Home Health Nurse RN

MyMichigan Health•Midland, MI

3d•Onsite

About The Position

The Staff Registered Nurse provides professional, comprehensive nursing care within the scope of agency services to patients requiring skilled clinical home care. The role uses the nursing process of assessment, planning, intervention, and evaluation in accordance with nursing practice standards, physician orders, and agency policies and procedures. The position is a weekends-only casual role in the Midland area. The nurse assesses patient needs, initiates and revises plans of care, provides ongoing nursing visits, coordinates care with other clinicians, and communicates changes in patient condition to physicians. Duties also include case management when assigned, supervision and coordination of LPNs and Home Health Aides, patient and caregiver education, documentation, interdisciplinary discharge planning, participation in quality improvement and staff learning activities, and weekend, holiday, and on-call rotations. Employees must demonstrate competency in Microsoft Windows and may be required to participate in further learning opportunities offered by MyMichigan Health.

Requirements

Associate degree in nursing (NRG specialization listed).
Current Registered Nurse credential for Michigan.
Valid driver's license and vehicle insurance.
Basic Life Support certification through AHA within one month of hire or transfer.
Fingerprinting credential/requirement listed.
Techniques for Effective Aggression Management certification within six months of hire or transfer; employees in the position on or before 12/31/2023 have 24 months to complete it.
Successful completion of agency orientation and competency programs.
Ability to function as part of a team and communicate effectively verbally and in writing; ability to understand English.
Ability to adapt to frequent changes, recognize people’s needs and concerns, and maintain constructive interpersonal relationships.
Ability to work independently and demonstrate problem-solving and organizational skills.
Ability to drive under hazardous road conditions.
Ability to work in unpredictable home situations where exposure to communicable diseases may occur.
Ability to perform the job functions, move about with or without an assistive device, and maintain overall vision and hearing with or without assistive devices.
Ability to sit, stand, and walk for extended periods and make postural changes such as stooping, kneeling, or crouching.
Ability to handle multiple tasks, work independently, get along with others, maintain regular and predictable attendance, and stay awake.
Dexterity for handling, reaching, grasping, fingering, and feeling, potentially repetitively.
Ability to wear personal protective equipment, including latex materials or an appropriate substitute if required.
Follow bloodborne pathogen and TB testing requirements.
Meet the physical demands described as Medium: occasionally lift or carry 21–50 pounds; frequently handle 20 pounds and/or walk, stand, or push/pull arm or leg controls; constantly handle 10 pounds.
Ability to work weekends and holidays in rotations and perform on-call duties as identified in personnel policies.

Nice To Haves

One year of direct patient care experience is preferred.

Responsibilities

Assess patient needs and provide skilled nursing services prescribed by the physician-authorized plan of care and accepted nursing practice standards.
Initiate plans of care for assigned patients and revise or adapt them as needed.
Provide nursing care through ongoing visits to a group of patients, sharing the patient caseload; arrange services through specialized staff when appropriate.
Coordinate care by evaluating outcomes and providing ongoing feedback to others involved in care about patient status and needed plan changes.
Coordinate care provided by LPNs and Home Health Aides, supervise LPNs as needed, and establish and supervise Home Health Aide care plans according to agency guidelines.
Notify physicians of changes in patient condition or care needs and obtain new orders as needed.
Function as case manager for an assigned caseload when assigned.
Implement preventative and rehabilitative nursing procedures and use community and agency resources to support patient care.
Document services in the agency documentation system, maintain patient records, and prepare clinical notes in a timely manner.
Provide patients, caregivers, families, and physicians with information and counseling to support informed decisions and optimal independence.
Make joint visits with other disciplines as needed and participate in multidisciplinary care coordination, including discharge planning.
Act as a preceptor for student educational visits and participate in orientation of new staff as assigned.
Participate in agency, community, and home health organization activities as assigned; staff meetings; in-service education; and other learning opportunities.
Comply with documentation requirements for personnel and activity records and follow agency policies and standards for timeliness, accuracy, and productivity.
Maintain confidentiality of patient and agency information and adhere to agency standards for personal appearance and behavior.
Participate in weekend and holiday rotations, on-call duties, performance improvement, community education activities, and organization-sponsored training as assigned.
Communicate with physicians and other health care practitioners involved in the plan of care.
Demonstrate competency in Microsoft Windows and participate in further learning opportunities offered by MyMichigan Health as required.
Perform other duties as assigned.