RN HOME HEALTH CARE

Horizon Health is a Critical Access, Rural Health Facility with 25 inpatient beds in Paris, IL, and multiple outpatient clinics including Family Practice and Specialty Clinics in Paris and surrounding cities. Serving Edgar County since 1968, we provide community education, emergency services, and outpatient care.

About the role

In accordance with department policy and the patient's plan of care, the RN provides direct and/or indirect nursing care, treatment, and instruction in the homes of patients referred by the Home Care department.

Requirements

• Registered Nurse with current license in the State of Illinois
• Minimum one (1) year of relevant RN experience; preferred two (2) years acute/LTC experience
• Reliable transportation with current Illinois driver's license and proof of auto insurance
• Strong leadership, decision-making, problem solving, and organizational skills
• Willingness to participate in quality improvement process
• Graduated from an accredited school of Nursing
• Current CPR certification or within thirty (30) days of hire
• Ability to communicate well verbally and in writing
• Knowledge of nursing process and its application
• Ability to perform complex and varied tasks in a fast-paced work environment subject to stress and interruption

Responsibilities

• Provide skilled nursing care, preventative rehabilitative procedures, and prescribed treatments with a variety of patient populations within various complex home situations
• Participate in the on-call system as directed, providing availability of skilled nursing services at all times according to agency policy
• Teach and supervise family members, auxiliary nursing personnel, or others giving nursing care
• Coordinate with all services in the home
• Plan with the family and physician for services within the physical, financial, and emotional resources of the family; help the family accept responsibility of providing care
• Give prescribed treatments or emergency care, teach, and supervise patients, family members, or others who give such treatments
• Initiate nursing measures to prevent complications or to minimize the disabling effects of disease or injury
• Observe, evaluate, and report to physician patient's physical and emotional condition, reaction to drugs or treatments, and changes in condition or needs
• Perform diagnostic tests as authorized and obtain laboratory specimens when indicated
• Complete accurate documentation in medical record of services provided in accordance with the plan of care
• Help individuals and families to accept and adjust positively to physical, mental, and social limitations
• Comply with policies and procedures of the organization/department
• Participate in quality improvement activities
• Make necessary revisions in the Plan of Treatment
• Participate in in-service programs for agency staff
• Provide comprehensive assessment, planning, implementation, and evaluation for home health patients as the primary nurse
• Assess physical, functional, psychosocial, and cognitive status of the home care patient
• Assess the home environment for safety, infection prevention, and community resource needs
• Collect information from the patient, family, physician, and other community resources
• Incorporate multidisciplinary data into the nursing assessment of the home care patient
• Assess the presence of advanced directives and facilitate further action in obtaining or implementing if indicated
• Plan with the patient, family, and physician for care which is feasible within the physical, financial, and emotional resources of the family
• Establish individualized, measurable goals in consultation with patient, family, and other health care providers
• Maintain a working knowledge of community resources and refer patients appropriately
• Utilize home care standards, regulatory guidelines, and standards of care in developing an individualized care plan
• Maintain technical skills according to organization standards as measured by competency assessment during orientation and annually/as needed
• Implement safe, competent care with home care patients and families with organization policies, procedures, and standards of care
• Accurately follow established infection prevention and safety policies and procedures
• Direct the use of equipment and supplies in an efficient and cost-effective manner
• Coordinate and direct home care aide assignments, prepare written instructions, and supervise the aide in the home
• Coordinate and direct Licensed Practical Nurse activities, prepare care plan, and provide oversight and supervision of care and documentation
• Set priorities of home care patients adapting to changing needs of patients and families
• Administer medication and treatment as prescribed by the patient's physician, podiatrist, or advanced practice nurse or physician assistant
• Document components of the nursing process to reflect integrated approach to care
• Maintain a clinical record for each patient receiving care
• Provide a progress note to the physician when there are deviations in care or at least every 60 days
• Notify the physician immediately and the supervisor of actions taken in response to information indicating a change, need for urgent care, or potential emergent patient risk
• Serve as role model and resource to other nurses regarding delivery of care to patients and families
• Evaluate patient's responses to care based on a continuing assessment and analysis of nursing intervention and alternatives for nursing care and initiate needed changes
• Inform physician, nurse manager, and other appropriate members of the health care team of changes in the patient's condition and needs
• Facilitate and coordinate interdisciplinary care conferences with groups of complex patients
• Exhibit sound nursing judgement and decision-making skills in coordinating patient care
• Identify and adapt teaching materials with patients and their families, creatively using these tools to maximize the learner's success
• Identify individuals' requirements/perceptions of learning needs
• Continually assess patient/family level of understanding and adjust teaching and plan of care accordingly
• Document patient, family, and caregiver teaching and patient/family response
• Maintain a complete record of care that is provided to the patient per home care policy and procedure
• Meet required deadlines for documentation for OASIS, certification, recertification, aide supervision reports, aide care updates, licensed practical nurse oversight, case coordination, care plan updates, verbal orders, and progress towards goals
• Accurately complete admission and revisit documentation, completed communications, billing, and employee statistical information, and payroll documentation
• Document all communication with payers, external providers, and providers
• Assist in creating a positive climate conducive to learning
• Act as a resource person on clinical problems for other personnel caring for home care patients
• Act as a role model for professional nursing and allied health students accompanying them on home visits as assigned
• Foster the professional development of self, clinicians, and other home care staff
• Evaluate performance of peers as appropriate in relation to home care standards of practice
• Serve as preceptor for new home care employees
• Participate in committees, education programs, staff meetings, nurse meetings, in-service programs, staff development, and mandatory education requirements for licensure
• Demonstrate flexibility in adjusting availability throughout the workday and respond to office within expected time frames
• Treat all people with respect and dignity
• Understand own behavior and how it affects others
• Notify patients of expected time for the day's visit by 8 AM, allowing 15 minutes before/after expected arrival time
• Understand and attempt to meet the needs, wants, and expectations of internal and external customers
• Address concerns or complaints by patients, families, caregivers, or other internal and external customers and notify manager of these concerns
• Display professional attitudes and behaviors of trust, respect, honesty, and caring
• Enable co-workers, patients, and families to verbalize their need for assistance
• Demonstrate understanding of differences in cultural, spiritual, and socioeconomic backgrounds
• Identify ethical conflicts and notify managers, and participate in problem solving with involvement of manager, primary physician, and social services or ethics group
• Maintain patient privacy and confidentiality
• Promote the mission and values of the organization
• Work independently
• Handle difficult situations involving patients, providers, or others in a professional manner

Pay

Pay ranges from $26.688 to $42.740 per hour (rate of pay is based on applicable years of experience).

Schedule

Monday–Friday, 8:00 AM–4:30 PM (includes some on-call hours).

Location

798 E. Court Street, Paris, IL 61944

Benefits

• Competitive salary
• Medical, dental, and vision insurance
• Employee 403(b) retirement plan
• Health savings account with Company match
• Vacation, sick leave, and paid holidays