Registered Nurse

Registered Nurse (RN)

The Registered Nurse (RN) provides skilled nursing care to patients in their homes or place of residence. The RN is responsible for comprehensive patient assessment, care planning, coordination of services, and ongoing evaluation of patient needs in collaboration with the interdisciplinary team. The RN ensures care is delivered in accordance with physician orders, agency policies, and all applicable state and federal regulations.

Patient Care

• Assesses the home environment and determines needs of patients and caregivers
• Perform initial and ongoing comprehensive assessments of patients' physical, psychosocial, and environmental needs
• Develop, implement, and update individualized plans of care
• Make referrals to other agencies or services as needed
• Provide skilled nursing services including wound care, medication management, IV therapy, and disease management
• Deliver end-of-life care focusing on comfort, dignity, and symptom management for hospice patients
• Educate patients and caregivers on disease processes, medications, and self-care techniques

Care Coordination

• Collaborate with physicians, nurse practitioners, and the interdisciplinary team (therapy, social work, hospice aides, chaplain)
• Coordinate care and services to ensure continuity of care across settings
• Participate in case conferences and interdisciplinary team (IDT) meetings

Documentation & Compliance

• Complete accurate, timely documentation in accordance with agency policy and regulatory requirements
• Ensure compliance with Medicare Conditions of Participation, state regulations, and accreditation standards
• Maintain current and accurate clinical records, including OASIS documentation for home health patients

Quality & Safety

• Identify changes in patient condition and communicate appropriately to the care team
• Participate in quality improvement (QAPI) activities
• Follow infection control and patient safety protocols
• Report incidents, variances, and patient concerns per agency policy

Patient & Family Support

• Provide emotional support and guidance to patients and families
• Support patients and caregivers through end-of-life transitions
• Promote patient rights, dignity, and cultural sensitivity

Skills & Competencies

• Strong clinical assessment and critical thinking skills
• Excellent communication and interpersonal skills
• Ability to work independently and manage time effectively
• Proficiency with electronic medical records (EMR) systems
• Knowledge of home health and hospice regulations preferred
• Team-oriented with excellent customer service abilities

The above requirements are representative of minimum knowledge, skills, and abilities. To perform this job successfully, the individual will possess the ability and aptitude to perform each duty proficiently.

Physical Requirements and Working Conditions

• Requires travel within the agency's service area to provide care in patient homes and community settings. Exposure to varying home environments and conditions
• May require on-call, weekend, or holiday rotation
• Ability to sit, stand, and walk for extended periods
• Frequent use of hands for typing and document handling
• Ability to lift up to 50 pounds occasionally and carry up to 25 pounds.

Education and Other Requirements

• Graduate of an accredited school of nursing with a current, active Registered Nurse license in the state of Pennsylvania
• Current CPR certification
• Minimum of one (1) year of nursing experience required. Experience in home health, hospice, or community health preferred
• A valid driver's license, reliable transportation, proof of auto insurance with acceptable driving history is required.

Core Values

• Integrity:
  We build trust through responsible actions and honest relationships.
• Respect:
  We value the potential in each individual and treat all with dignity and compassion.
• Teamwork:
  We work together without barriers and encourage creativity through empowerment.
• Appreciation:
  We foster a culture that recognizes and rewards the contributions of each employee.

Additional Information:

• REQUIRED CLEARANCES:
  The following are required at time of hire: PA State Police Criminal Background Check, PA Child Abuse Clearance and FBI Fingerprint Criminal Background Check. Positions providing direct patient care will also be required every 5 years after date of hire.
• The job description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities, tasks, and duties. The responsibilities, tasks, and duties of the jobholder might differ from those outlined in the job description and other duties as assigned might be part of the job.
• This job description does not constitute an employment contract; the employment relationship between VNA of Hanover and Spring Grove and the employee is an at-will relationship.
• This position is considered a safety sensitive position, which means the employee's job performance can affect the safety of the employee and others. Job performance under the influence of alcohol or drugs could…