JOB DESCRIPTION

• Position: Registered Nurse (Field Nurse)
• Pay Range: 85,000 – 95,000
• Reporting To: Clinical Director
• Work Type: Remote

RN's WILL BE REQUIRED TO TRAVEL OUTSIDE OF THE FRESNO AREA AS WELL!

POSITION SUMMARY

1. Is currently a licensed Registered Nurse in the state of California issued by the Board of Registered Nursing.
2. Has at least one-year experience as a professional nurse. With at least six months in a leadership/supervisory capacity, Community/Home Health or Medical/ Surgical experience is preferred.
3. Has excellent clinical judgment, knowledge of current nursing practices and observation.
4. Must be able to communicate effectively, both verbally and in writing.
5. Must be able to perform all job responsibilities.
6. Current CPR Certification.
7. Current and satisfactory report on pre-employment physical examination including Mantoux TB Test or chest X-ray as required by Agency policies and procedures.
8. Must be free from signs of infection and illness.
9. Able to walk, bend, stoop, and lift objects appropriate for job performance.
10. Is fluent in English.
11. Is self-directed and able to work with little supervision and has good organizational skills.
12. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order. Non-drivers must sign an Employee Auto Release of Liability.
13. Is able to use professional judgment in reporting and seeking assistance from both peers and supervisors.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Assesses all patients initially, choosing appropriate parameters for measurement and observation related to the patient’s medical history/disease process, nursing assessment, functional limitations and the plan of treatment.
2. Initiates the plan of treatment ordered by the physician.
3. Provides the ongoing periodic assessment of the patient, monitors patients for all important parameters on each visit; utilizes monitored information to progress therapy/intervention toward goals and revises the plan of treatment as needed.
4. Notifies the patient’s attending physician, dentist or podiatrist and other professional persons and responsible staff of all significant changes in the patient’s condition and needs. “Significant change” includes those changes that suggest the need to modify or develop a plan of treatment.
5. Carries out the physician’s orders as directed; clarifies orders.
6. Regularly re-evaluates the patient’s nursing needs.
7. Follows current standards of clinical nursing practice with appropriate adaptations for delivering care in the home environment.
8. Gives clear and precise explanations to the patient and family caregiver about services the Agency provides, their rights and how to exercise them while receiving services. Informs patient/pcg of the reasons for treatment and any responsibilities they may have following the treatment. Promotes participation in developing the plan of treatment to the extent they are willing and able to participate.
9. Counsels the patient and family in meeting nursing and related needs.
10. Assists in coordinating all services provided.
11. Utilizes patient care equipment and supplies safely, effectively and efficiently.
12. Educates and instructs the patient, patient’s family, or staff as required.
13. Identifies problems for which nursing services are to be provided and selects those that can be addressed within the scope of services offered by the Agency and focuses on goals that are realistic, obtainable, measurable and patient-centered.
14. Oversees planning for discharge when treatment goals are being attained or when no longer attainable. Assists the Case Manager in the preparation of the patient/pcg discharge by clearly identifying continuous treatment and health care behaviors that need to be followed after skilled services have been discontinued.
15. Coordinates patient care and discharge planning with the physician, other members of the health care team and with community services, including referrals for continued services as needed.
16. Oversees instruction to the patient and/or caregiver regarding but not limited to medications, disease process, treatment, safety interventions, and ADL/IADL care. Incorporates patient’s knowledge deficits into the teaching plan. Promotes self-care and treatment independence in a positive manner that allows the patient control over aspects of his/her life that have been changed by acute and chronic illness.
17. Maintains current knowledge and skills for documenting care meeting regulatory and third-party payor requirements. Prepares documentation and clinical/progress notes. Documents clearly and concisely, using proper notation and Agency approved abbreviations. Submits all documentation (notes, change of orders, progress summaries, re-certifications, transfer/discharge, etc.) within the timelines established by the Agency.
18. May complete the Outcomes Assessment Information Sets (OASIS) developed and mandated by CMS or Pediatric Evaluations. Submits data sets within the guidelines established by CMS and the Agency.
19. Reports all events/occurrences that pose an actual or potential risk to patients or Agency personnel and completes an Incident/Accident Report as required by Agency policy when necessary.
20. Reports/submits all other quality indicator data as required by Agency policy (i.e. glucometer logs, patient grievances, patient/employee infections, etc.).
21. Manages all hazardous materials and wastes in a prudent and cautious manner according to Agency policy.
22. Establishes a supportive relationship with patient and caregiver that promotes a climate for caring and for mobilizing the patient’s own resources.
23. Utilizes additional community services appropriately. Incorporates advocacy into the Nursing Plan of Care by providing information or direct advocacy to obtain medical care, other health care services, equipment and supplies when necessary.
24. Respects the patient's and family's rights and property as defined by the federal and state laws. Maintains/preserves the confidentiality of the patient and Agency’s information at all times.
25. Regularly attends and participates in scheduled case conferences, staff meetings and Agency in-services.
26. Participates in appropriate continuing education as may be requested and/or required by your immediate supervisor. In addition, it is expected that personnel will accept personal responsibility for other educational activities to enhance job related skills and abilities.
27. May supervise Home Health Aides every two weeks in the home and or as required. May supervise LVNs as required. may teach other nursing personnel.
28. Regularly assesses own nursing skills and educational needs to meet the nursing care requirements of patients assigned for care. Upgrades professional skills and attends in-services and continuing education classes as needed.
29. Provides those services requiring substantial and specialized nursing skills in accordance with the Plan of Treatment.
30. Will perform duties consistent with the Nursing Practice Acct including the Standards of Competent Performance, Title 1, Chapter14, 1443.5 of the California Code of Regulation.
31. Conforms to all agency policies and procedures. Maintains/conserves confidentiality of patient and agency information at all times to HIPAA regulations.