A Registered Nurse will provide in-home services to our patients.
Provide admission case management and follow-up skilled nursing visits for Home Health patients.
Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.
Provide hands-on care management and evaluation of the care plan and teaching of the patient in accordance with physician orders under Clinical Managers supervision.
Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.
Coordinate appropriate care encompassing various healthcare personnel such as:
Report and document patient care/condition/progress to patients physician and Clinical Manager on a continuous basis.
Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.
Coordinate/oversee/supervise the work of Home Health Aides and provide written instructions that reflect current plan of care.
Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.
Prepare appropriate medical documentation on all patients, including:
Prepare visit/shift reports, update/summarize patient records in a timely manner, and confer with other health care disciplines in providing optimum patient care.