Registered Nurse, Start of Care

*** THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS *** We have a fleet vehicle program available that supports this clinical role!

The Admissions Nurse's primary focus is to perform the initial SOC (Start of Care) visit although other visit types may be assigned based on agency needs. Responsibilities include determination of appropriateness for home care, overall assessment, medication reconciliation, development of the plan of care and provision of direct care and treatments as ordered. All documentation related to the SOC is completed within agency timelines and with Quality Standards in collaboration with and under the guidance of a Clinical Field Supervisor.

1. Ensure complete and accurate assessment and delivery of skilled nursing services.
a. Determine appropriateness of patient for home care.
b. Develop patient centered plan of care based on comprehensive assessment.
c. Develop a plan of care using interdisciplinary approach.
d. Ensure that all documentation meets quality standards:
1. OASIS evaluations are conducted per CMS guidelines.
2. Documentation reflects nursing care, treatments and responses.
3. Documentation is clear and concise.
4. Documentation is completed in timely manner.
e. Understand and follow nurse code of ethics and standards of practice.
f. Coordinate with internal and external resources to meet patient needs.
g. Maintain established productivity expectations.
h. Communicate client care issues to interdisciplinary team including physician.

2. Responsible for coordination of services.
a. Identify needs and refer to additional services as indicated to meet patient goals.
b. Report findings and plans to designated RN Case Manager/Care Team and/or Clinical Supervisor.
c. Work in conjunction with Supervisor and designated staff to efficiently manage patients using a team approach.

3. Responsible for development of the care plan for paraprofessional staff relevant to patient care as applicable.
a. Supervise home health aides in performing designated tasks related to patient care and per care plan.
b. Communicate appropriate information to home health aide department.

4. Comply with Nascentia policies and procedures and quality initiatives.
a. Maintain confidentiality.
b. Demonstrate knowledge and use of infection control practices.
c. Demonstrate knowledge of federal, state and local government rules and regulations.
d. Demonstrate knowledge and compliance with agency policies and procedures.
e. Adhere to quality improvement standards.
f. Keep personnel requirements up-to-date; i.e., health requirements,
licensure requirements, and mandatory in-services.
g. Demonstrate proficiency with skills competency through periodic evaluations.

5. Participate in personal growth and development.
a. Participate in educational in-services and meetings.
b. Maintain and update clinical knowledge on an ongoing basis.

6. Represent self and agency in a professional manner including compliance with agency dress code.

7. Other duties as assigned.

Requirements:
1. Current New York State registered professional nurse license.
2. Degree from an accredited school of nursing or college.
3. Current and valid driver's license and auto insurance, and a vehicle
which can be used for work.
4. Self-directed and organized with the ability to work independently.
5. Good oral and written communication skills.
6. OASIS Certification, or willingness to obtain within 1 year of hire.

7. Minimum one year experience in Home Health Care required.

Physical Requirements:
1. Speaking/visual/hearing ability sufficient to comprehend and express written/verbal communication.
2. Ability to perform tasks involving physical activity including:
- Pushing/pulling - Typical weight 50 pounds / Maximum weight 150 pounds
- Lifting and carrying - Typical weight 25 pounds / Maximum weight 40 pounds
- Patient transfers, extensive bending, standing, kneeling, walking in various weather conditions e.g. snow, rain, sleet, and going up and down stairs.
3. Ability to drive in all weather conditions throughout the working year.
4. Bloodborne Pathogens Exposure Category I - Employee has tasks that routinely involve exposure or potential exposure to blood, body fluids or tissues.

Compensation & Benefits:

Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250- $87,138.92 /annually] with:

• $15,000 sign-on bonus*
• Retention Bonuses
• Internal Mentoring Program
• 401K with generous Employer match
• On-Site Gym (free for all employees)
• Medical, Dental, Vision plans
• Tuition Reimbursement (BSN after only 6 months of employment!)
• Partially funded HSA
• Employee Recognition Platform
• Paid Time Off, Holidays, Sick and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Much More!

About Nascentia Health:

Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.

Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.

Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre-hire drug screen and background check

* Subject to specific terms and conditions*

INDHP