This position provides coordinated skilled nursing care to patients of all ages on an intermittent basis in their homes throughout Tarrant County. You will work collaboratively with an interdisciplinary team to establish and achieve patient goals while maintaining high-quality care, performing in accordance with physician orders and under the supervision of the Home Health Director.
Responsibilities
- Assess home health patients to identify physical, psychosocial, and environmental needs through documentation review, clinical records, case conferences, team reports, and on-site evaluations
- Complete OASIS assessments and visit paperwork according to agency policy, ensuring clinical notes accurately document continuing communication and coordination of services with physicians, interdisciplinary team members, and patients/families/caregivers
- Communicate significant findings, problems, and changes to the Home Health Director and physician, documenting all findings, communications, and appropriate interventions
- Identify, report, and document problems, adverse reactions, or possible complications related to patient care; recognize and respond appropriately to life-threatening situations
- Recommend and incorporate other disciplines into patient care as needed and under physician direction
- Participate in developing and implementing the Plan of Care to ensure quality, continuity of care, and appropriate discharge planning in coordination with the physician, patient, family, and interdisciplinary team members
- Supervise and provide clinical direction to home health aides and LPNs/LVNs to ensure quality and continuity of services
- Participate in interdisciplinary patient care conferences and Agency Performance Improvement processes
- Receive referrals from physicians, hospitals, clinics, patients, families, and other agencies, notifying agency personnel on a timely basis
- Ensure continuity of patient care and coordination of services through delivery of quality care consistent with current standards of practice and agency policies and procedures
- Follow all infection control and universal precautions guidelines per agency policy
- Participate in on-call rotation and emergency call according to agency policy
- Demonstrate commitment to professional growth and competency through individual research, reading, workshop attendance, professional conferences, and professional organization involvement
Travel Requirements
- Travel in a vehicle numerous hours and miles per day, visiting up to 10 homes daily to deliver personal care
- Clinicians are not assigned to any one specific geography; areas of travel may vary and are subject to change
- Must be able to climb stairs and gain access to a variety of dwellings in various inclement weather conditions including rain, snow, and ice
- Must have reliable transportation, proof of valid automobile liability insurance, and a valid driver's license
Required Qualifications
- Graduate of an accredited school of nursing
- Current Registered Nurse license in good standing for the state of Texas
- One year of experience as a registered nurse in a clinical setting
- Current BCLS Certification prior to providing patient care
- Valid driver's license
- Proof of valid automobile liability insurance
- Reliable transportation
- Ability to type on a tablet/laptop computer keyboard for medical record data entry
Preferred Qualifications
- Bachelor of Science in Nursing (BSN)
- Acute care experience
- Home care experience
- Bilingual; able to read, write, and speak Spanish proficiently
Licenses and Certifications
- Maintain Continuing Education Units for licensure renewal as applicable to state regulations
- Current BCLS Certification required prior to providing patient care