HH Nurse, RN

HOME HEALTH & HOSPICE CARE INC • Wilson, NC

1d

About The Position

The Home Health Nurse, RN administers skilled nursing care to patients who require intermittent professional nursing services. The nurse manages assigned cases and helps achieve positive patient outcomes by providing care according to the physician’s plan of treatment, agency policies and procedures, and North Carolina nursing practice requirements. The role includes assessing patients and their home situations, developing and updating individualized plans of care, educating patients and families, documenting care electronically, coordinating with physicians and other service providers, and planning for discharge. The nurse also supervises licensed practical nurses and paraprofessionals, supports agency productivity and billing requirements, and participates in staff meetings, conferences, audits, quality improvement, and continuing education. The posting notes that nurses may rotate weekday, weekend, and holiday on-call and backup-call duties, travel to other offices as requested, and may be assigned specialized floater, Baylor, evening, or admissions duties. The stated schedule for this posting is Monday through Friday.

Requirements

• Current Registered Nurse license to practice in North Carolina.
• At least one year of professional nursing experience in an acute-care setting.
• Current CPR (BCLS) certification.
• Basic computer skills and knowledge, including experience with electronic medical records.
• Dependable and able to interact pleasantly and tactfully with patients, families, staff, providers, and the public.
• Competent to perform delegated tasks that support positive patient outcomes as indicated in the patient’s individualized plan of care.
• Valid driver’s license and reliable transportation.

Responsibilities

• Follow and support 3HC’s Compliance Program, Code of Ethics, and applicable laws and regulations.
• Provide courteous, knowledgeable service to patients, families, referral sources, vendors, staff, and other members of the community.
• Manage assigned cases and provide skilled nursing care according to the physician’s plan of treatment, agency policies, and applicable nursing practice requirements.
• Observe and document patient signs, symptoms, treatment responses, changes in physical or emotional condition, and outcomes; report relevant information to physicians and other personnel.
• Evaluate patient and family needs and response to care; refer patients to other services when needed.
• Initiate appropriate preventative and rehabilitative nursing procedures to support patient care and safety.
• Educate, supervise, consult with, and counsel patients and families about nursing care, home health needs, disease processes, self-care, and ethical concerns.
• Develop and implement individualized patient plans of care and update them as needed.
• Conduct complete patient assessments, including medical history and OASIS when needed, physical assessment, support-system assessment, home-situation assessment, and assessment of health-teaching and additional service needs.
• Explain agency nursing and other services to patients and families as part of care planning, and plan for discharge.
• Maintain and electronically submit medical-record documentation, including services provided, care conferences, condition changes, care-plan revisions, clinical notes, progress toward goals, and time and travel records; respond to documentation correction or completion requests within 48 hours.
• Keep the physician involved in ongoing care, consult about changes to the plan of treatment, document changes to orders, and verify the physician identified on orders or the plan of treatment will sign orders.
• Complete OASIS at required points in care, including admission, resumption of care, and recertification.
• Supervise licensed practical nurses and paraprofessionals according to applicable regulatory and CMS or hospice guidelines; provide required care plans and instructions and evaluate care at required intervals.
• Collaborate with the supervisor to meet assigned productivity expectations and rotate weekday, weekend, and holiday on-call and backup-call duties.
• Communicate regularly with the supervisor, report patient problems promptly through the chain of command, and use current agency processes and technology.
• Complete certifications and recertifications within required timeframes and maintain knowledge of reimbursement criteria, documentation requirements, and insurance preauthorization and reauthorization requirements.
• Travel to other offices to meet patient-care needs as requested by the Director or Assistant Director of Clinical Practice.
• For applicable floater assignments, provide on-call coverage for the base office according to office needs and rotation.
• For applicable Baylor assignments, work from Friday at 5 p.m. through Monday at 8 a.m.; provide hospice training; coordinate and document care; supervise staff; submit paperwork and communicate as specified; report new admissions and ER visits; complete scheduled visits; and work at least one weekend day.
• For applicable evening assignments, work Monday through Thursday from 12 p.m. to 11 p.m., meet productivity expectations, cover clinical-office on-call duties, and complete visits after 11 p.m. when needed.
• For applicable admissions assignments, provide home health admissions or hospice tuck-ins; develop and document care plans; submit paperwork and communicate admission and ER information; meet productivity expectations; complete scheduled visits; and provide on-call coverage as needed.
• Participate in staff meetings, patient-care conferences, record audits, utilization reviews, quality-improvement activities, in-services, and interdisciplinary team conferences.
• Attend mandatory in-services, satisfy State Board of Nursing continuing-education requirements, and pursue ongoing professional development through education, research, reading, and professional activities.
• Use agency resources and supplies cost-effectively, monitor waste, and use equipment safely and properly.
• Follow 3HC personnel policies and perform other appropriate duties assigned by the supervisor.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed