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Registered Nurse - Per Visit

Company: US Medical Management
Location: Williamsburg
Posted on: November 17, 2021

Job Description:

Registered Nurse - Per VisitU.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission --- ---Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services--- --- Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA). Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on ---We are Unified in our Work through our Continuum of Services--- ---We can Find Comfort that We are Making a Difference for our Patients--- & ---We make a Broader Positive Impact on Society---, allows USMM to be poised for a phenomenal future. We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.Position DescriptionThe Registered Nurse provides intermittent skilled nursing services; communicates the patient---s progress with other disciplines and directs, supervises and instructs non-professional hospice aide staff in the provision of personal care to the patient.Essential Duties and Responsibilities

  • Under the Physician---s order, admits patients eligible for hospice services
    • Assesses and evaluates patient needs/problems, identifies mutually agreed upon goals with patients
    • Reports patient status and need for other disciplines to agency intake coordinator, RN Manager and referring physician
    • Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals.--Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or recertification
      • Admits paperwork and patient care plan submitted to RN Manager within 2 days following the admit
      • Assures that all admit paperwork is completed in full at time of submission for timely data entry of IDG/POC information
      • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching, and training activities as outlined in the patient IDG Plan of Care
      • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
        • Reports significant findings to patient---s Physician and RN Manager as they occur
        • Submits completed skilled nursing notes; communication notes and hospice aide supervisory notes per policy
        • Submits change orders within 48 hours of occurrence
        • Submits recertification paperwork by the due date provided by the RN Manager
          • Schedules an IDT meeting with assigned RN Manager to review patient---s needs, problems, level of care and any changes in Plan of Care for next cert period
          • Completes communication note documenting plans for recertification were discussed and agreed upon between the Physician, patient, and RN Manager
          • Completes other required documents for recertification: new Medication Profile, updates Care Plan, and updates or completes new Hospice Aide Plan of Care, if applicable
          • Performs hospice aide supervisory visit at least q 2 weeks and once per cert period with hospice aide present
          • Effectively communicates with all members of the healthcare team
          • Acts as the patient---s advocate and as such is a liaison to assist in communicating the patient---s needs to the multidisciplinary team
          • Supervises the hospice aide every 14 days.--Provides direction and instruction as it relates to provision of personal care and related support services
            • Completes documentation on hospice aide supervisory notes
            • Reports identified performance related problems; patient complaints and/or deviation from the Hospice Aide instruction sheet to the RN Manager
            • Acts as a preceptor in the orientation of new nursing staff
            • Attends staff meetings and educational in-services per agency requirements
              • Continually strives to improve nursing care by broadening knowledge through formal education, attendance at workshops, conferences and participation in professional and related organizations and individual research reading
              • Obtains CEU---s as dictated by the State Board of Nurses
              • Attends at least 50% of the skilled nurse in-services and meetings provided by agency
              • Is responsible for obtaining information provided at skilled nurse in-services and meetings and demonstrates appropriate follow-up related to information given at meetings and in-services
              • Participates in PI program through submission of data collection as it relates to direct patient care problems and serving on PI teams
              • Follows agency policies and procedures
              • Participates in discharge planning process
                • Documents Discharge Planning beginning with admit and documents at least 2 weeks in advance instructions given related to discharge
                • Completes:--
                  • Patient Care Plan
                  • Discharge Nurse---s Note and submits them along with other notes turned in per agency policy REQUIRED Knowledge, Skills, and Experience
                    • Is currently licensed in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC), and
                    • Current driver---s license and automobile in good working condition with proof of auto insurance
                    • Ability to work in a field setting and exhibited ability to make sound nursing judgment
                    • Ability to assess patient needs and formulate individualized patient care plans to meet those needs
                    • Effective communication skillsPreferred Knowledge, Skills, and Experience
                      • One year experience as a professional nurse

Keywords: US Medical Management, Newport News , Registered Nurse - Per Visit, Healthcare , Williamsburg, Virginia

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