RN - CHHA Start of Care Nurse

HCR Home Care•Syracuse, NY

11d•$85,000 - $95,000•Onsite

About The Position

An RN Assessment Nurse will conduct a patient assessment in accordance with the requirements of the Home Assessment Abstract and DMS-1, and will perform these services in accordance with the physician’s orders. This role involves conducting initial patient assessments, coordinating the Start of Care admission process, and adhering to the scope of practice for Registered Professional Nurses in New York State. The nurse will also manage various insurance responsibilities and ensure accurate and timely documentation. Key functions include providing and coordinating quality patient-centered care, obtaining medical histories, conducting comprehensive physical and mental status assessments, and demonstrating critical thinking for safe and effective patient care in collaboration with physicians. The role requires observing and reporting adverse findings, implementing physician orders, developing individualized Plans of Care, and educating patients and families. Additionally, the nurse will evaluate the patient's environment for safety and support, foster open communication, and supervise Home Health Aides/Personal Care Aides.

Requirements

Current, valid/unencumbered RN license issued by NYS Department of Education required.
Minimum of 1 year current CHHA RN experience, specifically with OASIS-C.
Competency with EMR systems and other basic computer operations
Demonstrates effective teamwork.
Demonstrates effective resolution of immediate patient problems before transferring to Care Delivery Team.

Nice To Haves

Graduate of an accredited school of nursing.

Responsibilities

Conduct initial assessment of patient and admission to the agency using a patient-centered approach.
Demonstrate the coordination of the Start of Care admission process through timely, accurate communication and the establishment of trust and respect with the receiving care provider team.
Adhere to the scope of practice for Registered Professional Nurse per New York State regulatory guidelines.
Assume responsibility requirements and have a comprehensive understanding of various insurances.
Accurately complete and submit ALL required documentation within established agency standards and guidelines.
Provide and coordinate quality patient-centered care, maintaining productivity.
Obtain a medical history, particularly as it related to the patient’s present condition from the patient and/or designated caregiver.
Conduct a comprehensive assessment of the patient including vital signs, physical and mental status.
Demonstrate critical thinking skills to be able to make clinical decisions for delivery of safe, effective, efficient, high quality patient care in collaboration with the physician.
Observe and assess signs and symptoms of any adverse findings and immediately reporting to the physician including, but not limited to, reactions to ordered treatments, medication interactions, and any changes to the patients physical and/or emotional status.
Demonstrate competent nursing skills, treatments, preventative procedures, knowledge, and judgment necessary to implement physician orders, nursing procedures, and nursing interventions.
Develop and implement a safe, realistic, individualized Plan of Care for each patient in collaboration with other services/disciplines according to best practice standards to promote positive patient outcomes and patient satisfaction.
Evaluate the patient, family, and home situation to determine specific teaching that will be required to assist the patient to reach their health goals.
Initiate education for the patient and family, based on identified learning needs to home care and the delivery of professionals and paraprofessionals who will be interacting with the patient and family.
Evaluate the patient’s environment to determine availability and needs for assistance from family, available support, and that a safe plan of care can be implemented in the home.
Foster an environment for open communication and collaborative practice.
Plan, teach, supervise, and counsel regarding physical care measures to promote health improvement, symptom management, disease complications, expected disease progression and community resources.
Practice accepted nursing standards relative to infection control.
Encourage a positive work environment, maintain a positive attitude, provide excellent internal/external customer service and foster teamwork by supporting and collaborating with other disciplines.
Remain flexible and responsive when changes occur in workload.
Communicate with patient’s Case Manager regarding established plan of care, patient’s needs and goals, and purpose of specific visit assigned.
Development of appropriate plan of care for the patient, to be followed by HHA/PCA.
Evaluation of the care provided by the HHA/PCA.
Services rendered to the patient, changes noted in patient’s condition and/or family situation, and appropriate reporting of same.
Progress of the patient towards established goals.
Communication with other members of the health care team, including the physician.
Interim medical orders obtained.
Communication of the visit report to the patient’s case manager.
Return demonstration of patient and/or caregiver performing specific procedures.