Personnel Agreement

Personnel Agreement



















SALARY/HOURLY/PER VISIT (please circle one)

Note: Please complete your charting before the deadline to prevent any delays with your check.

Semimonthly Payroll System:

PAY DATE: 15TH OF THE MONTH FOR SERVICES 16TH TO 30TH OR 31TH

PAY DATE: 30TH OR 31TH FOR SERVICES 1ST TO 15TH

Responsibility to Maintain & Complete Tasks

* Client admission process.

* Client assessment.

* Development, review, and revision of the Plan of Care.

* Care conferences.

* Scheduling of visits or hours.

* Discharge planning.

* Submission of documentation to the agency for services provided.

* Responsibility of the contracting agency or individual to adhere to all applicable policies, including personnel qualifications.

* Procedures for determining charges and reimbursement.

* Terms of the agreement and the conditions for renewal or termination.

Only the agency may accept clients to receive services rendered by the contract personnel. Individuals or organizations under contract with the agency shall bill the agency directly for services provided to the clients at the negotiated rate. Contract personnel or organizations shall not bill the client directly for services

All contract personnel shall adhere to the client’s established Plan of Care in the rendering of any professional services to the client. Contract personnel may recommend changes in the Plan of Care, but all modifications thereof must have the written approval of the Director of Nursing.

Contract personnel shall complete clinical notes and progress reports on their clients for services performed. Documentation shall be submitted to the agency and filed in the clinical record.

Contract personnel shall report any significant changes in a client’s condition or response to treatment or therapy immediately to the Director of Clinical Services or Nursing Supervisor and the client’s physician.

Contract personnel shall appear neat and professional on all client visits and conduct themselves in a professional manner.

Contract personnel must comply with Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, the Title VI of the Civil Rights Act of 1964, as well as all other agency rules. Contract personnel shall be responsible to the Director of Clinical Services or other such designee.

The Contractual Agreement shall continue and be binding upon the parties from year to year unless terminated by either party with thirty (30) days written notice. If the contractor fails to perform according to the agreement, services will be terminated with twenty-four (24) hours’ notice by the agency.