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Registered Nurse (RN)

Job Summary
Provides professional services within the scope of nursing practice standards in collaboration with primary care physicians, teaches and educates patients and their families.

Organizational Relationship:
Reports to the Director of Clinical Services or Administrator Qualifications:

Graduate of an approved professional nursing program (RN).
Currently, licensed “in good standing” in Massachusetts.
Minimum of one (1) year of experience as a professional nurse, preferably in home care.
Must have a criminal background check.
Must have current CPR certification.

Responsibilities:

Receives the intake referral information and prepares paperwork/tools necessary for the visit.
Obtains all pertinent medical history from patient, family or significant others.
Performs home safety check and environmental assessment of the patient’s home environment.
Performs the socio-psychological evaluation of the support systems available to the patient and documents necessary emergency contacts etc.
Performs assessment visit and documents timely. (i.e. OASIS/ Skilled Nursing Note etc).
Performs physical examination and review of all body systems and documents such accordingly.
Develops an appropriate and effective Plan of Care (POC) to be submitted to the physician for approval and implementation.
Determines medical necessity for other services that could enhance the positive outcome desirable for the case.
Evaluated the patient’s ADL and iADL abilities and therefore the need of support services such as a home health aide.
Develops and implements the HHA plan of care when HHA services are ordered. Revises and signs this care plan the beginning of each certification period.
Supervises the HHA in accordance with state/federal requirements and documents the supervision without having to be directed to do so.
Orders “other” professional services that are effective and is willing to adjust frequency of these services as outcome progresses and the patient’s condition warrants.
Reviews billing processes with patient and/or family, advising patient and/or family when co-pay or Medicare is not likely to pay for services (ABN).
Effectively communicates with patient and family the POC and progression of such. Keeps the patient informed ongoing. Effectively communicates with other disciplines in the case (case conferencing) to effectively and appropriately problem solve as situations arise.
Communicates effectively with the Director of Clinical Services or Nursing Supervisor, scheduled visits planned and changes to the schedule on a weekly basis. Caseload is self scheduled but communication of the clinician’s schedule is essential.

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