Home Care Nurse: LPN - Home Health

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. Functions as part of the health care team in providing safe and effective therapy for assigned patients under the direct supervision of a registered nurse. Participates in the implementation and evaluation of patient care. Requires an LPN license. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An entry level role that applies broad theoretical job knowledge typically obtained through advanced education. May require the following proficiency: work is closely supervised, problems faced are not typically difficult or complex, and explains facts, policies and practices related to job area.
The LPN provides nursing care to patients and families in their home. The scope of nursing includes direct patient care, and patient advocacy in the coordination of care with the multidisciplinary team, and with the nursing case manager. The LPN may collect data on the health status of the patient, in conjunction with other members of the health care team, for the identification of health goals. The LPN assures care for patient and families that is reflective of the organization's core values. The Licensed Practical Nurse is knowledgeable about and supportive of the primary nursing model.
High school diploma or equivalent.
Graduation from an accredited practical nursing program.
Licensed Practical Nurse (LPN).
One (1) year of acute nursing experience
State issued driver's License and personal auto insurance.
Home care nursing experience preferred.
Assess, and using evidence based practice, implements nursing interventions
Assess the patient's physical and psychosocial needs to determine health status within the scope of licensure.
Collects relevant data and documents the information according to Medicare record policy & procedure.
Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.
Derives a holistic nursing diagnosis from comprehensive patient assessment and prioritizes same according to patient need. Nursing diagnoses are documented according to agency record procedure and are reviewed and revised as indicated.
Follows the nursing care plan, established by the RN Case Manager, based on nursing diagnoses that includes measurable, realistic, and time directed goals and nursing interventions specific to the problem and individual patient; reports information about progress or changes to the RN Case Manager. Follows the nursing care plan demonstrating consideration of the following criteria: Patient's maximum health potential; Patient's changing health status; Patient's discharge planning needs; and Collaboration and communication with other health care team members (i.e., N.'s, rehabilitation staff, physicians, social services, community agencies staff and home health aides).
Communicates the effectiveness of the nursing care plan as needed and consults with RN Case Manager regarding revision of the plan of care as needed.
Provides therapeutic care, education and referral, seeking maximum patient & family participation and independence.
Keeps the RN Case Manager informed of visit via voice mail messages or in person after patient assignment completed.
In consultation with the RN Case Manager, may coordinate the delivery of multidisciplinary services to a primary patient population through appropriate referral, follow-up, and advocacy.
documents accordingly.
Develops, maintains, and applies a knowledge of third party payer (Medicare, Medicaid and, private insurance) guidelines governing eligibility for reimbursable home health services
Documents data in the computerized patient record, and in a timely, legible, organized, concise manner to insure compliance with legal, certification, and third party payer requirements.
Seeks supervisory consultation with unusual/unfamiliar patient care situations and/or questions regarding home health policy and procedure and/or reimbursement guidelines.
Participates in performance evaluation through professional and clinical goal setting.
Understands and practices agency safety guidelines and procedures including general safety, office (ergonomic) safety, fire safety, proper body mechanics, and proper patient/material handling.
provides field demonstrations and acts as Preceptor.
Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures.
Lifts, positions, pushes and/or transfer patients and equipment.
Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc.
Regularly exposed to the risk of bloodborne diseases and other transmissible infections.
Handle emergency and crisis situations.
May have contact with hazardous materials.
Ability to effectively communicate with patients, families, physicians, and healthcare team.
Knowledge and application of the nursing process to implement a nursing plan of care.
Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
Demonstrates the skills and knowledge to provide care to the age groups of the population served including: Ability to interpret age specific data and response to care; Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient's response.
Medical, Dental and Vision benefits start day one

• 403(b) retirement with company match
• Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development.
• Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field.
• Industry-Leading Safety Program- A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. AVADE de-escalation and self-safety training
• Escort services to ensure staff safety in the field

About Care at Home:
Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it's needed most and so that we can bring wellness back to health care, one person at a time.
About Tufts Medicine
A healthcare system that works Tufts Medicine is more than a health system - we're a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you'll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family's well-being.
Tufts Medicine is an equal opportunity employer
At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it.