Caregiver - Noble Adult Foster Home
Job Details
Luke-Dorf Hillsboro - Hillsboro, OR
High School
$14.50 Hourly

Provides adults disabled by serious mental illness with supportive care as described in the Oregon Administrative Rules for Adult Foster Homes. This includes ensuring a clean and organized environment, supporting residents by providing basic services such as meal preparation, medication administration as ordered by a licensed medical professional, personal care tasks, and transportation. Residential caregivers may also lead activities, assist in the implementation of care plan interventions and provide skills training and activities as assigned. Residential Caregivers are responsible for promoting a social model of care with respect to each resident’s individuality, independence, dignity, choice and privacy.



  • Understands Oregon Administrative rules regarding Home and Community Based mental health services, which guarantee residents a maximum level of freedom and personal rights and assists them to follow a person-centered care plan.
  • Has working knowledge of complex behavioral health symptom presentation and how to work with individuals experiencing clinically severe mental health symptoms that warrant AFH level of care
  • Assists residents with activities of daily living skills such as keeping appointments, completing household tasks, managing personal hygiene, eating, and mobility.
  • Provides medication administration, effectively manages and uses the medication administration record (MAR), and is delegated as needed to provide nursing tasks as needed
  • Reviews all resident care plans and understands how to meet the needs and preferences of each resident
  • Coordinates with resident’s treatment team and Exceptional Needs Care Coordinator to best support the residents treatment goals
  • Oversees house safety (fire drills, security of house at night, using de-escalation techniques to resolve disputes among residents, etc.)
  • Ensures provision of healthy meals daily and kitchen clean up.
  • Proactively supports the agency-wide Healthy Eating and Active Lifestyle program through coordination with the Health Educator.
  • Prompts residents to participate in organized physical activity at least once per shift (day & swing) and encourages mindfulness around healthy eating habits.
  • Maintain the cleanliness of food storage areas, common areas, resident rooms and employee office area.
  • Complete contraband checks as allowed by resident and OARs.
  • At the end of each shift, reviews each individual resident’s eMAR and communication log to ensure all documentation is complete.
  • Encourages residents to learn medication names, dosages, functions, and side effects as appropriate.
  • Follow guidelines in the medication policy. Remains constantly alert to changes in medication and updates medication charts as needed.
  • Ensure that client rights are being protected.
  • Assist in crisis intervention. Answers crisis calls and contacts appropriate treatment team members.
  • Escorts and supervises residents during community outings.
  • Documents all meaningful interactions with residents during each shift according to policy and Oregon Administrative Rules.
  • Document all incidents and critical incidents in a timely manner and notifies supervisor immediately of any critical incident.
  • Completes shift summary notes at end of each shift.
  • Adheres to all Luke-Dorf policies and procedures.
  • Adheres to the NASW Code of Ethics.
  • Complete other tasks as assigned by House Manager or Facility Administrator


Other General Expectations:

  • Must have a criminal records clearance through the Oregon Department of Health and Human Services Division prior to starting employment.
  • Must be tested for tuberculosis within two weeks of date of hire.
  • Undergo a minimum of 16 hours pre-service orientation, which will include a review of house rules, policies, and procedures; education on psychiatric disabilities; an overview of resident service arrangements; a summary of each residents risk factors; medication management procedures; food service arrangements; a summary of resident’s assessment and residential service plan; Electronic Health Record; and any other relevant information.
  • Will not work over 40 hours per week unless authorized by a supervisor.
  • Will report to work promptly and will adhere to all scheduling and attendance policies.
  • Regular in-service training on issues relevant to residential care to total not less than 8 hours a year. Training to be arranged by the Facility Administrator.
  • Attend and positively participate in required meetings
  • Pursues ongoing development of skills and competencies.
  • Follows all corporate polices, procedures, and protocols.
  • Complies with all Luke-Dorf, Inc. safety rules and regulations.
  • Follows through on all directives and instructions.
  • Maintains security of keys, files, and facility systems.
  • May be required to work at other sites during times of temporary need.
  • High School Diploma or equivalent.
  • Must be 18 years of age and capable of implementing the emergency procedures and disaster plan.
  • QMHA credentials preferred.
  • A prior history of working with and supporting individuals with an identified mental health concern.
  • Preference given to applicants who have a history of crisis de escalation training, prior coordination with Exceptional Needs Care Coordinators, and active involvement in a multi disciplinary team working with individuals with severe mental illness.