Orientation Page

I agree and understand that by signing, I'm providing consent to electronically sign and acknowledge forms on tarlani.com

I agree that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

I consent to electronically sign and acknowledge documents in this application, Tarlani Healthcare's Policies. I am giving permission to store this information and collect for Human Resources Records and Tarlani Healthcare Medical Records

For every visit, I will be completing the Tarlani route sheet which will include the patient's signature, time in, time out and the date of the visit. 

I am signing to acknowledge that it is a federal crime to forge signatures of any person.

I will not sign on behalf of any person while employed at Tarlani Healthcare.

Pay Periods are semi-monthly.

Complete visits from 9th to the 23rd of the month will be paid on the 1st of the following month, and visits from 24th to 8th of the following month will be paid on the 15th of the following month.

Pay Period / Payday
9th - 23rd / 1st
24th - 8th / 15th

Paydays falling on weekends/holidays will pay out the following Monday.

***IMPORTANT POINTS***

Route sheets are turned in/mailed daily and at the very least weekly. When mailing the route sheets, it is the clinician’s responsibility to make sure they get to the office on time. Since the post office delivery times can be unpredictable, it is highly recommended to mail the route sheets with a tracking number.

● A copy of all route sheets must be kept with the clinician at all times to be readily available for any agency if asked for.
● Colton Office drop off days are Wednesdays! All paperwork gets picked up and delivered to the main office in Montrose every Thursday.
● To make timely payroll, during end of pay periods, you can scan & e-mail route sheets to routesheets@tarlani.com. It is mandatory to drop off all route sheets weekly.
● When mailing your route sheets, please mail to the Montrose office directly - 2347 Honolulu Ave, Montrose, CA 91020.
● Visits must be charted on and submitted within 2 calendar days of the visit date. If report documents and route sheets are not submitted within the 2 calendar days, payment for those visits cannot be processed until the following pay period.
● If visits are still incomplete 2 pay periods past the original visit date, they will be paid at the California minimum wage rate to be considered as fully paid. Additional payment will not be made even if notes are completed past the due date.
● Minimum wage payment is only applicable for timely billing purposes to visits that have the original route sheet submitted but are missing completion of charting on Synergy.

Payroll Calculation Components

A visit is considered complete and payable at full rate when:
1. 45 minute minimum face to face visit has happened with the patient
2. Signed route sheet (original form) has been turned in to one of our offices.
3. Charting* has been submitted in Synergy within 2 calendar days of the visit.

*Charting includes all corresponding attributes such as, wound photos, important updates/outcomes, nursing notes, and patient teachings documented .

If any of the components are missing, payment will be moved to the following pay period.
Incomplete visits will be checked again on the next pay period.

In case of an emergency, if you have missed the deadline for the notes submission contact the Payroll Manager Mariam Keshishyan at payroll@tarlani.com or on Trillian as soon as possible.

Route Sheet Submission & Documentation Guidelines

1. Route sheets must be filled out fully. If a signature is missing from the patient or clinician, the route sheet will be returned to the clinician for completion before payment can be made.

2. Only Tarlani Healthcare route sheet forms may be used. Other forms will not be accepted.

3. Per CMS guidelines:
● All medical paperwork must be in black ink
● Whiteout cannot be used on route sheets or any other documentation.
If a mistake needs a correction, draw a single line over the error, legibly rewrite the
information and add your initials next to the correction.

4. Each route sheet may be used for a single patient, do not use the same route sheet for multiple patients.

5. Each route sheet for a single patient may only contain one week and the same weeks’ worth of visit information. Nursing work week is Sunday to Saturday.

6. Route sheet visit time must match EMR/Synergy time.

7. Obtain one signature per visit. Subject to disciplinary action for not following any of the payroll requirements. 

Payment and Pay Stubs

1. Employees must set up a direct deposit in Paychex. If direct deposit has not been set up, the
paycheck will be sent by mail or picked up individually from the corporate office upon
request.
2. Pay Stubs can be found in Paychex. The rate and number of units paid will be visible on
the stub.
3. For a more detailed breakdown of visits paid please email payroll@tarlani.com.

I confirm that I have read, understood, and agreed to the above information (pages 1-5).

Pay Periods are semi-monthly. Submit Invoices to Payroll@tarlani.com minimum 1 week prior to pay day

Completed visits will be paid on the 1st and the 15th of every month.

Completed visits from 1st and the 15th of the month will be paid on the 1st of the following month, and visits from 16th to 31st of that month will be paid on the 15th of the following month. Paydays falling on weekends/holidays will pay out the following Monday.

Pay Period / Payday
1st - 15th / 1st
16th - 31st / 15th next month

***IMPORTANT POINTS***

• Route sheets are turned in/mailed daily and at the very least weekly. When mailing the route sheets, it is the clinician’s responsibility to make sure they get to the office on time. Since the post office delivery times can be unpredictable, it is highly recommended to mail the route sheets with a tracking number.
• When mailing your route sheets, please mail to the Montrose office directly 2347 Honolulu Ave, Montrose, CA 91020.
• A copy of all route sheets must be kept with the clinician at all times to be readily available for any agency if asked for.
• Colton Office drop off days are Wednesdays! All paperwork gets picked up and delivered to the main office in Montrose every Thursday.
• Visits must be charted on and submitted within 2 calendar days of the visit date. If report documents and route sheets are not submitted within the 2 calendar days, payment for those visits cannot be processed until fully submitted.

Payroll Calculation Components

A visit is considered complete and payable at full rate when:

1. 45 minute minimum face to face visit has happened with the patient (SOC’s and Eval’s must be minimum 1 hour)
2. Signed route sheet (original form) has been turned in to one of our offices within 2 days of the visit.
3. Charting has been submitted in Synergy within 2 calendar days of the visit.

If any of the components are missing, payment will not be processed until all conditions are met.

Submit Invoices to Payroll@tarlani.com 

In case of an emergency, if you have missed the deadline for the notes submission contact the Payroll Manager Mariam Keshishyan at payroll@tarlani.com or on Trillian as soon as possible.

Route Sheet Submission & Documentation Guidelines

1. Route sheets must be filled out fully. If a signature is missing from the patient or clinician, the route sheet will be returned to the clinician for completion before payment can be made.

2. Only Tarlani Healthcare route sheet forms may be used. Other forms will not be accepted. ( Route Sheets Link )

3. Per CMS guidelines:
● All medical paperwork must be in black ink
● Whiteout cannot be used on route sheets or any other documentation.
If a mistake needs a correction, draw a single line over the error, legibly rewrite the
information and add your initials next to the correction.

4. Each route sheet may be used for a single patient, do not use the same route sheet for multiple patients.

5. Each route sheet for a single patient may only contain one week and the same weeks’ worth of visit information. Nursing work week is Sunday to Saturday.

6. Route sheet visit time must match EMR/Synergy time.

7. Obtain one signature per visit. Subject to disciplinary action for not following any of the payroll requirements. 

I confirm that I have read, understood, and agreed to the above information

Pay Periods are semi-monthly.

Complete visits from 9th to the 23rd of the month will be paid on the 1st of the following month, and visits from 24th to 8th of the following month will be paid on the 15th of the following month.

Pay Period / Payday
9th - 23rd / 1st
24th - 8th / 15th

Paydays falling on weekends/holidays will pay out the following Monday.

***IMPORTANT POINTS***

Route sheets are turned in/mailed daily and at the very least weekly. When mailing the route sheets, it is the clinician’s responsibility to make sure they get to the office on time. Since the post office delivery times can be unpredictable, it is highly recommended to mail the route sheets with a tracking number.

● A copy of all route sheets must be kept with the clinician at all times to be readily available for any agency if asked for.
● Colton Office drop off days are Wednesdays! All paperwork gets picked up and delivered to the main office in Montrose every Thursday.
● To make timely payroll, during end of pay periods, you can scan & e-mail route sheets to routesheets@tarlani.com. It is mandatory to drop off all route sheets weekly.
● When mailing your route sheets, please mail to the Montrose office directly - 2347 Honolulu Ave, Montrose, CA 91020.

Payroll Calculation Components

A visit is considered complete and payable at full rate when:
1. Face to face visit has happened with the patient. Collected specimens and dropped off at the assigned laboratory
2. Signed route sheet (original form) has been turned in to one of our offices.

In case of an emergency, if you have missed the deadline for the notes submission contact the Payroll Manager Mariam Keshishyan at payroll@tarlani.com or on Trillian as soon as possible.

Route Sheet Submission & Documentation Guidelines

1. Route sheets must be filled out fully. If a signature is missing from the patient or clinician, the route sheet will be returned to the clinician for completion before payment can be made.

2. Only Tarlani Healthcare route sheet forms may be used. Other forms will not be accepted.

3. Per CMS guidelines:
● All medical paperwork must be in black ink
● Whiteout cannot be used on route sheets or any other documentation.
If a mistake needs a correction, draw a single line over the error, legibly rewrite the
information and add your initials next to the correction.

4. Each route sheet may be used for a single patient, do not use the same route sheet for multiple patients.

5. Each route sheet for a single patient may only contain one week and the same weeks’ worth of visit information. Nursing work week is Sunday to Saturday.

6. Obtain one signature per visit. Subject to disciplinary action for not following any of the payroll requirements. 

Payment and Pay Stubs

1. Employees must set up a direct deposit in Paychex. If direct deposit has not been set up, the
paycheck will be sent by mail or picked up individually from the corporate office upon request.

2. Pay Stubs can be found in Paychex. The rate and number of units paid will be visible on the stub.

3. For a more detailed breakdown of visits paid please email payroll@tarlani.com.

I confirm that I have read, understood, and agreed to the above information (pages 1-5).

This form is to waive my right to a 30-minute unpaid meal break on all days when my work will be completed in six hours or less from the day this form is complete until I revoke this waiver in writing. I understand that this waiver will be maintained with my timesheets. I understand I have the right to revoke this waiver at any point by filling out and signing the revocation section of this form.

TARLANI Healthcare’s mileage pay policy applies only if you have mileage reimbursement in your original rate agreement. If you have mileage reimbursement in your rate agreement, the process is as follows:

● Travel within your coverage area will not be reimbursed.
● Mileage reimbursement begins after 20 miles of travel, after which each extra mile will be calculated by the IRS standard rate for a one way trip only.
● If multiple patients are seen in the same area and on the same day, mileage reimbursement will only apply once for that day. In all other cases, if mileage reimbursement is not in your initial rate agreement, it will only be reimbursed with the pre-approval of a manager in writing.

In rare exceptions, if a manager approves mileage reimbursement, you must provide screenshotted proof of the agreement with your digital route sheet submission in synergy or by mail (attached to the applicable visit’s route sheet). Please follow the sentence structure below to provide accurate and complete information for the agreement in order to be compensated. If any of the underlined sections are missing, there could be a delay in payment.
“I was approved to see Patient’s Full Name on Date by Manager’s Name and Staffer’s Name due to the reason I was assigned this patient and will receive mileage reimbursement.”

The following must be submitted in order for the mileage to be reimbursed with your visit:
1. The sentence above with the manager’s approval in a screenshot uploaded or mailed with the route sheet.
2. Only the extra miles after 20 miles driven one way must be written on the route sheet of the visit.

*Please make sure to turn in route sheets with the correct mileage amount as this will be closely monitored by the payroll
department/software.

If you would like to further discuss the mileage pay policy, feel free to contact Mariam Keshishyan (Payroll) at 818.241.4444 ext. 106 or
email payroll@tarlani.com

Payroll Document Finished, please proceed to the next step

Field Employee Standards

Hello and Welcome to TARLANI Healthcare 

1. Upon hiring, you will provide the Staffing Team and the Case Managers with your Base Schedule, Skillset & Coverage Area. Patients will be assigned according to the information given during hiring. Any deviation from the base schedule needs to be pre-approved by HR with an advanced notice of minimum of two weeks. (For more details about the base schedule please refer to “Field Staff Per-Diem Base Schedule Terms and Conditions”) If not followed, this will be subject to immediate termination.

2. RN/LVN/CHHA/CP accepted cases must be completed once assigned/accepted/agreed and cannot be forfeited. It is mandatory for the employees to stay with the same patients until the patient is discharged from the Agency for the best patient care results/practices

3. In case of a personal emergency, all employees must email hr@tarlani.com about their absence. LVNs & CHHAs must communicate directly with the patients to re-schedule to the soonest available date. Those patients that are unable to be re-scheduled, must be notified that the agency will send a covering clinician. Also, include those patients in the email to HR in order to safely redirect them.

For all other disciplines, must email hr@tarlani.com with a list of patients that need to be covered, and then notify the patients, that a covering clinician will be sent.

4. Missing more than three visits without proper explanation will lead to termination and be reported to the Board of Nursing of CA, as negligent conduct which jeopardizes the patients’ safety and wellbeing according to all the State laws and regulations.

5. Cancellation, missed visits without any report or reason will result in disciplinary action in accordance with the company policy with further consideration for termination.

6. Scheduled patient visits, must be communicated with Case Management or Clinical Supervisor to make any adjustments based on patient's change of status. 

Any non-compliance with accepted scheduled visits and independent decision making about no longer visiting patients, will be subject to reporting to the Board of Nursing of CA.   

7. The Field employees must follow the patient's plan of care. It is the responsibility of the clinician to educate themselves to the patients history prior to the visit by looking into the patient's chart.

8. Employees are responsible to report daily visits even if the visit is missed. All employees must always answer phone calls from Tarlani Healthcare, if unable to answer, send a text that you will call back.  

9. All field employees must confirm their visits 24 hours prior to their visit.
Additionally, on the day of the visit, the field employee must call the patient before starting the drive to the patient's home; to double confirm the visit. 
If the patient does not pick up phone calls, don't go, instead contact the scheduling team & they will work to locate the patient.

10. All employees are expected to dress in a manner appropriate to the healthcare environment, or as directed by the patient/client family. This includes personal hygiene, jewelry, hair, and makeup. 

11. Avoid engaging in personal discussion with patients, families, or caregivers. Avoid voicing personal opinions about patients, families, or caregivers. Avoid abusing patient's hospitality, use the telephone only in emergency situations or to call the office. Refrain from using patients trash cans to dispose of visit trash.

12. Do not offer medical advice. Do not transport patients, families, or caregivers in a car. 

13. Do not take anyone into the patients' homes with you without administrative and patient approval. 

14. Do not smoke/vape in the presence of a patient/client. 

15. If you have any problem, incident, or accident on the job, do not discuss it with the patient, client, but call TARLANI HEALTHCARE immediately. 

16. If you are to be relieved by someone else, do not leave until your relief person has arrived. 

17. If the patient/client/facility asks you to stay longer than your assignment or to leave earlier, you must call TARLANI HEALTHCARE first, for approval. Refer to Directory List.

18. Under no circumstances are you to ask for, or accept, any money from your patient or take-home property that belongs to the patient/client. There shall not be any involvement with the patient/client/s financial affairs (i.e., check writing) 

19. Always educate patients and caregivers to be independent in care. Nurses must make sure to provide teachings every visit - those must be short, comprehensive in a very accessible language - one at a time and please always validate prior instructions the next time you see the patient. 

20. All patients' visit notes/care related documentation are mandatory to be submitted in Synergy at most 2 days after. If, for some reason you have missed the deadline, please contact Payroll@tarlani.com 

21. If the visits and corresponding documentation is not submitted in the timely manner – it impairs our payroll and billing. The visits which documents/notes were not submitted by the deadline will automatically roll over to the next payroll. No extensions will be made for late submissions of route sheets and/or documentation.

22. The patient’s documentation is the property of the Agency, patient and upon warrant – the Government. The nurses must submit the documentation within the timeline provided by the agency. 

23. Agency is required to verify employees' credentials are up to date. The employees will be receiving notifications via Synergy if the credentials are close to expiration. Once received, please be sure to send the updated credential(s) as soon as possible or make the proper appointment to update it. If the credential expires and the employee hasn’t provided the renewed copy to the agency, Tarlani will be forced to temporarily remove the employee from the field until all the requirements are cleared. The Agency does not reimburse for any credentialing cost.

24. It is your responsibility as a visiting staff to ensure you have enough basic supplies at any given point when you are ready to start your day. The list of the supplies that the nurse is required to have has been provided before and after the orientation. The DON or Clinical Observer will review the nursing bag during the orientation to confirm that it is up to Home Health Standards. 

25. The basic wound care supplies and the Badge will be provided to you by the Agency. RNs will also be provided with the Admission Books. Always wear a TARLANI Healthcare badge during the visits. Licensed personnel must always carry their current nursing license and CPR while on the assignment. 

26. After the initial orientation it is the nurse's responsibility to stop by the office to replenish the supplies. If you are located further than 20 miles from either of the company’s locations, please send the request for the supplies to supplies@tarlani.com no later than 1 week in advance for us to prepare it and ship it to you. 

27. During the visit report any patient-specific supplies that are needed. You must send a message in Synergy as a request to case managers & their group. Keep in mind that some supplies might need to be approved by the insurance and that might take a few days. Check with Case Manager for details.

28.It is your responsibility to ensure that all diabetic patients and patients with all types of injections have a sharps container present during each visit by requesting supply@tarlani.com for the said supplies. Failure to report or not having a sharps container will be subject to disciplinary action. The Agency is not liable for any injuries due to not having a sharps container. Sharps Containers are available at Montrose & Colton office locations for pickup.

29. When one needs to purchase any supply due to unforeseen circumstances, it is required to contact and discuss the issue with the case management department. Once it is approved, one will be asked to submit the proof and receipt for reimbursement. The reimbursement will be included in your next payroll. 

30. Should the Tarlani nurse decide to resign, that employee is mandated to perform all assigned patient care until the Agency is able to safely redirect the patients to a different nurse care. Minimum 2 week notice must be given to hr@tarlani.com and followed by the resigning employee.

31. The Tarlani Nurse must send weekly photographs of patients’ wounds and any other openings through Synergy messages. Make sure to use the Tarlani Ruler, and include the patient's name, date, measurement, location for each wound. Once a wound is reported as healed, it must be accompanied with a wound picture to be considered as officially healed. Initials________

Field Employee Standards

Hello and Welcome to TARLANI Healthcare 

1. Upon hiring, you will provide the Staffing Team and the Case Managers with your Base Schedule, Skillset & Coverage Area. Patients will be assigned according to the information given during hiring. Any deviation from the base schedule needs to be pre-approved by HR with an advanced notice of minimum of two weeks. (For more details about the base schedule please refer to “Field Staff Per-Diem Base Schedule Terms and Conditions”) If not followed, this will be subject to immediate termination.

2. Certified Phlebotomist accepted cases must be completed once assigned/accepted/agreed and cannot be forfeited. 

3. In case of a personal emergency, all employees must email hr@tarlani.com about their absence.  Also, include those patients in the email to HR in order to safely redirect them.

4. Missing more than three visits without proper explanation will lead to termination and be reported to the California Medical Board, as negligent conduct which jeopardizes the patients’ safety and wellbeing according to all the State laws and regulations.

5. Cancellation, missed visits without any report or reason will result in disciplinary action in accordance with the company policy with further consideration for termination.

6. Scheduled patient visits, must be communicated with Case Management or Clinical Supervisor to make any adjustments based on patient's change of status. 

7. The Phlebotomist must follow the instructions given by their scheduler. Lab type to do, Locations to drop off and patient information will be shared. When dropping off, write back the name of the Lab tech accepting it.

8. Employees are responsible to report daily visits even if the visit is missed. All employees must always answer phone calls from Tarlani Healthcare, if unable to answer, send a text that you will call back.  

9. All Phlebotomists must confirm their visits 24 hours prior to their visit.
Additionally, on the day of the visit, the phlebotomists must call the patient before starting the drive to the patient's home; to double confirm the visit. 
If the patient does not pick up phone calls, don't go, instead contact the scheduling team & they will work to locate the patient.

10. All employees are expected to dress in a manner appropriate to the healthcare environment, or as directed by the patient/client family. This includes personal hygiene, jewelry, hair, and makeup. 

11. Avoid engaging in personal discussion with patients, families, or caregivers. Avoid voicing personal opinions about patients, families, or caregivers. Avoid abusing patient's hospitality, use the telephone only in emergency situations or to call the office. Refrain from using patients trash cans to dispose of visit trash.

12. Do not offer medical advice. Do not transport patients, families, or caregivers in a car. 

13. Do not take anyone into the patients' homes with you without administrative and patient approval. 

14. Do not smoke/vape in the presence of a patient/client. 

15. If you have any problem, incident, or accident on the job, do not discuss it with the patient, client, but call TARLANI HEALTHCARE immediately. 

16. If you are to be relieved by someone else, do not leave until your relief person has arrived. 

17. Under no circumstances are you to ask for, or accept, any money from your patient or take-home property that belongs to the patient/client. There shall not be any involvement with the patient/client/s financial affairs (i.e., check writing) 

18. Must print & carry the company clinical laboratory license with you at all times when completing visits. 

19. No extensions will be made for late submissions of route sheets and/or documentation.

20. The patient’s documentation is the property of the Agency, patient and upon warrant – the Government. The employees must submit the documentations within the timeline provided by the agency. 

21. Agency is required to verify employees' credentials are up to date. The employees will be receiving notifications via Synergy if the credentials are close to expiration. Once received, please be sure to send the updated credential(s) as soon as possible or make the proper appointment to update it. If the credential expires and the employee hasn’t provided the renewed copy to the agency, Tarlani will be forced to temporarily remove the employee from the field until all the requirements are cleared. The Agency does not reimburse for any credentialing cost.

22. It is your responsibility as a visiting staff to ensure you have enough basic supplies at any given point when you are ready to start your day. The list of the supplies that the phlebotomist is required to have has been provided before and after the orientation. The DON or Clinical Observer will review the nursing bag during the orientation to confirm that it is up to Home Health Standards. 

23. After the initial orientation it is the nurse's responsibility to stop by the office to replenish the supplies. If you are located further than 20 miles from either of the company’s locations, please send the request for the supplies to supplies@tarlani.com no later than 1 week in advance for us to prepare it and ship it to you. 

24. During the visit report any patient-specific supplies that are needed. You must send a message in Synergy as a request to case managers & their group. Keep in mind that some supplies might need to be approved by the insurance and that might take a few days. Check with Case Manager for details.

25.It is your responsibility to ensure that all diabetic patients and patients with all types of injections have a sharps container present during each visit by requesting supply@tarlani.com for the said supplies. Failure to report or not having a sharps container will be subject to disciplinary action. The Agency is not liable for any injuries due to not having a sharps container. Sharps Containers are available at Montrose & Colton office locations for pickup.

26. When one needs to purchase any supply due to unforeseen circumstances, it is required to contact and discuss the issue with the case management department. Once it is approved, one will be asked to submit the proof and receipt for reimbursement. The reimbursement will be included in your next payroll. 

27. Should the Tarlani employee decide to resign, that employee is mandated to perform all assigned patient care until the Agency is able to safely redirect the patients to a different nurse care. Minimum 2 week notice must be given to hr@tarlani.com and followed by the resigning employee.

Field Employee Standards

Hello and Welcome to TARLANI Healthcare 

1. Upon hiring, you will provide the Staffing Team and the Case Managers with your Base Schedule, Skillset & Coverage Area. Patients will be assigned according to the information given during hiring. Any deviation from the base schedule needs to be pre-approved by HR with an advanced notice of minimum of two weeks. (For more details about the base schedule please refer to “Field Staff Per-Diem Base Schedule Terms and Conditions”) If not followed, this will be subject to immediate termination.

2. All accepted cases must be completed once assigned/accepted/agreed and cannot be forfeited. 

3. In case of a personal emergency, the clinician must email hr@tarlani.com about their absence. Also, include those patients in the email to HR in order to safely cover them for the day. If any patients can be moved to the next day, then work it out with the patient. Only notify the agency with the list of patients that must be covered for that day.

4. Missing more than three visits without proper explanation will lead to termination and be reported to the corresponding California board as negligent conduct which jeopardizes the patients’ safety and wellbeing according to all the State laws and regulations.

5. Cancellation, missed visits without any report or reason will result in disciplinary action in accordance with the company policy with further consideration for termination.

6. Scheduled patient visits, must be communicated with Therapy Coordinator to make any adjustments based on patient's change of status. 

7. Must report daily visits even if the visit is missed. Must always answer phone calls from Tarlani Healthcare, if unable to answer, send a text that you will call back.  

8. All clinicians must confirm their visits with the patient 24 hours prior to their visit. Additionally, on the day of the visit, the clinician must call the patient before starting the drive to the patient's home; to double confirm the visit.
If the patient does not pick up phone calls, don't go, instead contact the therapy team & they will work to locate the patient.

9. All employees are expected to dress in a manner appropriate to the healthcare environment, or as directed by the patient/client family. This includes personal hygiene, jewelry, hair, and makeup.

10. Avoid engaging in personal discussion with patients, families, or caregivers. Avoid voicing personal opinions about patients, families, or caregivers. Avoid abusing patient's hospitality, use your telephone only in emergency situations or to call the office. Do not pick up when you are with the patient. It takes the time dedicated to the patients from them!

11. Do not offer medical advice. Do not transport patients, families, or caregivers in a car. 

12. Do not take anyone into the patients' homes with you without administrative approval. 

13. Do not smoke/vape in the presence of a patient/client. 

14. If you have any problem, incident, or accident on the job, do not discuss it with the patient, client, but call TARLANI HEALTHCARE immediately. 

15. Under no circumstances are you to ask for, or accept, any money from your patient or take-home property that belongs to the patient/client. There shall not be any involvement with the patient/client/s financial affairs (i.e., check writing)

16. The patient’s documentation is the property of the Agency, patient and upon warrant – the Government. The employees must submit the documentations within the timeline provided by the agency. Failure to submit visit related documentation will result in disciplinary action &/or court appearance.

17. Agency/ Visiting staff is required to keep employees' credentials up to date. The employees will be receiving notifications via Synergy if the credentials are close to expiration. Once received, please be sure to send the updated credential(s) as soon as possible or make the proper appointment to update it. If the credential expires and the employee hasn’t provided the renewed copy to the agency, Tarlani will be forced to temporarily remove the employee from the field until all the requirements are cleared. The Agency does not reimburse for any credentialing cost.

18. As a visiting staff, your responsibility is to have all supplies needed to complete visits.  The list of the supplies that the therapist is required to have has been provided during orientation. The DPCS or Clinical Supervisor will review the nursing bag during the orientation to confirm that it is up to Home Health Standards.  

19. During the visit report any patient-specific supplies that are needed. You must send a message in Synergy as a request to case managers & their group. Keep in mind that some supplies might need to be approved by the insurance and that might take a few days. Check with the Case Manager for details.

20. Should the Tarlani employee decide to resign, that employee is mandated to perform all assigned patient care until the Agency is able to safely redirect the patients to a different nurse care. Minimum 2 week notice must be given to hr@tarlani.com and followed by the resigning employee.

Job Title/Position: Certified Home Health Aide

Reports To: Clinical Supervisor, Case Manager

Job Description Summary
The home health aide is a paraprofessional member of the home care team who works under the
supervision of a registered nurse or therapist and performs various personal care services as
necessary to meet the patient’s needs. The home health aide is responsible for observing patients,
reporting these observations and documenting observations and care performed. The home health
aide will be assigned in a manner that promotes quality, continuity and safety of a patient’s care.

Essential Job Functions/Responsibilities
Responsibilities of the home health aide include, but are not limited to, the following:
1. Providing personal care including:
A. Baths
B. Back rubs
C. Oral hygiene
D. Shampoos
E. Changing bed linen
F. Assisting patients with dressing and undressing
G. Skin care to prevent breakdown
H. Assisting the patient with toileting activities
I. Keeping patient’s living area clean and orderly, as appropriate
2. Planning and preparing nutritious meals.
3. Assisting in feeding the patient, if necessary.
4. Taking and recording oral, rectal and axillary temperatures, pulse, respiration and blood
pressure when ordered (with appropriate completed/demonstrated skills competency)
5. Assisting in ambulation and exercise according to the plan of care.
6. Performing range of motion and other simple procedures as an extensional therapy service as
ordered (with appropriate completed/demonstrated skills competency).

7. Assisting patients in the self-administration of medication.
8. Doing the patient's laundry, as appropriate.
9. Meeting safety needs of patients and using equipment safely and properly (foot stools, side
rails, etc.).
10. Reporting on the patient's condition and significant changes to the assigned nurse.
11. Adhering to the Organization's documentation and care procedures and standards of personal
and professional conduct.

The above statements are only meant to be a representative summary of the major
duties and responsibilities performed by incumbents of this job. The incumbents
may be requested to perform job related tasks other than those stated in this
description.

Position of Qualifications
1. Meets the training requirements in accordance with State and Federal laws.
2. At least 18 years of age.
3. Ability to read and follow written instructions and document care given.
4. Self-directing with the ability to work with little direct supervision.
5. Empathy for the needs of the ill, injured, frail and the impaired.
6. Possess and maintain current CPR certification.
7. Demonstrates tact, patience and good personal hygiene.
8. Licensed driver with automobile that is insured in accordance with Organization
requirements and is in good working order.
{Note: Effective August 14, 1990, a person who has successfully completed a state
established or other training program that meets the requirements of CFR 484.36(a) and a
competency evaluation program, or state licensure program that meets the requirements of

This is a confidential document that is privileged and legally protected. You are not authorized to share, copy or disclose the contents of this document.
This document is intended for informational purposes only and does not constitute legal, accounting, or tax advice, nor does it create an attorney-client relationship.
The information provided here was based on certain federal and state statutes and does not encompass all applicable requirements or other regulations that may
exist, such as local ordinances or case law.

Page2
Version 1.0 Revision Date June22,2022

2347 Honolulu Ave, Montrose, CA 91020
Tell: 818 241 4444 Fax: 818 241 4443
CFR 484.36(b), or a competency evaluation program or state licensure program that meets
the requirements of S 484.36(b).}

Job Limitations:
The home health aide will not function in any manner viewed as the practice of nursing according
to the State's Nurse Practice Act. Specifically, the home health aide will not administer
medications, take physician's orders or perform procedures requiring the training, knowledge and
skill of a nurse, such as sterile techniques.

Job Description

Job Title/Position: Licensed Practical/Vocational Nurse [LVN]
Reports To: Clinical Supervisor, Case Manager
Job Description Summary
The Licensed Practical/Vocational Nurse is responsible for providing direct patient
care under the supervision of a registered nurse. Responsibilities include
following the plan of care, providing treatments, and working collaboratively with
the members of the team to help meet positive patient care outcomes.

Essential Job Functions/Responsibilities
1. Provides direct patient care as defined in State’s Name Nurse Practice Act.
2. Implements a plan of care initiated by the registered nurse.
3. Provides accurate and timely documentation consistent with the plan of care.
4. Assesses and provides patient and family/caregiver education and information pertinent to
diagnosis and plan of care.
5. Participates in coordination of home health services, appropriately reporting the identified
needs for other disciplines (HHA, OT, PT, MSW, ST, and Dietician) to the registered nurse
and/or Clinical Supervisor.
6. Uses equipment and supplies effectively and efficiently.
7. Participates in personal and professional growth and development.
8. Performs other duties as assigned by the registered nurse.
The above statements are intended to be a representative summary of the major duties and
responsibilities performed by incumbents of this job. The incumbents may be requested to
perform job related tasks other than those stated in this description

Position of Qualifications
1. Graduate of an accredited practical nurse or vocational nursing program.
2. Has one year nursing experience. Community/home health or medical/surgical experience
is preferred.
3. Currently licensed as a licensed practical nurse or licensed vocational nurse in the state.
4. Complies with accepted professional standards and practice.
5. Demonstrates good verbal and written communication, and organization skills.
6. Must be a licensed driver with an automobile that is insured in accordance with state and
organization requirements and is in good working order.

Job Description

Job Title/Position: Registered Nurse [RN]
Reports To: Clinical Supervisor, Case Manager

Job Description Summary:
The registered nurse plans, organizes and directs home care services and is experienced in
nursing, with emphasis on community health education/experience. The professional nurse builds
from the resources of the community to plan and direct services to meet the needs of individuals
and families within their homes and communities

Essential Job Functions/Responsibilities:
Patient Care
1. Completes an initial assessment of patient and family to determine home care needs.
Provides a complete physical assessment and history of current and previous illness (es).
2. Regularly re-evaluates patient nursing needs.
3. Initiates the plan of care and makes necessary revisions as patient status and needs change.
4. Uses health assessment data to determine nursing diagnosis.
5. Develops a care plan, which establishes goals based on nursing diagnosis and incorporates
therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the
family in the planning process.
6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers
medications and treatments as prescribed by the physician.
7. Counsels the patient and family in meeting nursing and related needs.
8. Provides health care instructions to the patient as appropriate per assessment and plan of
care.
9. Identifies discharge planning needs as part of the care plan development and implements
prior to discharge of the patient.
10.Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to
coordinate patient care for assigned caseload.
11.For every Head-to-Toe assessment visit, must send completed clinical documentation through
Electronic Medical Records Software to Case Management group, and attach it to the patient's chart.

• Admission Service Agreement
• Patient Individualized Emergency Plan
• Release of Medical Information
• Patient's List of Medication
• Wound Photos with rulers and measurements.
• Additional forms requested by Tarlani Office Employees

Communication
1. Prepares clinical notes and updates the primary physician when necessary and at least
every sixty days.
2. Communicates with the physician regarding the patient’s needs and reports any changes in
the patient’s condition; obtains/receives physician’s orders as required.
3. Communicates with community health related persons to coordinate the care plan
Additional Duties
1. Participates in on-call duties as defined by the on-call policy.
2. Ensures that arrangements for equipment and other necessary items and services are
available.
3. Instructs, supervises and evaluates home health aide care provided every two
Position Qualifications
1. Graduate of an accredited school of nursing. One to two years of recent acute care
experience in an institutional setting.
2. Current licensure in State, CPR certification and valid driver’s license.
3. Bachelor’s degree, with one year of home health care experience preferred.
4. Management experience not required. Responsible for supervising home health aides.
5. Excellent observation, verbal and written communication skills, problem solving skills,
basic math skills; nursing skills per competency checklist.

Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to
lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching.
Visual acuity and hearing to perform required nursing skills

Job Description

Job Title/Position: Physical Therapist [PT]
Reports To: Clinical Supervisor, Case Manager

Job Description Summary:
The physical therapist contracted or employed through the Organization is responsible for providing physical therapy services and for adherence to all conditions outlined in the Personnel  Services Agreement. 

Essential Job Functions/Responsibilities:

1. Provides physical therapy services to patients according to a written physician's plan of  care. This may include, but will not be limited to: 
2. Assessing and evaluating therapeutic/rehabilitative/functional status, and participation  in the development of the total plan of care. Evaluates home environment.  
3. Assesses for muscle strength, mobility, gait, ROM—potential for rehab.  C. Directing physical therapy treatment.  
4. Instructing patients and families/caregivers in the use and care of therapeutic  appliances.  
5. Determining priority needs for physical therapy  
6. Reporting to physician patient’s reaction to treatment or changes in condition.  
7. Initiates physical therapy program and instructs other personnel and/or family/caregiver  members in certain phases of physical therapy with which they may work with a patient, as  well as instructing them as to the goals of the physical therapy program for the patient by  participating in case conferences.  
8. May train patient in the use of prosthetic device.
9. Identifies patient and family/caregiver needs for other home health services and refers  as necessary.  
10. Prepares and submits clinical and progress summaries based on the attainment of goals.  
11. Participates in discharge planning for patient. 
12. Prepares and submits a clinical progress summary based on the attainment of goals as  directed by Organization policy.  
13. Provides physical therapy consultation to home families/caregivers when indicated.  
14. Provides inservice education programs for nursing organization personnel as needed.  
15. Participates in peer consultation process.  
16. Supervises Physical Therapy Assistants according to organization policy and state  regulations.  
17. When therapy is the only skilled service, instructs, supervises and evaluates home health  aide care every two (2) weeks.  

Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to
lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching.
Visual acuity and hearing to perform required nursing skills

Job Description

Job Title/Position: Physical Therapist Assistant [PTA]
Reports To: Clinical Supervisor, Case Manager, Physical Therapist

Job Description Summary:
The physical therapy assistant provides physical therapy services under the direction of the  physical therapist and according to the physician's plan of care. 

Essential Job Functions/Responsibilities:

1. Provides direct physical therapy according to directions of physical therapist and in  accordance with the physician's plan of care.  
2. Treats patients to relieve pain, develop or restore function, and maintain maximum  performance.  
3. Directs and aids patients in active and passive therapeutic exercises, muscle reeducation,  gait and functional training, transfer activities and prosthetic training.  
4. Utilizes physical agents, including, but not be limited to heat, cold, water, light, electricity,  ultrasound and massage.  
5. Observes and reports to the physical therapist and the Organization personnel the patient’s  reaction to treatment and any changes in patient’s condition.  
6. Instructs patients in care and use of wheelchairs, braces, crutches, canes, and prosthetic or  orthotic devices.  
7. Maintains necessary records; clinical notes and conference notes, which will be  incorporated into the patient’s clinical record in prescribed time frames.  
8. Participates in Organization Home Care Team Members meetings and Organization Inservice Education Program. 
9. Performs other duties as assigned.  

Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to
lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching.
Visual acuity and hearing to perform required nursing skills

Job Description

Job Title/Position: Occupational Therapist Assistant [OTA]
Reports To: Clinical Supervisor, Case Manager, Occupational Therapist

Job Description Summary:
The Occupational Therapist Assistant supports the Director of Nursing, Case Management and the clinical staff in the delivery of health care by performing patient care assessments, and a variety of medically related tasks. The Occupational Therapist Assistant is a certified therapist who works in an Home Care Setting to provide therapy services.

Essential Job Functions/Responsibilities:

1. Evaluates patient’s functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the total plan of care.
2. For patients who plan to return to work, the occupational therapist assistants may perform work capacity evaluation and may refer to specialized vocational training in accordance with organization policy.
3. Develops treatment program and establishes goals for improved function. Communicates plan of care to referring physician and other organization professionals.
4. May teach new skills or retrain patient in once familiar daily activities that have been lost due to illness or injury, in accordance with organization policy.
5. May fabricate splints and instruct patient in the use of various types of adaptive equipment to improve function.
6. May train patient in the use of prosthetic and/or orthotic devices.
7. Maintains appropriate clinical records, clinical notes, and reports to the physician any changes in the patient’s condition. Submits these records in accordance with organization policy.
8. Maintains contact/communication with other personnel involved in the patient’s care to promote coordinated, efficient care.
9. Attends and contributes to inservices, case conferences, and other meetings as required by organization policy to ensure coordinated and comprehensive plans of care for the patients of the organization.
10. Identifies patient and family/caregiver needs for other home health services and refers as appropriate. You'll demonstrate knowledge of regulatory requirements.

Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required tasks.

Job Description

Job Title/Position: Occupational Therapist [OT]
Reports To: Clinical Supervisor, Case Manager

Job Description Summary:
The Occupational Therapist supports the Director of Nursing, Case Management and the clinical staff in the delivery of health care by performing patient care assessments, and a variety of medically related tasks. The Occupational Therapist is a licensed therapist who works in an Home Care Setting to provide therapy services.

Essential Job Functions/Responsibilities:

1. Evaluates the patient's functional status (muscle function, endurance, visual coordination, written and verbal communication skills, self care ability, work capacity, etc.). Evaluates home environment for hazards or barriers to more independent living. Identifies equipment needs. Participates in the development of the total plan of care.
2. For patients who plan to return to work, the occupational therapist may perform work capacity evaluation and may refer to specialized vocational training in accordance with Organization policy.
3. Develops a treatment program and establishes goals for improved function. Communicates plan of care to referring physician and other Organization professionals.
4. May teach new skills or retrain patient in once familiar daily activities that have been lost due to illness or injury, in accordance with Organization policy.
5. May fabricate splints and instruct patient in the use of various types of adaptive equipment to improve function.
6. May train patient in the use of prosthetic and/or orthotic devices.
7. Maintains appropriate clinical records, clinical notes, and reports to the physician any changes in the patient’s condition. Submits these records in accordance with Organization policy.
8. Maintains contact/communication with other personnel involved in the patient’s care to promote coordinated, efficient care.
9. Attends and contributes to inservices, case conferences, and other meetings as required by Organization policy to ensure coordinated and comprehensive plans of care for the patients of the Organization.
10. Identifies patient and family/caregiver needs for other home health services and refers as appropriate. visits. Educating the patient how to take care during non-visit days

Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required tasks.

Job Description

Job Title/Position: Speech Language Pathologist [ST]
Reports To: Clinical Supervisor, Case Manager

Job Description Summary:
The Speech Therapist supports the Director of Nursing, Case Management and the clinical staff in the delivery of health care by performing patient care assessments, and a variety of medically related tasks. The Speech Therapist is a licensed therapist who works in an Home Care Setting to provide therapy services.

Essential Job Functions/Responsibilities:

1. 1. Conducts appropriate evaluations, assesses home environment (as appropriate), identifies equipment needs relative to speech/language function.

   2. Identifies functional speech defects and establishes a plan of care to improve patient’s function.

   3. Administers speech therapy program utilizing specialized therapeutic technique and/or equipment.

   4. Recommends communication devices/aids as indicated.

   5. Confers with referring physician and other organization personnel to ensure coordinated and comprehensive care contributes to the total plan of care.

   6. As appropriate, participates in case conferences, inservices and other meetings required to ensure coordinated and comprehensive care.

   7. Prepares and submits notes per organization policy.

   8. Maintains clinical competency in speech language pathology practice and theory.

   9. Identifies patient and family/caregiver needs for other services and refers as appropriate.

   10. Instructs patient, family/caregiver and other Organization health care personnel in the patient’s treatment regime as indicated.

   11. May supervise home health aide in procedures directly related to the speech–language therapy plan of care.

   12. Performs other duties as required to facilitate the delivery of speech language pathology services.

   Communication with patients to schedule visits.

   Educating the patient how to take care during non-visit days

   You'll demonstrate knowledge of regulatory requirements.

Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required tasks.

Job Description

Job Title/Position: Registered Nurse [CP]
Reports To: Clinical Supervisor, Case Manager
Job Description Summary
The Certified Phlebotomist adheres to standard blood drawing practices and safety protocols. The
position entails visiting patients, collecting test samples and dropping them off at laboratoires. Lab
Requisitions must be attached to the specimens.

Essential Job Functions/ResponsibilitiesTraveling to patient homes to draw blood samples as required.
2. Gathering mandatory information from patients and verifying their identities.
3. Disinfecting extraction sites using alcohol swabs. Adhering to infection control protocols.
4. Washing and drying hands before every collection.
5. Cleaning puncture sites and covering them with gauze, cotton-wool balls, or sticking plasters.
6. Appropriately discarding used needles, syringes, and other items used during venipuncture
procedures.
7. Appropriately storing blood samples in accordance with established guidelines.
8. Accurately labeling blood samples.
9. Maintaining accurate patient records, which includes detailing any medical issues experienced by
patients during venipuncture procedures that may affect the accuracy of test results.
10. Transporting collected blood samples to the laboratory for testing. Using requisition forms.

Job Title/Position: Certified Phlebotomist [CP]
Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to
lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching.
Visual acuity and hearing to perform required tasks.

All Tarlani Nurses must have the following items available every day for all of their visits.

Tarlani Healthcare provides the following items monthly. Request with supplies@tarlani.com.
The below is a complete list of your trunk supplies.

●Basic Wound Care Supplies, such as saline, tape, gauze, etc.
● Hand sanitizer at least 70% alcohol
● Alcohol wipes to clean all equipment before and after use
● Gloves
● Glucometer
            ○ Patients should have their own glucometer. If the patient does not have a glucometer, the nurse must use the one available in the nursing bag and inform the Supply Department immediately. The Agency is required to order a new glucometer for the patient within 30 days from the report date.
  ● Badge
              ○ Must always be worn.
               ○ Nurse must verify their identifications by using any of the following identifications
               a. Name – DOB
               b. Name – License number
               c. Name – ID card

The Tarlani Nurses must have and maintain the below items on their own.

●The nursing bag. Must-have three compartments:

1. clean area,
2. dirty area,
3. stationary area

● BP monitor
● Stethoscope
● Pulse OX
● Thermometer with protective sheets
● Liquid soap
● Paper towels
● Trash bags
○ use under nursing bag with each wound care
○ use to set up a workstation
○ must be disposed of outside of the patient’s house. If not possible must be put in the trunk
and been thrown away elsewhere.
● Hazardous waste must be double bagged

All Tarlani Nurses must have the following items available every day for all of their visits.

Tarlani Healthcare provides the following items monthly. Request with supplies@tarlani.com.
The below is a complete list of your trunk supplies.

●Basic Wound Care Supplies, such as saline, tape, gauze, etc.
● Hand sanitizer at least 70% alcohol
● Alcohol wipes to clean all equipment before and after use
● Gloves
● Glucometer
            ○ Patients should have their own glucometer. If the patient does not have a glucometer, the nurse must use the one available in the nursing bag and inform the Supply Department immediately. The Agency is required to order a new glucometer for the patient within 30 days from the report date.
  ● Badge
              ○ Must always be worn.
               ○ Nurse must verify their identifications by using any of the following identifications
               a. Name – DOB
               b. Name – License number
               c. Name – ID card

The Tarlani Nurses must have and maintain the below items on their own.

●The nursing bag. Must-have three compartments:

1. clean area,


2. dirty area,


3. stationary area

● BP monitor
● Stethoscope
● Pulse OX
● Thermometer with protective sheets
● Liquid soap
● Paper towels
● Trash bags
○ use under nursing bag with each wound care
○ use to set up a workstation
○ must be disposed of outside of the patient’s house. If not possible must be put in the trunk
and been thrown away elsewhere.
● Hazardous waste must be double bagged

The CHHA need to have their own nursing bag, which includes:

Vital Assessment Tools
● BP monitor
● Stethoscope
● Pulse OX
● Thermometer with protective sheets

Hygiene Products
● Hand sanitizer at least 70% alcohol
● Liquid soap
● Alcohol or Clorox wipes to clean all equipment before and after use
● Gloves
● Paper towels
● Trash bags
○ Use under nursing bag with to set up a workstation
○ Throw away waste outside of patients home.

● Badge
○ Must always be worn.
○ Employees must verify their identifications with the company badge

The Therapists need to have their own nursing bag, which includes:

Vital Assessment Tools
● BP monitor
● Stethoscope
● Pulse OX
● Thermometer with protective sheets

Hygiene Products
● Hand sanitizer at least 70% alcohol
● Liquid soap
● Gloves
● Paper towels
● Badge
○ Must always be worn.
○ Employees must verify their identifications with the company badge
● CPR Mask (Not provided by Agency)

All Tarlani Certified Phlebotomists must have the following items available every day for all of their visits.

Tarlani Healthcare provides the following items monthly. Request with supplies@tarlani.com.

The below is a complete list of your trunk supplies.

● Hand sanitizer at least 70% alcohol
● Alcohol wipes to clean all equipment before and after use
● Gloves
● Tourniquet
● Urinalysis cups.
● Vacuneedles & tubes
● Sharps Container.
○ Once full, must dispose of it at Tarlani office or at any pharmacy, fire department building or county drop-off buildings.
● Badge
○ Must always be worn.
○ Employees must verify their identifications with the company badge

● Liquid soap
● Trash bags
○ Use under bag to set up a workstation
○ Throw away waste outside of patients home.
●Own transport cooler.