Home Health Visit Nurse - Rn (Sign On Bonus)

The Home Health Visit Nurse works collaboratively with the Home Health RN Care Manager and other disciplines, providing skilled care, education, treatment, and emotional support to patients. Monitors and assesses the care provided while insuring the patient attains and maintains their highest level of functioning. Insures that the Physician and all members of the care team are aware of pertinent changes in the patient’s condition and progress toward goals. Collaborates with the Home Health RN Care Manager insuring that the established plan of care is appropriate and is implemented and/or modified based on the patient’s responses to treatment.

• Assess patient’s outcomes and offer suggestions on ways to improve outcome scores.
• Educates patients and their families on proper home health care strategies and procedures.
• Measures wounds weekly.
• Provides skilled nursing care to an assigned caseload of patients.
• Reviews the plan of care of assigned patients to insure that the physician orders are being followed and that the patient receives the care required to achieve established goals.
• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Participates in the performance improvement plan and process to ensure positive patient outcomes
• Must adhere to all DCH Health System policies and procedures.
• Evaluates, and revises the plan of care in collaboration with the Home Health RN Care Manager as appropriate, based on patients identified needs and progress toward goals.
• Communicates regularly with the Home Health RN Care Manager regarding patients, progress toward goals, barriers to care and outcomes.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Maintains an accurate and current list of each patient’s medications.
• Performs skilled assessments and documents findings in the OASIS accurately and timely.
• Establishes positive working relationship with physicians and physician’s office staff and keeps them informed of patient’s problems and progress towards goals as appropriate.
• Actively participates in IDT meetings.
• Instructs and supervises the patient and family in the care of the patient and maintenance of a healthy environment for the patient.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Participates in on-call rotation
• All other duties as assigned.
• Monitors the care, treatment, and service provided by other disciplines (SN, PT, OT, ST, MSS, RD, HH Aide) to insure patient receives the care required to improve their health status.

Registered Nurse with a current Alabama license. Prefer 1 year of recent home health or acute care nursing experience or a combination of both. Prefer experience in home health care. Prefer extensive clinical knowledge and experience in the care of patients with multiple and complex diagnoses, disease processes and care needs. High speed internet when working from home. Must be able to read, write legibly, speak, and comprehend English. Must have current BLS certification or be able to obtain within 60 days of employment and before first independent patient visit.

WORKING CONDITIONS

Is able to lift 50 pounds, turn and position patients weighing over 200 pounds. Ability to stand, walk, kneel, sit, crouch or stoop with good balance for extended periods of time. Must be able to maneuver over a variety of uneven surfaces including fields, grass, ditches, gravel, concrete, wood, vinyl, or carpet. Good manual finger dexterity. Must have good communication skills. Must be licensed and insured to operate a motor vehicle. Must have tolerance in a variety of environments to include the presence of pets and infestation.

Physical presence onsite is essential. Hearing and vision must be normal or corrected to within normal range. Able to perform the duties with or without reasonable accommodation.

The Team Leader functions as the unit-based clinical leader with responsibility for staff supervision, patient flow, patient safety, efficient resource utilization, mentoring of unit staff, especially recent hires, shift assignments and overall quality of care delivered. The Team Leader plans, coordinates and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. The Team Leader, under the supervision of the Nurse Manager, provides and coordinates in-services and continuing education programs for the clinical staff when indicated. Participates in PI activities; collects data to assess employee performance and participates in staff evaluation process. The Team Leader must be available to work weekends and holidays as per unit needs. Shifts may include 12hr and/or 8hr shift patterns with the goal of providing ongoing Team Leader support each day of the week.

The Team Leader is responsible for the following leadership and management duties

• Encourages a safe environment by promoting adherence to established protocols, policies and procedures.
• Regularly prepares and presents staffing and outcomes metrics with action plans.
• Executes progressive discipline up to and including termination
• Maintains effective interdepartmental relationships by working with other unit leaders and departments to define and work toward common goals
• Responsible for assessing and meeting own professional education needs.
• Manages front line operations of area of accountability related to meeting/exceeding departmental goals, 5 keys of excellence, DCH Mission and Vision.
• Serves as clinical resource for staff, especially for new employees and during complex patient care situations.
• Maintains exemplary attendance and availability according to department need and rotates management duty.
• Observes and practices DCH policy concerning patient confidentiality including on-line information and the Medical Record on file.
• Promotes efficient patient flow including timely discharges and admissions.
• Adheres to productivity, revenue and expense goals.
• Effectively implements current techniques and/or programs to improve patient care processes.
• Communicates information verbally and in writing to appropriate persons.
• Assures compliance with various quality standards and regulatory agency requirements (The Joint Commission, CMS, Standards of Nursing Practice, PI process, value-based purchasing, Structural Indicators etc.)
• Performs initial and annual competency per job class.
• Provides direct patient care when needed.
• Demonstrates knowledge of documentation and down-time procedures.
• Assesses, plans, implements, and evaluates programs for in-service and orientation.
• Maintains records related to orientation in-service and unit competency assessments.
• Regularly rounds on patients, physicians, and employees with focus on clinical safety, quality compliance, patient experience, satisfaction, physician and employee satisfaction and staff performance.
• Interviews, selects, hires, and retains employees
• Assures compliance with policies and procedures
• Ensures care is delivered appropriately by orienting staff in accordance with Standards of Practice, review of clinical record for appropriate documentation, and review of documentation of appropriate plan of care. Leads staff huddles to communicate important, “just in time” information to all staff on duty.
• Displays sound judgment and critical thinking skills in areas of decision-making and problem-solving.
• Coordinates unit activities and provides leadership for unit staffing and patient assignments and responds to and provides leadership during crisis and emergency situations.
• Rounds with physicians.
• Directs activities toward support of DCH Mission and achievement of Department and Unit goals and objectives.
• Consistently demonstrates the ability to utilize clinical data from Order/Entry/and PCI when collaborating with other health care professionals.
• Ensures orientation and training for employees
• Manages performance
• Participates in PI programs.

DCH Standards

• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• All other duties as assigned.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to all DCH Health System policies and procedures.

Current Alabama RN license required. Anyone hired as of April 2016 or later, must have a Bachelor’s degree in Nursing or Healthcare Related Field or must be actively working on a Bachelor’s degree with completion within 4 years of hire. 2 years’ experience as a registered nurse required. Current American Heart Association (AHA) Basic Life Support (BLS) Provider training required. Customer service abilities including effective listening skills, critical thinking skills, decisive judgment and the ability to work with the minimal supervision in a fast paced environment. Must be able to read, write legibly, speak, and comprehend English.

WORK CONTEXT

• Dealing with unpleasant or physically aggressive personalities
• Address conflict and stressful situation
• Must be meet time pressure and time lines
• Must be able to perform structured and unstructured work
• Demonstrate leadership skills
• Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions
• Must be able to work in groups
• Must be able to use electronic mail, telephone and texting
• Communicate with different personalities and engage in face to face discussion
• Must be able to communicate clearly and accurately
• Responsible to achieve outcomes
• Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc.
• Ability to delegate to team members and students
• Requires decision making that will affect others

PHYSICAL FACTORS

• Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips
• Must be able to reach reasonable distances in any direction
• Hearing and vision must be normal or corrected to within normal range.
• Monitors the care, treatment, and service provided by other disciplines (SN, PT, OT, ST, MSS, RD, HH Aide) to insure patient receives the care required to improve their health status.
• Must be able to run in an emergency
• Maintains an accurate and current list of each patient’s medications.
• Must be able to perform the duties with or without reasonable accommodation
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• Educates patients and their families on proper home health care strategies and procedures.
• Reviews the plan of care of assigned patients to insure that the physician orders are being followed and that the patient receives the care required to achieve established goals.
• Provides skilled nursing care to an assigned caseload of patients.
• Must possess stamina to work prolonged shifts
• Physical presence onsite is essential.
• Must have the ability to exert maximum muscle force to lift, push, pull and carry objects
• Performs skilled assessments and documents findings in the OASIS accurately and timely.
• Must be able to tolerate prolonged periods of standing and walking
• Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
• Measures wounds weekly.
• Must be able to stand, walk, kneel, bend, sit and stoop
• Evaluates, and revises the plan of care in collaboration with the Home Health RN Care Manager as appropriate, based on patients identified needs and progress toward goals.
• Instructs and supervises the patient and family in the care of the patient and maintenance of a healthy environment for the patient.