Registered Nurse, Home Care, 3 Days - Bronx, NY
OverviewProvides high quality comprehensive nursing care to meet the needs of the patient/client and manages/coordinates the delivery of cost effective multidisciplinary health care services for a caseload of patients/clients consistent with VNS Health philosophy, policy, goals and objectives, and Standards of Nursing Practice.
Works under moderate supervision.
ResponsibilitiesoAssesses the physical, social and psychological needs and environmental conditions of the patient/client through professional knowledge, skills of observation, interviewing, and physical examination to develop a plan of care.
oUnderstands, interprets, and implements reimbursement protocols; determines the billing source for patient/client care.
Consults with management on complex/unique reimbursement cases.
oActs as the coordinator of care for the multidisciplinary team by providing and managing the care needs of patients/clients which includes making/confirming referrals to other disciplines/community agencies and ordering supplies/services and ensuring they are delivered as needed.
oDocuments content and process of all services provided in accordance with government regulations/requirements, and VNS Health policies, practices, and procedures, as well as NFP requirements as appropriate.
Initiates and maintains written (including clinical and progress notes) and verbal communications with team members and management to assure optimal patient/client care.
oParticipates in the orientation of selected staff through 'buddy system' field observation of staff and feedback to appropriate staff involved in orientation process.
oParticipates in selected student programs by providing guidance, training and mentoring to students.
oProvides nursing care in accordance with VNS Health policies, practices, procedures and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient/client care.
oTransports and utilizes required medical equipment and other supplies using VNS Health designated/supplied carrying case weighing approximately 25 - 30 lbs.
to and from patient/client homes/care facilities.
oTravels to patient/clients' homes and/or other facilities with varying environments (e.
g.
, elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.
) using approved transportation options to deliver direct care to the patient/client.
oFollows work procedures in relation to established workflows.
oMaintains productivity sufficient to meet VNS Health goals.
oAssumes responsibility for personal professional growth through attendance at in-services, training, continued formal education and select journal readership.
oPerforms other related duties and participates in special project, as assigned.
oEstablishes, implements, and revises a plan of care with input from appropriate multidisciplinary health team members (i.
e.
, physician, OT, PT, SW, SLP, family members, caregivers, HHAs, etc.
) based on goals mutually acceptable to the patient and significant others.
Ensures that services follow the plan of care by ongoing assessment, planning, coordination, counseling, teaching and supervision of the delivery of care to meet the needs of the patient.
oOversees/supervises the care provided to the patient by Licensed Practical Nurses and Paraprofessionals through regular home visits in compliance with regulatory and VNS Health requirements.
Assesses the patient's condition, monitors the effect of the care plans on the patient/family health status, informs physician and other team members of changes in the client's needs and updates the plan of treatment, as needed.
oManages, plans, coordinates and executes the patient's safe discharge from service.
Ensures that physician's orders, discharge summary and communication to team members, patient and family members adhere to VNS Health and regulatory requirements.
oCommunicates and consults with patient's MD and follows-up on problematic situations affecting care such as abnormal clinical findings, medication discrepancies, or other factors that impact patient's ability to comply with the plan of care.
Manages and coordinates all aspects of assigned caseload.
oAssists patients with activities of daily living, which may require positioning, moving, transferring and lifting patients of varying weights and physical conditions, with and without assistance and as appropriate, from family members and/or paraprofessionals.
oParticipates in special projects and performs other duties as assigned.
QualificationsLicenses and Certifications:
License and current registration to practice as a registered professional nurse in New York State requiredValid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs.
Education:
Degree in Nursing from an approved program requiredBachelor's Degree NFP Only- Nursing requiredWork
Experience:
Experience for CHHA:
Minimum of one year of experience in a medical/surgical environment requiredExperience for Hospice:
Minimum of one year of clinical nursing experience, including at least six months of Hospice, or Med/Surg or ICU or Emergency Dep't or Home care, Palliative Care, Oncology or Long Term Care experience requiredExperience for NFP:
Minimum of one year of recent experience in maternal/child health requiredDemonstrated basic computer skills required Pay Range per Visit:
If you are applying to the per diem per visit version of this job, the hiring range is as follows:
$64.
20- $85.
57 per visit.
Compensation Range From and To:
$97,100.
00 - $122,490.
00 Annual Recommended Skills Activities Of Daily Living (Ad Ls) Billing Certified Nurse Practitioner Clinical Nursing Clinical Works Coaching And Mentoring Estimated Salary: $20 to $28 per hour based on qualifications.
Works under moderate supervision.
ResponsibilitiesoAssesses the physical, social and psychological needs and environmental conditions of the patient/client through professional knowledge, skills of observation, interviewing, and physical examination to develop a plan of care.
oUnderstands, interprets, and implements reimbursement protocols; determines the billing source for patient/client care.
Consults with management on complex/unique reimbursement cases.
oActs as the coordinator of care for the multidisciplinary team by providing and managing the care needs of patients/clients which includes making/confirming referrals to other disciplines/community agencies and ordering supplies/services and ensuring they are delivered as needed.
oDocuments content and process of all services provided in accordance with government regulations/requirements, and VNS Health policies, practices, and procedures, as well as NFP requirements as appropriate.
Initiates and maintains written (including clinical and progress notes) and verbal communications with team members and management to assure optimal patient/client care.
oParticipates in the orientation of selected staff through 'buddy system' field observation of staff and feedback to appropriate staff involved in orientation process.
oParticipates in selected student programs by providing guidance, training and mentoring to students.
oProvides nursing care in accordance with VNS Health policies, practices, procedures and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient/client care.
oTransports and utilizes required medical equipment and other supplies using VNS Health designated/supplied carrying case weighing approximately 25 - 30 lbs.
to and from patient/client homes/care facilities.
oTravels to patient/clients' homes and/or other facilities with varying environments (e.
g.
, elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.
) using approved transportation options to deliver direct care to the patient/client.
oFollows work procedures in relation to established workflows.
oMaintains productivity sufficient to meet VNS Health goals.
oAssumes responsibility for personal professional growth through attendance at in-services, training, continued formal education and select journal readership.
oPerforms other related duties and participates in special project, as assigned.
oEstablishes, implements, and revises a plan of care with input from appropriate multidisciplinary health team members (i.
e.
, physician, OT, PT, SW, SLP, family members, caregivers, HHAs, etc.
) based on goals mutually acceptable to the patient and significant others.
Ensures that services follow the plan of care by ongoing assessment, planning, coordination, counseling, teaching and supervision of the delivery of care to meet the needs of the patient.
oOversees/supervises the care provided to the patient by Licensed Practical Nurses and Paraprofessionals through regular home visits in compliance with regulatory and VNS Health requirements.
Assesses the patient's condition, monitors the effect of the care plans on the patient/family health status, informs physician and other team members of changes in the client's needs and updates the plan of treatment, as needed.
oManages, plans, coordinates and executes the patient's safe discharge from service.
Ensures that physician's orders, discharge summary and communication to team members, patient and family members adhere to VNS Health and regulatory requirements.
oCommunicates and consults with patient's MD and follows-up on problematic situations affecting care such as abnormal clinical findings, medication discrepancies, or other factors that impact patient's ability to comply with the plan of care.
Manages and coordinates all aspects of assigned caseload.
oAssists patients with activities of daily living, which may require positioning, moving, transferring and lifting patients of varying weights and physical conditions, with and without assistance and as appropriate, from family members and/or paraprofessionals.
oParticipates in special projects and performs other duties as assigned.
QualificationsLicenses and Certifications:
License and current registration to practice as a registered professional nurse in New York State requiredValid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs.
Education:
Degree in Nursing from an approved program requiredBachelor's Degree NFP Only- Nursing requiredWork
Experience:
Experience for CHHA:
Minimum of one year of experience in a medical/surgical environment requiredExperience for Hospice:
Minimum of one year of clinical nursing experience, including at least six months of Hospice, or Med/Surg or ICU or Emergency Dep't or Home care, Palliative Care, Oncology or Long Term Care experience requiredExperience for NFP:
Minimum of one year of recent experience in maternal/child health requiredDemonstrated basic computer skills required Pay Range per Visit:
If you are applying to the per diem per visit version of this job, the hiring range is as follows:
$64.
20- $85.
57 per visit.
Compensation Range From and To:
$97,100.
00 - $122,490.
00 Annual Recommended Skills Activities Of Daily Living (Ad Ls) Billing Certified Nurse Practitioner Clinical Nursing Clinical Works Coaching And Mentoring Estimated Salary: $20 to $28 per hour based on qualifications.
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