Registered Nurse

Job Summary

The Registered Nurse (RN) provides skilled nursing care to patients in their homes or place of residence. The RN is responsible for comprehensive patient assessment, care planning, coordination of services, and ongoing evaluation of patient needs in collaboration with the interdisciplinary team. The RN ensures care is delivered in accordance with physician orders, agency policies, and all applicable state and federal regulations.

Key Responsibilities

• Patient Care:
  • Assesses the home environment and determines needs of patients and caregivers
  • Performs initial and ongoing comprehensive assessments of patients’ physical, psychosocial, and environmental needs
  • Develops, implements, and updates individualized plans of care
  • Makes referrals to other agencies or services as needed
  • Provides skilled nursing services including wound care, medication management, IV therapy, and disease management
  • Delivers end-of-life care focusing on comfort, dignity, and symptom management for hospice patients
  • Educates patients and caregivers on disease processes, medications, and self-care techniques
• Care Coordination:
  • Collaborates with physicians, nurse practitioners, and the interdisciplinary team (therapy, social work, hospice aides, chaplain)
  • Coordinates care and services to ensure continuity of care across settings
  • Participates in case conferences and interdisciplinary team (IDT) meetings
• Documentation & Compliance:
  • Completes accurate, timely documentation in accordance with agency policy and regulatory requirements
  • Ensures compliance with Medicare Conditions of Participation, state regulations, and accreditation standards
  • Maintains current and accurate clinical records, including OASIS documentation for home health patients
• Quality & Safety:
  • Identifies changes in patient condition and communicates appropriately to the care team
  • Participates in quality improvement (QAPI) activities
  • Follows infection control and patient safety protocols
  • Reports incidents, variances, and patient concerns per agency policy
• Patient & Family Support:
  • Provides emotional support and guidance to patients and families
  • Supports patients and caregivers through end-of-life transitions
  • Promotes patient rights, dignity, and cultural sensitivity

Skills & Competencies

• Strong clinical assessment and critical thinking skills
• Excellent communication and interpersonal skills
• Ability to work independently and manage time effectively
• Proficiency with electronic medical records (EMR) systems
• Knowledge of home health and hospice regulations preferred
• Team-oriented with excellent customer service abilities

Physical Requirements and Working Conditions

• Requires travel within the agency’s service area to provide care in patient homes and community settings
• Exposure to varying home environments and conditions
• May require on-call, weekend, or holiday rotation
• Requires frequent use of hands for typing and document handling
• Requires the ability to lift up to 50 pounds occasionally and carry up to 25 pounds

Education and Other Requirements

• Graduate of an accredited school of nursing with a current, active Registered Nurse license in the state of Pennsylvania
• Current CPR certification
• Minimum of one (1) year of nursing experience required
• Experience in home health, hospice, or community health preferred
• A valid driver’s license, reliable transportation, proof of auto insurance with acceptable driving history is required

Additional Information

• REQUIRED CLEARANCES: At time of hire, PA State Police Criminal Background Check, PA Child Abuse Clearance, and FBI Fingerprint Criminal Background Check are required. Positions providing direct patient care will also be required to have these clearances every 5 years after date of hire.
• This job description does not constitute an employment contract; the employment relationship between VNA of Hanover and SpringGrove and the employee is an at-will relationship.
• This position is considered a safety sensitive position, which means the employee’s job performance can affect the safety of the employee and others. Employees must be able to perform the job responsibilities without causing a threat to co-workers, to the workplace, or to the public at large.
• We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, hair type, texture, and protective hairstyles like locs, braids, and twists, or any other status or any other characteristic protected by law.