Home Health Float RN

About the role

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience.

Responsibilities

• Affords responsibility to coordinate patient care for the temporarily assigned caseload including but not limited to: appropriate delegation to LPN staff, patient condition change visits, and completion of OASIS time points.
• Accepts accountability for patient satisfaction scores and quality of care outcome measure results.
• Completes and documents an initial assessment of patient and family to determine home care needs.
• Provides a complete physical assessment and history of current and previous illness(es).
• Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions.
• Includes the patient and the family in the planning process.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Administers medications and treatments as prescribed by the physician.
• Counsels the patient and family in meeting nursing and related needs.
• Respects and supports patient and family’s cultural beliefs and values, individual needs, health goals and treatment preferences.
• Provides health care instructions to the patient as appropriate per assessment and plan of care.
• Instructs, supervises and evaluates home health aide care provided at least every 14 days.
• Helps manage episode of care or coordination of care with the primary disciplines in accordance with evolving needs and continued eligibility for services.
• Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
• Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
• Attends regular case conferences and team meetings per Clinical Manager and as needed.
• Communicates with team LPN when delegating appropriate visits.
• Communicates with other disciplines on the care team and community providers to coordinate the care plan (i.e. Insurance case managers, high risk case managers, elder services, protective service, etc).
• PRACTICES CONFIDENTIALITY PRINCIPLES SET BY THE AGENCY AND FEDERAL HIPAA GUIDELINES.
• Demonstrates high proficiency in OASIS completion.
• Completes documentation in accordance with agency timeliness policies.
• Maintains and updates clinical knowledge and skills based on current nursing practice.
• Adheres to departmental requirements for required training.
• Identifies specific learning needs and goals and collaborates with nursing leadership in developing a plan to meet them.
• Participates in the weekend/holiday/on-call rotation as defined by Beth Israel Lahey Health at Home.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Participates in in-service programs and supervises, teaches and precepts other nursing personnel per Clinical Manager.
• Maintains strict adherence to the Continuing Care Confidentiality policy.
• Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities.
• Comply with all Continuing Care Policies.
• Comply with behavioral expectations of the Continuing Care Division.
• Maintain courteous and effective interactions with colleagues and patients.
• Show strong ability to organize and prioritize workload independently; nursing skills per competency checklist.
• Shows self-directed and able to work with minimal supervision.
• Participate in departmental and/or interdepartmental quality improvement activities.
• Perform all other duties as needed or directed to meet the needs of the department.

  Qualifications

  • Registered Nurse from a Graduate of National League for Nursing accredited school of nursing.
  • BSN strongly preferred.
  • Licensed nurse with current licensure to practice professional nursing in the state of Massachusetts and New Hampshire.
  • Has an active American Health Association BLS.
  • If no American Heart Association BLS the employee must complete an annual BILHAH BLS Competency.
  • No other forms of BLS will be accepted.
  • Minimum of 3-5 years nursing experience, at least one of which is in the area of home care nursing with strong OASIS experience is preferred.
  • Excellent observation and problem solving/critical thinking skills.
  • Well-developed verbal and written communication skills; essential computer skills to work with EMR.
  • Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
  • Self-directed and able to work with minimal supervision.
  • Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist.
  • Knowledgeable about the job description, performance expectations, and competency assessment.
  • Commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
  • Participate in departmental and/or interdepartmental quality improvement activities.
  • Perform all other duties as needed or directed to meet the needs of the department.