Home Health Transitional Nurse

About This Role

This nursing role focuses on assessing patients' post-acute needs and ensuring continuity of care as they transition home. It involves collaborating with a multi-disciplinary team and discharge care providers, as well as providing interim care and training to other nurses.

Responsibilities

• Focus on the medical needs and treatment of infants, children, and/or adolescents primarily in their home according to the active plan of care, as given by the physician and other appropriate personnel
• Maintain positive internal and external customer service relationships
• Conduct on-going patient care and assessments
• Administer prescribed medications, treatments, and therapies
• Coordinate care
• Educate family members/caregivers on patient clinical care to enhance positive outcomes
• Implement preventative initiatives to protect quality of care for patients
• Assess patients
• Provide interim care to patients experiencing gaps due to call offs, vacations and staff shortages with varying acuity and scheduling needs
• Provide one-on-one training to nurses in the field to ensure a smooth clinical and non-clinical transition assuring continuity of care when the Halo
• Serve as a liaison and patient advocate on complicated cases in conjunction with support staff
• Exercise necessary cost control measures
• Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed
• Plan and organize work effectively and ensure its completion
• Meet all productivity requirements
• Demonstrate team behavior and be willing to promote a team-oriented environment
• Represent the organization professionally at all times
• Demonstrate initiative
• Continually improve processes and relationships

Requirements

• Active PA RN or LPN license
• Active CPR
• Strong oral and written communications skills
• Adaptability
• Ability to provide care in a client home setting
• Ability to make a positive and lasting impression
• Ability to work as a team member
• Ability to lift up to 50 pounds and move
• Ability to work under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition
• Ability to meet patient/family individualized psycho socials needs
• Ability to work a flexible schedule and extended hours
• Ability to travel locally
• Ability to hear and respond to pages