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The Registered Nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.
Schedule:
- Weekday: Monday - Friday, 8a-5p or 9a-6p
- Weekends: Rotating weekends (Sat. and Sun.), one - two rotating weekends per month
- On-Call Rotation: One week of After Hours on-call rotation from 6p - 8a (M - F)
Primary Responsibilities:
- Completes an initial assessment of patient and family to determine home care needs.
- Regularly re-evaluate patient nursing needs.
- Uses health assessment data to determine nursing diagnosis.
- Initiates and develops a Plan of Care, establishing goals based on nursing diagnosis and incorporating therapeutic, preventative, and rehabilitative nursing care actions.
- Plans and implements patient health teaching and health counseling regarding disease processes, self-care techniques, and prevention.
- Re-evaluates patient nursing care needs using the OASIS Data Set at appropriate time intervals.
- Assesses the patient’s condition during every home health care visit; ensures assessments are communicated to the Clinical Team Manager (CTM) daily.
- Initiates appropriate preventive and rehabilitative nursing procedures and administers medications as prescribed.
- Identifies patient discharge planning needs as part of the Plan of Care development.
- Assumes responsibility to coordinate all patient care.
- Recognizes and reports life-threatening situations and responds appropriately.
- Provides information regarding Home Medical Equipment (HME) and supply needs to the CTM in a timely manner.
- Performs care management duties for patients as assigned.
- Adheres to the Agency’s Standard Operating Procedures regarding documentation.
- Documents all communications with the patient, family, physician, CTM, pharmacy, and other disciplines.
- Prepares a written plan for the certified Home Health Aide to follow, if applicable.
- Establishes a trusting relationship with patients, caregivers, co-workers, clinic staff members, and physicians.
- Demonstrates knowledge and observance of Patient Rights and Notice of Privacy Practices.
- Follows all infection control standard precautions and safety guidelines.
- Participates in educational programs and all required in-service training programs.
- Complies with all agency policies and procedures.
Communication:
- Prepares clinical notes and updates the primary physician every sixty (60) days.
- Communicates with the physician regarding patient needs and changes in condition.
- Coordinates services and schedules with the CTM and Clinical Team Coordinator.
Additional Duties:
- Participates in on-call duties within the on-call rotation schedule.
- Ensures arrangements for equipment and other necessary items are available.
- Instructs, supervises, and evaluates Home Health Aide care provided every two (2) weeks.
- Maintains a daily patient case load and point of care documentation levels as per agency standards.
- Requires the availability of accepting patients during business hours (8 a.m. – 6 p.m.).
- Demonstrates personal responsibility regarding attendance and punctuality.
- Maintains privacy and confidentiality regarding all patient, staff, and agency information.
- Promotes the agency’s image by adhering to the agency’s dress code.
- Performs all other related nursing duties as assigned.
Required Qualifications:
- High school diploma or equivalent.
- Graduate of an accredited school of nursing.
- Registered Nurse with an active unrestricted license in Texas.
- Current CPR certification.
- 2+ years of clinical experience, preferably in a community home health or medical/surgical setting.
- Experience with electronic medical record applications.
- Evidence of independent nursing practice.
- Valid Texas Driver’s License and auto insurance coverage.
Preferred Qualifications:
- Bachelor’s Degree in nursing.
- Thorough knowledge of current nursing practice and regulations regarding home care.
- Excellent observation, communication, problem-solving, and nursing skills.
- Ability to interact productively with individuals and multidisciplinary teams.
- Bilingual (English/Spanish) proficiency.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employer.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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