Home Health Registered Nurse

SRM MANAGEMENT GROUP LLC•Tampa, FL
•Hybrid

About The Position

This position provides nursing care in accordance with the patient's plan of care. Responsibilities include comprehensive health and psychosocial evaluations, monitoring patient condition, health promotion and prevention, coordination of services, teaching and training activities, and direct nursing care. The role involves coordinating total patient care, evaluating the effectiveness of nursing services, performing OASIS assessments, consulting with physicians on care plan alterations, and submitting patient care visit tallies. The nurse will participate in case conferences, discuss team involvement with supervisors, and cooperate with other agencies for continuity of care. Continuous improvement of nursing skills through education and participation in professional activities is expected. The role also involves developing and revising the physician's Plan of Treatment, submitting clinical notes within 48 hours, and participating in discharge planning. Maintaining knowledge of current drug therapy and adhering to federal, state, and accreditation requirements, including Medicare and Medicaid regulations, is crucial. The nurse may also be asked to cover for other nurses.

Requirements

  • Must be a graduate from an accredited School of Nursing.
  • Must be licensed in the state of Florida, as a Registered Nurse.
  • Must have knowledge of Medicare and Medicaid guidelines.
  • Must have a working knowledge of home healthcare, and the principles and techniques of professional nursing, and required documentation that pertains to it.
  • Must be able to contribute to the quality of care being rendered, through constructive communication with nursing managers and staff.
  • Must have a criminal background check.
  • Must have a current CPR certification. Online certification is not accepted.

Nice To Haves

  • One, or more, years of experience, in community/home health agency or in a hospital setting, is preferred.
  • Should be skillful in organization, and in the principles of time management, and have knowledge of management processes.

Responsibilities

  • Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient's condition, promoting sound preventive practices, coordinating services, and teaching and training activities.
  • Evaluate the effectiveness of nursing service, to the patient and family, on an ongoing basis.
  • Perform admission, transfer, re-certification, resumption of care, and discharge OASIS for the home care patient.
  • Prepare, and present, patient's record to the Clinical Record Review Committee, as indicated.
  • Consult with the attending physician, concerning alterations of Patient Care Plans, checks with the appropriate supervisor, and makes changes, as appropriate.
  • Coordinate patient services.
  • Submit a tally of patient care visits made each day.
  • Participate in case conferences, discuss with the supervisor problems concerning the patients, and how they may best be handled.
  • Discuss, with the appropriate supervisor, the need for the involvement of other members of the health team, such as the Home Health Aide, the Physical Therapist, the Speech Therapist, the Occupational Therapist, The Medical Social Worker, etc.
  • Cooperate with other agencies providing nursing, or related, services to provide continuity of care and to implement a comprehensive care plan.
  • Participate in staff development meeting.
  • Continually strive to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations, and individual research and reading.
  • Participate in the development, and periodic revision, of the physician's Plan of Treatment and processes change orders, as needed.
  • Submit clinical notes, within 48 hours, and progress notes and other clinical record forms outlining the services rendered.
  • Participate in the patient’s discharge planning process.
  • Maintain an on-going knowledge of current drug therapy.
  • Adhere to federal, state, and accreditation requirements, including Medicare and Medicaid regulations.
  • May be requested, by Clinical Manager, to fill in for the other nurses.
  • Conduct an initial, and ongoing, comprehensive assessment of the patient’s needs, including Outcome and Assessment Information Set (OASIS) assessments, at appropriate time points.
  • Obtain a medical history from the patient, and/or a family member, particularly, as it relates to the present condition.
  • Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite, and type of diet, etc.
  • Evaluate the patient, family member(s), and home situation, to determine what health teaching will be required.
  • Evaluate the patient's environment to determine what assistance will be available, from family members, in caring for the patient.
  • Evaluate the patient's condition, and home situation, to determine if the services of a Home Health Aide will be required and the frequency of this service.
  • Explain nursing, and other Agency, services to patients and families, as a part of planning for care.
  • Develop, and implement, the nursing care plan.
  • May be requested, by the Clinical Manager, to fill in for other nurses who are on vacation or sick.
  • Provide skilled nursing care as outlined in the nursing care plan, including nursing services, treatments, and preventative procedures requiring substantial specialized skill and ordered by the physician.
  • Initiate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety.
  • Observe signs and symptoms, and report to the physician: reactions to treatments, including drugs, as well as changes in the patient's physical, or emotional, condition.
  • Teach, supervise, and counsel the patient, and caregivers, regarding the nursing care needs and other related problems of the patient, at home.
  • Assume responsibility for the care given by the Home Health Aide, including supervision and evaluation of care given, at a minimum of once every 14 days.
  • Submit written evaluations of Home Health Aides providing service to patients in his/her geographical area.
  • Participate in periodic conferences with the Home Health Aide supervisor concerning the Aide's performance.
  • Chart services rendered to the patient by the staff nurse, changes noted in the patient's condition and/or family and home situation, revise the nursing care plan as needed, record supervisory visits conducted with the Home Health Aide, evaluate patient care and progress, and close charts of discharged patients.
  • Discuss with the supervisor the need for involvement of other members of the health team.
  • Obtain orders for home health aide service and submit referrals to appropriate personnel.
  • Provide guidance and supervision to the LPN, and supervises the LPN, once monthly.
  • Participate in the educational experiences for student nurses.
  • Participate in the planning, operation, and evaluation of the nursing service.
  • Prepare the care plan for the Home Health Aide.
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