Registered Nurse-Home Health PRN

Responsibilities

The Home Health Visiting Nurse provides intermittent skilled nursing services in a face-to-face capacity to include patient residence and qualifying facilities. The Home Health Visiting Nurse is responsible to communicate the patient’s progress with other disciplines and directs, supervises and instructs non-professional home health aide staff in the provision of personal care to the patient.

Essential Duties & Responsibilitie

s : Under the physician’s order, admits patients eligible for home care services within 24-48 hou

rsAssess and evaluates patient needs / problems, identifies mutually agreed upon goals with patien

tsReports patient status and need for other disciplines to agency Clinical Supervisor and referring physici

anReports to assigned follow-up Clinician as indicat

edDevelops patient care plan that specifically addresses identified patient problems, patient problems and goa

lsUpdates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and / or at recertificati

onCompleted admission paperwork and patient care plan submitted to Clinical Supervisor per agency policy following the admission including completed and signed admission checkli

stProvides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient Plan of Ca

reProvides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any w

ayReports significant findings to patient’s physician and Clinical Supervisor as they occ

urSubmits completed skilled nursing visit notes; communication notes and home health aide supervisory notes per agency policy on designated days as requested by Clinical Supervis

orSubmits change orders per agency poli

cyPerforms all OASIS time point assessment per Medicare Criteria and submits recertification paperwork per agency policy and procedu

reMaintains open lines of communications to all members of the continuum of care te

amSupervises Home Health Aide and license and documents per Medicare criteria and per agency policy and procedu

reActs as a preceptor in the orientation of new nursing staff as request

edAttends staff meetings, team conferences and educational in-services per agency requiremen

tsParticipates in Process Improvement (PI) program by assisting with collection of data and serves on PI team upon reque

stParticipates in discharge planning process Medicare Criteria and agency policy and procedu

reFollows agency policies and procedur

esPerforms these and all other duties as assigned by the Administrat

orAble to lift 40 pounds from floor to should

erRepetitive walking, standing, sitting, bending, and use of han

dsAble to drive a car 2-4 hours per d

ayResponsible to ensure the use of the 4Ms (What Matters to the patient, Medications, Mentation, and Mobility) and provides Age-Friendly Ca

reOther duties as assign

ed

Qualifica

tionsRequired Knowledge, Skills and Exper

ienceCurrent unencumbered State professional Nurse Li

censeMust maintain a valid driver’s license and good driving r

ecordThe ability to make sound professional clinical jud

gmentThe ability to assess and document patient needs and formulate individualized patient care plans to meet those

needsProficient clinical s

killsExcellent verbal and written communication s

killsProficiency in personal computer use, including e-mail, clinical, word processing, spreadsheet and presentation sof

twareActive CPR Certific

ation

Preferred Knowledge, Skills and Exp

erienceOne year of experience as a home care professional nurse and is competent in performing home care comprehensive ass

essment