Registered Nurse (RN)

TexMed Home Health•Killeen, TX

19d

About The Position

TexMed Home Health’s Registered Nurse plans, organizes, and directs home care services, drawing on community resources to meet the needs of individuals and families in their homes and communities. The role provides nursing care and education to clients in settings including private homes, assisted living communities, hospitals, skilled nursing facilities, and rehabilitation centers. The nurse assesses patients and families, develops and updates care plans in collaboration with the Case Manager, provides ordered treatments and education, and coordinates services with physicians, caregivers, and interdisciplinary teams. The role also maintains clinical documentation, supervises home health aides, participates in quality improvement activities, and fulfills assigned case and on-call responsibilities.

Requirements

Current state licensure to practice professional nursing as a registered nurse.
Graduate of a National League for Nursing-accredited school of nursing.
Current CPR certification.
Current valid driver’s license.
Self-directed and able to work with minimal supervision.
Excellent observation, problem-solving, verbal communication, and written communication skills; nursing skills demonstrated per competency checklist.
Ability to organize and prioritize workload independently.
Able to perform prolonged or considerable walking or standing; lift, position, or transfer patients; lift supplies and equipment; and perform considerable reaching, stooping, bending, kneeling, or crouching.
Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

At least two years of experience, including at least one year in public health; home care experience is preferred.

Responsibilities

Complete initial, comprehensive, and ongoing assessments of patients and families to determine home care and hospice needs, including physical assessments and illness histories.
Conduct assigned home visits to assess patient condition and progress, provide care and teaching, and perform other skilled interventions as ordered.
Regularly re-evaluate nursing needs and initiate or revise the plan of care in collaboration with the Case Manager as patient status and needs change.
Use assessment data to determine nursing diagnoses and develop care plans with goals and appropriate therapeutic, preventive, and rehabilitative nursing actions, including the patient and family in planning.
Administer medications and treatments as prescribed by the physician and initiate appropriate preventive and rehabilitative procedures.
Counsel and educate patients and families about nursing needs, self-care, medications, diet, and other physician-ordered instructions.
Identify discharge-planning needs, communicate them to the team, and assist with implementation before discharge.
Prepare and maintain accurate clinical notes, document patient condition and care, and record pain or symptom-management changes and outcomes as appropriate.
Update and communicate with the Case Manager, primary physician, and/or Medical Director as necessary; report changes in condition and obtain or receive physician orders as required.
Coordinate care with community health-related persons and work with the home health interdisciplinary team or hospice interdisciplinary group; attend meetings and case conferences as requested.
Participate in on-call duties as defined by policy.
Ensure arrangements are made for equipment and other necessary items and services.
Instruct, supervise, and evaluate home health aide care every two weeks.
Maintain and develop professional knowledge and skills through continuing education and in-service classes.
Fulfill requested or accepted case assignments and participate in quality assessment and performance improvement teams and activities.
Supervise home health aides.