RN - Home Care - Generalist

About the role

This role qualifies for PSLF. Most nurses don't realize public-service roles can forgive your entire federal loan balance. Estimate yours → Home Health.

Job Duties/Responsibilities

• Conducts histories, physical exams and functional nursing assessments of enrolled participants.
• Assists Team HCRNs in providing services to participants in the community including: Acute care, treatments, management of transitions of care, medication reconciliations, medication administration/packing, wellness visits and patient education.
• Observes, records and reports to primary care staff or IDT any change in participant condition.
• Ensures seamless care by establishing collegial relationships with the Community RNs to promote teamwork.
• Communicates with Team RN/HCRN regarding the concerns of the participants and their medical needs.
• Collaborates with the Home Care RNs and IDT to ensure medical orders are followed.
• Sets up medication minders as requested by Home Care RNs to support participant medication adherence and safety.
• Provides nursing coverage for a Team/HCRN, performs homecare assessments as needed and reports findings to the interdisciplinary team (IDT).
• Communicates with families regarding delivery of services and changes in orders that will impact care.
• Assists Home Care Department on oversight/adherence to policy and competencies and training of CNA’s.
• Completes quarterly home visits to assess/educate CNAs as needed.
• Assists participants in maintaining optimum health in the community; provides health education and counseling to participants and caregivers facing chronic conditions and end of life issues.
• Performs related duties as assigned.
• Provides coverage for in-house nursing positions as needed.
• Supports vaccination clinics as needed.
• Affords assistance with orientation of new staff and serves as a mentor to nursing students.
• Engages in problem solving on RN/clinical level.
• Is knowledgeable and adheres to all nursing policies and procedures regarding standards of care.
• Can identify appropriate resources when unsure of specific policies or procedures.
• Completes documentation of all nursing care and services in medical record.
• Records all nursing encounters per PACE documentation standards.
• Uses proper universal and standard precautions and Infectious Control PPE according to PACE policy and procedure.
• Protects privacy and maintains confidentiality of sensitive participant and agency information.
• Attends staff and department meetings and agency in-services as required.
• Works rotating weekends and/or holidays as assigned.
• Demonstrates an understanding of the importance of clear, thorough documentation as crucial to good participant care; completes and enters accurate, thorough participant documentation in the electronic health record; enters documentation for assessments, orders, and notes within required timeframes.

Qualifications

Current Registered Nurse license in Rhode Island.

Bachelor's degree in Nursing preferred.

Experience in home health care or related field preferred.

Knowledge of PACE organization policies and procedures.

Ability to work independently and as part of a team.

Strong communication and interpersonal skills.

Basic computer skills.

Ability to perform physical activities required for the position.

Ability to lift and move patients as necessary.