RN - Home Health

Registered Nurse

Profession: RN Specialty: Home Health Duration: 260 Shift: 5x3 days Hours per Shift: Not specified Experience: Two (2) years of experience in a home setting within the last ten (10) years License: Current RN Licensure in Client Certifications: BLS required before the start date Must-Have: - Two (2) years of experience in a home setting within the last ten (10) years, which may include working in a Certified Home Health Agency, Licensed Home Care Service Agency, or Managed Long-Term Care. - Experience conducting assessments similar to OASIS. - Providing primary care to homebound persons. - Care management for individuals receiving home and community-based services, including hospice and assisted living. - Home care experience as a paraprofessional or Licensed Practical Nurse caring for a minimum of 2 patients per week.

Description: These RNs will provide telehealth services until ready for in-field visits. RNs need to be flexible to transition between telehealth and in-field visits based on needs. The position requires candidates to conduct initial in-home evaluations of patients. This includes evaluating health status, strengths, care needs, and preferences. Candidates will guide the development of individualized long-term care service plans. Reviewing consumer medical documentation and health referral forms is essential. Evaluation data will need to be entered into an electronic evaluation form and transmitted as required. It is important to document any concerns or conflicting information that arises during the evaluation process. Maintaining continuity of care is critical to reducing fragmentation, duplication, and gaps in treatment plans. Discussing health care options, supports needed, service vendor options, and waiver options with consumers is a key responsibility. Communication between the Call Center and eligible consumers for enrollment into a managed care health plan must be initiated. Enhancing communication and collaborative relationships with interdisciplinary care team members improves care coordination and facilitates service delivery. Collecting quality review data and necessary documentation to support outcome measurements is required. Identifying opportunities for health promotion and illness prevention is essential. Candidates must maintain a comprehensive working knowledge of community resources and service requirements for the target population. All performance standards established for this position must be met as outlined in the corresponding annual performance criteria. Other duties may be assigned by the Regional Nurse Manager or other project management as necessary.