• Home Health Registered Nurse

    Location US-MI-Frankenmuth
    Job ID
    Per Diem
    Various Days and Hours, Includes One weekend a month and On call rotation.
  • Overview

    Provide skilled and non-skilled nursing services to home health 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. This position is considered part of Skilled Professional Services and is subject to the Skilled Professional Services policy.


    • 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 ensuring Plan of Care is unique and individualized
    • Maintain communication with other disciplines to coordinate the POC
    • Supervision of the home health aide every 2 (two) weeks
    • Participate in QA/PI 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 including patient designated goals
    • Regularly re-evaluating client needs
    • Administer medications and treatments as prescribed by the physician
    • Initiates and applies appropriate preventative, therapeutic and rehabilitative nursing procedures and techniques.
    • Maintain communication and coordination 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 every other week
    • Facilitate follow-up and resolution of “visit book” problems for case load
    • Review HHRG with Clinical Manager/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


    • 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

    **Wellspring Lutheran Services, Registered Nurse, RN, Geriatric, Senior Services, Residential, Home Care, Hospice Nurse, Healthcare, Frankenmuth, Genesee, Saginaw, Tuscola, Bay**


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