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Form W-9 (Independent Contractor 1099)

I-9 Form (Employment Eligibility)

Definition:

“COMPANION” means a person who spends time with or cares for an elderly, handicapped, or convalescent individual and accompanies such individual on trips and outings and may prepare and serve meals to such individual. A companion does not provide hands-on personal care to a client.

QUALIFICATIONS:

• High school diploma or general education degree (GED) or equivalent preferred.
• Training in the topics related to human development and interpersonal relationships; nutrition, shopping, food storage, use of equipment and supplies, planning and organizing of household, tasks, and principals of cleanliness and safety
• Ability to read and communicate effectively in English
• Good verbal and written communication skills with patients and in-office
• Ability to deal with simple problems in the home setting
• Current health certificate
• Must be able to perform described duties listed on this job

RESPONSIBILITIES AND DUTIES:

The companion shall:
• Provide companionship for the client;
  o through reading, activities, conversation, and listening
  o participating in appropriate recreational activities and hobbies for social and sensory stimulation
  o assisting the patient/client in completing necessary phone calls, letter writing, etc.
• Provide emotional support and promote a sense of well-being.
• Accompany the client to doctors’ appointments, recreational outings, or shopping
• Perform light housekeeping tasks such as preparation of meals or laundering clothes to maintain a clean, neat environment
• Perform casual, cosmetic assistance, such as assisting with make-up etc.
• Maintain a chronological written record of services
• Report any unusual incidents or changes in the patient’s behavior to the case manager
• Utilize safety measures in the provision of duties
• Maintain confidentiality of all patient and agency information
• Adhere to all Agency Policies
• Recognize emergencies and call for professional help
• Demonstrates knowledge regarding basic infection control procedures.
This job description is not intended to be all-inclusive. The employee will be expected to perform other reasonably related duties as assigned by the immediate supervisor and/or other management personnel.

PHYSICAL AND MENTAL LIMITATIONS STATEMENT

Heavy physical demands – involves lifting up to 50 pounds, bending stooping and stretching. Must be adaptable to a variety of environments and settings in the community. Must have transportation to and from assignments. Minimal exertion on a regular or recurring basis, such as lifting, bending or reaching.

The company reserves the right to revise and/or change job descriptions and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.

Definition:

“HOMEMAKER” means a person who performs household chores that include housekeeping, meal planning and preparation, shopping assistance, and routine household activities for an elderly, handicapped, or convalescent individual. A homemaker does not provide hands-on personal care to a client.

QUALIFICATIONS:

• High school diploma or general education degree (GED) or equivalent preferred
• Training in the topics related to human development and interpersonal relationships;
  o nutrition,
  o shopping,
  o food storage,
  o use of equipment and supplies,
  o planning and organizing of household,
  o tasks and principals of cleanliness and safety
• Ability to read and communicate effectively in English
• Good verbal and written communication skills with patients and in-office staff
• Ability to deal with simple problems in the home setting
• Current health certificate

RESPONSIBILITIES AND DUTIES:

The HOMEMAKER shall:
• Maintain the home in an optimum state of cleanliness and safety depending upon the client’s and the caregiver’s resources
• Preparation of meals and other tasks such as laundry, shopping, and household chores
• Perform casual, cosmetic assistance, such as assisting with make-up etc
• Report to the appropriate supervisor any incidents or problems related to his work or to the caregiver
• Report any unusual incidents or changes in the client’s behavior to the case manager; and appropriate management
• Provides emotional support and promote a sense of well-being
• Maintain appropriate work records
• Utilizes safety measures in the provision of duties
• Maintains confidentiality of all patient and agency matters
• Adheres to all Agency policies
• Recognize emergencies and has knowledge of emergency procedures.
• If requested by the client or his responsible party, the homemaker may verbally remind the client that it is time for the client to take his or her self-administered medications.
• Recognize emergencies and has knowledge of emergency procedures.
• Demonstrates knowledge regarding basic infection control procedures.

This job description is not intended to be all-inclusive. The employee will be expected to perform other reasonably related duties as assigned by the immediate supervisor and/or other management personnel.

PHYSICAL AND MENTAL LIMITATIONS STATEMENT

Heavy physical demands – involves lifting up to 50 pounds, bending stooping and stretching. Must be adaptable to a variety of environments and settings in the community. Must have transportation to and from assignments. Minimal exertion on a regular or recurring basis, such as lifting, bending or reaching.

The company reserves the right to revise and/or change job descriptions and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.

This service provides care and supervision to youth with I/DD, either in their family home or in a community setting, to temporarily relieve the family from the demands of caring for them. The care is intended to be provided during the times when the family normally would be available to provide care.

Caring for youth with I/DD presents additional challenges that go beyond the everyday stresses of being a parent. As a result, parents and other primary caregivers may need longer rest periods or access to downtime. It may also be more difficult to find a qualified person to care for the youth. Respite can help offset these challenges.

A trained respite provider will care for youth in their own home or outside their primary residence while their primary caregivers engage in activities, they find relaxing, entertaining, or restful. A respite break allows caregivers an opportunity to strengthen or foster relationships with their other children, spouses, partners, other family members, and friends. Respite can allow caregivers an opportunity to catch up on household duties and even their own sleep.

Respite services will also allow caregivers to improve the nature of their caregiving activities through attendance at training events and educational programs that will increase their ability to become experts in handling the challenges facing their families.

Respite services as part of a service plan can achieve several goals:
 1. avoid “burnout”
 2. reduce stress
 3. prevent family disruption
 4. enhance relationships

The qualified provider, upon initial contact, and in consultation with the families, will clearly state the reasons and goals for the type of respite provided in a respite service plan. The plan can be a simple statement providing the purpose and goals that are to be reviewed quarterly, at a minimum, to ensure the achievement of a goal(s) and track progress. The type of respite that is right for the family will depend on what is available in the community as well as the family’s unique needs and preferences.

Identifying the specific reason that the family needs respite may help clarify the type of respite that will work best and help plan how to use the respite time effectively. Respite is not a substitute for childcare, school, or participation in other age-appropriate activities. Respite is also not a substitute for services provided by a home health aide for self-care needs (bathing, dressing, feeding, and toileting).