Registered Nurse (RN)

Advanced Clinical Associates is seeking more exceptional RN’s to join our growing team. We already serve hundreds of veterans in the valley and are now working in the Medicare, Medicare Advantage and insurance populations. Our population is diverse and growing, we have a positive team environment in a nurse owned company in the valley since 2007. Our ideal candidate has a positive outlook, loves patient care and understands that timely documentation is a part of the process.

Background should include some medical surgical experience and you must be comfortable with wound care and basic infusion skills. For RNs, familiarity with OASIS a plus, we will consider an enthusiastic candidates without home health experience who feel confident with wound care, assessments and medication reconciliation.

Must have, or be able to obtain, a Level One Fingerprint Clearance Card through the Department of Public Safety background check/fingerprint clearance process.

TITLE OF IMMEDIATE SUPERVISOR: Director of Clinical & Patient Care Services

RISK OF EXPOSURE TO BLOODBORNE PATHOGENS – HIGH

DUTIES

To provide nursing care in accordance with the patient’s plan of care to include comprehensive health and psychosocial evaluation, monitoring of the patient’s condition, health promotion and prevention coordination of services, teaching and training activities and direct nursing care.

RESPONSIBILITIES

  • Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient’s condition, promoting sound preventive practices, coordinating services and teaching and training activities.
  • Evaluate the effectiveness of all clinical as well as nursing service to the patient and family on an ongoing basis.
  • Perform admission, transfer, re-certification, resumption of care and discharge OASIS on all patients
  • Prepare and present patient’s record to the Clinical Record Review Committee as indicated.
  • Consult with the patients’ physician concerning alterations of Patient Care Plans, checks with the appropriate supervisor and makes changes, as appropriate.
  • Coordinate patient services.
  • Submit clinical, progress notes and other clinical record forms outlining the services rendered as set out in ACA charting policy
  • Submit a schedule of projected weekly visits to Office Scheduler no later than Thursday of each week.
  • As primary coordinator (case manager) of patient care, discuss with other clinicians seeing the patient as well as the supervisor any problems concerning the patients and how they may best be handled.
  • If there is need for the involvement of other members of the health team such as the Home Health Aide, Physical Therapist, Speech Therapist, Occupational Therapist, or Medical Social Worker, obtain  physician order and notify Supervisor and Office Scheduler.
  • Obtain orders for paraprofessional service and submits a referral to the appropriate personnel.
  • Participate in the patient’s discharge planning process.
  • Cooperate with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan.
  • Participate in staff development meetings.
  • Continually strive to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual research and reading.
  • Participate in the development and periodic revision of the physician’s Plan of Treatment and processes change orders as needed
  • Submit documentation within parameters outlined in ACA policy
  • Participate in the patient’s discharge planning process.
  • Maintain an on-going knowledge of current drug therapy.
  • Adhere to Federal and State requirements including Medicare and Medicaid regulations.

COORDINATES THE ADMISSION OF A PATIENT TO THE AGENCY

  • Conduct an initial and ongoing comprehensive assessment of the patient’s needs, including Outcome and Assessment Information Set (OASIS) assessments at appropriate time points.
  • Obtain a medical history from the patient and/or a family member particularly as it relates to the present condition.
  • Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite, and type of diet, etc.
  • Evaluate the patient, family member(s) and home situation to determine what health teaching will be required.
  • Evaluate the patient’s environment to determine what assistance will be available from family members in caring for the patient.
  • Evaluate the patient’s condition and home situation to determine if the services of a Home Health Aide will be required and the frequency of these services
  • Explain nursing and other Agency services to patients and families as a part of planning for care.
  • Develop and implement the nursing care plan.
  • May be requested by the Director of Clinical & Patient Care Services to fill in for other nurses who are on vacation or sick.

PROVIDES SKILLED NURSING CARE AS OUTLINED IN THE NURSING CARE PLAN

  • Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician.
  • The initiation of preventative and rehabilitative nursing procedures as appropriate for the patient’s care and safety.
  • Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, as well as changes in the patient’s physical or emotional condition.
  • Teaching, supervising and counseling the patient and caregivers regarding the nursing care needs and other related problems of the patient at home.

ASSUMES RESPONIBILITY FOR THE CARE GIVEN BY THE HOME HEALTH AIDE and LPN

  • Supervise and evaluate the care given by the Home Health Aide as needed, and at a minimum of once every 14 days.
  • On site supervision of LPN must be at minimum every 28 days. Documentation to be inputted in HER at time of visit.
  • Home Health Aide plan of care is developed by the physician, RN and patient/caregiver and entered into the EHR
  • Chart those services rendered to the patient by the staff nurse and changes that have been noted in the patient’s condition and/or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Home Health Aide, evaluates patient care and progress and closes charts of discharged patients.
  • Evaluate the effectiveness of her nursing service to the individual and family.
  • Consult with the attending physician concerning alteration of the plan of treatment in consultation with the supervisor.
  • Submit clinical and progress notes and other clinical record forms outlining the services rendered as set out in ACA policy
  • Discuss with the supervisor problems concerning the patients and possible resolution.
  • Provide guidance and supervision to the LPN and supervises the LPN once monthly
  • Documentation of LPN supervision is submitted via EHR at time of visit.
  • The evaluation of the LPN is not a joint visit but done solely by the RN during a regularly scheduled visit
  • There must be evidence of coordination of patient care through evidence of oral and written communication.
  • Ensures LPN is aware of patient plan of care, goals and teaching plans and that it is being followed.
  • Cooperate with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan.
  • Participate in staff development meetings.
  • Participate in the educational experiences for other staff, e.g. precepting, mentoring etc.
  • Continually strive to improve his/her nursing care by attending in-service education, through formal education, attendance at workshops, conferences, goal setting, active participation in professional and related organizations and individual research and reading.
  • Participate in the planning, operation and evaluation of the nursing service.
  • Participate in the development and periodic revision of the physician’s Plan of Treatment and processes change orders as needed.
  • Participate in the patient’s discharge planning.

Our home health agency does stand out in the community and with various hospitals and post-acute rehab facilities because we provide both medical and non-medical services to our clients.

Job Type: Full-time, Part-time, Per Diem

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