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Home Health Registered Nurse - PRN
Career Insights for Registered Nurse (General)
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Scorecard
Based on Florida data
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What they do
A Registered Nurse provides medical care and treatment, educates patients about their conditions, and provides emotional support to patients and families. Works in hospitals, schools, clinics or community health centers. Works under the supervision of a physician or other specialist, and serves as the primary point of care for patients in a hospital setting. May specialize in emergency room work, or treatment for a particular condition, or specialize in working with infants, the elderly or other patient groups. May work as an advanced practice specialists and prescribe medications in addition to offering specialty care.
$70,422 / year median in Florida
+8% projected growth
Job Description
- Serves as case manager for all patients receiving nursing services or combined nursing and therapy services.
- Maintains clinical records for all patients- is familiar with OASIS
- Provides skilled nursing services withing the scope of practice and physician orders
- Obtains and documents comprehensive, medical, functional and psychosocial histories
- Conducts home safety checks and environmental assessment
- Performs initial, recertification and follow-up assessments, completing all documentation within 24 hours in the electronic medical record (EMR)
- Develops implements and revises individualized Plan of Care in collaboration with physicians and interdisciplinary team.
- Evaluates ADLs/IADLs to determine need for supportive services
- Determines medical necessity for additional services and initiate referrals
- Assigns patient care tasks to LPNs and HHAs while retaining responsibility for patient outcomes.
- Supervises LPNs and HHAs per state, federal and accreditation requirements, documenting supervisory visits.
- Adjust frequencies of professional services based on patient condition and outcomes
- Notifies physician promptly of change or deviations from POC
- Reviews billing processes with patients/families when applicable
- Communicates effectively with physicians, patients, families and interdisciplinary team regarding POC and patient progress
- Participates in interdisciplinary case conferences, in-service education, training classes and staff meetings
- Participates in Quality Assurance (QA) and Performance Improvement (PI) programs
- Performs clinical record reviews (CRR) as required
- Precepts and mentors newly hired nursing staff s requested
- Maintains compliance with CHAP, Medicare Conditions of Participation, Confidentiality (HIPAA) and agency polices
- Demonstrate professionalism, accountability, ethical conduct, and cultural sensitivity
- Ensures fiscal and clinical appropriateness of all visits that supports medical necessity and skilled services
- Notifies agencies promptly of emergencies, illness or circumstances affecting care or caseload.
- Complies with mandatory reporting laws and incident reporting requirements
- Maintains ethical behavior and professional boundaries.