| Location | Winter Park, Florida |
The Registered Nurse providesskilled nursing care to home health patients in their homes under a physicianor allowed practitioner plan of care. The RN completes comprehensiveassessments, including OASIS, develops and revises the plan of care, coordinatesservices, and supervises home health aides and LPNs. The RN works under thedirection of the Clinical Supervisor and follows Medicare Conditions ofParticipation, Florida AHCA rules, Joint Commission standards, and Matrix CareLLC policies.
1.Completes start of care, resumption of care,recertification, transfer, and discharge assessments within requiredtimeframes, including a physical assessment and history of current and priorillness.
2.Assesses the home environment, safety, fall risk,caregiver support, and psychosocial needs.
3.Completes medication reconciliation at each assessmentand identifies drug interactions, duplications, and adherence issues.
4.Develops and revises the individualized plan of carewith measurable goals, including the patient and family in planning.
5.Provides skilled nursing interventions, medications,treatments, and wound care as ordered.
6.Teaches patients and caregivers on disease management,medications, safety, and when to seek help.
7.Identifies discharge planning needs early andimplements them before discharge.
8.Acts as case manager for an assigned caseload whendesignated by the Clinical Supervisor.
1.Completes OASIS accurately using the current CMSversion, following CMS guidance on coding.
2.Documents each visit in the EMR (KanTime) per agencytimeliness standards [confirm: e.g., within 24 hours].
3.Uses electronic visit verification as required.
4.Supports accurate PDGM coding, functional scoring, andquality outcomes through complete documentation.
5.Responds to QA and coding review requests by the agencydeadline.
1.Reports changes in condition to the physician orallowed practitioner and the Clinical Supervisor promptly, and obtains anddocuments orders.
2.Coordinates care with therapists, aides, MSWs,physicians, pharmacies, DME vendors, and community resources.
3.Participates in case conferences and interdisciplinarycare coordination.
4.Arranges needed equipment, supplies, and services.
1.Instructs and supervises home health aides, completingonsite supervisory visits at least every 14 days for patients receiving skilledservices, and annually with the aide present.
2.Prepares and updates written aide care plans.
3.Directs and oversees LPN care within Florida scope ofpractice.
4.Reports aide or LPN performance concerns to theClinical Supervisor.
1.Follows Joint Commission National Patient Safety Goals,including two patient identifiers, medication safety, infection prevention, andfall risk reduction.
2.Follows infection control, emergency preparedness, andHIPAA policies.
3.Explains patient rights, responsibilities, and thecomplaint process.
4.Reports suspected abuse, neglect, or exploitation asrequired by Florida law.
5.Reports incidents and participates in qualityimprovement (QAPI) activities.
1.Participates in on-call rotation per agency policy.
2.Completes orientation, annual competencies, andrequired in-services.
3.Performs other related duties as assigned.
1.Active, unrestricted Florida RN license or multistate(compact) license valid in Florida.
2.Graduate of a state-approved school of nursing.
3.Current CPR/BLS certification.
4.Minimum one year of RN clinical experience.
5.Clear Level 2 background screening per Florida law,plus agency health screening.
6.Valid Florida driver's license, reliabletransportation, and auto insurance meeting agency minimums.
7.Completes skills competency checklist beforeindependent practice.
1.BSN.
2.One or more years of home health experience.
3.OASIS experience; COS-C or HCS-D certification.
4.Bilingual English and Spanish.
1.Strong assessment, clinical judgment, and documentationskills.
2.Able to work independently and manage a caseload withminimal supervision.
3.Clear verbal and written communication with patients,families, and physicians.
4.Comfortable with EMR, tablet, and mobile documentation.
Reasonable accommodations may bemade to enable individuals with disabilities to perform the essentialfunctions.
Regular driving between patient homes, often severalvisits per day.Prolonged standing, walking, bending, stooping,kneeling, and reaching.
Lift and carry up to 50 lbs; assist with patienttransfers and positioning using proper body mechanics and devices.
Vision and hearing sufficient for assessment,documentation, and safe driving.
Work in patient homes with variable conditions,including pets, stairs, and limited space.
Possible exposure to infectious diseases, bloodbornepathogens, and hazardous materials; PPE provided.