Registered Nurse (RN)

Alternate Solutions Health Network•Cincinnati, OH

About The Position

The Registered Nurse (RN) provides comprehensive skilled nursing care in patients’ homes as ordered by the attending physician. The RN monitors patient condition, performs OASIS assessments, develops and adjusts individualized plans of care, administers prescribed medication, and helps reduce rehospitalizations through timely visits and patient education. The RN coordinates multidisciplinary care, promotes continuity through admissions, transfers, and discharges, and counsels patients and families about disease or injury management while involving them in care planning. The RN oversees care provided by aides and LPNs, evaluates treatment and whether the level of care meets patient needs, and communicates supervisory visit results. The position requires complete and timely clinical documentation in accordance with agency protocols and applicable Medicare and federal guidelines, adherence to state scope-of-practice requirements, and compliance with agency policies. The RN drives to assigned patient locations and participates in on-call requirements, case conferences, in-service training, and mandatory agency meetings. The schedule is three days per week (Thursday, Friday, and Sunday), with holiday rotation and one on-call day per month. The position also requires working one Saturday or Sunday per week. Physical demands include frequent walking, sitting, and driving; occasional bending, standing, lifting up to 50 pounds with or without assistance, stretching/reaching, climbing, and stooping; and frequent or constant communication, computer/PDA use, and hand/finger dexterity. Transitional work may be available, including phone answering, filing, computer/data-entry work, training or continuing education, and safety-material review.

Requirements

At least one year of RN experience in an acute care setting.
Current Registered Nurse license in the state of employment.
Ability to communicate effectively and create positive impressions with patients, families, physicians, and coworkers.
Ability to remain calm, patient, and accommodating; compassionate and caring manner when working with patients.
Knowledge of nursing best practices.
Ability to make appropriate nursing judgments and identify situations and handle them with an appropriate solution.
Detail-oriented and observant approach.
Disciplined work ethic and ability to prioritize and be timely.
Ability to follow directions and work as a team member.
Valid driver’s license and auto insurance listing the employee as a driver.
Ability to meet the physical demands of the role, with or without reasonable accommodations, including lifting up to 50 pounds with or without assistance.

Nice To Haves

Home care experience is desired.

Responsibilities

Provide skilled nursing care in patients’ homes as ordered by the attending physician.
Observe and monitor patient conditions.
Perform OASIS assessments, develop individualized plans of care, and adjust them as patient needs change.
Administer medication as prescribed by the physician.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients preventive measures and sound decision-making.
Manage multidisciplinary care as applicable.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families on disease or injury processes and management.
Incorporate patients and families into development of the plan of care and listen to their concerns.
Oversee and supervise patient care provided by aides and LPNs.
Evaluate treatments and the patient’s medical condition according to the plan of care, and determine whether the level of care meets patient needs.
Communicate supervisory visit results to LPNs and aides.
Complete clinical documentation according to agency protocol and Medicare/federal guidelines, documenting treatment, assessments, and patient education.
Complete and submit required documentation within company requirements, including documentation of start-of-care and subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours.
Maintain an active RN license in the state of employment and follow the plan of care within the RN scope of practice.
Communicate schedule changes outside the normal schedule to the scheduler.
Participate in on-call requirements and case conferences.
Attend in-service trainings and mandatory agency meetings.
Maintain a professional appearance and follow agency policies and procedures.
Drive to patients’ primary locations for scheduled visits and fulfill RN visits in the assigned geographic area according to patient needs and applicable federal and state specifications.
Maintain daily attendance at assigned visit locations and work one Saturday or Sunday per week.
Perform other duties as assigned.