RN (Per Visit) Nantucket, VNA of Cape Cod

Cape Cod Healthcare•Nantucket, MA

About The Position

The RN (Per Visit) evaluates patients’ clinical needs and initiates, develops, implements, and revises plans of care. The RN establishes visit frequency and interdisciplinary utilization using HHRG values, maintains annual HHRG values at the National Standard as appropriate, and works toward annual outcomes that meet National Benchmarks. The role includes coordinating and documenting skilled care, communicating with physicians and other care providers, participating in interdisciplinary case conferences, supervising Home Health Aide plans of care, and coordinating appropriate discharges.

Requirements

Successfully pass the VNA pre-hire medication test.
Hold a current Massachusetts RN license and other related credentials required for the specialty.
Have at least one year of nursing experience, or six months of nursing experience with a BSN.
Hold CPR certification.

Nice To Haves

Home care experience.
IV experience.
Computer skills.
BSN.

Responsibilities

Maintain annual HHRG values at the National Standard as appropriate.
Use HHRG values to establish visit frequency and appropriate interdisciplinary utilization.
Refer patients to community resources as appropriate.
Evaluate patients’ clinical needs; initiate, develop, implement, and revise plans of care; address all problems in the plan of care and document accordingly.
Participate in interdisciplinary patient case conferences and evaluate the effectiveness of established plans of care.
Instruct and provide documented supervision of the Home Health Aide plan of care every 14 days.
Notify physicians and other involved care providers of significant changes in the patient’s condition.
Complete admission and other paperwork in a timely manner.
Record clear, concise narrative documentation reflecting skilled care and addressing teaching, direct care, and the patient’s or caregiver’s response.
Obtain and clarify valid physician orders for all care delivered.
Plan and coordinate discharges appropriately; inform the patient and physician, record the patient’s disposition in the discharge summary, and complete required discharge paperwork.
Perform other duties as assigned.