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The Registered Nurse provides skilled nursing services to home care clients according to a physician prescribed plan of care, and according to requirements defined in the Medicare Conditions of Participation (484.30 Skilled Nursing Services). RNs in this position perform their regularly assigned tasks as members of a geographic or specialty team under the direction and leadership of the HH Clinical Services Manager. Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients to achieve quality outcomes by utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; documenting during each visit the patient's response to care provided and anticipated needs; and communicating effectively with other disciplines as needed related to the patients plan of care. Employees providing direct patient care must demonstrate competencies specific to the population served.