RN Assessment Nurse- Wayne and Ontario Counties

HCR Home Care•Village of Newark, NY

4d•$77,000 - $95,000

About The Position

The RN Assessment Nurse conducts patient assessments in accordance with the Home Assessment Abstract, DMS-1, and physician orders. The nurse performs initial patient assessments and agency admissions, coordinates the Start of Care process, develops individualized plans of care, and provides and coordinates quality, patient-centered care. The role includes assessing the patient’s health status and home environment, collaborating with physicians and other care team members, educating patients and families, and supervising Home Health Aides and Personal Care Aides.

Requirements

Graduate of an accredited school of nursing.
Current, valid Registered Nurse license issued by the New York State Department of Education.
At least 1 year of Home Health Care experience, specifically with OASIS-C.
Demonstrated effective teamwork.
Demonstrated ability to resolve immediate patient problems effectively before transferring them to the Care Delivery Team.

Responsibilities

Conduct initial patient assessments and admissions using a patient-centered approach.
Coordinate the Start of Care admission process through timely and accurate communication with the receiving care provider team.
Adhere to the scope of practice for Registered Professional Nurses under New York State regulations.
Assume applicable responsibility requirements and understand various insurances.
Complete and submit required documentation accurately and within agency standards and guidelines.
Provide and coordinate quality patient-centered care while maintaining productivity.
Obtain the patient’s medical history, particularly information relevant to the present condition, from the patient or designated caregiver.
Conduct comprehensive assessments, including vital signs and physical and mental status.
Use critical thinking and collaborate with the physician to make clinical decisions supporting safe, effective, efficient, high-quality care.
Observe and assess adverse findings and promptly report them to the physician, including treatment reactions, medication interactions, and changes in physical or emotional status.
Implement physician orders, nursing procedures, and interventions using competent nursing skills, knowledge, and judgment.
Develop and implement a safe, realistic, individualized Plan of Care in collaboration with other services and disciplines.
Evaluate the patient, family, and home situation to identify required teaching and support the patient’s health goals.
Initiate education for patients and families based on identified learning needs, including education about home care and the professionals and paraprofessionals involved.
Assess the home environment, available family and other support, and whether a safe plan of care can be implemented there.
Foster open communication and collaborative practice.
Plan, teach, supervise, and counsel patients regarding physical care, health improvement, symptom management, disease complications, expected disease progression, and community resources.
Follow accepted nursing standards for infection control.
Promote a positive work environment, provide excellent internal and external customer service, and support teamwork and collaboration with other disciplines.
Remain flexible and responsive to workload changes.
Communicate with the patient’s Case Manager about the established plan of care, patient needs and goals, and the purpose of assigned visits.
Develop an appropriate plan of care for patients to be followed by Home Health Aides or Personal Care Aides.
Evaluate care provided by Home Health Aides and Personal Care Aides.
Document services rendered, changes in the patient’s condition or family situation, appropriate reporting, patient progress toward goals, communication with the health care team and physician, interim medical orders, visit reports to the case manager, and return demonstrations by patients or caregivers.
Perform other duties as assigned.