A. BASIC PURPOSE

The Home Health Registered Nurse (RN) is responsible for planning, coordinating, and documenting skilled professional nursing care provided to meet patient needs twenty-four (24) hours per day, seven (7) days/week for a geographically assigned caseload from the day of admission through day of discharge. Utilizing physician's orders and professional skills, the RN functions as a case manager and develops and implements a home health plan of care that meets each patient's specific needs and is in compliance with state and federal home health regulations, reimbursement guidelines, as well as Elite Home Health Care policies and procedures. The RN utilizes the nursing process which includes the use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members to achieve positive clinical outcomes with the home health patients. The home health RN is responsible for the on-sight supervision of the Home Health Aide and pediatric participant. The RN participates in a monthly rotation and is able to carry a patient load of visits per month.

B. PRIMARY RESPONSIBILITIES

Nursing Process As a member of the Elite Home Health Care team, the Registered Nurse utilizes the nursing process to contribute to each patient's total plan of care.

Assessing and Planning

1. Conducts initial nursing assessment through use of the OASIS assessment tool and including physical and psychosocial aspects, of patient/family/caregiver in a thorough, accurate, compassionate and timely fashion.

2. Utilizes own special body of knowledge to provide leadership and guidance to the home health team in formulating and individualizing the plan of care relative to the problems identified, interventions required and goals that must be addressed relative to the patient needs.

3. Contributes to identifying both active and potential needs of the patient and his/her family, which may affect the plan of care and refers other disciplines in to assist the patient/family as needed and required.

4. Consistently collaborates with the physician to plan and implement the medical and nursing plan of care.

5. Reviews the comprehensive plan of care with the home health team.

6. Communicates in writing in the chart and verbally with co-workers and supervisors to coordinate interventions and ensure continuity of care.

7. Facilitate and participate in team meetings and contribute to patient care planning.

Implementing and Evaluating

1. Facilitate the implementation of nursing interventions and appropriate preventative and therapeutic nursing procedures through the provision of direct patient care and supervision of home health aide services.

2. Collaborate with other team members (physician, therapists, social workers and aides) to provide continuous assessment of assigned patients, interpret findings, initiate appropriate therapeutic actions, refer other disciplines and evaluate the results of these actions.

3. Accepts responsibility of assignment to perform a specialized procedure only when qualified with specialty training, proven competency, clinical background, and expertise in the specialty area.

4. Work in cooperation with family/caregiver and home health team members to meet the emotional needs of the patient, family and/or caregiver.

5. Provides appropriate information, teaching and explanation to the patient's family regarding care. Facilitates patient and family education, to promote continuity of care and optimal patient/family outcomes.

6. Demonstrates expertise in the utilization of all team members.

7. Assists in the investigation and resolution of quality issues in conjunction with the Nursing Supervisor and/or Administrator.

8. Fulfill productivity requirements on an average daily census basis as determined by acuity level and Nursing Supervisor and/or Administrator.

9. Document accurate complete and relevant clinical notes regarding patient's condition and care given.

Education

1. The Registered Nurse is a mentor who is able to provide educational experiences and communicate knowledge of patient care to members of the home health team including, but not limited to: patient and families/caregivers, other nursing staff, home health aides and the general community.

2. Act as a mentor who facilitates individual staff development from novice to expert. Participate in the orientation of new personnel and assist with field training as needed.

3. Identify the learning needs of the home health staff and other health care professionals, and facilitate formal and informal in-services, and patient care conferences to promote professional growth of all team members.

4. Teach patient/family/caregiver disease process and self-care techniques as appropriate. Provide medication, diet and other instructions as ordered by physician and recognize and utilize opportunities for health counseling of patients/family/caregiver.

5. Facilitate the development of teaching aids to promote patient/family/caregiver learning.

6. Evaluate effectiveness of educational experiences in order to promote ongoing professional development of home health staff and quality patient/family/caregiver outcomes.

7. Supervise the home health aides and licensed practical nurses on-site per agency policies.

Management

1. The Registered Nurse oversees her caseload and responsibilities in order to support Elite Home Health Care Home Health's clinical and operational goals and objectives.

Manpower

1. Coordinates patient care assignments and scheduling of visits so as to provide optimal patient care and efficiently organize care and services.

2. Visit frequencies are according to individual patient needs and acuity.

3. Visit frequencies are reviewed at least weekly and altered to meet patient needs and acuity.

4. Patient care visits will be coordinated with team members in order to utilize manpower resources and provide optimal patient care.

5. Maintains regular attendance.

6. Develops home health aide plan of care, introduces the home health aide to the patient/family and supervises the home health aides every 14 days or more frequently as needed to guarantee that the plan of care is implemented, followed and that the patient/family are satisfied with the care and services being provided.

7. Performs an on-site supervisory visit of the Licensed Practical Nurse (LPN) at a minimum every 30 days or more frequently as needed.

Operational

1. Ensures adequate and appropriate inventory of supplies and equipment for the provision of patient services and promotes the efficient use of equipment and supplies.

Personnel

1. Provides timely supervision and counseling of home health aides and LPNs, which is constructive and encourages growth.

2. Strengthens problem solving ability of home health aides and LPNs.

3. Maintains confidentiality in matters related to co-workers.

Leadership

1. Demonstrates behavior appropriate to a role model and leader. Adheres to a code of conduct, conducive with Elite Home Health Care policy.

2. Demonstrates creativity and critical thinking ability when developing patient care plans or completing assigned projects.

3. Assumes leadership role to facilitate care coordination and collaboration.

4. Functions without supervision, utilizing time constructively and organizing assignments for maximum productivity.

5. Collaborates with the home health team and effectively utilizes supervisor to problem solve.

6. Participates in agency meetings and activities as directed and requested.

Communication

1. Introduces self and clarifies role to patient/family/caregiver, physicians, facilities and referral sources.

2. Recognizes and responds appropriately to verbal and non-verbal cues. Communicates effectively with all members of the home health team by: a. Defending and supporting peer/team decisions and actions. b. Asserting self with tact. C. Supporting collaboration. d. Maintaining open communication. e. Offering suggestions and criticisms constructively. f. Asking questions and sharing information during conferences. g. Maintaining confidentiality in all areas. Relates complete and pertinent information in verbal and written communication, Maintains clinical records, statistics, and reports as prescribed and in compliance with local, state and federal laws.

3. Initiates and maintains open and effective communication with Nursing Supervisor as well as other members of the home health team, as evidenced by improved patient outcomes.

Quality Improvement

1. Participates in the Quality Assessment/Performance Improvement process.

2. Facilitates active, ongoing problem solving, which reflects home health team

participation.

3. Pursues problems to resolution, and/or refers them utilizing the appropriate chain of command.

4. Assumes responsibility for personal growth and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.

5. Complies with local, state, and federal laws, home health Medicare regulations and established personnel policies and procedures.

6. Maintains all appropriate state nursing license requirements.

Other

1. Completes a minimum of 12 hours of inservices per year.

2. Participates in meetings and other related activities as needed.

3. Conduct all business activities in a professional and ethical manner and adheres to Elite Home Health Care's code of conduct.

4. Meets or exceeds delivery of Elite Home Health Care service standards in a consistent fashion.

5. Interacts with all staff in a positive and motivational fashion supporting Elite Home Health Care's mission.

6. Creates and maintains a professional atmosphere.

7. Complies with local, state and federal laws, Medicare regulations and established agency policies and procedures.

The primary responsibility statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

HUMAN RELATIONS

1. Must maintain a professional attitude and demeanor and be able to communicate effectively and relate courteously and cooperatively with patients, caregivers, colleagues, supervisor, co-workers and all others. Must be able to demonstrate optimism, enthusiasm and willingness to work constructively with other health care team members and reflect concern for the well being of patients and others.

PHYSICAL REQUIREMENTS

1. This position requires the Registered Nurse to work in a variety of environments (housing styles) during visits to patients in their place of residence.

2. Visual/hearing ability must be sufficient to comprehend written/verbal communication.

3. The Registered Nurse must have ability sufficient to ambulate throughout a patient's home, navigating stairs and other physical barriers typical to private residences.

4. The Registered Nurse must be able to operate a motor vehicle and travel to and visit in patient's homes in varying weather and road conditions.

5. Must be able to deal effectively with stress.

EDUCATION AND EXPERIENCE

1. Education: Graduate of an accredited nursing program, Baccalaureate degree in nursing or related field, preferred.

2. Experience:

a. Minimum of 2 years clinical nursing experience in general nursing with home

health experience preferred. b. Demonstrates excellent written and verbal communication skills.

3. Licensure, Registration, and/or Certification:

a. Current license as a Registered Nurse in the Commonwealth of Pennsylvania b. Valid driver's license and reliable transportation that is insured in accordance with

C. Satisfactory references from employers and/or professional peers. d. Satisfactory criminal background check.

Satisfactory requirements.

Able transportation

Medical specialties:

• Home Health
• Pediatrics

Standard shift:

• Day shift
• Evening shift

Supplemental schedule:

• Extended hours
• Holidays
• On call
• Overtime

Application Question(s):

• Willing and able to submit Child Abuse Clearance, FBI and Criminal

Experience:

• Hands on Patient Care Nursing: 1 year (Preferred)

Language:

• English or Spanish or Both (Preferred)

License/Certification:

• BLS Certification (Preferred)
• RN (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: Hybrid remote in Reading, PA 19601