HH Nurse, RN

Home Health Nurse, RN

Hours: M-F Coverage: Cumberland County, NC

Compassionate Care is our Calling!

Why choose 3HC:

3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life's journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best.

Summary:

The Home Health Nurse, RN is responsible for administering skilled nursing care to patients requiring intermittent professional nursing service.

REGISTERED NURSE (RN) ESSENTIAL JOB FUNCTIONS:

• Abides by and supports 3HC's Compliance Program and Code of Ethics. It is the intent of 3HC to comply with all applicable laws and regulations and that spirit is embedded in all aspects of our services and business practices. Our success hinges on doing things ethically and legally, to which, each and every employee plays a critical role.
• Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.
• Manages assigned cases and assists office with achieving positive patient outcomes, strategic plan and budget: (a) provides skilled nursing care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing; (b) observes and documents signs and symptoms and reports to the physician and other applicable personnel, reactions to treatments, including drugs and changes in the patient's physical or emotional condition and outcomes of intervention; (c) ensures on-going evaluation of patient/family needs and response to care; (d) refers to other services as needed; (e) initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety; (f) educates, supervises, consults, and counsels the patient/family regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, and processes for dealing with issues of ethical concern and (g) Assures the development and implementation of the patient individualized plan of care and updates as needed.
• Conducts a complete assessment of the patient to identify appropriate care needs: (a) obtains a medical history to include OASIS when needed, particularly as it relates to the present condition; (b) performs a physical assessment; (c) assesses the support system to determine what assistance will be available from family members and their ability to meet the patient's immediate needs upon changes throughout care; (d) assesses the patient, family member(s) and home situation to determine what health teaching will be required; (e) assess the patient's condition and home situation to determine if other home health services are needed; (f) interprets nursing and other services of the agency to the patient and family as a part of planning for care; and, (g) plans for discharge from services.
• Documents in the medical record electronically and downloads daily: (a) those services rendered to the patient; (b) conferences held with other disciplines, physician, or community resources; (c) changes noted in the patient's condition and/or family home situation; (d) revisions in the nursing care plan as needed; (e) evaluation of patient care and clinical and progress notes that demonstrate progress towards established goals. Download will include time and travel documentation. Responds within 48 hours to requests for documentation correction/completion.
• Ensures that the physician is involved ongoing with the patient's care: (a) reports to the physician and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on order/plan of treatment will sign orders.
• Completes OASIS at specific point in time, such as admission, resumption of care, recertification, etc.
• Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to regulatory guidelines, CMS/Hospice guidelines. Ensures task assigned to the LPN: (a) are within the Nurse Practice Act and (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant: (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed; (b) supervises and evaluates the care given at least every two weeks and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.
• Collaborates with supervisor to meet assigned productivity of 100%. Rotates weekday, weekend, and holiday "on-call" and "back-up-call".
• Maintains regular communication with supervisor. Communicates problems of the patient(s) on a timely basis following chain of command. Communicates information using current process and technology available to 3HC.
• Ensures that 3HC can bill for services appropriately: (a) completes certifications and re-certifications within designated timeframes; and (b) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care management, including preauthorization and re-authorization for insurance.
• Travels to other offices to meet the demand of patient needs as requested by the Director of Clinical Practice/Assistant Director of Clinical Practice.
• HHN, RN FLOATERS: On-call for base office per office need/rotation
• HH&HOSPICE NURSE, RN BAYLOR: (a) is responsible for working from 5pm Friday - 8am Monday; (b) provide specialized hospice training to other staff, family members and informal caregivers to insure adequate care; (c) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR (d) ensures complete documentation on an ongoing basis supporting hospice guidelines and COPs; (e) provides regular supervision to Licensed Practical Nurses and paraprofessional who are providing services to the patient according to CMS/HOSPICE guidelines; (f) turns in all paperwork to designated person in the office by 5:00pm on Monday and communicates laptop daily Saturday and Sunday. Makes verbal/written report of new admissions and ER visits to primary nurse Sunday night or Monday morning between 8am-9am; (g) collaborates with supervisor to meet assigned productivity standard; (h) completes scheduled visits after 5pm on Fridays as warranted and (i) works at least one weekend day.
• HH&HOSPICE NURSE, RN EVENING: (a) collaborate with supervisor to meet productivity of 100% for work hours 12pm-11pm Monday-Thursday; (b) covers on-call for clinical office Monday-Thursday and (c) visits done after 11pm will be paid at over quota rate and not considered part of quota.
• HHN, RN Admissions: Provide home health admissions or tuck-ins for hospice as needed; (a) develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR; (b) ensures complete documentation on an ongoing basis supporting HH/hospice guidelines and COPs; (c) turns in all paperwork to designated person in the office next day as needed and communicates ipad daily. Makes verbal/written report of new admissions and ER visits to primary nurse as needed completed (d) collaborates with supervisor to meet assigned productivity standard; ( e ) completes scheduled visits as needed per productivity. (f) on-call per needs of the office.
• Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (b) attends and participates in interdisciplinary team conferences at least 75% of the time; (c) attends agency mandatory in-services and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.
• Demonstrates an interest in personal and professional growth for self and staff: (a) attends and participates in workshops, seminars, webcasts to keep abreast of current changes in rules