Registered Nurse-Hospital At Home Full Time Days

Northwestern Memorial Healthcare • Lake Forest, IL

4d • $37 - $61 • Onsite

About The Position

The Home Hospital Registered Nurse provides hospital-level acute care to acutely ill patients in their homes as a substitute for in-hospital care. The nurse provides home visits within a defined radius around site hospitals and works as part of the Northwestern Medicine Hospital at Home team, collaborating with physicians, paramedics, advanced practice providers, pharmacists, case managers, social workers, home health aides, physical therapists, and other operational staff. The role emphasizes innovative clinical practice, interdisciplinary teamwork, and patient-centered care, and requires adherence to Northwestern Medicine’s mission, values, policies, regulatory standards, and the State of Illinois Nurse Practice Act.

The nurse coordinates and documents patient assessment, care planning, interventions, education, discharge planning, and follow-up. The role also contributes to patient safety, evidence-based practice, quality initiatives, colleague development, appropriate resource use, and effective use of clinical technologies. The position requires travel within a designated geographic area and is a full-time-days role listed at 36 hours per week (0.9 FTE).

Requirements

• Bachelor of Science in Nursing (BSN).
• Current State of Illinois Registered Professional Nurse license.
• American Heart Association Basic Life Support (BLS) certification.
• At least one year of recent nursing experience in an acute or emergency setting.
• Strong interpersonal skills.
• Ability to collaborate with others.
• Strong analytical abilities.
• Travel within the designated geographic area is required.
• Valid driver’s license and annual driving abstract required at hire and annually.
• An Associate Degree in Nursing (ADN) is acceptable with a commitment to obtain a BSN from an accredited program within three years of the first day of employment in a clinical nurse role.

Nice To Haves

• Home care experience.

Responsibilities

• Complete and document comprehensive assessments of assigned patients, identify and prioritize needs and nursing diagnoses, establish measurable goals, and update care plans as needed.
• Communicate changes in patient condition promptly and evaluate and document responses to nursing interventions.
• Collaborate with patients, families, and the healthcare team in care planning; assess discharge needs and make appropriate referrals, including palliative care.
• Complete discharge instructions and medication reconciliation, and inform patients and families about the patient portal and relevant resources.
• Assess patient and family learning needs and readiness; document education, use teach-back for medication education, and use and distribute Krames materials.
• Respect patients’ cultural, spiritual, and ethical needs, treat patients and colleagues with dignity, and seek an ethics consult when appropriate.
• Provide evidence-based nursing interventions and use reliable clinical evidence resources to support practice.
• Participate in clinical LADDER projects or other unit- or organization-level process improvement.
• Promote patient health, safety, and rights; administer medications safely using bar coding; provide accurate handoffs; and participate in hourly rounds and unit huddles.
• Support quality and safety initiatives, including efforts to prevent pressure ulcers, falls, CAUTI, and central line infections when applicable.
• Oversee and direct patient care or support technicians while retaining accountability for assigned patients; lead and coordinate care when assigned, including charge nurse or preceptor duties.
• Take the clinical lead when a patient’s condition changes and consult the primary care physician regarding treatment or transfer to an appropriate level of care.
• Serve as a resource and role model; assist with precepting, orientation, and mentoring; participate in peer evaluation and case review.
• Collaborate with hospital services, identify barriers to effective practice, and communicate concerns to nursing leadership and the practice operations council.
• Ensure the appropriate level-of-care order is documented, follow supply charging practices, participate in value-based initiatives, and contribute to reducing overtime utilization.
• Complete electronic and paper documentation; use Alaris pump guardrails, physiologic monitoring, and the bed management system; and participate in medical record optimization activities as requested.
• Attend professional development offerings, obtain certification in the nursing specialty, maintain professional competencies and required standards, participate in professional organizations, and take assigned lunch breaks.
• Make home visits and travel within the designated geographic area; maintain a valid driver’s license and annual driving abstract at hire and annually.

Benefits

• The employer describes a wide range of benefits supporting physical, emotional, and financial well-being and protection from unexpected life events; specific benefits are not itemized in the posting.
• Tuition reimbursement.
• Loan forgiveness.
• 401(k) matching.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level