Home Health Registered Nurse RN PRN

Overview

Primary functions are to administer skilled nursing care for patients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients and their families, and a referring agency. Assumes the responsibility for and participates in the coordination of care.

Responsibilities

• Completes initial and ongoing assessments to identify the physical, psychosocial, and environmental needs of home health patients. Completes assessments at appropriate time points, including Outcome and Assessment Information Set (OASIS) or other assessments as appropriate to the patient.
• Regularly re-evaluates the patient's nursing needs and evaluates the outcomes of care.
• Develops, initiates, and revises the plan of care in partnership with the patient, representative (if any), and caregiver(s) as necessary to ensure quality and continuity of care. Initiates appropriate preventive and rehabilitative nursing procedures. Refers to other services as needed. Provides patient and caregiver education. Plans for the discharge of the patient from services.
• Furnishes those services requiring substantial and specialized nursing skill that are ordered by the physician as indicated in the plan of care. Counsels the patient, caregiver and family in meeting nursing and related needs. Uses infection control measures that protect both the staff and the patient.
• Coordinates services. Informs the physician and other personnel of changes in the patient’s condition and needs. Communicates with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care. Integrates orders from all relevant physicians involved into the plan of care and ensures the orders are approved by the responsible physician.
• Monitors assigned cases to ensure compliance with requirements of third-party payors.
• Prepares clinical and progress notes. Completes appropriate documentation in a timely manner.
• Demonstrates commitment and professional growth by participating in Agency-sponsored in-service programs and maintaining or improving competency. Participates in the Agency’s QAPI program.
• Supervises, teaches, and provides clinical direction to other nursing personnel. Assigns home health aides to specific patients. Supervises LPNs/LVNs and paraprofessionals providing services to patients. May conduct aide competency evaluations if qualified with two years of clinical experience and one year of home health experience.
• Performs on-call responsibilities and provides on-call services to patients and their families as assigned.
• Applies concepts of infection control and standard precautions in coordinating or performing patient care activities to prevent contamination and transmission of disease.
• Meets mandatory continuing education requirement of the Agency and licensing board.
• Provides effective communication to patients, their family members, team members, and other health care professionals.
• Promotes the Agency philosophy and administrative policies.
• Demonstrates commitment, professional growth, and competency.
• Participates in Agency-sponsored in-service training.

Physical, Mental, Miscellaneous Demands

• Ability to do heavy lifting, bending, pulling, pushing, and standing. Prolonged standing and walking required.
• Requires working under some stressful conditions to meet deadlines and patient needs and to meet patient and family individualized psychosocial needs.
• Requires hand-eye coordination and manual dexterity.
• Must have and maintain valid Driver’s License, and proof of current valid auto liability insurance.
• Requires current CPR certificate, and the ability to maintain a current CPR certificate.
• Requires ability to use up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or up to 10 pounds continuously to move objects.
• Work deals mostly with areas such as preparing and reading data and figures, records, reports, visual inspection involving small details. Although important, depth perception and field of vision (peripheral) are not as critical as the ability to distinguish small details and markings very near to the observer.
• Requires ability to grasp, pull, push, carry or otherwise manipulate objects; ability to perform tasks requiring action of muscles or groups of muscles and foot and/or hand-eye coordination.
• Requires ability to communicate clearly and make self-understood effectively in face-to-face interactions; articulate with accuracy to communicate using phone.
• Requires ability to hear and receive verbal instructions correctly, answer phones, communicate professionally with people in situations with some background noise.
• Requires ability to concentrate on fine detail with frequent interruption; ability to focus attention on tasks for 10-20 minutes at a time on a continuous basis, 20-60 minutes on occasion.
• Requires ability to understand and relate to specific ideas one at a time and to the concepts behind specific ideas; ability to remember verbal and written tasks/assignments from a few hours to several day periods.
• Position requires sitting approximately 60% of time standing/stooping/bending/ climbing approximately 20% of time; and walking approximately 20% of time.
• Excellent computer software skills necessary to produce accurate documents and materials required.
• Requires ability to work effectively under minimal supervision; exercise excellent, sound professional judgment and maintain confidentiality.

Qualifications

Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.

Licensure: Current State license as a Registered Nurse or a multi-state license issued by a state member of the National Nurse. Licensure Compact (NLC) if practicing in a state member of the NLC, current Driver’s License.

Experience: One year of experience as a Registered Nurse in an acute or clinical care setting preferred. Home health experience preferred.

Skills: Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Proof of current CPR.

Transportation: Reliable transportation, current Driver’s License, and valid and current auto liability insurance.

Environmental and Working Conditions: Works in a health care facility or patients’ homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; ability to work a flexible schedule; ability to travel locally; some exposure to unpleasant weather. May be called upon to perform emergency OnCall.

We offer the following competitive benefits to support you, your family, and your furry family members too!

• Newly improved mileage reimbursement
• Newly improved benefits packages
• Pet Insurance Coverage
• Paid Time Off
• Paid Holidays...plus 2 bonus floating holidays!
• Family Medical Leave
• Tuition Reimbursement
• 401k Plan with a Company Match
• Legal Aid
• Identify Theft Plan
• Perks and Discounts