The CHHA Department is currently seeking a full time CHHA Registered Nurse to join their team! Eligible newly hired UFT nurses will receive a $6,000 hiring bonus, distributed in two phases: the first installment of $3,000 will be provided after successfully completing six months of employment, followed by a second $3,000 payment upon reaching one year of service.

Job Summary :

Responsible for providing and coordinating multidisciplinary health services for patients in the community. Works with the physician and other team members in implementation of plan of care.

Duties and Responsibilities:

Provides and coordinates cost-efficient patient care that is and reimbursable under the patients' insurance plan and approved by a physician. Verifies insurance plan information, crosschecks patient Insurance ID card at home. Accepts case assignment depending on clients' needs regardless of geographic location. Case assignment is all inclusive of CHHA (Certified Home Health Agency) requirements, including initial assessments, revisits and documentation on each day of service. Travels to patients' homes and/or other facilities using approved transportation to deliver direct care to patients Admits patients in the program as needed and in a timely manner. Ensures in-person completion of the Oasis that accurately reflects clinical and functional status of the patient. Uses diagnosis coding skills to accurately rate the acuity of each Evaluates patient diagnosis and works with Director, Patient Services and physician to assign appropriate primary diagnosis. Participates in bi-weekly and PRN meetings to report adherence to frequency and duration of services as per physicians' order. Reports patients' progress to team in order for discharge date to be anticipated and set. Communicates frequently with PT/OT to ensure adherence to therapy at the frequency and duration ordered by the physician. Acts as a coordinator of the multidisciplinary team providing care to patients. Establishes a plan of care with input from appropriate multidisciplinary health team members based on goals mutually acceptable to the patient and family. Documents content and process of all services provided. Monitors the effect of the care plans on the patient health status and informs physician and other personnel of changes in the clients' needs. Appraises care provided, revises goals and interventions to patients' care as needed. Educates the patient and family regarding the disease process, self-care techniques and prevention strategies. Initiates and maintains written and verbal communications to assure optimal patient care. Provides supervision of workers providing health and personal care services through visits to patients' home. Maintains updated Home Health Aide (HHA) plan of care and reviews same with HHA and patient/family. Communicates with HHA on a regular basis regarding interdisciplinary plan of care, patients' goals and progress. Documents initial and bi-weekly supervision of HHA services. Plans, facilitates and documents patients' discharge from the program. Manages caseload as assigned in Manhattan.