• Provides skilled nursing care in a patient’s home as ordered by the attending physician 

• Observes and monitors patient conditions 

• Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change 

• Administers medication as prescribed by the physician 

• Helps decrease re-hospitalizations by front loading visits for high risk patients 

• Manages multi-disciplinary care as applicable 

• Promotes continuity of care with appropriate admissions, transfers and discharges 

• Counsels patient and family on the disease/injury processes and how to manage 

• Incorporates patient and family in development of plan of care 

• Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions 

• Listens to patient and family members 

• Oversees and supervises total care of patient provided by Aides and LPNs 

• Evaluates the treatments and medical condition of the patient according to the plan of care 

• Determines if the level of care being provided meets the patients’ needs 

• Communicates with the LPNs and Aides on supervisory visit results 

• Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines 

• Documents all aspects of treatment, assessments, and patient education 

• Maintains active RN license in state of employment 

• Communicates with scheduler any changes outside the normal 

• Participates in all on-call requirements and case conferences 

• Attends in-service trainings and mandatory agency meetings 

• Maintains a professional appearance as a representative of the company 

• Understands and practices agency policies and procedures 

• Drives to patient’s primary location per scheduled visit. 

• Daily attendance at assigned visit locations. 

• Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits. 

• Documents all aspects of start of care visits within 24 hours of visits. 

• Completes and submits all required documentation within specified company requirements. 

• Follows plan of care as permitted within the scope of practice for a Registered Nurse. 

• Fulfills RN visits in assigned geographic location per patient need within federal and state specifications. 

• Other duties as assigned. 

• Minimum of one year of experience as an RN in an acute care setting. Home care experience is desired. 

• Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers. 

• Ability to remain calm, have patience and be accommodating. Compassionate and caring while working with patients. 

• Knowledgeable on nursing best practices. 

• Ability to make appropriate nursing judgments. 

• Ability to identify a situation and handle it with the best possible solution. 

• Detail-oriented and observant. 

• Disciplined style of work ethic with the ability to prioritize and be timely 

• Ability to follow directions and work as a team member. 

• Valid driver’s license and auto insurance with your name as a listed driver. 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations. 

TRANSITIONAL WORK IS AVAILABLE (ALTHOUGH SOME JOBS MAY REQUIRE SPECIFIC TRAINING) SUCH AS: ANSWERING PHONES, FILING, COMPUTER WORK/DATA ENTRY, ATTENDING TRAINING/CONTINUING EDUCATION, REVIEWING SAFETY MANUALS & OTHER EDUCATIONAL MEDIA, AND ASSISTING OR PERFORMING OTHER TASKS WITHIN RESTRICTIONS ASSIGNED.