Homecare Field RN, Full Time

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. The Registered Nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.
Patient Care
Completes an initial assessment of patient and family to determine home care needs Provides a complete physical assessment and history of current and previous illnesses
Regularly re-evaluate patient nursing needs
Uses health assessment data to determine nursing diagnosis
Initiates and develops a Plan of Care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventative, and rehabilitative nursing care actions Includes the patient and the family in the planning process Makes necessary revisions as patient status and needs change
Plans and implements patient health teaching and health counseling regarding the disease process(es), self-care techniques and prevention Counsels and involves the patient and patients' family in accomplishing healthcare goals, meeting nursing and related needs while promoting patient/family independence
Re-evaluates patient nursing care needs to include continuous assessment using the OASIS Data Set at appropriate time intervals during the episode
Assesses the patient's condition during every home health care visit; nursing interventions are implemented to meet patient needs and changing conditions
Initiates appropriate preventive and rehabilitative nursing procedures Administers medications and treatments as prescribed by the physician
Identifies patient discharge planning needs as part of the Plan of Care development and implements prior to discharge of the patient
Assumes responsibility to coordinate all patient care
Provides information regarding Home Medical Equipment (HME) and supply needs to the CTM, in a timely manner Utilizes equipment and supplies effectively and efficiently
Performs care management duties for patients as assigned including: notifying the physician of changes in the patient's condition or progress toward goals, obtaining physicians orders as needed, reassessing the patient for recertification, attending and documenting case conferences, initiating coordination of care by reporting significant findings to others on the healthcare team, and planning for notification and documenting the discharge of the patient
Documents all communications with the patient, family, physician, CTM, pharmacy, and other disciplines, as indicated on communication notes
Prepares a written plan for the certified Home Health Aide to follow, if applicable
Established a trusting relationship with patients, caregivers, co-workers, clinic staff members, and physicians
Follows all infection control standard precautions and safety guidelines/standards as per agency policy
Participates in educational programs and all required in-service training programs to maintain comprehensive healthcare knowledge base, as assigned by supervisor
Complies with all Homecare Dimensions, Inc agency's policies and procedures Promotes and maintains an agency environment that is in compliance with federal, state, and local regulatory agencies Participates in the agency's endeavors for accreditation, licensing, and professional recognition according to state, federal, and/or CHAP requirements Participates in the Performance Improvement Program activities of the agency and periodic review of clinical records, as assigned
Prepares clinical notes and updates the primary physician when necessary and at least every sixty (60) days
Communicates with the physician regarding patient needs and reports any changes in patient condition; obtains/receives physician orders as required
Communicates with community health related personnel to coordinate the Plan of Care
Coordinates services and schedules with the Clinical Team Manager (CTM) and Clinical Team Coordinator (CTC/Scheduler) to include recommendations for additional home health care services for patients within twenty-four (24) hours of the Start of Care (SOC)
Participates in on-call duties within the on-call rotation schedule, to include weekends as assigned
Ensures arrangements for equipment and other necessary items and services are available
Instructs, supervises, and evaluates Home Health Aide care provided every two (2) weeks
Instructs, supervises, and evaluates Licensed Vocational Nurses every thirty (30) days
Maintains a daily patient case load and point of care documentation levels as per agency standards
Requires updating the electronic timecard daily, as per UHG Policy
Requires contacting patients the night before the scheduled visit to provide an arrival time within a two (2) hour window
Requires obtaining pre-approval from direct supervisor for overtime
Requires the ability to work flexible schedule to meet patient needs
Demonstrates personal responsibility with regard to attendance and punctuality
Performs all other related nursing duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
High school diploma or equivalent required Graduate of an accredited school of nursing

• Registered Nurse with an active unrestricted license to practice professional nursing in the state of Texas
• Valid Texas Driver's License and maintain auto insurance coverage in accordance with organization requirements
• 2+ years of clinical experience preferable in a community home health or medical/surgical setting
• Experience working with electronic medical record application required
• Thorough knowledge of current nursing practice, professional standards of care, and state and federal regulations regarding home care
• Bilingual (English/Spanish) language proficiency
• Demonstrated ability to define problem, collect data, establish facts, interpret an extensive variety of technical, medical, regulatory instruction and deal with numerous issues to draw a valid conclusion
• lift supplies and equipment; perform reaching, stooping, bending, kneeling, or crouching Visual acuity and hearing, functional or corrected, to perform required nursing skills
• Proven evidence of independent nursing practice in delivering nursing care required
• Proven basic computer skills to include: Microsoft Word, Outlook, and other e-mail systems
• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Bachelor's Degree in nursing

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
~ May work in patient homes under varying conditions with possible exposure to fumes, odors, pets, insects, rodents, blood, body fluids and infectious diseases; rotating call and emergency call In rare occasions, the work environment may involve abusive, combative or psychologically disturbed patient/family members Requires ability to handle stress situations with calmness and courtesy at all time

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $xx.xx per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace.