Policy Manual sample

MDT Home Health Care Agency, Inc. STAFF CONTRACT Please select: 9 Direct Employee 9 Independent Contractor This contract is made this ______________day of , _____ between our Home Health Agency ______________________________________________ herein named the "Agency" and _________________________________________ herein named the "Employee/Contractor". TERMS By this contract, both the Agency and the Employee/Contractor agree to the following terms: (I) The Agency is the Employer and ____________________________ is the Employee/Contractor. (II) The Employee/Contractor is a contract employee ( 9 Direct Employee 9 Independent Contractor). (III) The Employee/Contractor shall perform all such duties/services as are assigned to him/her by the Agency: ______________________________________________________________________ (See Job Description attached), following the Agency’s Policy & Procedures. (IV) The Agency 9 shall 9 shall not deduct all taxes from the Employee/Contractor's salary. (V) The Employee/Contractor shall maintain a proper liability insurance and make copy available to Our Agency, if applicable. 9 Required 9 Not Required Contractor shall be responsible for obtaining and maintaining appropriate levels of worker’s compensation (exemptions) to cover contractor’s performance hereunder. Contractor is required to provide the company a valid Certificate of Insurance reflecting worker’s compensation insurance or Certificate of Election to be Exempt showing coverage immediately upon the request of company. The company is not responsible at any time for the insurance of the contractor. (VI)The Agency shall evaluate the Employee/Contractor performance at the end of the 90 days probation period, and yearly thereafter, following all Agency and Personnel Policy and Procedures. (VII) Whenever applicable, the Employee/Contractor shall be required to submit progress and clinical notes to the Agency's Administrator or Director of Nursing, Clinical Manager, within 1 week of service rendered, no later that the following Tuesday during regular business hours, that notes must verify provision of services/procedures and visit completion (must include the weekly time- sheet signed by the patient or patient representative if applicable). The bill-sheet or related information for reimbursement for care and service provided must be received in our office within 1 week (not later that the following Tuesday before 5:00 pm) (VIII)Jobs to be performed by the Employee/Contractor shall be assigned by the Agency only, the contracted staff (Direct or Independent), or the contingency staff (under emergency/shortage staff) will be in placement within 1 business day (24 hours) after referral order is received. (IX) Both parties to this contract understand and agree that patients are accepted for care only by this Agency. (X)Both parties agree that the Employee/Contractor shall participate in developing of the Plan of Care, conform to all applicable Agency policies, including personnel qualifications. All Patient’s health information must maintained as CONFIDENTIAL as HIPAA requirements. (XI)Both parties agree that this Agency shall coordinate all job-related activities of the Employee/Contractor, control all job-related activities of the Employee/Contractor, and shall evaluate the Employee/Contractor's job performance just as we do that of other Employee/Contractors. (XII)Both parties agree that the Employee/Contractor shall be paid an hourly rate of $ _________ or per visit rate of $ ___________, during regular pay period of: 9 weekly 9 biweekly 9 monthly (XIII)The duration of this contract is one year commencing from the date both parties sign this contract. Upon termination or disciplinary action, this contract is canceled, and a new contract Home Health Agency Agreements G-10