Home Health Nurse RN - Alma

May be eligible for sign on bonus up to $7,500. Position is for the Alma area.

The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient/client population for this position are those requiring skilled clinical home care services. Activities of this position are patient/client focused and utilize the nursing process of assessment, planning, intervention and evaluation in accordance with nursing practice standards, physician orders and agency policies and procedures.

(20%) Regularly assess patient’s/client’s needs and provide skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of nursing practice.

(20%) Initiate plan of care for assigned patients/clients and revise and adapt as necessary.

(20%) Provide nursing care (or arrange for services through specialized staff) through ongoing visits to a group of patients/clients, sharing the patient/client case load.

(15%) Coordinate patient/client care by evaluating outcomes and providing ongoing feedback to others involved in care relative to patient status and changes needed on patient care plan.

(15%) Coordinate care provided by Licensed Practical Nurses (LPN) and Home Health Aides and supervise LPN as needed.

(10%) Notify physician of changes in patient/client condition and care needs and obtain new orders as needed.

• Function as case manager for assigned case load if assigned.
• Implement preventative and rehabilitative nursing procedures and utilize community and agency resources for optimum patient/client care.
• Utilize Agency documentation system to record services provided according to agency, professional and program standards.
• Assist in maintenance of patient/client records.
• Provide patients/clients/caregivers/physicians with the necessary information to promote informed decision making leading to the achievement of optimal level of independence and as required by regulatory agencies.
• Establish a Home Health Aide care plan and supervise the Home Health Aide according to Agency guidelines.
• May make joint visits with other disciplines to assure consistency of care.
• Function as part of multi‑disciplinary team in coordinating care including planning for discharge.
• Act as a preceptor to provide educational visit opportunities for students and participate in orientation of new staff as assigned.
• Participate in Agency, community and/or home health organization activities as assigned appropriately.
• Participate in staff meetings, in‑service education programs, and other opportunities for learning.
• Comply with documentation requirements for employee personnel and activity records as defined in Agency policy.
• Carry out work according to Agency policies and procedures in a manner that appropriately reflects Agency standards for timeliness, accuracy and productivity.
• Maintain confidentiality of patient/client and Agency information.
• Adhere to the Agency standards related to personal appearance and behavior.
• Participate in weekend and holiday rotations and on‑call duties as identified in personnel policies.
• Participate in Agency performance improvement process.
• Assist in Agency community education activities as requested.
• My Michigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by My Michigan Health.
• In summary:
• Participation in the patient’s coordination of care.
• Ongoing interdisciplinary assessment of the patients.
• Development and evaluation of the plan of care in partnership with the patient, representative (if any) and the caregiver(s).
• Provides services that are ordered by the physician as indicated on the plan of care.
• Conducts patient, caregiver and family counseling and education.
• Prepares clinical notes in a timely manner.
• Communicates with all physicians involved in the plan of care and other health care practitioners (as needed) related to the current plan on care.
• Participates in the organization’s quality assessment and performance improvement program.
• Partici…