Licensed Nurse Application (Per Diem)

JOB SUMMARY
A professional who provides professional nursing services within the scope of nursing practice standards in collaboration with primary care physicians, teaches and educates patients and their families. Professional skilled nursing is performed under the supervision of the Administrator/Director of Nursing.

Reports to: Chief Officer of Nursing

RISK OF OCCUPATIONAL EXPOSURE TO BLOOD BORNE PATHOGENS:

A: high exposure

QUALIFICATIONS

• Graduate of an approved professional nursing program (RN).
• Currently, licensed “in good standing” in NE.
• Minimum of one (1) year of experience as a professional nurse, preferably in home care.
• Must have a criminal background check.
• Must have current CPR certification.

RESPONSIBILITIES/ESSENTIAL FUNCTIONS

• Furnishes those services requiring substantial and specialized nursing skill.
• Initiates appropriate preventative and rehab nursing procedures.
• Prepares & submits timely, clinical and progress notes.
• Oversees coordination of patient services.
• Informs MD and other staff of changes in PT situation or needs.
• Completes medical history/home safety check/environmental assessments.
• Performs socio-psychological evaluation.
• Performs assessment visit and documents timely. (ie. OASIS/ Skilled Nursing Note etc.).
• Performs physical examination and review of all body systems and documents accordingly.
• Develops individualized Plan of Care (POC) to be submitted to the physician for approval and implementation and performs necessary revisions based upon patient needs.
• Determines medical necessity for other services.
• Regularly re-evaluates the patient’s nursing needs.
• Evaluates the patient’s ADL and iADL abilities and need for home health aide.
• Develops and implements the HHA plan of care when HHA services are ordered.
• Revises and signs this care plan the beginning of each certification period.
• Supervises HHA in accordance with state/federal requirements and documents the supervision.
• Orders “other” professional services that may be appropriate to the needs.
• Reviews billing processes with patient and/or family advising patient and/or family when co-pay or Medicare is not likely to pay for services.
• Effectively communicates ongoing with patient and family progression/changes in POC.
• Effectively communicates with Supervisor/Nursing Director/other disciplines in the case.
• Communication with the patient’s MD (verbally and/or in writing) to obtain effective treatment modalities and/or rehabilitative therapy modalities.
• Actively communicates in the case conferencing sessions to establish best practices.
• Submits requests for re-authorization of “more visits needed” to payers timely.
• Coordinates Community Services for the patient to assist in safe home care needs.
• Provide direction & monitoring of Medication Aides.
• Participates in the QA Committee.
• Performs timely clinical record reviews (CRR) per Agency policy in collaboration with the Nursing Supervisor.
• Participates in ongoing staff meetings/in-services.
• Participates in the growth of office by being a willing preceptor for same discipline employees.
• Participates in the planning, operation and evaluation of the nursing services of the organization.
• Maintains professional licensure per state requirements.
• Notifies the Agency of emergencies, sickness, and other imminent occurrences that may affect the patient caseload as quickly as possible relative to the event’s occurrence.
• Submits written time requests 2 weeks or more in advance of planned time off.
• Provide and document age friendly care given.
  Other duties as assigned.

SPECIAL EQUIPMENT TO BE OPERATED
Vehicle to do routine patient visits, possible transfer/lifting devices, medical supplies

WORK ENVIRONMENT

• Indoors, performing patient care assessment/tasks in the patient’s residence
• Travel to patient residences/meetings; will require transportation to get to various work sites
• Possible exposure to communicable diseases

FUNCTIONAL ABILITIES

• Able to access patient’s homes that may not be handicap accessible.
• Able to hear, speak, understand and communicate effectively in English.

PHYSICAL REQUIREMENTS

• On a daily basis: walking, standing, sitting, reaching, use of telephone, use of computers & other office equipment, lifting/transferring 50 lbs or greater, bending, stooping, climbing stairs.
• When duties/responsibilities change, the job description will be reviewed and
  subject to changes of business necessity.

 

 

JOB SUMMARY
A Licensed Practical Nurse provides practical nursing skills within the scope of nursing practice standards in collaboration with RN case managers/supervisors, teaches and educates patients and their families according to the established professional plan of care. Licensed Practical nursing is performed under the supervision of the assigned RN’s, Administrator, and Director of Nursing.

Reports to: Chief Officer of Nursing

RISK OF OCCUPATIONAL EXPOSURE TO BLOOD BORNE PATHOGENS:

A: high exposure

QUALIFICATIONS

• Graduate of an approved LPN nursing school.
• Currently, licensed “in good standing” in the state
• A minimum of one (1) year of experience as a LPN, preferably in a home care setting.
• Must have a criminal background check and current CPR certification.

RESPONSIBILITIES/ESSENTIAL FUNCTIONS

• Maintains the nursing frequency established by the supervising RN.
• Prepares equipment & materials for treatments observing aseptic techniques as required.
• Follows the plan of care established by the supervising RN.
• Performs home safety check and environmental check of the patient’s home environment on all visits. Reports any unsafe or potentially unsafe condition to the supervising RN.
• Performs nursing visit and documents accordingly.
• Reviews and follows the supervising RN’s plan of care, communicating frequently with the supervising RN on any suggested changes necessary.
• Collaborates with the supervising RN on a weekly (or more frequent basis) to benchmark toward the established outcome goals.
• Reviews the patient’s ADL and iADL abilities.
• Teaching patients & family self-care techniques.
• Communicates any suggested changes to the supervising RN.
• Reinforces the HHA plan of care when HHA services are ordered.
• Effectively communicates with patient/family the POC and progression of such.
• Effectively communicates with other disciplines in the case (actively participates in case conferencing) to effectively and appropriately problem solve as situations arise.
• Communicates effectively with the supervising RN, scheduled visits planned and changes to the schedule on a weekly basis. Caseload is self-scheduled but communication of the clinician’s schedule to the nursing supervisor is essential.
• Communicates in case conferencing sessions. Effectively functioning as an involved team member to collaborate on best practices for the individual patient’s needs.
• Submits accurate, complete paperwork at the end of every week so that all medical records are intact and up to date. Uses the drop box if the office is already closed for the weekend.
• Notifies the supervising RN with requests for re-authorization of “more visits needed” prior to third party insurers authorized number of visits expiring.
• Suggests Community Services that may be available to the patient to assist in safe home care needs.
• Provide direction & monitoring of Medication Aides.
• Participates in the QA Committee.
• Participates in staff meetings. Adjusts visits on the staff meeting day to accommodate this function.
• Participates in the growth of the office by being a willing preceptor for same discipline employees.
• Maintains LPN licensure and actively seeks out educational experiences to enhance the practice of home care nursing for her/him and the benefit of the patients serviced.
• Notifies the Agency of emergencies, sickness, and other imminent occurrences that may affect the patient caseload as quickly as possible relative to the event’s occurrence.
• Submits written time requests 2 weeks or more in advance of planned time off.
• Provide and document Age Friendly Care within the scope of Practice to all patients.
• Other duties as assigned.

SPECIAL EQUIPMENT TO BE OPERATED

• Vehicle to do routine patient visits, possible transfer/lifting devices, medical supplies

WORK ENVIRONMENT

• Indoors, performing patient care assessment/tasks in the patient’s residence
• Travel to patient residences/meetings; will require transportation to get to various work sites
• Possible exposure to communicable diseases

FUNCTIONAL ABILITIES

• Able to access patient’s homes that may not be handicap accessible.
• Able to hear, speak, understand and communicate effectively in English.

PHYSICAL REQUIREMENTS

• On a daily basis: walking, standing, sitting, reaching, use of telephone, use of computers & other office equipment, lifting/transferring 50 lbs or greater, bending, stooping, climbing stairs.
• When duties/responsibilities change, the job description will be reviewed and
  subject to changes of business necessity.