Behavioral Health Nurse (RN) - Home Health

Adoration Health•Chattanooga, TN
•Onsite

About The Position

Adoration Health is seeking a dedicated Registered Nurse to provide home health care in Chattanooga, Tennessee, with coverage across Hamilton County. The role provides patient-centered medical and behavioral health assessments, skilled nursing care, psychiatric interventions, education, counseling, and case management in patients’ homes. The nurse works independently while coordinating with patients, families, physicians or allowed practitioners, the Clinical Manager, and other care team members. This is a PRN position, and the nurse must be willing to perform medical and behavioral health assessments. The RN assesses patients, contributes to and manages care plans, monitors changes in condition, and documents care in compliance with company, regulatory, payer, and coverage requirements. Duties include medication review and education, crisis and safety assessments, psychoeducation, supportive counseling within the nurse’s education and licensure, general skilled nursing interventions, and coordination of counseling services. The role may also include supervising LPNs and home health aides, staff training, referral-source education and outreach, participation in quality improvement and meetings, and after-hours coverage when needed.

Requirements

  • Registered Nurse (RN) licensed in the state where practicing and residing.
  • For a master’s degree with a specialty in psychiatric or mental health nursing: nursing experience in an acute treatment unit in a psychiatric hospital, psychiatric home care, psychiatric partial hospitalization program, or other outpatient psychiatric services; experience is recommended to be within the last 3 years.
  • For a bachelor’s degree in nursing: 1 year of recent nursing experience, recommended within the last 3 years, in an acute treatment unit in a psychiatric hospital, psychiatric home care, psychiatric partial hospitalization program, or other outpatient psychiatric services.
  • For a nursing diploma or associate degree: 2 years of recent nursing experience, recommended within the last 3 years, in an acute treatment unit in a psychiatric hospital, psychiatric home care, psychiatric partial hospitalization program, or other outpatient psychiatric services.
  • Current CPR certification.
  • Basic clinical skills.
  • Professional appearance and demeanor.
  • General computer knowledge and ability to learn industry-specific software applications.
  • Excellent oral, written, and interpersonal communication skills.
  • Excellent organizational and time-management skills with attention to detail.
  • Ability to work effectively in a team environment.
  • Ability to develop critical-thinking skills, research situations, solve complex problems, and address a variety of issues.
  • Ability to learn and complete educational goals during orientation.
  • Willingness to perform medical and behavioral health assessments.

Nice To Haves

  • At least 2 years of home health experience is preferred.

Responsibilities

  • Conduct initial assessment visits and help develop patient plans of care in coordination with the patient’s physician or allowed practitioner and Clinical Manager.
  • Manage medical illnesses according to the plan of care and perform psycho-biological interventions.
  • Conduct comprehensive medication reviews and educate patients and caregivers about medication regimens, administration, actions, side effects, indications, and contraindications.
  • Provide written educational materials to patients and families.
  • Evaluate, teach, and review medications and compliance; administer intramuscular or intravenous medication.
  • Manage situational or other crises, assess potential self-harm or harm to others, and refer concerns to treating physicians as necessary.
  • Teach and train patients, families, and caregivers to manage treatment regimens, self-care, mental and physical well-being, independence, and patient rights.
  • Promote a safe and therapeutic environment for patients and caregivers.
  • Provide supportive counseling, psychotherapy, and psychotherapeutic interventions within education and licensure; provide psychoeducation on disease processes, symptoms, safety management, coping skills, and problem solving.
  • Evaluate and manage patient care plans on an ongoing basis.
  • Provide counseling services or coordinate with a social worker to ensure they are provided.
  • Document evaluation, psychotherapy, and teaching activities in accordance with coverage guidelines for patients with diagnosed psychiatric disorders requiring active treatment by a psychiatrically trained nurse.
  • Provide general nursing interventions as ordered, including phlebotomy, wound care, infusion, ostomy care, and catheter care.
  • Provide case management and coordinate with other disciplines to enhance patient outcomes.
  • Monitor patient condition and report changes to the Clinical Manager and physician or allowed practitioner when indicated.
  • Obtain, document, and execute orders from the patient’s physician or allowed practitioner.
  • Comply with state, local, and payer requirements; ensure documentation reflects care provided and meets company, regulatory, and payer standards; complete documentation within required timeframes.
  • Participate in after-hours coverage, including weekends and holidays, when necessary and requested to meet patient needs.
  • Supervise care provided by LPNs and home health aides when indicated.
  • Maintain universal precautions and infection-control standards.
  • Disinfect, sanitize, and transport patient-care equipment and supplies appropriately and use proper medical waste disposal techniques.
  • Report incidents according to agency policy and regulatory standards.
  • Provide professional guidance to referral sources and internal operational staff to support patient and referral-source satisfaction.
  • Assist with staff development and provide one-on-one clinical training to field RNs and LPNs during home visits.
  • Collaborate with the Clinical Manager, Branch Director, and/or Administrator to maintain staff competencies.
  • Educate referral sources about agency services and provide in-services when requested.
  • When requested, support market-share growth by maintaining and developing accounts, identifying referral sources, and conducting prospecting, lead generation, and sales calls in an assigned territory.
  • Attend and participate in staff meetings, patient care conferences, in-services, and other requested meetings.
  • Participate in the agency’s QAPI program, including reporting problem areas and recommendations, attending periodic QAPI meetings, and contributing to performance-improvement projects as requested.
  • Maintain confidentiality of patient information and honor patient rights.
  • Perform other duties as assigned and within scope of practice.

Benefits

  • Medical, dental, and vision insurance.
  • Health Savings and Flexible Spending Accounts, including up to $5,000 for childcare.
  • Tuition discounts and reimbursement.
  • 401(k) with company match.
  • Mileage reimbursement.
  • Generous paid time off.
  • Access to wellness and discount programs, including Noom, SkinIO virtual skin cancer screening, childcare, gym memberships, pet insurance, and travel and entertainment discounts.
  • Flexible scheduling options.
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