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RN - Home Care
CARLE • White Heath, IL 61884 • Posted 4 days ago
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In-person • Part-time • Mid Level
Job Highlights
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The Home Care Field Registered Nurse at CARLE is a professional caregiver who is a member of the interdisciplinary team, responsible for the coordination and provision of direct and indirect patient care. This role involves meeting the physical, psychosocial, environmental, and spiritual needs of patients and families throughout the geographical area, with a focus on understanding Medicare Home Care benefits, performing case management activities, and ensuring compliance with regulatory requirements.
Responsibilities
- Coordinate and provide direct and indirect patient care using the nursing process.
- Understand and follow Medicare Home Care benefits including covered services and documentation standards.
- Perform case management activities including assessment, coordination, planning, monitoring, implementation, and evaluation.
- Interact with clients, caregivers, and families to assess, plan care, arrange services, monitor, and provide support and education.
- Complete all admission documentation within policy guidelines and in a timely manner.
- Ensure compliance with regulatory requirements regarding documentation standards.
- Complete Home Health Aide supervisory visits.
- Act as the coordinator of the health care team to maintain proper linkages within the continuum of care.
- Communicate collaboratively and initiate case conferencing as necessary.
- Provide care according to plan of care and orders, and direct the activities of the licensed practical nurse.
- Make home health aide assignments, prepare written instructions for the aide, and supervise the aide in the patient home.
- Perform OASIS assessments for admissions, recertifications, resumptions, and discharges.
- Perform complex wound care including wound vacs, packing, and removal of staples or sutures.
- Monitor central lines including PICC and Hickman catheters and perform dressing changes per agency protocol.
- Access mediports for IV infusion and/or blood draws and flushes per agency protocol.
- Perform case management for patients assigned to their case load.
- Communicate with MD per phone or electronically regarding patient updates and condition changes.
Qualifications
Required
- Understanding of Medicare Home Care benefits including covered services and documentation standards.
- Ability to perform case management activities.
- Knowledge of State and Federal regulatory and accreditation guidelines.
- Ability to perform OASIS assessments.
- Experience in complex wound care and monitoring of central lines.
- Ability to access mediports for IV infusion and/or blood draws.
- Experience in case management.
About CARLE
Carle Health is a healthcare organization operating in Illinois, offering a wide range of services including clinical care, health insurance, research, and academics. They have a team of nearly 16,500 members providing high-quality care through eight hospitals, physician group practices, health insurance plans, and medical education institutions, with a focus on innovation, diversity, and community impact.
Full Job Description
The Home Care Field RN is a professional caregiver who is a member of the interdisciplinary team. Responsibilities include the coordination and provision of direct and indirect patient care using the nursing process to meet the physical, psychosocial, environmental, and spiritual needs of Carle Home Services specific patient populations and families throughout the geographical area.
- Demonstrates understanding of Medicare Home Care benefits including covered services, recertifications, transfers, and non-recertifications. Follows regulatory requirements regarding documentation standards.
- Comprehends department specific indicators.
- Performs case management activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.
- Consistently completes all admission documentation within policy guidelines.
- Returns admission documents to office complete and in a timely manner (according to policy).
- Completes required OASIS/485 changes within 24 hours of receiving them.
- Completes visits notes and telephone conversations records and transmitted timely according to policy (includes physician orders, admission, routine, supervisory, telephone and discharge notes.)
- Ensures Physician Orders are written timely, corrections to care plans are entered and transmitted according to time line.
- Reviews verbal orders with MD office, written and evidenced as read-back, completed immediately and transmitted within time frame established by policy. Once documented and transmitted orders are never changed. Ensures patient visit string(s) are added to the record to make sure visits are not missed.
- Ensures proper acronym is evident on all physician orders.
- Completes Home Health Aide supervisory visits.
- Acts as the coordinator of the health care team in order to maintain the proper linkages within the continuum of care.
- Collaboratively communicates and initiates case conferencing as necessary and documents interacts (other disciplines, MD, care coordinator, insurers, etc.). Communicates pertinent information for patient care conferences on all admits done by him/her.
- Practices in a manner sensitive to the needs of patients and families. Provides care according to plan of care and orders.
- Directs the activities of the licensed practical nurse.
- Makes home health aide assignments, prepare written instructions for the aide and supervises the aide in the patient home.
- Demonstrates adequate knowledge of State and Federal regulatory and accreditation guidelines which is evidenced by daily performance.
- Perform OASIS assessments for admissions, recertifications, resumptions and discharges.
- Performs complex wound care including wound vacs, packing, removal of staples or sutures.
- Monitors central lines including PICC and Hickman catheters and performs dressing changes per agency protocol.
- Accesses mediports for IV infusion and/or blood draws and flushes per agency protocol.
- Performs case management for patients assigned to her/his case load.
- Communicates with MD per phone or electronically regarding patient updates and condition changes.
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