CNA_STNA

Certified Nursing Assistant / State Tested Nursing Assistant

CNA / STNA

Home Health Aide Agency - State of Ohio

Job Title:

Certified Nursing Assistant / State Tested Nursing Assistant (CNA/STNA)

Department:

Home Health / Personal Care Services

Reports To:

Director of Nursing (DON) / RN Care Supervisor

Pay Rate:

$16.00 - $19.50 per hour

FLSA Status:

Non-Exempt (Hourly)

Employment Type:

Full-Time / Part-Time / PRN

Service Area:

Home-Based & Community Settings - Ohio

Regulatory Body:

Ohio Board of Nursing (OBN) / Ohio Department of Health (ODH)

Effective Date:

TBD

Position Summary

The Certified Nursing Assistant / State Tested Nursing Assistant (CNA/STNA) provides personal care, assistance with activities of daily living (ADLs), and supportive home health services to clients in their private residences and community settings. Under the supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN), the CNA/STNA promotes client dignity, independence, safety, and comfort.

This position is governed by Ohio Revised Code (ORC) Chapter 3721, Ohio Administrative Code (OAC) Chapter 3701-18 (Home Health Agency regulations), and the Ohio Board of Nursing's STNA certification requirements. All care is delivered in a manner consistent with the agency's commitment to person-centered, high-quality home health services.

Essential Duties & Responsibilities

Personal Care & Activities of Daily Living (ADLs)

• Assist clients with bathing, grooming, oral hygiene, dressing, and toileting.
• Provide safe and dignified assistance with transfers, ambulation, and positioning.
• Assist with meal preparation, feeding, and ensuring adequate nutrition and hydration.
• Support clients with light housekeeping tasks directly related to client care (e.g., client's laundry, bedroom, bathroom).
• Assist with range-of-motion exercises and other rehabilitative activities as directed by the care plan.
• Provide incontinence care with sensitivity and respect for client dignity.

Health Monitoring & Reporting

• Observe and report changes in the client's physical, mental, or emotional condition to the supervising RN or care coordinator.
• Monitor and record vital signs (blood pressure, pulse, temperature, respirations, oxygen saturation) as directed in the care plan.
• Recognize and report signs of abuse, neglect, exploitation, or unsafe living conditions per Ohio Revised Code and agency policy.
• Identify and report fall hazards and environmental safety concerns within the client's home.
• Assist with medication reminders (non-administration) per agency policy and Ohio law.

Documentation & Compliance

• Complete accurate, timely visit notes and daily activity logs using the agency's Electronic Visit Verification (EVV) system as required under Ohio Medicaid rules.
• Document client responses to care, any observed changes in condition, and incidents or unusual occurrences.
• Maintain client confidentiality and comply with HIPAA privacy and security regulations.
• Complete required agency paperwork including visit logs, mileage logs, and incident reports.
• Adhere to all Medicaid Home and Community-Based Services (HCBS) documentation requirements.

Communication & Care Coordination

• Communicate effectively with clients, family members, and caregivers regarding the care plan and any concerns.
• Maintain a professional, respectful, and compassionate relationship with clients and their households.
• Participate in care plan conferences and interdisciplinary team communications as needed.
• Notify the agency promptly of schedule conflicts, client cancellations, or inability to report to an assignment.
• Collaborate with the RN supervisor to ensure continuity and consistency of care.

Safety & Infection Control

• Follow standard precautions and infection control protocols including proper hand hygiene and use of PPE.
• Maintain a clean and safe environment for the client during all visits.
• Respond appropriately to client emergencies, including calling 911 and notifying the supervising nurse.
• Complete and maintain current CPR/First Aid certification.
• Comply with OSHA bloodborne pathogen standards and agency safety policies.

Professionalism & Agency Standards

• Arrive on time to all client assignments and maintain reliable attendance.
• Present a professional appearance and adhere to agency dress code.
• Represent the agency positively in all client homes and community interactions.
• Complete all required agency training, annual in-services, and competency evaluations.
• Comply with all agency policies, Ohio home health regulations, and Medicaid provider standards.

Qualifications

Required

• Current, valid STNA certification listed on the Ohio Nurse Aide Registry (OBN) in good standing with no findings of abuse, neglect, or misappropriation.
• Minimum six (6) months of CNA/STNA experience; home health or community-based experience preferred.
• Current CPR/First Aid certification (American Heart Association or equivalent).
• Valid Ohio driver's license, reliable personal vehicle, and current automobile insurance.
• Successful completion of criminal background check per ORC 3721.121 (Ohio Nurse Aide Registry background screening).
• Ability to pass a pre-employment drug screening.
• Ability to read, write, and communicate effectively in English.
• Basic computer or smartphone literacy for Electronic Visit Verification (EVV) compliance.

Preferred

• One (1) or more years of home health aide or personal care experience.
• Experience with elderly clients, individuals with disabilities, or those with chronic illness.
• Familiarity with Ohio Medicaid HCBS waiver programs (e.g., PASSPORT, Assisted Living, Ohio Home Care waiver).
• Bilingual or multilingual skills are a plus.
• Reliable transportation with willingness to travel within assigned service territory.

Compensation & Benefits

Pay Rate:

$16.00 - $19.50 per hour (based on experience & availability)

Pay Schedule:

Weekly / Bi-Weekly (per agency policy)

Mileage:

Reimbursed per agency policy for travel between client visits

Overtime:

Paid at 1.5x for hours worked over 40 per week (FLSA)

Benefits:

May include: PTO, health insurance, dental/vision (eligibility varies by FT/PT status)

Training:

Paid orientation, annual in-services, and skills competency training

Advancement:

Opportunities for additional certifications and career growth

Physical Requirements

The following physical demands are representative of what is required to perform essential job functions:

• Ability to lift, push, pull, and carry up to 50 lbs.; assist with transferring clients with or without mechanical lifts.
• Ability to stand, walk, bend, kneel, stoop, and reach for extended periods throughout the workday.
• Sufficient visual and auditory ability to monitor client conditions and communicate effectively.
• Ability to drive personal vehicle between client assignments within the service territory.
• Ability to respond quickly and appropriately in medical emergency situations.

Work Environment

• Services are performed in private residences, assisted living facilities, and community settings throughout the agency's service area.
• Work environment varies by client home; the agency does not control home conditions.
• Exposure to potential hazards including bloodborne pathogens, infectious diseases, and physically dependent clients; training and PPE are provided.
• Schedule may include mornings, evenings, weekends, and holidays depending on client and agency needs.
• Travel between multiple client assignments in a single workday may be required.

Regulatory & Compliance Notice

This position is subject to the following Ohio laws and regulations:

• Ohio Revised Code (ORC) Chapter 3721 - Nursing Homes and Home Health Agencies
• Ohio Administrative Code (OAC) Chapter 3701-18 - Home Health Agency Rules
• Ohio Nurse Aide Registry - STNA Certification and Background Check Requirements (ORC 3721.121)
• Ohio Medicaid Electronic Visit Verification (EVV) requirements
• Ohio Medicaid HCBS Waiver Program requirements (where applicable)
• HIPAA Privacy and Security Rules
• OSHA Bloodborne Pathogen Standard (29 CFR 1910.1030)

All CNA/STNAs are required to maintain active certification on the Ohio Nurse Aide Registry and immediately report any changes in certification status to the agency.

Equal Employment Opportunity

This agency is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. Reasonable accommodations will be provided for qualified individuals with disabilities.

Acknowledgment

By signing below, the employee confirms receipt and understanding of this job description, including all essential duties, qualifications, physical requirements, and compliance obligations.