Complex Care Assistant

2 days ago


Boston, MA, United States Team Select Home Care Full time

A Complex Care Assistant (CCA) is a paraprofessional who is specifically trained and performs assigned functions of personal and enhanced care services in the residence under the direction, instruction, and supervision of the Nursing Supervisor. This role will report to the Director of Nursing/Nursing Supervisor/RN.

Duties/Responsibilities:

  • Provides personal care and related services, as well as enhanced care services, in the home, under the direction, instruction, and supervision of the Nursing Supervisor permitted under State Law
  • Tasks to be performed by a CCA must be assigned by, and performed under the supervision of an RN, who will be responsible for the patient care provided by the CCA
  • Follows the Plan of Care to provide safe, competent care to the client
  • The Complex Care Assistant can perform Personal Care Services, which can include the following:
    • Assist clients with ADL's
    • Assist the patient with ambulation
    • Assist therapy personnel as needed with rehabilitative processes.
    • Perform routine housekeeping tasks
  • Complex Care Assistants can also perform Enhanced Care Servicesthat do not require the skills, judgment, or assessment of a nurse. These services include:
    • Enteral G-tube/J-tube feedings
    • Skin care including application of OTC products or routine G-tube/J-tube care
    • Oxygen therapy
    • Oral (dental) suction to remove superficial oral secretions
    • Ostomy and catheter care
    • Modified meal preparation
    • Braces, splints, and/or pressure stockings
    • Equipment management and maintenance (wheelchair, CPAP/BiPAP, oxygen and Respiratory care equipment) and paperwork
    • Transportation to medical providers / pharmacy
  • Reports on incomplete work assignments to Nursing Supervisor
  • Reports any variance, accident, or unusual occurrence to the appropriate personnel
  • Carries out, reports and documents care given in an effective timely manner
  • Complete the required training and/or competency evaluation for Complex Care Assistants, as well as meet all supervision requirements
  • Complete any additional requirements of the CSN agency and follow all agency requirements regarding documentation, onboarding, employment, etc.
  • Complex Care Assistants may only provide services to members they have been specifically trained to care for
Required Skills/Abilities/Knowledge:
  • Not be on the List of Excluded Individuals and Entities as provided by the Office of Inspector General of the U.S. Department of Health and Human Services, or other applicable lists excluding individuals or entities from participating in MassHealth under state or federal law
  • Ability to carry out directions, read and write
  • Complete training requirements for Complex Care Assistant services
  • Must be free from health problems that may be injurious to patient, self, and co-workers and must present appropriate evidence to substantiate this
Education/Experience/Licenses/Certifications:
  • Be legally authorized to work in the United States
  • Be at least 18 years old
  • Must have current CPR certification
  • Personal Care Services, Training and Competency Requirements - The Assistant must meet the training and competency evaluation program standards for home health aides, established at 42 CFR 484.80
  • Enhanced Care Services, Training and Competency Requirements - The assistant must demonstrate proficiency in safely providing the enhanced care services specific to the complex care members' needs
Job Conditions/Physical Requirements:
  • The ability to drive and the ability to access clients' homes, which may not be routinely wheelchair accessible, are required
  • Hearing, eyesight, and physical dexterity must be sufficient to perform a physical assessment of the client's condition and to perform client care
  • On occasion, it may be required to bend, stop, reach, and move client; lift and/or carry up to 30 pounds
FLSA Status: Non-exempt

EEO Status: Service Workers

Benefits + Perks of Joining the Team Select Family
  • Medical, Dental, and Vision Insurance
  • 401(k)
  • Referral Program
  • Flexible scheduling
  • Paid, hands-on training
  • Weekly pay
  • Tuition Assistance Programs and Continuing Education opportunities
  • Nursing programs for new graduates available


Pay Range: $29.25 / hourly

Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.

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