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Job description
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
The Registered Nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.
Primary Responsibilities: Patient Care Completes an initial assessment of patient and family to determine home care needs Provides a complete physical assessment and history of current and previous illnesses
Regularly re-evaluate patient nursing needs
Uses health assessment data to determine nursing diagnosis
Initiates and develops a Plan of Care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventative, and rehabilitative nursing care actions Includes the patient and the family in the planning process Makes necessary revisions as patient status and needs change
Plans and implements patient health teaching and health counseling regarding the disease process(es), self-care techniques and prevention Counsels and involves the patient and patients' family in accomplishing healthcare goals, meeting nursing and related needs while promoting patient/family independence
Re-evaluates patient nursing care needs to include continuous assessment using the OASIS Data Set at appropriate time intervals during the episode
Assesses the patient's condition during every home health care visit; ensures assessments are communicated to the Clinical Team Manager (CTM) on a daily basis; nursing interventions are implemented to meet patient needs and changing conditions
Initiates appropriate preventive and rehabilitative nursing procedures Administers medications and treatments as prescribed by the physician
Identifies patient discharge planning needs as part of the Plan of Care development and implements prior to discharge of the patient
Assumes responsibility to coordinate all patient care
Recognizes and reports life threatening situations and responds appropriately
Provides information regarding Home Medical Equipment (HME) and supply needs to the CTM, in a timely manner Utilizes equipment and supplies effectively and efficiently
Performs care management duties for patients as assigned including: notifying the physician of changes in the patient's condition or progress toward goals, obtaining physicians orders as needed, reassessing the patient for recertification, attending and documenting case conferences, initiating coordination of care by reporting significant findings to others on the healthcare team, and planning for notification and documenting the discharge of the patient
Adheres to the Agency's Standard Operating Procedures as it relates to the submission of documentation
Documents all communications with the patient, family, physician, CTM, pharmacy, and other disciplines, as indicated on communication notes
Prepares a written plan for the certified Home Health Aide to follow, if applicable
Established a trusting relationship with patients, caregivers, co-workers, clinic staff members, and physicians
Demonstrates knowledge and observance of Patient Rights and Notice of Privacy Practices
Follows all infection control standard precautions and safety guidelines/standards as per agency policy
Participates in educational programs and all required in-service training programs to maintain comprehensive healthcare knowledge base, as assigned by supervisor
Complies with all Homecare Dimensions, Inc agency's policies and procedures Promotes and maintains an agency environment that is in compliance with federal, state, and local regulatory agencies Participates in the agency's endeavors for accreditation, licensing, and professional recognition according to state, federal, and/or CHAP requirements Participates in the Performance Improvement Program activities of the agency and periodic review of clinical records, as assigned
Communication: Prepares clinical notes and updates the primary physician when necessary and at least every sixty (60) days
Communicates with the physician regarding patient needs and reports any changes in patient condition; obtains/receives physician orders as required
Communicates with community health related personnel to coordinate the Plan of Care
Coordinates services and schedules with the Clinical Team Manager (CTM) and Clinical Team Coordinator (CTC/Scheduler) to include recommendations for additional home health care services for patients within twenty-four (24) hours of the Start of Care (SOC)
Additional Duties: Participates in on-call duties within the on-call rotation schedule, to include weekends as assigned
Ensures arrangements for equipment and other necessary items and services are available
Instructs, supervises, and evaluates Home Health Aide care provided every two (2) weeks
Instructs, supervises, and evaluates Licensed Vocational Nurses every thirty (30) days
Maintains a daily patient case load and point of care documentation levels as per agency standards
Requires the availability of accepting patients during business hours (8 am - 6 pm)
Requires updating the electronic timecard daily, as per UHG Policy
Requires contacting patients the night before the scheduled visit to provide an arrival time within a two (2) hour window
Requires obtaining pre-approval from direct supervisor for overtime
Requires the ability to work flexible schedule to meet patient needs
Demonstrates personal responsibility with regard to attendance and punctuality
Maintains privacy and confidentiality with regard to all patient, staff, and agency information
Demonstrates flexibility, enthusiasm, and willingness to cooperate while working with others or in place of others, as necessary
Expresses verbal and written communication in a clear, positive, and collaborative manner
Promotes the agency's image by adhering to the agency's dress code
Performs all other related nursing duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications: High school diploma or equivalent required Graduate of an accredited school of nursing
Registered Nurse with an active unrestricted license to practice professional nursing in the state of Texas
Valid Texas Driver's License and maintain auto insurance coverage in accordance with organization requirements
Must have and maintain current CPR certification
2+ years of clinical experience preferable in a community home health or medical/surgical setting
Experience working with electronic medical record application required
Thorough knowledge of current nursing practice, professional standards of care, and state and federal regulations regarding home care
Bilingual (English/Spanish) language proficiency
Demonstrated ability to define problem, collect data, establish facts, interpret an extensive variety of technical, medical, regulatory instruction and deal with numerous issues to draw a valid conclusion
Demonstrated ability to endure prolonged or considerable walking or standing; lift position or transfer patients in a proximate location; lift supplies and equipment; perform reaching, stooping, bending, kneeling, or crouching Visual acuity and hearing, functional or corrected, to perform required nursing skills
Demonstrated ability to prioritize and communicate objectives clearly
Demonstrated ability to comply with accepted professional standards and practices
Proven ability to interact productively with individuals and with multidisciplinary teams
Proven evidence of independent nursing practice in delivering nursing care required
Proven basic computer skills to include: Microsoft Word, Outlook, and other e-mail systems
Proven excellent verbal and written skills
This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease
Preferred Qualification: Bachelor's Degree in nursing
Work Environment (Patient's Home):
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions May work in patient homes under varying conditions with possible exposure to fumes, odors, pets, insects, rodents, blood . click apply for full job details
Worksite address
robstown, TX, 78380, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.