HH Nurse, RN

About the Role

3HC Home Health and Hospice is seeking a Home Health Nurse, RN to provide skilled nursing care to patients requiring intermittent professional nursing service. This role involves administering care in patients' homes, developing relationships with patients and team members, and making a meaningful difference through one-on-one care.

Schedule & Coverage

• Hours: Monday–Friday
• Coverage Area: Greenville, North Carolina
• Rotation of weekday, weekend, and holiday "on-call" and "back-up-call" required

Responsibilities

• Provide skilled nursing care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by the Practice Act of the N.C. State Board of Nursing
• Observe and document signs and symptoms, reporting reactions to treatments (including drugs), changes in the patient's physical or emotional condition, and outcomes of intervention to the physician and other applicable personnel
• Ensure ongoing evaluation of patient/family needs and response to care
• Refer to other services as needed
• Initiate appropriate preventative and rehabilitative nursing procedures for the patient's care and safety
• Educate, supervise, consult, and counsel the patient/family regarding nursing care needs, disease process, self-care techniques, and processes for dealing with issues of ethical concern
• Assure the development and implementation of the patient's individualized plan of care and update as needed
• Conduct a complete assessment of the patient to identify appropriate care needs, including obtaining medical history (with OASIS when needed), performing physical assessment, assessing support systems and home situation, determining health teaching needs, and planning for discharge
• Document in the electronic medical record daily, including time and travel documentation
• Respond within 48 hours to requests for documentation correction/completion
• Ensure physician involvement with ongoing patient care, including reporting changes and consulting on alterations to the plan of treatment
• Verify physician listed on order/plan of treatment will sign orders
• Complete OASIS at admission, resumption of care, recertification, and other specified points
• Provide regular supervision to Licensed Practical Nurses and paraprofessionals providing services to patients according to regulatory and CMS/Hospice guidelines
• Ensure tasks assigned to LPNs are within the Nurse Practice Act and supervise LPNs on every patient at least every 30 days
• Provide Certified Nursing Assistants with a telephonic plan of care, supervise and evaluate care given at least every two weeks, and participate in periodic conferences regarding CNA performance
• Collaborate with supervisor to meet assigned productivity of 100%
• Maintain regular communication with supervisor and communicate patient problems on a timely basis following chain of command
• Complete certifications and re-certifications within designated timeframes for proper billing
• Keep up-to-date on reimbursement criteria and documentation requirements, including preauthorization and re-authorization for insurance
• Travel to other offices to meet patient needs as requested
• Participate in office staff meetings, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services
• Attend and participate in interdisciplinary team conferences at least 75% of the time
• Attend agency mandatory in-services and satisfy CEU requirements of the State Board of Nursing
• Strive to improve nursing care through continuing education, active participation in professional organizations, and individual research and readings
• Demonstrate cost-effectiveness in use of agency resources, monitoring waste, and proper use of supplies and equipment
• Perform other appropriate duties as assigned by supervisor

Additional Role-Specific Duties

HHN, RN Floaters: On-call for base office per office need/rotation.

HH&Hospice Nurse, RN Baylor: Responsible for working from 5pm Friday – 8am Monday; provide specialized hospice training to staff, family members, and informal caregivers; develop and implement the patient care plan in EMR; ensure complete documentation supporting hospice guidelines and COPs; provide regular supervision to LPNs and paraprofessionals; turn in all paperwork by 5:00pm Monday and communicate laptop daily Saturday and Sunday; make verbal/written report of new admissions and ER visits to primary nurse Sunday night or Monday morning between 8am-9am; collaborate with supervisor to meet assigned productivity standard; complete scheduled visits after 5pm on Fridays as warranted; work at least one weekend day.

HH&Hospice Nurse, RN Evening: Collaborate with supervisor to meet productivity of 100% for work hours 12pm–11pm Monday–Thursday; cover on-call for clinical office Monday–Thursday; visits done after 11pm paid at over quota rate and not considered part of quota.

HHN, RN Admissions: Provide home health admissions or tuck-ins for hospice as needed; develop and implement the patient care plan in EMR; ensure complete documentation supporting HH/hospice guidelines and COPs; turn in paperwork to designated office personnel next day as needed and communicate iPad daily; make verbal/written report of new admissions and ER visits to primary nurse as needed; collaborate with supervisor to meet assigned productivity standard; complete scheduled visits as needed per productivity; on-call per needs of the office.

Requirements

• Registered Nurse currently licensed to practice nursing in the state of North Carolina
• Minimum of one year of experience as a professional nurse in an acute care setting
• Maintain current CPR certification (BCLS)
• Basic computer skills and experience in electronic medical records
• Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
• Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized plan of care
• Possess valid Driver's License and reliable transportation