Compliance Respiratory Therapist - NIV Experience Required

Foundations Health Solutions, Ohio's premier long term care provider, is looking for a full-time Respiratory Therapist to join our team! This role is for NIV compliance checks in the Cincinnati/Dayton area.

Daily/Shift Responsibilities

• Review NIV usage hours, refusal documentation, and adherence to prescribed settings.
• Validate that nurses are completing the NIV Progress Note UDA once per shift or each time NIV is offered or encouraged.
• Confirm documentation reflects actual usage, refusals, education, mask issues, and symptom changes.
• Update the compliance tracker, PCC notes, Vent Calendars
• Verify trial notes and initiation notes for new NIV residents.

Device & Equipment Oversight

• Inspect Trilogy devices to ensure correct settings, alarms, humidity, and circuit setup.
• Assess mask fit, tolerance, and risk of skin breakdown.
• Troubleshoot leaks, pressure intolerance, alarms, and comfort issues.
• Notify clinical staff if adjustments or new orders are required.

Resident Assessment & Clinical Monitoring

• Assess work of breathing, respiratory rate, accessory muscle use, SpO₂ trends, and comfort on NIV.
• Identify barriers to NIV usage and provide re-education.
• Monitor for decline or decompensation requiring provider notification.
• Review ABG/VBG lab dates and confirm eligibility requirements are met.

Compliance Tracking & Reporting

• Update the Excel compliance tracker, facility NIV calendar, and daily usage logs.
• Ensure consistency between documentation in PCC and compliance tools.
• Prepare summaries of compliance issues, refusal patterns, and residents needing follow-up.

Communication & Coordination

• Collaborate with nursing, DON, therapy, and administration to address compliance gaps.
• Coordinate with Central Intake and leadership for qualifying residents or updated orders.
• Escalate clinical concerns or abnormalities to the NP/MD promptly.
• Ensure standardized documentation processes across all facilities.

Education & Resident Engagement

• Educate residents on the benefits of NIV and reinforce adherence.
• Train nursing staff on mask application, troubleshooting, and encouraging resident usage.
• Provide family education when appropriate.

Quality Assurance & Program Integrity

• Validate all eligibility documents, usage hours, and labs meet CMS/Ohio Medicaid requirements.
• Ensure documentation is consistent, accurate, and audit-ready.
• Assist leadership with internal or external audit preparation.

We are an Equal Opportunity Employer and promote a drug-free workplace. We also offer a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, tuition reimbursement and a voluntary 401(k) retirement savings plan.

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