Clinical Resource, RN

Clinical Resource RN

The Clinical Resource RN is an experienced registered nurse who uses the nursing process to provide clinical staffing support across high need Well Care Home Health regions. This role provides direct nursing services, case management support, and care coordination during vacancies, census fluctuations, and other organizational staffing needs. The Clinical Resource RN is deployment ready, and flexible to travel across assigned locations for assignments, while maintaining continuity of care, high-quality patient outcomes, regulatory compliance, and adherence to agency standards.

PRIMARY JOB DUTIES

• Completes initial, comprehensive, ongoing, and reassessment activities patients according to patient needs, assigned program requirements, and location-specific workflows.
• Develops, implements, and updates individualized plans of care in collaboration with physicians, patients, families/caregivers, and interdisciplinary teams.
• Provides direct nursing services and case management support in accordance with the plan of care, physician orders, and agency policies.
• Communicates with physicians, branch leadership, and interdisciplinary team members regarding patient needs, response to treatment, changes in condition, and required orders.
• Organizes and performs work effectively and efficiently.
• Maintains and adjusts schedule to support deployment needs, assignment timelines, and agency performance.
• Demonstrates a daily commitment to the values of the agency.
• Demonstrates positive interpersonal relations in dealing with all members of the agency.
• Maintains and promotes customer satisfaction.
• Effectively demonstrates the mission, vision, and values of the Agency on a daily basis.

QUALITY OF WORK

• Assessing patient and family/caregiver physical, psychosocial, environmental, safety, developmental, palliative, bereavement, and clinical needs as applicable to the assigned program.
• Providing and/or facilitating patient and family/caregiver education according to the plan of care, including disease process, medications, safety, symptom management, agency philosophy, and available resources.
• Providing developmental interventions appropriate to patient's age and clinical status.
• In collaboration with the patient/family, physician, branch leadership, and assigned clinical team, performs and documents thorough and timely assessments to support eligibility, care planning, and continuity of services.
• Completing reassessments, recertification activities as applicable, service line updates, and plan of care revisions within required timeframes and in response to significant changes in clinical status, support system, or care environment.
• Obtaining physician orders and utilizing data collected during assessments, agency teaching guidelines, nursing interventions when applicable, and appropriate nursing skills to implement and follow the established plan of care while adapting to assigned branch processes.
• Supervising assigned aides, LPNs, and other delegated services in accordance with Medicare, federal/state guidelines, program requirements, and agency policy.
• Collaborates with and supervises the nursing care provided by the LPN. Conferences with LPN on shared patients when there are changes in the plan of care or status of the patient.
• Participating in interdisciplinary conferences when applicable, and care coordination activities in accordance with agency and program requirements.
• Maintaining assigned caseload, visit responsibilities, or temporary coverage assignments and keeping branch leadership informed of workload, barriers, patient care needs, and staffing needs.
• Appropriately informs the physician, branch leadership, and involved agency staff of adverse changes in patient condition, pain or symptom concerns, safety issues, changes in plan of care, and discharge or transition plans.
• Inform supervisor of any potential or actual client concerns, risk management issues and referrals to Adult Protective Services 100% of time. Complete documentation in the medical record and initiate PI notification via Health Care Safety Zone portal of these concerns and action taken.
• Completes all forms accurately and in accordance with agency guidelines/policies.
• Documents patient eligibility, functional limitations, homebound status, hospice eligibility, symptom management needs, and other required clinical findings as applicable to the assigned program.
• Documents all verbal orders for new or changed orders according to agency guidelines.
• Completes clinical notes in accordance with agency guidelines and time frames.
• Documents involvement of the patient, family/caregiver, physician, hospice physician when applicable, and interdisciplinary team in developing and revising the plan of care.
• Consistently documents interdisciplinary, interagency, and cross-location communication and coordination of services per agency guidelines.
• Demonstrating understanding of Home Health interdisciplinary team approaches, continuum of care needs, and purpose of supporting high-need locations.
• Incorporating recommendations and goals of other disciplines, patient/family/caregiver, branch leadership, and interdisciplinary meetings into nursing visits and care coordination.
• Demonstrating willingness and ability to travel, accept temporary assignments, and accommodate agency needs in order to provide optimum patient care.
• Accepting constructive criticism as evidenced by implementation of suggested actions for improved performance.
• Promotes change while seeking new opportunities to improve workflows and introduce new ideas.
• Demonstrating ability to prioritize and enhance services during fluctuating patient census, vacancies, leaves of absence, home health coverage needs, and other deployment triggers.

EFFICIENCY AND EFFECTIVENESS:

• Participating in continuous performance improvement and completing all required educational programs for the Agency and profession.
• Recognizing and performing duties in an independent manner.
• Accepting personal responsibility for the completion and quality of work outcomes.
• Meeting assigned deadlines.
• Meeting productivity expectations and assignment-specific goals for patient care, documentation, and operational support.
• Maintaining a clean and safe environment
• Reporting to work on time and returning promptly from errands, breaks, and meals.
• Managing personal work schedule, travel schedule, and time off to promote smooth agency operations and successful assignment completion.
• Demonstrating flexibility with changing workload, assignments, geography, census needs, and temporary deployment timelines.
• Traveling to all counties within respective region to provide coverage for pre-planned PTO, call-outs, FMLA, and uncovered territories.

TEAM WORK, MISSION, VISION, VALUES:

• Communicating in a positive and productive manner.
• Demonstrating respect for team members.
• Managing stress and personal feelings without a negative impact on the team.
• Maintaining positive attitude about assignments and team members.
• Promoting professional / personal growth of co-workers by sharing knowledge, resources, and best practices across deployment locations.
• Working collaboratively and cooperating with other agency employees
• Responding to all customers in a courteous, sensitive and respectful manner.
• Abiding by the confidentiality and ethics policies of Well Care Health and applicable Home Health regulatory requirements.
• Provide education to patients and families/caregivers on patient satisfaction surveys and encourage completion.
• Practicing personal cost containment by responsible use of equipment, supplies, and resources.
• Completing the review period without a formal disciplinary action. *
• Presenting a clean and neat appearance in personal attire and one's work area.
• Performing his / her job in accordance with documented procedures established to maintain the safety and health of patients, employees, and visitors and demonstrates compliance in the proper wearing and use of protective clothing and equipment to conform to the OSHA Blood Borne Pathogen Standard and also reports any exposure to the appropriate Manager in a timely manner.

JOB SPECIFICATIONS

• Education: Graduate of an accredited or approved school of nursing, either an AD, Diploma, or BSN program.
• Licensure / Certifications: Current license to practice professional nursing in the State in which providing care. Multi-state licensure or ability to obtain licensure for assigned service areas may be required. CPR certification required.
• Experience: Minimum of two years RN experience required. Home Health experience required. Demonstrated ability to work independently, adapt to multiple clinical environments, manage patient care responsibilities, coordinate interdisciplinary care, and support high-need locations during temporary assignments required.
• Essential Technical / Motor Skills: Hand/eye coordination in order to give injections, use computer and electronic medical record systems, operate patient care equipment, and perform required clinical procedures. Must be able to communicate and be literate in the English language. Able to manipulate patient care equipment and properly transfer and guard