Registered Nurse - Per Visit

  • U.S. Medical Management
  • Grand Rapids, MI, USA
  • Aug 25, 2021
Part time Health Care

Job Description

Registered Nurse - Per Visit

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission – “Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services” – Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).

Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on “We are Unified in our Work through our Continuum of Services” “We can Find Comfort that We are Making a Difference for our Patients” & “We make a Broader Positive Impact on Society”, allows USMM to be poised for a phenomenal future.

We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.

Benefits We Offer for PRN & Per-Visit Opportunities: 

  • 401K Retirement Plan

Position Description

The Registered Nurse provides intermittent skilled nursing services; communicates the patient’s progress with other disciplines and directs, supervises and instructs non-professional hospice aide staff in the provision of personal care to the patient.

 

Essential Duties and Responsibilities

  • Under the Physician’s order, admits patients eligible for hospice services
    • Assesses and evaluates patient needs/problems, identifies mutually agreed upon goals with patients
    • Reports patient status and need for other disciplines to agency intake coordinator, RN Manager and referring physician
  • Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals. Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or recertification
    • Admits paperwork and patient care plan submitted to RN Manager within 2 days following the admit
    • Assures that all admit paperwork is completed in full at time of submission for timely data entry of IDG/POC information
  • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching, and training activities as outlined in the patient IDG Plan of Care
  • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
    • Reports significant findings to patient’s Physician and RN Manager as they occur
  • Submits completed skilled nursing notes; communication notes and hospice aide supervisory notes per policy
  • Submits change orders within 48 hours of occurrence
  • Submits recertification paperwork by the due date provided by the RN Manager
    • Schedules an IDT meeting with assigned RN Manager to review patient’s needs, problems, level of care and any changes in Plan of Care for next cert period
    • Completes communication note documenting plans for recertification were discussed and agreed upon between the Physician, patient, and RN Manager
    • Completes other required documents for recertification: new Medication Profile, updates Care Plan, and updates or completes new Hospice Aide Plan of Care, if applicable
    • Performs hospice aide supervisory visit at least q 2 weeks and once per cert period with hospice aide present
  • Effectively communicates with all members of the healthcare team
  • Acts as the patient’s advocate and as such is a liaison to assist in communicating the patient’s needs to the multidisciplinary team
  • Supervises the hospice aide every 14 days. Provides direction and instruction as it relates to provision of personal care and related support services
    • Completes documentation on hospice aide supervisory notes
    • Reports identified performance related problems; patient complaints and/or deviation from the Hospice Aide instruction sheet to the RN Manager
  • Acts as a preceptor in the orientation of new nursing staff
  • Attends staff meetings and educational in-services per agency requirements
    • Continually strives to improve nursing care by broadening knowledge through formal education, attendance at workshops, conferences and participation in professional and related organizations and individual research reading
    • Obtains CEU’s as dictated by the State Board of Nurses
    • Attends at least 50% of the skilled nurse in-services and meetings provided by agency
    • Is responsible for obtaining information provided at skilled nurse in-services and meetings and demonstrates appropriate follow-up related to information given at meetings and in-services
  • Participates in PI program through submission of data collection as it relates to direct patient care problems and serving on PI teams
  • Follows agency policies and procedures
  • Participates in discharge planning process
    • Documents Discharge Planning beginning with admit and documents at least 2 weeks in advance instructions given related to discharge
    • Completes: 
      • Patient Care Plan
      • Discharge Nurse’s Note and submits them along with other notes turned in per agency policy

REQUIRED Knowledge, Skills, and Experience

  • Is currently licensed in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC), and
  • Current driver’s license and automobile in good working condition with proof of auto insurance
  • Ability to work in a field setting and exhibited ability to make sound nursing judgment
  • Ability to assess patient needs and formulate individualized patient care plans to meet those needs
  • Effective communication skills

Preferred Knowledge, Skills, and Experience

  • One year experience as a professional nurse