Home Health Registered Nurse - Philadelphia

Home Health Registered Nurse - Philadelphia

The Registered Nurse Home Health Case Manager, at the request of the Intake Department, provides nursing services to patients as ordered by the physician. The nurse is a specialist in assessing the patient’s condition and developing a plan of care to improve, monitor, and document the course of treatment prescribed by the physician for the patient’s diagnosis.

The plan of care is developed to reduce symptoms, educate the patient, gain patient’s compliance to the prescribed plan of care, and assist the patient in becoming independent with self-care when capable, based on the individual needs of the patient. Additionally, the nurse communicates with all members of the care team to insure proper coordination of care.
Provides skilled nursing care and completes procedure in accordance with agency policy and the Pennsylvania Nurse Practice Act.

Responsibilities:

Initial and on-going comprehensive assessment, including OASIS assessment at appropriate time points to determine skill levels and therapies needed and what assistance will be available by the family members.

Determine level of care that patient requires in order to achieve desired outcome.

Teach, supervise, and counsel the patient and family members regarding the nursing care needs and other related problems of the patient at home.

Initiate the plan of care and updates as appropriate.

Informs physician and other staff of changes in patient needs.
Supervises LPN’s, HHA’s, & HMK’s that are providing services, when needed.

Ensure patient is referred to appropriate agencies for continued supplemental services.

Submits all documentation timely and in accordance with agency policies.

Maintain a current knowledge of nursing profession by participation in formal educational programs, conferences, in-services, etc.

Full-time RNs will be required to perform 30-32 visits per week.