Arranges necessary health-care services for patients requiring
nursing services in their homes. Evaluates and executes appropriate
treatment for referred patients with emphasis on quality of care,
continuity of services, and cost-effectiveness. Conducts initial
assessment and establishes a plan of care for patients and provides
direct patient care.
Assumes responsibility for caseloads consisting of patients in
Conducts initial assessment to obtain thorough physical, social
and environmental data.
Establishes the plan of care in accordance with the physician
orders and patient needs.
Provides direct patient care and adjusts nursing care processes
as needed. Identifies problems, modifies nursing care plan, and
evaluates outcomes within an appropriate time frame. Advises and
consults with family and other personnel, as appropriate.
Provides on-going assessment of patient response to treatments
and teaching and applies interventions as appropriate. Updates and
revises plan of care as indicated.
Completes documentation including visit assessment, OASIS, 485
and verbal orders accurately and promptly and within the
Communicates with physicians to confirm and update patients'
plan of care. Provides status updates and ensures ongoing
communication with the physician and other members of the health
Facilitates the discharge planning process according to
standards and utilizes resources to assure continuity of care after
discharge. Participates in developing the discharge plan with the
patient/family, physician, social worker, and other staff members
Participates in chart audits and continuous quality improvement
activities as requested. Identifies, develops and participates in
process improvement opportunities that will enhance the quality of
the services provided.
Maintains and updates accurate clinical and patient records
according to agency, state, and federal guidelines.
Monday - Friday 0800 - 1630Flex options include 0.8 to 1.0 FTE
and option to work four days per week3-4 nights call per month with
Licenses & Certifications
Registered Nurse license issued by the state in which the team
member practices, and
Basic Life Support (BLS) for Healthcare
Providers certification issued by the American Heart
Association (AHA) needs to be obtained within 6 months unless
department leader has determined it is not required, and
A valid drivers license issued by the Division of Motor
Driver license issued by the state of Illinois.
Associate's Degree in Nursing.
Required Functional Experience
Typically requires 3 years of experience in clinical
Knowledge, Skills & Abilities
Excellent communication skills. Strong interpersonal skills and
the ability to work with a variety of clients with patience and
respect. Good organizational, analytical and problem solving
skills. Demonstrated ability to work well with physicians and other
professionals in a direct and positive manner.Proficiency in
clinical skills with the ability to work under direction and make
sound judgments.Ability to operate the necessary equipment to
perform the job, i.e., FAX, computer, copier, telephone
system.Ability to assess data reflecting the patient's status and
the ability to interpret the appropriate information needed to
identify each patient's requirements relative to their specific
needs.Must have a tolerance for differences and an appreciation of
multi-culturalism and diversity of the patients and their
families.Must possess and provide proof of a valid Driver License
and a registered, functional car with adequate insurance