Registered Nurse - Home Health

US-MI-Frankenmuth
Job ID
2017-2665
Category
Nursing
Type
Per Diem
Shift
Flexible
Travel
50-100%
Schedule
8:00 AM - 4:30 PM - Includes one weekend and two on call shifts a month

Overview

Provide skilled and non-skilled nursing services to home care and hospice patients in accordance with nursing standards and regulatory rules.  These functions include assessment, procedures, teaching, case management, documentation and supervision of non-skilled personnel.  Provide evening, on-call and weekend staffing as required by Home Care.  Act as an advocate for the patient and family to ensure comfort, relief and hope.

Responsibilities

  • Seek and obtain sufficient information necessary to function effectively in the healthcare setting where assigned

  • Provide professional nursing care by utilizing all elements of nursing process

  • Delegate to team members focusing on areas of expertise and professional strengths

  • Respond timely to phone calls from field staff, payers, physicians, clients and families

  • Revise Plan Of Care as client condition changes

  • Maintain communication with other disciplines to coordinate the POC

  • Assure supervision of the home health aide is done every 2 (two) weeks

  • Participate in QA activities as assigned

  • Assess and evaluate client’s status by:

  • Providing an accurate, complete comprehensive assessment at admission, re-certification, change of condition, return from hospital inpatient stay and discharge

  • Developing, reviewing and implementing the POC

  • Regularly re-evaluating client needs

  • Provide instruction as appropriate

  • Administer medications and treatments as prescribed by the physician

  • Initiate and apply appropriate preventative, therapeutic and rehabilitative nursing procedures and techniques

  • Maintain communication regarding client care with the physician, supervisory personnel, and other disciplines

  • Complete, maintain and submit accurate and relevant documentation of client’s condition and care provided according to procedures

  • Use supplies and equipment effectively and efficiently

  • Observe the client for changes in condition, discuss changes with the team leader, client or family/caregiver, and promptly report changes to the appropriate physician

  • Assist the client with meeting the activities of daily living and facilitate the client’s efforts toward self-sufficiency and independence

  • Teach the client and family/caregiver self-care techniques as appropriate to meet their physical, emotional, spiritual, social, and safety needs; provide medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with clients and families/caregivers

  • Maintain client confidentiality according to agency and HIPAA policy

  • Provide and maintain a safe environment for the client

  • Assist the client’s family/caregiver and other health care personnel in providing continuity of care

  • Supervise the LPN and ancillary personnel and delegate responsibilities when required

  • Attend and contribute to staff meetings and education programs as required

RN Case Manager

  • Maintain caseload based on work status

  • Prepare written communication and attend Case Conference –QOW

  • Facilitate follow-up and resolution of “visit book” problems for case load

  • Review HHRG with Supervisor/Oasis Analyst prior to 485 mailing

  • Review all Admits/Recerts/Follow Up with team to set up plan

  • Manages own schedule and patient assignments to assure continuity to meet client’s needs

  • Manage cases in assigned geographical area utilizing team members, aides, and other disciplines

  • Assign visits to team nurses if unable to see own client

  • Oversee client schedule to assure all visits are assigned

  • Audit charts on a regular basis for completeness, accuracy and compliance

  • Follow up on hospitalized clients at least weekly by phone to determine if client still remains admitted to facility

 

Mentor

  • Assist with organization and time management

  • Perform clinical skills assessment with documentation of competency

  • Ensure opportunities of learning are utilized

  • Assist with the development of communication and problem solving skills

  • Provide constructive and timely feedback regarding progress to both the mentee and the supervisor on a weekly basis

  • Maintain a formal and supportive relationship for 3-6 months, determined by the level of competency and comfort as agreed upon by both the mentor and mentee and the supervisor, then monthly thereafter for the next six months

     

Qualifications

  • Successful completion of an accredited Registered Nursing program; current license through the State of Michigan Board of Nursing as a Registered Nurse

  • Two (2) years of nursing experience with current home health and/or hospice,  medical, surgical, or critical care experience preferred

**Keywords:   Wellspring Lutheran Services, Registered Nurse, RN, Geriatric, Senior Services, Residential, Home Care, In Home Care, Healthcare, Frankenmuth, Saginaw, Bay City, Fairgrove, Akron, Vassar, Caro, Mayville, Millington, Clio, Mt. Morris, Flint, Montrose, Chesaning**

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