Summary/Objective

Primary functions are to administer skilled nursing care for patients/clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients/clients and their families, and a referring agency. Assumes the responsibility for coordination of care.

Essential Functions

• Completes initial and ongoing assessments to identify the physical, psychosocial, and environmental needs of home health patients/clients. Completes assessments appropriate to the patient/client at appropriate time points.
• Regularly re-evaluates the patient's/client’s nursing needs and evaluates the outcomes of care.
• Develops, initiates, and revises the plan of care as necessary to ensure quality and continuity of care. Initiates appropriate preventive and rehabilitative nursing procedures. Refers to other services as needed. Plans for the discharge of the patient/client from services.
• Furnishes those services requiring substantial and specialized nursing skill. Counsels the patient/client and their family in meeting nursing and related needs. Uses infection control measures that protect both the staff and the patient/client.
• Coordinates services. Informs the physician and other personnel of changes in the patient's/client’s condition and needs.
• Monitors assigned cases to ensure compliance with requirements of third-party payors.
• Prepares clinical and progress notes. Completes appropriate documentation in a timely manner.
• Demonstrates commitment and professional growth by participating in in-service programs and maintaining or improving competency.
• Supervises, teaches, and provides clinical direction to other nursing personnel. Assigns home health aides to specific patients/clients. Supervises LVNs and paraprofessionals providing services to patients/clients. May conduct aide competency evaluations if qualified with two years of clinical experience and one year of home health experience.
• Promotes the Agency ‘s philosophy and administrative policies.
• Performs on-call responsibilities and provides on-call services to patients/clients and their families as assigned.
• Provides effective communication to patients/clients, their family members, team members, and other health care professionals.

Preferred/Required Education and Experience

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.
• Current State license as a Registered Nurse or a multi-state license issued by a state member of the National Nurse Licensure Compact (NLC).
• Current driver’s license
• One year of experience as a Registered Nurse in a clinical care setting required. Home health experience preferred.
• Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Proof of current CPR.
• Reliable transportation and valid and current auto liability insurance.

Supervisory Responsibility

No

Work Environment

Works in patients’/clients’ homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; must have the ability to work a flexible schedule and the ability to travel locally; some exposure to unpleasant weather; PRN emergency call.

Physical/Mental Demands

Prolonged standing and walking required, with ability to lift to 50 lbs. and move patients/clients. Requires working under some stressful conditions to meet deadlines and patient/client needs, and to make quick decisions and resource acquisition; meet patient/client and family individualized psychosocial needs. Requires hand-eye coordination and manual dexterity.

Position Type/Expected Hours of Work

• Hours/Shifts may vary based on client/patient needs/authorized hours.

Travel

• Some

Organizational Requirements

1. Experience recognizing the needs and concerns of individuals.
2. Effectively communicate orally and in writing
3. Ability to follow verbal and written instruction in English
4. Professional telephone & email etiquette
5. Able to work in a fast-paced, self-directed environment.
6. Detail oriented with excellent time management skills.
7. Decision-making, problem resolution and creative thinking skills.
8. Responds well to multitasking while providing exceptional customer service, support, and responsiveness.
9. Should be honest, competitive, energetic, enthusiastic, professional, and systematic.
10. Ability to demonstrate and educate patient family members on all equipment necessary.