PHYSICIANS IMMEDIATE CARE--LICENSED PRACTICAL NURSE

Home Health Nurse, RN

Compassionate Care is our Calling!

3HC has provided compassionate care to North Carolinians since 1981. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best.

The Home Health Nurse, RN is responsible for administering skilled nursing care to patients requiring intermittent professional nursing service.

REGISTERED NURSE (RN) ESSENTIAL JOB FUNCTIONS:

Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) Manages assigned cases and assists office with achieving positive patient outcomes, strategic plan and budget: (a) provides skilled nursing care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. State Board of Nursing; (b) observes and documents signs and symptoms and reports to the physician and other applicable personnel, reactions to treatments, including drugs and changes in the patient's physical or emotional condition and outcomes of intervention; (c) ensures on-going evaluation of patient/family needs and response to care; (d) refers to other services as needed; (e) initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety; (f) educates, supervises, consults, and counsels the patient/family regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, and processes for dealing with issues of ethical concern and (g) Assures the development and implementation of the patient individualized plan of care and updates as needed.

Conducts a complete assessment of the patient to identify appropriate care needs: (a) obtains a medical history to include OASIS when needed, particularly as it relates to the present condition; (c) assesses the support system to determine what assistance will be available from family members and their ability to meet the patient's immediate needs upon changes throughout care; (d) assesses the patient, family member(s) and home situation to determine what health teaching will be required; (e) assess the patient's condition and home situation to determine if other home health services are needed; (f) interprets nursing and other services of the agency to the patient and family as a part of planning for care; Documents in the medical record electronically and downloads daily: (b) conferences held with other disciplines, physician, or community resources; (d) revisions in the nursing care plan as needed; (e) evaluation of patient care and clinical and progress notes that demonstrate progress towards established goals. Download will include time and travel documentation. Ensures that the physician is involved ongoing with the patient's care: (a) reports to the physician and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on order/plan of treatment will sign orders.

Completes OASIS at specific point in time, such as admission, resumption of care, recertification, etc.

Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to regulatory guidelines, CMS/Hospice guidelines. Ensures task assigned to the LPN: (a) are within the Nurse Practice Act and (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant: (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed; (b) supervises and evaluates the care given at least every two weeks and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.

Rotates weekday, weekend, and holiday "on-call" and "back-up-call".

and (b) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care management, including preauthorization and re-authorization for insurance.

Travels to other offices to meet the demand of patient needs as requested by the Director of Clinical Practice/Assistant Director of Clinical Practice.

On-call for base office per office need/rotation

provide specialized hospice training to other staff, family members and informal caregivers to insure adequate care; develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR; ensures complete documentation on an ongoing basis supporting hospice guidelines and COPs; provides regular supervision to Licensed Practical Nurses and paraprofessional who are providing services to the patient according to CMS/HOSPICE guidelines; turns in all paperwork to designated person in the office by 5:00pm on Monday and communicates laptop daily Saturday and Sunday. Makes verbal/written report of new admissions and ER visits to primary nurse Sunday night or Monday morning between 8am-9am; covers on-call for clinical office Monday-Thursday and visits done after 11pm will be paid at over quota rate and not considered part of quota.

Provide home health admissions or tuck-ins for hospice as needed; develops and implements the patient care plan in cooperation with other agency professional and paraprofessionals who will be providing care to the patient in EMR; ensures complete documentation on an ongoing basis supporting HH/hospice guidelines and COPs; turns in all paperwork to designated person in the office next day as needed and communicates ipad daily. Makes verbal/written report of new admissions and ER visits to primary nurse as needed completed collaborates with supervisor to meet assigned productivity standard; On-call per needs of the office.

Stays abreast of overall patient care and improves nursing care skills: participates in office staff meetings, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; attends agency mandatory in-services and satisfies CEU requirements of the State Board of Nursing; and strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.

Demonstrates an interest in personal and professional growth for self and staff: attends and participates in workshops, seminars, webcasts to keep abreast of current changes in rules, regulations, relating to job functions and department; Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.

Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.

Home Health & Hospice