Registered Nurse (RN) – Pediatric & Adult Home Health | Private Duty Nursing

Team Select Home Care•Miami, FL

2d•Onsite

About The Position

Team Select Home Care is hiring a Registered Nurse to provide skilled, individualized home health and private duty nursing care to medically complex pediatric and adult patients in their homes. The role includes delivering care in accordance with physician orders, individualized plans of care, state Practice Act requirements, and agency policies. The nurse works with patients, families and caregivers, physicians, therapists, ancillary staff, and other healthcare providers to support patient safety, comfort, and continuity of care. The Registered Nurse reports to the Director of Nursing (DON). The position includes patient assessment and ongoing evaluation, case management, care-plan development and revision, medication reconciliation and administration, clinical documentation, family education, and coordination of referrals and services. The nurse may also supervise or teach other nursing personnel and ancillary disciplines, participate in quality improvement and case conferences, and take assigned on-call shifts.

Requirements

Graduate of an approved school of professional nursing.
Current Registered Nurse license in the state or states where practicing.
Current CPR certification and ability to meet health requirements for clearances.
Ability to maintain licensure and continuing education as applicable.
Ability to perform the physical duties described for the role.
Average computer skills, including competency in media communications.
Ability to organize work through time management, assume responsibility, and effectively supervise ancillary disciplines as required by state regulations.
Ability to secure transportation and travel as required.
Ability to apply professional training, think critically about patient needs, follow physician orders, and produce accurate records within agency guidelines.
Acceptance of the agency’s philosophy and goals.
Ability to exercise initiative and independent judgment.
Excellent verbal and written communication skills.
Compassion, strong communication and critical-thinking skills, and a patient-centered approach to care.
One year of nursing experience and home care experience are preferred.

Nice To Haves

Clinical experience, including home care experience.
Experience caring for pediatric and/or adult patients with complex needs.

Responsibilities

Develop, implement, revise, and evaluate individualized, patient-centered care plans under physician supervision.
Provide case management for an assigned group of patients and ancillary staff.
Complete initial and recurring evaluations of patients’ nursing needs according to state and payer requirements.
Submit required data collection sets, including OASIS and PAR, and other documentation within required timeframes.
Advocate for patients and coordinate care among patients, families or caregivers, authorized representatives, the agency, and other healthcare providers or facilities.
Provide nursing services requiring specialized skill according to the nurse’s competency level.
Identify patient care preferences and confirm that interventions support patient needs and treatment goals.
Initiate appropriate preventive and rehabilitative nursing procedures.
Prepare clinical and progress notes for visits and summaries; submit documentation within 24 hours or as required by the state.
Attend assigned case conferences and participate in clinical record reviews, utilization review, and quarterly or assigned QAPI activities.
Inform physicians and other personnel of changes in patient condition or needs.
Counsel and educate patients and families on nursing needs, home health strategies, and procedures, using community resources when applicable.
Observe and report symptoms, treatment or medication reactions, and changes in physical or emotional condition; complete medication reconciliation.
Administer medication according to agency policy and physician orders.
Provide written instructions to aides or other ancillary disciplines caring for the patient.
Process orders and notify physicians of patient needs and changes in condition.
Refer patients with physician orders to physical therapy, speech-language pathology, occupational therapy, or medical social work when specialized services are needed.
Follow agency policies and procedures, best practices, infection control, emergency medical services, and compliance plans.
Report and document applicable infections, occurrences, complaints, incidents, variances, and incomplete work assignments.
Take assigned on-call duty nights, weekends, and holidays; when on call, serve as after-hours supervising nurse and make nursing assessment and triage decisions under the guidance of the overall Clinical Supervisor, as applicable.
Demonstrate competent technical skills, effective time management, acceptable attendance, and infrequent overtime for routine assignments.
Give patients, caregivers, or representatives written visit schedules, medication profiles, treatment information, other pertinent care instructions, and the agency Clinical Manager’s contact information.
Perform other duties as assigned.