Registered Nurse (RN) - Home Health

About This Role

This Registered Nurse role serves a case management function, overseeing and managing post-acute services for an assigned group of patients in their homes. It involves providing direct patient care, supervising other nursing staff, and coordinating care with a multidisciplinary team to ensure high-quality outcomes and patient satisfaction.

Responsibilities

• Manage an assigned patient caseload daily, ensuring timely care and documentation as prescribed in the plan of care and per physician orders
• Collect pertinent data from patient assessments in the home setting, telephonic contacts, and available EMR information
• Analyze data to determine issues and available resources for effective resolution
• Identify patients at high risk for re-hospitalization, falls, or high resource utilization who require additional intervention and case conferencing
• Prioritize multi-issue situations appropriate to the criticality of patient health and welfare, patient/staff safety, and impact to effective, timely services
• Identify barriers to situation/complaint resolution (e.g., language, literacy, psychological) and follow up with appropriate resources or leadership
• Develop and oversee a plan of care that is effectively communicated and supports quality patient outcomes and satisfaction
• Implement the identified plan and direct care coordination of a multidisciplinary clinical team approach
• Supervise LPNs and/or HHAs involved in the care of the assigned patient caseload to promote health and safe outcomes
• Perform ordered treatments, therapies, and/or procedures in accordance with State Nurse Practice Act, Home Health Conditions of Participation, JCAHO, and agency policy and procedures
• Evaluate progress towards attainment of patient-centered goals

Requirements

• Graduate from an accredited School of Nursing
• Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works
• BLS required per policy guidelines
• Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling
• Ability to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies
• Must speak English in good, understandable terms
• Intact sense of sight, hearing, smell, touch
• Finger dexterity
• Critical thinking and ability to concentrate
• Ability to respond quickly to changes in patient conditions