HH Baylor Nurse, RN

HOME HEALTH & HOSPICE CARE INC•Fayetteville, NC

About The Position

The Home Health Nurse, RN administers skilled nursing care to patients requiring intermittent professional nursing services. The role manages assigned cases, assesses patient and family needs, implements individualized plans of care, coordinates with physicians and other agency services, and documents care and outcomes electronically. This Weekend Option is a salaried position paid for 40 hours per weekend, with an on-call requirement. The schedule is every Saturday and Sunday; orientation and training must be attended Monday through Friday, 8 a.m. to 5 p.m., for the first 90 days. The nurse provides care in accordance with the physician’s plan of treatment, agency policies, and the North Carolina Nurse Practice Act. Responsibilities include patient assessments and OASIS documentation, patient and family education, supervision of LPNs and paraprofessionals, coordination of services, and compliance with applicable documentation, billing, and regulatory requirements. The position also participates in quality improvement, staff meetings, interdisciplinary conferences, in-services, and continuing education. The broader HH&Hospice Baylor duties described include weekend coverage, hospice care coordination, and reporting of admissions and emergency room visits.

Requirements

Currently licensed as a Registered Nurse to practice in North Carolina.
At least one year of professional nursing experience in an acute care setting.
Maintain current CPR certification (BCLS).
Basic computer skills and knowledge, with experience using electronic medical records.
Dependable and able to deal pleasantly and tactfully with patients, families, staff, providers, and the public.
Competent to perform delegated tasks that facilitate positive patient outcomes as indicated in the patient’s individualized plan of care.
Valid driver’s license and reliable transportation.
Available to work every Saturday and Sunday and fulfill the on-call requirement.
Available for orientation and training Monday through Friday, 8 a.m. to 5 p.m., during the first 90 days.

Responsibilities

Abide by and support 3HC’s Compliance Program and Code of Ethics.
Provide courteous, knowledgeable service and positive experiences for patients, families, referral sources, vendors, coworkers, and other contacts.
Manage assigned cases and provide skilled nursing care according to the physician’s plan of treatment, agency policies, and the North Carolina Nurse Practice Act.
Observe and document patient signs, symptoms, treatment responses, condition changes, and care outcomes; report relevant information to physicians and other personnel.
Evaluate patient and family needs and responses to care, refer patients to other services as needed, and initiate appropriate preventative and rehabilitative nursing procedures.
Educate, supervise, consult with, and counsel patients and families about nursing care, disease processes, self-care, and related concerns.
Develop, implement, and update individualized patient plans of care, coordinating with other agency professionals and paraprofessionals as applicable.
Conduct complete patient assessments, including medical history and OASIS when needed, physical assessment, support-system and home-situation assessment, and assessment of teaching and service needs; plan for discharge.
Document services, conferences, condition changes, care-plan revisions, evaluations, and progress notes in the electronic medical record; download documentation daily, including time and travel records, and respond to correction or completion requests within 48 hours.
Keep physicians involved in ongoing care, report treatment reactions and condition changes, consult about plan-of-treatment changes, document changed orders, and verify the physician who will sign orders.
Complete OASIS at applicable points in care, including admission, resumption of care, and recertification.
Supervise LPNs and paraprofessionals according to regulatory and CMS or hospice guidelines, including required supervision of LPNs and certified nursing assistants.
Collaborate with the supervisor to meet assigned productivity standards and rotate weekday, weekend, holiday, on-call, and backup-call coverage as required.
Maintain regular communication with the supervisor and report patient problems promptly through the chain of command using 3HC’s available processes and technology.
Complete certifications and recertifications on time and maintain current knowledge of reimbursement, documentation, preauthorization, and reauthorization requirements.
Travel to other offices when requested to meet patient-care needs.
For the HH&Hospice Baylor duties described, work the specified weekend coverage, provide hospice training to staff and caregivers, document hospice care, submit paperwork by the designated deadline, communicate daily, report new admissions and emergency room visits, and complete warranted Friday evening visits.
Participate in staff meetings, patient-care conferences, record audits, utilization reviews, quality improvement activities, in-services, and interdisciplinary team conferences.
Attend mandatory agency in-services and satisfy State Board of Nursing continuing education requirements; pursue ongoing professional development and encourage staff education.
Use agency resources, supplies, and equipment cost-effectively and safely; follow personnel policies and perform other appropriate duties assigned by a supervisor.