Registered Nurse (RN) Home Health

Duke Careers•Durham, NC

1d•Onsite

About The Position

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Duke HomeCare & Hospice offers hospice, home health, and infusion services across the region, and serves as the home for the Duke Caregiver Support Program. Team members collaborate with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Duke University Health System is a Magnet organization with over 6000 registered nurses, consistently recognized as North Carolina's Great 100 Nurses and awarded for Nursing Certification Advocacy. Working as a home health nurse at Duke Home Health allows you to meet patients where they are, helping to keep them out of the hospital and in their homes. Duke HomeCare and Hospice utilizes an interdisciplinary team approach to provide innovative and thoughtful care, aiming for the best possible outcomes for patients, families, and communities. This role offers the opportunity to connect patients with the right level of care at the right time. Duke HomeCare and Hospice distinguishes itself with no call or weekend requirements, manageable territories, a commitment to safety for both patients and employees, mileage reimbursement at the current federal rate, and an extensive 20-week orientation tailored to individual needs.

Requirements

Associate Degree or Diploma, Nursing required
Must have a current RN license in NC or compact RN licensure from participating state.
Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only)
Valid driver's license and current automobile insurance coverage.
1-2 years of med-surgical, critical care or home health/hospice/infusion preferred
Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding.
Knowledge of scope of the registered nurse, licensed practical nurse and NCA
Knowledge of and appropriate application of the nursing process
Ability to assess nursing needs of acute and chronically ill patients and their families
Ability to independently seek out resources and work collaboratively
Ability to establish and maintain effective working relationships
Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
Ability to teach patients and families in accordance with the nursing plan of care
Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
Ability to use fine motor skills
Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
Ability to use computer and learn new software programs and technology
Able to document and communicate pertinent information using computer and/or paper documentation tools
Knowledge in wound identification and treatments, infusion and other advanced nursing skills
Critical thinking skills and organization skills
Working knowledge of infection control procedures and safety precautions
Excellent rapport, understanding, and communication with the patients and their family members
Ability to work autonomously and independently in varying environments.
Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs

Nice To Haves

Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date.
Prior experience in Home Health, Hospice or Infusion preferred
Prior OASIS and PDGM experience preferred for home health
Strong computer skills including MS Outlook, Word, Excel, preferred

Responsibilities

Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures.
Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
Develop and implement an effective discharge plan for patients to begin at the initiation of services.
Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance.
Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
Complete documentation accurately, timely, concisely.
Medication reconciliation and education to prevent adverse events and readmission to hospital
Observe patient’s reactions to medications and reports significant incidents to the physicians.
Communicate regularly with team members, caregivers, and physicians.
Follow infection control standard precautions and uses personal protective equipment as required.
Delegate and supervise care given by NCA’s/LPN’s.
Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs.
Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
Implement agency policy, procedures and objectives.
Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
Maintain confidentiality of employee and patient information.
Exhibit an attitude which promotes harmony and goodwill in the workplace.
Display a clean, neat, professional appearance.
Participate in Performance Improvement Program.
Promote quality, comprehensive services through a team approach.
Perform other duties as assigned.
Case manage interdisciplinary team of clinicians caring for patients in the home.
Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge.
Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient.
Be aware of patient insurance requirements and assures authorization for all services have been obtained.
Appropriate utilization of resources for patient including visit and supply utilization.