
YESNO

Have you ever been convicted of a felony or misdemeanor involving theft or physical violence?
YESNO


Education

ELEMENTARY SCHOOL
School Name:
School Address:
High School
School Name:
School Address:
Year Completed:
Undergraduate
School Name:
School Address:
Year Completed:
Course of Study:
Diploma/Degree:
Technical
School Name:
School Address:
Year Completed:
Course of Study:
Diploma/Degree:
OTHER:
School Name:
School Address:
Year Completed:
Course of Study:
Diploma/Degree:
SPECIALIZED TRAINING:


Employment History

Employer:
Address:
Phone:
Position Title:
Work Performed:

Employed From: to:
Reason for Leaving:

Employer:
Address:
Phone:
Position Title:
Work Performed:

Employed From: to:
Reason for Leaving:

Employer:
Address:
Phone:
Position Title:
Work Performed:

Employed From: to:
Reason for Leaving:

Employer:
Address:
Phone:
Position Title:
Work Performed:

Employed From: to:
Reason for Leaving:


Professional, trade, business, and civic activities

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Additional Information

Any additional information you feel may be helpful to us in considering your application:


References

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No information from this application is stored on this server in any fashion.

All information is considered confidential between the applicant and employees of Lifeline Homecare who have a need to know.