HOME HEALTH RN; Hospice

• A current license to practice as a RN in CT.
• Graduation from a State licensed and Accredited School of Nursing.
• Must have a minimum of one-year hospital experience.
• Computer proficiency required.
• Ability to effectively communicate verbally and in writing.
• Strong organizational and time management skills are required.

Responsibilities include but are not limited to
:

Patient Care and Oversight of the Plan of Care

Manage and prioritize patient caseloads in accordance with physician orders and care plans

Perform comprehensive skilled assessments, including OASIS, to determine care needs and service eligibility

Develop, implement, and update individualized, patient-centered plans of care

Coordinate admissions, interdisciplinary services, and care delivery across the healthcare team

Deliver high-quality, compassionate skilled nursing care

Ensure patient safety, emergency preparedness, and prevention of re-hospitalization

Maintain regulatory, legal, and ethical compliance, including Medicare Conditions of Participation

Complete and maintain accurate, timely electronic clinical documentation

Communicate changes in patient condition and coordinate interventions promptly

Facilitate care coordination, case management, and discharge planning

Participate in interdisciplinary case reviews and outcome evaluations

Promote patient and family education, independence, and engagement

Medications:

Provide oversight and ensure the safe administration of medications at admission and during each patient visit

Identify and reconcile all prescribed and over-the-counter medications, allergies, and supplements, and document accurately in the physician’s plan of care

Review potential medication side effects, interactions, and contraindications; provide education to patients and caregivers

Establish and implement individualized medication administration systems to support patient safety and adherence

Accurately document medication pre-pouring, including drug name, dosage, frequency, dates, and times when applicable

Educate patients and families on medication purpose, administration, interactions, side effects, adverse reactions, and appropriate follow-up actions

Monitor and evaluate medication effectiveness, communicate changes to the physician, and document outcomes in the medical record

Supervision:

• Supervises Licensed Practical Nurses (LPNs) and Paraprofessionals providing care.
• Develops and updates individualized Homemaker/Companion/HHA plan of care for each patient, including all aspects of care, diagnoses, potential drug interactions/side effects, action in emergencies, etc. and enters into telephony system
• Supervises HHAs in the provision of care to assure safe implementation of the plan of care and as required by regulation.
• Mentors staff (nurses and paraprofessionals) and participates in their orientation as assigned

Documentation:

Maintain accurate, timely, and complete clinical documentation for each patient visit, including assessments, care provided, and plans of care

Document patient and family education, instructional materials provided, return demonstrations, and patient response

Complete all required documentation in accordance with agency policies and guidelines

Record communications with external agencies and insurance providers

Prepare and submit required 10-day, 60-day, and discharge summaries

Ensure documentation complies with CHAP standards, reimbursement requirements, and applicable regulatory guidelines

Team:

Collaborate with interdisciplinary team members to support coordinated, patient-centered care

Provide clinical expertise and support to team members as needed

Participate in required team, clinical staff, and case conferences

Coordinate care across disciplines to ensure integrated plans of care

Partner with intake, scheduling, and liaison staff to ensure timely admissions and care transitions

Coordinate with liaison nurse during hospital or facility stays

Participate in weekend and holiday coverage in accordance with agency requirements

Educational:

• Certified in CPR
• Attends yearly OSHA in-service and completes annual skills validation
• Identifies knowledge gaps and remedies this independently
• Attends minimum 12 hours of in-services per…