Provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations and agency policies.
The Registered Nurse job coordinates total plan of care with other health care professionals involved in care, and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
Qualifications Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team.
Makes the initial and/or comprehensive nursing evaluation visit, determines primary focus of care, develops the plan of care within State specific guidelines, and submits accurate, complete, and timely documentation, per policy.
Performs patient comprehensive assessments at designated time points and develops the appropriate POC, in collaboration with physician orders.
Responds to outcome coordinator/coder and Patient Care Manager requests for clarification to OASIS assessments on the same day that the request for more information is sent.
Observes, records and reports to the physician and/or team leader the patient's signs and symptoms, response to treatment and changes in the patient's condition, as appropriate.
Ensures adequate Team Leader (TL) communication when physicianfollow-up is needed.
Communicates timely and effectively with agency personnel and ordering physician as required to process orders and OASIS data sets, schedule home visits, and deliver services to patient as ordered by physician and in accordance with applicable lawsand regulation.
Directly and/or indirectly supervises care provided by the home health aides and licensed practical vocational nurses, providesinstruction as appropriate, and assigns tasks according to State and federal regulations.
Additional Information Current RN licensure in state of Florida.
Current CPR certification required.
Current Drivers License, vehicle insurance, and access to a dependable vehicle or public transportation.
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