CAREERS

JOIN THE AMAZING FAMILY OF TNC COMMUNITY!

For over 70 years, TNC Community has provided support and care for those with intellectual and developmental disabilities. We invite you to join our family of dedicated professionals. TNC Community offers:

  • Competitive Salary
  • Excellent Benefits Package
  • Training and Growth Opportunities

It is the philosophy of TNC Community to create an environment, which enables and encourages employees to develop and utilize their talents and knowledge to the greatest level possible. This will allow employees to maximize individual job satisfaction and TNC Community to achieve established goals and objectives for each individual.

TNC Community is an equal opportunity employer and complies with Title VI. We are dedicated to promoting cultural diversity. By recognizing and assuring individual rights and inclusion regardless of race, faith, gender, age, sexual orientation, economic or social class, we can shape a rich environment for our clients and staff.

AVAILABLE POSITIONS

Personal Support Attendant (Direct Support Professional)

DEPARTMENT: Residential
REPORTS TO: Residential Support Coordinator
POSITION STATUS: Non-Exempt

This position is responsible for the day-to-day support of assigned individuals. Works in cooperation with Residential Support Coordinator (RSC), Residential Support Manager/RSM, Community RN, Consultant Dietitian, Consultant Occupational Therapist, and other support services staff, as applicable. The PSA will assist in advocating for the removal of architectural, environmental, attitudinal, financial, employment, communication, transportation, community integration, technology and any other barriers to the persons receiving services through TNC Community. The PSA will report all suspected/alleged abuse and neglect in accordance with the TNC Community policies.

  • Must be at least 18 years of age.
  • Must possess a High School Diploma or GED.
  • Must participate in all mandatory training and yearly re-certifications, as required.

COMMUNICATION:
The position requires sufficient communication skills: written, verbal, and nonverbal, to effectively engage with individuals, staff and administration.

ADDITIONAL REQUIREMENTS:

  • Ability to clear background checks and drug/alcohol screenings as required.
  • Current CPR/First Aid certification.
  • Maintain current Abuse/Neglect Training.
  • Completion of Gentle Teaching or Equivalent.
  • Must participate in all mandatory trainings and re-certifications as required.
  • Ability to drive motorized vehicles, when applicable for position.
  • Valid class E Missouri driver’s license or equivalent, as required for position.
    NOTE: Specific assignments may not require a driver’s license.
  • Must have own transportation and proof of insurance, when applicable.
  • Ability to lift 75 pounds (weight may vary).
  • Flexible schedule.
  • Ability and competency to utilize a computer and needed software applications.

GENERAL AND PROGRAM RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

  1. Displays a positive attitude, conducts self in a professional manner, is cooperative on the job, reports to work on time, maintains a satisfactory attendance record, refrains from gossip or detrimental conversation, respects the property of TNC Community and that of the individuals.
  2. Communicates well with individuals and their friends, families, and guardians; as well as supervisors, co-workers, and other stakeholders in accordance with TNC Community policy and procedures.
  3. Shows concern for individuals and maintains and protects their human rights and privacy.  Interacts with and responds to the needs of individuals.
  4. Is informed and educated regarding each supported person’s Individual Support Plan (ISP) and is able to discuss the content such as medication needs, dietary needs and other information within that plan.
  5. Following directions of the Individual Support Plan, supports individual to focus on specific identified ISP outcomes and goal activities.  Documents information regarding success level achieved for each activity and response of individuals during the activity.
  6. Participates in planning meetings for/with individuals when invited.
  7. Documents daily observations and routine supports per waiver guidelines before leaving duty each day. Responsible to double check documentation on all individuals receiving services prior to leaving shift.  Documentation may include, but is not limited to, daily progress/T-log notes, intake & output, personal hygiene, seizures, medications, etc. to include submitting all necessary reports.
  8. When Event Reports/Medication Error reports are required, employee completes the report prior to leaving the service area the same day the event is identified.
  9. Assists individuals to achieve appropriate, comfortable, personal appearance throughout the day, and supports with necessary adjustments as needed.
  10. Supports individuals, as appropriate, to maintain personal belongings and bedrooms as well as common areas of the home or specified service locations to ensure a clean and healthy environment.
  11. Works as a “team” with other assigned staff to provide optimum supportive environment for individuals and to complete identified tasks.

HEALTH AND SAFETY RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

  1. Demonstrates good hygiene and sanitation skills such as proper hand washing and gloving technique.1. Demonstrates good hygiene and sanitation skills such as proper hand washing and gloving technique.
  2. Observes for and responds to signs/symptoms of health issues related to the individual(s) in a timely manner and reports same to Health Support Coordinator or designated staff member. (In cases of life-threatening emergencies, 9-1-1 would be called first).
  3. When applicable, is responsible for notifying Community RN On-Call by telephone of any identified medication/treatment errors that occur on the same day that they occur. This allows the Community RN On-Call to notify the physician and potentially correct for the error.
  4. When applicable, administers and documents, as legally required, all medication(s) and treatment(s) prescribed for individuals.
  5. Supports assigned individuals by assisting with meal time, hygiene needs and personal care, dressing, medication administration, leisure/recreational activities, and all other areas of life, utilizing adaptive equipment as trained when appropriate.
  6. Reports safety, maintenance, and/or adaptive equipment needs promptly.
  7. Utilizes appropriate transfer techniques, positioning, and safety activities as needed and/or ordered. Lifting of individuals will always be completed with two (2) personnel working together, where applicable.
  8. Adheres to dietary guidelines concerning content and preparation of all meals.
  9. Reads “high” designated T-logs before each shift and “communication book,” previous progress notes, bowel records, S-Comms, etc. as applicable at assigned service area at beginning of each work shift. Enters applicable information into same as needed.
  10. Is familiar with TNC Community emergency procedures. Participates in training and drills.
  11. Maintains required staffing ratio at all times.

PERSONNEL RESPONSIBILITIES:

  1. Is responsible for being aware of requirements to maintain certification(s) and other training and/or health needs required to maintain employment with TNC Community.  Will attend training offered by TNC Community at no cost in order to maintain employment status or arrange to obtain training elsewhere at own expense. NOTE:  PSA must complete a successful introductory period to receive training offered by TNC Community at no cost.
  2. Times in and out correctly and gains approval of and notifies direct supervisor of variances in routine schedule.
  3. Arrives at assigned site on-time for shift, dressed appropriately per policy and procedure, and prepared to provide support for assigned individuals.
  4. Provides accurate contact information including immediate notification of any change in contact information by completing a PAF and submitting to his/her direct supervisor.

FINANCIAL RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

May provide shopping support for individuals when assigned. Is responsible to obtain separate receipts for purchases of individuals and turn all receipts in to supervisor immediately on return or as designated.

FACILITY/TRANSPORTATION RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

  1. Maintains TNC Community vehicles in an organized, clean, safe, manner, as applicable.
  2. Drivers will ensure safe and continuous operation of TNC Community vehicles by reporting repair needs, accidents, and traffic violations immediately.
  3. Monitor facilities for cleanliness, safety issues and functionality for the individuals supported.

OTHER RESPONSIBILITIES:

  1. Follows all TNC Community policies and procedures.
  2. Complete other related duties as assigned.

Job Description

DEPARTMENT: Residential
REPORTS TO: Residential Support Coordinator
POSITION STATUS: Non-Exempt

This position is responsible for the day-to-day support of assigned individuals. Works in cooperation with Residential Support Coordinator (RSC), Residential Support Manager/RSM, Community RN, Consultant Dietitian, Consultant Occupational Therapist, and other support services staff, as applicable. The PSA will assist in advocating for the removal of architectural, environmental, attitudinal, financial, employment, communication, transportation, community integration, technology and any other barriers to the persons receiving services through TNC Community. The PSA will report all suspected/alleged abuse and neglect in accordance with the TNC Community policies.

  • Must be at least 18 years of age.
  • Must possess a High School Diploma or GED.
  • Must participate in all mandatory training and yearly re-certifications, as required.

COMMUNICATION:
The position requires sufficient communication skills: written, verbal, and nonverbal, to effectively engage with individuals, staff and administration.

ADDITIONAL REQUIREMENTS:

  • Ability to clear background checks and drug/alcohol screenings as required.
  • Current CPR/First Aid certification.
  • Maintain current Abuse/Neglect Training.
  • Completion of Gentle Teaching or Equivalent.
  • Must participate in all mandatory trainings and re-certifications as required.
  • Ability to drive motorized vehicles, when applicable for position.
  • Valid class E Missouri driver’s license or equivalent, as required for position.
    NOTE: Specific assignments may not require a driver’s license.
  • Must have own transportation and proof of insurance, when applicable.
  • Ability to lift 75 pounds (weight may vary).
  • Flexible schedule.
  • Ability and competency to utilize a computer and needed software applications.

GENERAL AND PROGRAM RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

  1. Displays a positive attitude, conducts self in a professional manner, is cooperative on the job, reports to work on time, maintains a satisfactory attendance record, refrains from gossip or detrimental conversation, respects the property of TNC Community and that of the individuals.
  2. Communicates well with individuals and their friends, families, and guardians; as well as supervisors, co-workers, and other stakeholders in accordance with TNC Community policy and procedures.
  3. Shows concern for individuals and maintains and protects their human rights and privacy.  Interacts with and responds to the needs of individuals.
  4. Is informed and educated regarding each supported person’s Individual Support Plan (ISP) and is able to discuss the content such as medication needs, dietary needs and other information within that plan.
  5. Following directions of the Individual Support Plan, supports individual to focus on specific identified ISP outcomes and goal activities.  Documents information regarding success level achieved for each activity and response of individuals during the activity.
  6. Participates in planning meetings for/with individuals when invited.
  7. Documents daily observations and routine supports per waiver guidelines before leaving duty each day. Responsible to double check documentation on all individuals receiving services prior to leaving shift.  Documentation may include, but is not limited to, daily progress/T-log notes, intake & output, personal hygiene, seizures, medications, etc. to include submitting all necessary reports.
  8. When Event Reports/Medication Error reports are required, employee completes the report prior to leaving the service area the same day the event is identified.
  9. Assists individuals to achieve appropriate, comfortable, personal appearance throughout the day, and supports with necessary adjustments as needed.
  10. Supports individuals, as appropriate, to maintain personal belongings and bedrooms as well as common areas of the home or specified service locations to ensure a clean and healthy environment.
  11. Works as a “team” with other assigned staff to provide optimum supportive environment for individuals and to complete identified tasks.

HEALTH AND SAFETY RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

  1. Demonstrates good hygiene and sanitation skills such as proper hand washing and gloving technique.1. Demonstrates good hygiene and sanitation skills such as proper hand washing and gloving technique.
  2. Observes for and responds to signs/symptoms of health issues related to the individual(s) in a timely manner and reports same to Health Support Coordinator or designated staff member. (In cases of life-threatening emergencies, 9-1-1 would be called first).
  3. When applicable, is responsible for notifying Community RN On-Call by telephone of any identified medication/treatment errors that occur on the same day that they occur. This allows the Community RN On-Call to notify the physician and potentially correct for the error.
  4. When applicable, administers and documents, as legally required, all medication(s) and treatment(s) prescribed for individuals.
  5. Supports assigned individuals by assisting with meal time, hygiene needs and personal care, dressing, medication administration, leisure/recreational activities, and all other areas of life, utilizing adaptive equipment as trained when appropriate.
  6. Reports safety, maintenance, and/or adaptive equipment needs promptly.
  7. Utilizes appropriate transfer techniques, positioning, and safety activities as needed and/or ordered. Lifting of individuals will always be completed with two (2) personnel working together, where applicable.
  8. Adheres to dietary guidelines concerning content and preparation of all meals.
  9. Reads “high” designated T-logs before each shift and “communication book,” previous progress notes, bowel records, S-Comms, etc. as applicable at assigned service area at beginning of each work shift. Enters applicable information into same as needed.
  10. Is familiar with TNC Community emergency procedures. Participates in training and drills.
  11. Maintains required staffing ratio at all times.

PERSONNEL RESPONSIBILITIES:

  1. Is responsible for being aware of requirements to maintain certification(s) and other training and/or health needs required to maintain employment with TNC Community.  Will attend training offered by TNC Community at no cost in order to maintain employment status or arrange to obtain training elsewhere at own expense. NOTE:  PSA must complete a successful introductory period to receive training offered by TNC Community at no cost.
  2. Times in and out correctly and gains approval of and notifies direct supervisor of variances in routine schedule.
  3. Arrives at assigned site on-time for shift, dressed appropriately per policy and procedure, and prepared to provide support for assigned individuals.
  4. Provides accurate contact information including immediate notification of any change in contact information by completing a PAF and submitting to his/her direct supervisor.

FINANCIAL RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

May provide shopping support for individuals when assigned. Is responsible to obtain separate receipts for purchases of individuals and turn all receipts in to supervisor immediately on return or as designated.

FACILITY/TRANSPORTATION RESPONSIBILITIES/ESSENTIAL FUNCTIONS:

  1. Maintains TNC Community vehicles in an organized, clean, safe, manner, as applicable.
  2. Drivers will ensure safe and continuous operation of TNC Community vehicles by reporting repair needs, accidents, and traffic violations immediately.
  3. Monitor facilities for cleanliness, safety issues and functionality for the individuals supported.

OTHER RESPONSIBILITIES:

  1. Follows all TNC Community policies and procedures.
  2. Complete other related duties as assigned.

Community RN

Responsible for monitoring and ensuring that appropriate health care, specific to each individual, is identified and communicated to the TNC Community support team. The Community RN will perform duties specified by the State of Missouri including monthly assessment of each assigned individual and completion of required reports. The Community RN advocates for the removal of architectural, environmental, attitudinal, financial, employment, communication, transportation, community integration, and other barriers for persons receiving services through TNC Community. Responsible to report all suspected/alleged abuse and neglect in accordance with TNC Community policies.

EDUCATION AND EXPERIENCE REQUIREMENTS

  • Graduate from an accredited school of nursing; B.S.N. Degree and/or CDDN.
  • Certification is desirable.
  • Current registration with the Missouri Board of Nursing verifiable by primary source.
  • Thorough knowledge of general nursing and management practices.
  • Experience should include at least one year in nursing practice.
  • Experience of at least one year working with individuals with ID/DD preferred.

RESPONSIBILITIES/ESSENTIAL FUNCTIONS

  • Be familiar with CARF Standards and DMH regulations, and monitor for implementation of services related to health and safety processes within those guidelines.
  • Prepare Annual Health Review for each individual.
  • Update Health Maintenance Schedule (HMS) annually.
  • Provide written or verbal input to DHS in advance towards plan development.
  • Complete Community RN requirements as designated in Community RN training, including face-to-face contact with each assigned individual monthly,
    review and monitoring of delegated procedures and completion of Community RN Summary report. Includes but not limited to AIMS screening every 6
    months when indicated and choking risk assessment annual or as indicated, G-tube monitoring, diabetic management/blood glucose reporting, vital sign
    and weight monitoring minimum of monthly.
  • Review all medical appointment data and records in Therap. Update new information in health record such as new diagnosis, identified infections, etc. as needed.
  • Prepare, review and update as needed RN Delegation procedure documents for nursing care, deemed by the Director of Health Services to be outside the scope of general orientation training of direct care staff. Assist with training staff to competency. Assist in development and follow up of Nursing Delegation.
  • Provide supervisor with current calendar of scheduled work time each month.
  • Attend in-service and training programs to further enhance
    professional knowledge.
  • Provide back-up support with telephonic on-call for agency staff and Health Team as assigned.
  • Follow all TNC Community policies and procedures.
  • Other duties as assigned.

ADDITIONAL REQUIREMENTS:

  • Ability to clear background checks and drug screenings as required.
  • Maintain current CPR Certification.
  • Maintain current Abuse and Neglect Training.
  • Maintain Gentle Teaching training or equivalent.
  • Must participate in all mandatory trainings and re-certifications as required.
  • Must have own transportation and provide proof of insurance.
  • Flexible schedule.
  • Be familiar with and able to utilize a computer efficiently.
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