Registered Nurse Home Health

Home Health Registered Nurse – Per Diem

Hiring for the following counties:
Ingham, Jackson, Oakland, Macomb, Lapeer, St. Clair, and Saginaw.

Base Rate 55-65$ per visit

Open to part time, per diem and full time.

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.

• Graduate of an approved professional nursing program (RN). Currently licensed “in good standing” in MI.
• 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.

• Furnishes those services requiring substantial and specialized nursing skill. Initiates appropriate preventative and rehabilitation nursing procedures.
• Prepares & submits timely clinical and progress notes. Oversees coordination of patient services.
• Informs MD and 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 (OASIS/Skilled Nursing Note, etc.). Performs physical examination and reviews all body systems and documents accordingly. Develops individualized Plan of Care (POC), submits to physician for approval and implements, revises based on patient needs.
• Determines medical necessity for other services. Regularly re-evaluates nursing needs.
• Evaluates ADL and iADL abilities and need for home health aide.
• Develops and implements HHA plan of care when HHA services are ordered, revises and signs this care plan at each certification period.
• Supervises HHA, documents supervision. Orders other professional services appropriate to needs.
• Reviews billing processes with patient/family, advising when co-pay or Medicare does not pay.
• Effectively and continuously communicates with patient and family regarding progress and changes in POC. Communicates with Supervisor/Nursing Director/other disciplines and patient’s MD (verbally and/or in writing). Establishes best practices in case conferencing sessions.
• Submits requests for re-authorization of additional visits to payers timely.
• Coordinates community services for patient to assist in safe home care needs. Participates in performance improvement committee process.
• Performs timely clinical record reviews (CRR) per agency policy in collaboration with Nursing Supervisor.
• Participates in ongoing staff meetings/in-services. Acts as preceptor for same discipline employees. Helps plan, operate and evaluate nursing services of the organization. Maintains professional licensure per state requirements.
• Notifies the agency of emergencies, sickness, and other imminent occurrences affecting patient caseload promptly.
• Submits written time requests 2 weeks or more in advance of planned time off. Other duties as assigned.

Vehicle for routine patient visits, possible transfer/lifting devices, medical supplies.

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.

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

Walking, standing, sitting, reaching, use of telephone, use of computers & other office equipment, lifting/transferring 150 lbs or greater, bending, stooping, climbing stairs on a daily basis.