Registered Nurse Home Health

Signature Healthcare at Home is seeking to add a Registered Nurse for Skagit County! This position would cover Skagit County (Mount Vernon, Burlington, Sedro-Woolley, Bow, Anacortes, Hamiliton, Concrete) for home health skilled nursing services. This position works Monday through Friday day shift, with self-directed scheduling dependent on patient needs and territory.

• Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family/caregiver living situation to determine care needs.
• Provides a complete physical assessment and history of current and previous illness(es).
• Establishing the initial individualized plan of care in collaboration with the certifying medical provider based on comprehensive assessment and patient goals.
• Regularly re-evaluating patient and family/caregiver needs.
• Participating in revising the plan of care as necessary in collaboration with the certifying medical provider as patient status and needs change.
• Develops a care plan that establishes interventions and goals.
• Includes the patient and the family/caregiver in the planning process.
• Works autonomously to initiate appropriate preventive and rehabilitative nursing procedures.
• Administers medications and treatments as prescribed by the medical provider in the plan of care.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Facilitates the patient’s efforts toward self-sufficiency or obtaining appropriate caregiving.
• Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to coordinate patient care for assigned caseload.
• Documents patient services and status timely and accurately within professional practice standards and reimbursement requirements.
• Communicates with the medical provider regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives medical provider orders as required.
• Teaches the patient and family/caregiver self-care techniques as appropriate.
• Provides medication, diet and other instructions as ordered by the medical provider and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
• Works in concert with the interdisciplinary team.
• Attends required staff meetings, interdisciplinary team meetings and care coordination activities, completes mandatory education requirements to maintain competence.
• Coordinates patient care in tandem with LPN/LVN as assigned by Clinical Manager.

• Graduate of an accredited school of nursing.
• One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home health preferred.
• Currently licensed as a Registered Nurse in Washington State.
• Possesses and maintains CPR certification.
• Must be licensed and able to practice in Washington State.
• The ability to drive and/or have access to transportation for agency related travel (e.g. community partners, patients, etc.) is an essential function of the job.
• Must have and maintain a valid driver’s license, maintain automobile insurance coverage and have access to an automobile.

• Clinicians with experience in Home Health or post-acute care.
• Familiarity with Homecare Homebase EMR.

• Full-time (32+ hours a week) Monday through Friday.
• Hourly $50 - 55 (Dependent on Experience) + Mileage Reimbursement.
• Medical/Dental/Vision available the 1st of the month after hire.
• Paid company holidays, 2+ weeks PTO and 401k match after 90 days.

Signature Healthcare at Home provides professional, home-based medical care for patients needing rehabilitation and expert care following surgery, a hospital stay or other illness. For…