Admissions Hospice Registered Nurse (RN) - Napa County
Company: American Home Health Care
Location: Napa
Posted on: February 1, 2025
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Job Description:
Description:Job Pay:$50 - $65 an hour$100 - $200 Per VisitJob
descriptionAmerican Hospice and Home Health Services is currently
seeking a Full Time or Part Time RN to service either one or
combination of these counties:Napa County*Negotiable to salary,
hourly, and per visit pay rates depending on experience.The
Registered Nurse is a professional nurse who coordinates and
directs the home care patient's care based on individual patient
needs. The RN is responsible for independent management of the Home
Health/Hospice patient population requiring the use of advanced
assessment, teaching and decision-making skills. The nurse is
responsible for ensuring that appropriate referrals to other
services are made, interdisciplinary conferencing takes place
regularly, and appropriate documentation is completed. Relevant
knowledge and experience is consistently applied to new patient
populationsOur hospice care mission is to provide compassionate and
quality end of life care and grief support to patients and their
families. We provide emotional comfort to patients, families and
caregivers during the last phase of one's lifeOur home health care
mission is to provide professional and paraprofessional services to
patients in their homes, assisting them to achieve the highest
level of potential in their day-to-day activitiesEssential Job
Functions/Responsibilities:Provides comprehensive assessment,
planning, implementation and evaluation for a caseload of home care
clients as the primary nurse.A. Assessment1. Assesses physical,
functional, psychosocial, and cognitive status of the home care
patient utilizing interview observations and physical exam
techniques.2. Assesses the home environment for safety, infection
control, and community resource needs.3. Collects information for
assessment with the patient, family, physician and other health
care team members.4. Incorporates multidisciplinary data into the
nursing assessment of the home care patient.5. Provides ongoing
nursing assessment with the patient, family and home environment to
determine physiologic or psychosocial risk. Applies previous
nursing experience and base of knowledge and adapts with the
patient and family in a home setting.6. Assesses for the presence
of advanced directives and facilitates further action in obtaining
information about or implementing advanced directives if
indicated.B. Planning1. Plans with the patient, family and
physician for care which is feasible within the physical, financial
and emotional resources of the family.2. Establishes
individualized, measurable goals in consultation with the patient,
family and other health care providers.3. Anticipates home care
needs and seeks a wide range of community resources to facilitate
problem solving.4. Develops standards of care for patients in the
home setting.5. Utilizes home care standards and regulatory
guidelines in developing an individualized care plan with each
patient and family.6. Maintains a working knowledge of community
resources and refers patients and families appropriately.C.
Implementation1. Provides skilled nursing care, preventative
rehabilitative procedures, and prescribed treatments with a variety
of patient populations within various potentially complex home
situations. 2. Maintains technical skills according to agency
standards, as measured by competency assessments during orientation
and annually. 3. Implements safe, competent care with home care
patients and families within the Home Health Agency'sThe Home
Health Primary Nurse must possess excellent communication skills,
both written and verbal.1. Maintains a complete record for the care
that is given with the patient. Documents in the clinical record
per home health agency policy and procedure.2. Maintains an updated
clinical record on each patient at all times, meeting required
deadlines for documentation of certification, re-certification,
aide supervision reports, aide care plan updates, routine recording
of case coordination, care plan updates, addressing progress toward
goals, and verbal orders.3. Accurately completes admission and
revisit documentation, documentation of completed communications,
billing and employee statistical information, and payroll
documentation.4. Documents regular contacts with payers.5.
Documents patient, family and caregiver teaching.Patient Care1.
Completes an initial assessment of patient and family to determine
home care needs. Provides a complete physical assessment and
history of current and previous illness(es).2. Regularly
re-evaluates patient nursing needs.3. Initiates the plan of care
and makes necessary revisions as patient status and needs change.4.
Uses health assessment data to determine nursing diagnosis.5.
Develops a care plan, which establishes goals based on nursing
diagnosis and incorporates therapeutic, preventive, and
rehabilitative nursing actions. Includes the patient and the family
in the planning process.6. Initiates appropriate preventive and
rehabilitative nursing procedures. Administers medications and
treatments as prescribed by the physician.7. Counsels the patient
and family in meeting nursing and related needs.8. Provides health
care instructions to the patient as appropriate per assessment and
plan of care.9. Identifies discharge planning needs as part of the
care plan development and implements prior to discharge of the
patient.10. Acts as Case Manager when assigned by Clinical
Supervisor and assumes responsibility to coordinate patient care
for assigned caseload.Communication1. Prepares clinical notes and
updates the primary physician when necessary and at least every 60
days.2. Communicates with the physician regarding the patient's
needs and reports any changes in the patient's condition;
obtains/receives physician's orders as required.3. Communicates
with community health-related persons to coordinate the care
plan.Additional Duties1. Participates in on-call duties as defined
by the on-call policy.2. Ensures that arrangements for equipment
and other necessary items and services are available.3. Instructs,
supervises and evaluates home health aide care provided every two
(2) weeks.Licenses Required1. Current RN License in State of
California2. Minimum 1 year experience as a professional nurse
within the last three years. Experience must be at least in the
area of public health, home care or hospice nursing.3. Current
CPR4. Licensed driver with an automobile that is insured in
accordance with state/or organization requirements.'Requirements:1.
Current RN License in the State of California2. Minimum 1 year
experience as a professional Nurse within the last three years.
Experience must be at least in the area of public health, Home
Care, or Hospice setting.3. Current CPRCompensation details: 50-70
Hourly WagePIee4aa2af5614-25660-36606080
Keywords: American Home Health Care, Napa , Admissions Hospice Registered Nurse (RN) - Napa County, Healthcare , Napa, California
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