INACTIVE
Respiratory Therapist
Full-TimePosted on 8/19/2026Deadline 9/1/27
$32.14 - $35.32/hr
Mid
Fredericksburg, VA, USA
In Person
Medical, Clinical & VeterinaryNursing & Frontline Patient Care
H1B Sponsorship Available
About the job
Requirements
- A Respiratory Therapist must have a high level of knowledge of respiratory therapy and practice gained through completion of an NBRC-approved and accredited program and one year of clinical practice experience under medical direction.
- Must have a current Basic Cardiac Life Support certification and current state licensure for a Respiratory Care Practitioner.
- The therapist is required to be CPR certified.
Responsibilities
- Under general supervision and medical direction, perform respiratory care procedures with judgment guided by the physician's treatment plan and departmental policies and procedures.
- Assess and manage patients and families, manage resources, facilitate care, and plan discharge as required.
- Assess residents' conditions, administer prescribed therapy and aerosolized medications, and observe and record progress and responses to therapy, including adverse reactions to drugs and therapy.
- Provide in-service training to residents, family members, and facility staff.
- Apply age-appropriate growth and development principles to meet residents' physical and psychological needs, involving family or facility staff in assessment, treatment, and continuing care as needed.
- Initiate, monitor, and maintain life support systems for residents in the skilled nursing facility.
- Perform airway care and maintenance.
- Manage artificial ventilator status according to an approved protocol.
- Maintain and troubleshoot mechanical ventilators.
- Participate in cardiopulmonary resuscitation using bag ventilation and closed-chest massage.
- Initiate, monitor, and document respiratory care modalities.
- Assess residents' cardiopulmonary status using physical assessment, history taking, laboratory findings, chest radiological studies, pulmonary function testing, and professional judgment to formulate a respiratory care plan when ordered by a physician.
- Before treatment, check physician orders for completeness, including diagnosis, ICD-10 code, type and duration of therapy, medication type and dosage, FiO2, and frequency.
- Review residents' charts for history, physical information, and precautions to observe at bedside.
- Observe and chart pulse, respiration, breath sounds, general appearance, breathing exercises, and resident teaching and training.
- Notify the supervisor of all new starts and discontinued residents.
- Administer appropriate technical respiratory care procedures, dispense correct medication dosages, and acquire and adjust devices to optimize therapy results.
- Select and adjust masks, mouthpieces, or tracheostomy equipment for resident comfort and ease of operation, and regulate equipment flow and pressure.
- Observe respiratory rate and pattern, pulse, breath sounds, medication reactions, and therapy difficulties during and after treatment; chart and communicate pertinent information to the resident's nurse.
- Maintain thorough and accurate charts.
- Inspect and test equipment; disassemble, clean, and reassemble it as required; maintain adequate equipment supplies; perform administrative and record-keeping duties when required; and dispose of equipment properly.
- Assist in emergency cardiopulmonary resuscitation as part of the emergency team.
- Initiate, administer, evaluate responses to, and document physician-ordered therapy modalities according to departmental procedures, including intermittent positive pressure breathing, handheld nebulizer treatments, chest physical therapy modalities such as percussion and vibration, breathing and cough retraining exercises, deep tracheal suctioning, incentive spirometry, and sputum induction.
- Recognize adverse reactions to therapy modalities and take appropriate action.
- Document all resident care services in the medical record.
- Accept and transcribe verbal orders related to respiratory care procedures.
- Set up, maintain, and record log entries for oxygen and respiratory supplies and equipment as required.
- Explain the rationale and methodology of each respiratory procedure to residents and family members to support cooperation, understanding, and effective treatment; work toward goals that maximize rehabilitation potential.
- Attend educational programs and read professional journals to maintain and enhance technical skills and clinical competencies.
- Participate in interdisciplinary resident rounds and conferences to plan and evaluate effective resident care.
- Participate in quality-assurance data collection as assigned.
- Deliver rehabilitation services effectively and efficiently while adhering to the plan of care, department and patient schedules, and timely documentation requirements.
- Troubleshoot general equipment and perform tasks to optimize diagnostic equipment accuracy, including quality-control methods, preventive maintenance, and calibration.
- Perform other duties as assigned.
About the company
AlignMed Partners provides a national team of physicians and advanced practice providers who work with skilled nursing and long-term care facilities to improve clinical care and patient outcomes. The service places medical professionals on-site to support care teams and collaborates with facility operators and patients to align goals and deliver consistent medical attention across all care settings. Its differentiator is a nationwide network combined with a focus on aligning the goals of operators and residents, ensuring on-site medical leadership tailored to long-term care. The company aims to raise the quality of care and spark positive change across the full spectrum of care for residents in skilled nursing and long-term care facilities.
Company Size
51-200
Company Stage
N/A
Total Funding
N/A
Headquarters
Kennett Square, Pennsylvania
Founded
2005
Get referred to AlignMed Partners
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Simplify's Take
What believers are saying
- January 2026 McKnight’s coverage showed a new AlignMed staffing partnership in New Hampshire.
- August 2026 website updates signal active commercialization and ongoing network expansion.
- Its multi-service model fits operators chasing lower rehospitalizations, better compliance, and higher quality scores.
What critics are saying
- Skilled-nursing reimbursement cuts in 2026 squeeze operator budgets and vendor spending.
- Medicaid and Medicare survey citations directly threaten AlignMed clients, contracts, and renewal rates.
- A large staffing or documentation failure can trigger patient harm, lawsuits, and contract losses.
What makes AlignMed Partners unique
- AlignMed’s August 2026 site says 340+ providers serving skilled-nursing facilities nationally.
- It bundles physicians, NPs, palliative care, wound care, and occupational health services.
- Its embedded analytics and on-site staffing target Five Star quality and hospitalization reduction.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Paid Time Off
Pet Insurance
Mental Health Support
Employee Discounts
Term and Whole Life Insurance
Short-term Disability
Hospital Indemnity
Personal Accident
Critical Illness
Cancer Coverage
Relocation Assistance
Employee Referral Bonus
Performance Bonus
Mentorship Program
Professional Development Budget
Training Programs
INACTIVE