Field Registered Nurse (54266)

Responsibilities

• Coordination of resources and services for assigned caseload based on client’s needs and health conditions, working with the clients, their families, physicians, care providers, internal resources, and external partners. This must be accomplished during the initial assessment and on an ongoing basis thereafter based on re-assessment and change in clients’ needs
• Complete comprehensive client assessments to implement the best plan of care for RiseBoro Homecare clients; schedule and successfully engage in home visits within appropriate time frames as required by HRA and/or DOH of case referrals to complete assigned assessments
• Implement the Plan of Care by ongoing assessment, planning, coordination, counseling, teaching, and supervision
• Complete and maintain accurate, complete, and timely documentation reflecting the assessment, examination, diagnosis, prognosis, Plan of Care, education intervention, and evaluation according to Office of the Medical Inspector General (OMIG), DOH, agency, and other regulatory requirements for assigned cases
• Deliver ongoing assessment, teaching, and training to patients/caregivers that preserves and protects patient autonomy, dignity, rights, values, and benefits using evidence-based nursing practice
• Make recommendations regarding the continuation, modification, or termination of home care services and document them in patient records accordingly. Follow-up with appropriate agency and/or MD regarding recommendations for service changes
• Notify emergency services of acute changes in the patient’s condition
• Respond to emergencies and/or crises as required
• Initiate appropriate preventive and rehabilitative nursing referrals as needed
• Supervise the care provided by Home Health Aides; assign duties to aides based on the client’s needs
• Maintains a cooperative relationship among healthcare teams
• Cooperate with other agencies providing nursing or related services to provide continuity of care and implement a comprehensive care plan
• Conduct in-service training classes for Home Health Aides, as required
• Assist RiseBoro Homecare leadership with achieving organization goals, improving the quality of patient care outcomes, and patient satisfaction. Participate in quality assessment/performance improvement initiatives and meetings
• Provide nursing care under RB Homecare policies, practices, procedures, and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending, and stretching to deliver patient care
• Other related duties and special