South Shore Health is seeking candidates for this position located in Rockland, MA. Job Description Summary PLEASE NOTE: This position receives significant shift differential for weekend work. The community health nurse is knowledgeable in community health and provides care to patients in the home or community setting. Job Description ESSENTIAL FUNCTIONS 1 - SCHEDULING Makes scheduled home visits per assignment. Schedules and prioritizes nursing visits according to client acuity and in accordance with the organization's emergency preparedness plan. 2 - ASSESSMENT/DOCUMENTATION ADMISSION VISIT For each admission to caseload, develops an individualized and holistic plan of care for the patient in collaboration with the patient/family/caregiver. Performs admission physical and psychosocial assessment to determine nursing needs. 3 - REASSESSMENT/VISIT DOCUMENTATION For each visit, demonstrates the skills and judgment necessary to implement the plan of care, nursing interventions, and procedures necessary for the skilled care of the patient, as evidenced by chart review and observation. Updates the plan of care on an ongoing basis as goals are met and problems are identified. 4 - DISCHARGE/DOCUMENTATION DISCHARGE For each discharge, documentation demonstrates improvement in outcomes or applicable variances are identified. Patients are appropriately prepared for discharge and all disciplines involved in the care of the patient are in agreement with plan. 5 - MEDICATION Demonstrates knowledge of department policies and procedures for administering and documenting medications.Medication reconciliation is completed every visit and medication profile is reviewed and updated with changes as appropriate. DRR is run with each additional medication. Medication management is taught on each visit, including side effects. 6 - CASEMANAGEMENT The community health nurse demonstrates responsibility and accountability for the coordinating the plan of care for each patient on their schedule each day. The patient /Care Plan Partner is involved and participates in the plan of care. 7 - SAFETY AWARENESS Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. Complies with current hand hygiene and infection control guidelines. 8 - PROFESSIONAL DEVELOPMENT Responds to and participates in opportunities to maintain, enhance, and promote the image of the professional nurse. 9 - LEADERSHIP DEVELOPMENT Serves in a formal or informal leadership role 10 - ADVANCED CLINICAL SKILLS/ADVANCED CLINICAL KNOWLEDGE Responds to and participates in opportunities to demonstrate the use of individual advance clinical skills and advance clinical knowledge. Assumes overall responsibility for own professional development by incorporating knowledge of evidence-based practice and research into clinical practice JOB REQUIREMENTS Minimum Education - Preferred Graduate of an accredited School of Nursing. Bachelor of Science degree in nursing from a college/university accredited by the NLN is preferred. Minimum Work Experience One to two (1–2) years of nursing experience is preferred. Required Licenses / Registrations RN - Registered Nurse Required additional Knowledge, and Abilities Write, speak, understand English. Basic Nursing competencies. Intravenous skills a plus.