Responsibilities for this position include the following :
- Ultimately responsible for the design and implementation of the plan of care, and initiating changes in the plan of care when appropriate.
- Accountable for evaluation and improvement of clinical and financial patient outcomes.
- Proactively facilitate coordination of services and utilization of community resources.
- Coordinate care and communication between team members and physicians to ensure appropriateness of care.
- Plan for and facilitate appropriate discharge from services.
- Provide skilled nursing care for patients in the community and inpatient setting in accordance with agency policies and procedures.
- Provide care in a manner which promotes quality, continuity and safety for the patient.
- Provide professional nursing care utilizing all elements of the nursing process.
- Assess a patient’s physical and emotional needs.
- Maintain a working knowledge of community resources.
- Complete, maintain and submit accurate and timely documentation and relevant clinical notes regarding the client’s condition and all care & treatment given.
- Supervise home health aides and delegate responsibilities
- Perform and document OASIS assessments accurately and efficiently.
Qualifications for this position include :
- MA RN License
- CPR Certified
- Strong clinical skills
- Strong computer skills
- Excellent time management skills
- Home care / Hospice experience
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