Home Health Registered Nurse | Signature Healthcare Home Health | Portland Eastside

Job Description Summary

The Registered Nurse plans, organizes and directs home health care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

• Complete an initial, comprehensive assessment of patient and family/caregiver living situation to determine care needs.
• Provide a complete physical assessment and history of current and previous illness(es).
• Provide professional nursing care by utilizing all elements of the nursing process as defined in the state Nurse Practice Act.
• Establish the initial individualized plan of care in collaboration with the certifying medical provider based on comprehensive assessment and patient goals.
• Regularly re‑evaluate patient and family/caregiver needs and revise the plan of care as necessary in collaboration with the certifying medical provider.
• Develop a care plan that establishes interventions and goals, including the patient and family/caregiver in the planning process.
• Work autonomously to initiate appropriate preventive and rehabilitative nursing procedures.
• Administer medications and treatments as prescribed by the medical provider in the plan of care.
• Provide health care instructions to patients as appropriate per assessment and plan.
• Facilitate patients’ efforts toward self‑sufficiency or obtain appropriate caregiving.
• Act as case manager when assigned by the clinical manager and coordinate care for an assigned caseload.
• Document patient services and status timely and accurately within professional practice standards and reimbursement requirements.
• Communicate with the medical provider regarding patient needs and report changes in patient condition; obtain/receive medical provider orders as required.
• Teach patient and family/caregiver self‑care techniques as appropriate.
• Work in concert with the interdisciplinary team, assisting patient and family/caregiver and other team members in continuity of care.
• Attend required staff meetings, interdisciplinary team meetings, and care coordination activities.
• Participate in on‑call duties as defined by on‑call policy.
• Ensure arrangements for equipment and other necessary items and services are available.
• Supervise ancillary personnel and delegate responsibilities when required.
• Coordinate patient care in tandem with LPN/LVN as assigned by the clinical manager.
• Maintain professional knowledge and practice skills through continuing education and in‑service classes.
• Participate in quality assessment, performance improvement teams, activities, or other committees as assigned.
• May be required to work outside designated geographical area based on census fluctuations and current staffing.
• Complete mandatory education requirements annually to maintain competence.
• May be required to visit patients in homes that are not clean or in poor repair, have poor ventilation, are infested with insects or rodents, and secondhand smoke; handle difficult driving conditions related to weather and/or traffic.
• Maintain knowledge of and adhere to all applicable laws, rules, and standards.
• Participate in the orientation of new employees and preceptorship of students as assigned.
• Meet productivity expectations.

• 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 the State(s) of planned practice.
• Possesses and maintains CPR certification.
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
• Self‑directed and able to work with minimal supervision.
• Capable of prolonged or considerable walking or standing.
• Able to lift, position and/or transfer patients.
• Able to lift supplies and equipment.
• Capable of considerable reaching, stooping, bending, kneeling, and/or crouching.
• Possesses visual acuity and hearing to perform required nursing skills.

We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.