RN Home Health Wkd

Work Shift

Day (United States of America)

The RN Home Health is responsible for providing an initial, resumption, and recertification evaluation of the Home Health patient in their home setting, along with other routine home health visits. This includes age-appropriate interventions that meet physical, emotional, developmental, psychosocial, and educational needs. The RN Home Health coordinates initial disciplines to begin care, plans care throughout the patient episode, and collaborates with the physician, patient, family member, and team manager to develop expected patient visits, schedule visits to the appropriate team member, and incorporate therapeutic, preventative and rehabilitative nursing actions.

The RN Home Health communicates with all team members—including RNs, LPNs, Therapists, Social Workers, Home Health Aides, the Physician, patient, family, and other internal or external individuals—to ensure the patient’s plan of care is appropriately developed.

• Direct Patient Care: assesses, coordinates with other disciplines, and manages patients’ total needs, following physicians’ orders and using the nursing process.
• Develops patients’ plans of care coordinating with other disciplines.
• Performs routine and complex nursing procedures to meet the patient’s needs.
• Coordination of Services for Episode of Care: collaborates with the physician, patient, family, and team manager to develop the plan of care for the patient.
• Develops the care plan provided to the Home Health Aides.
• Reviews the Plan of Care for patients with the Manager Home Health and other team members and support services.
• Maintains communication with the physician, reporting any changes that may affect the patient’s recovery.
• Patient / Caregiver
  
  Education:
  
  provides patient/caregiver education to develop and encourage self‑care to achieve positive outcomes.
• Utilizes both verbal and written tools to facilitate learning and promote independence during recovery.
• Is aware of and reports concerns to authorities or agency leadership on any issues that affect patient or staff safety.
• Communicates patient status changes and lab results to the physician as appropriate.
• Participates in care team conferences.
• Checks the voicemail box and staff messaging a minimum of once daily.
• Regulatory Guidelines: demonstrates knowledge and appropriate application of CMS/State and Joint Commission regulatory guidelines.
• Ensures accurate completion of required OASIS and visit documentation in the patient’s EMR.
• Completes all documentation within established time frames.
• Staff Education and Professional Development: participates in the orientation and education of new employees as appropriate.
• Attends continuing education and in‑services as directed and needed.
• Stays current in clinical knowledge for the care of the home health patient.
• Receives training, supervision or direction from leadership as needed.
• Supports and participates in performance improvement activities: participates in department performance improvement activities (e.g., chart review, committees, etc.).
• Participates in system‑wide committees as requested.
• Identifies methods for improving department performance/care.
• Assists in implementing performance improvement opportunities.
• Other responsibilities:
  
  meets established productivity standards.
• Weekend and call rotation as required.
• Performs other duties as assigned by Home Health Leadership.
• Complies with all Well Star Health System policies, standards of work, and code of conduct.

Graduate of an approved school of professional nursing, who is licensed as a registered nurse by the state of Georgia.

• Registered Nurse (Single State) or RN – Multi‑state Compact
• Basic Life Support or BLS – Instructor
• Georgia Driver’s License
• Private Vehicle insurance

• Minimum 1 year Medical/Surgical Nursing (Required) or Home Health; ICU experience Preferred
• Must possess extremely strong critical care nursing skills

• Computer/data entry experience
• Ability to communicate with various members of the healthcare team
• Ability to use Excel, Word and have basic computer operational knowledge
• Epic and 3M experience preferred