JOB DESCRIPTION SUMMARY

The registered nurse plans, organizes and directs hospice care 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 individual and families within their homes and communities.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).

2. Provides professional nursing care by utilizing all elements of nursing process.

3. Assesses and evaluates patient’s status by:

A. Writing and initiating plan of care

B. Regularly re-evaluating patient and family/caregiver needs

C. Participating in revising the plan of care as necessary

4. Initiates the plan of care and makes necessary revisions as patient status and needs change.

5. Uses health assessment data to determine nursing diagnosis.

6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.

7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

8. Counsels the patient and family in meeting nursing and related needs.

9. Provides health care instructions to the patient as appropriate per assessment and plan.

10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.

2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3. Communicates with community health related persons to coordinate the care plan.

4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms.

5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.

6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.

7. Provides and maintains a safe environment for the patient.

8. Assists the patient and family/caregiver and other team members in providing continuity of care.

9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.

10. Attends interdisciplinary group meetings.

Additional Duties

1. 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. Supervises ancillary personnel and delegates responsibilities when required.

4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.

5. Fulfills the obligation of requested and/or accepted case assignments.

6. Actively participates in quality assessment performance improvement teams and activities.

POSITION QUALIFICATIONS

1. Graduate of an accredited school of nursing

2. Registered Nurse, with a License in good standing to practice.

3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

4. Management experience not required. Responsible for supervising hospice aides.

5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation.

6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.

7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

The registered nurse plans, organizes and directs hospice care, completing comprehensive assessments of patients and families, developing care plans, administering medications, and coordinating patient care. Responsibilities include maintaining clinical notes, communicating with physicians and community health personnel, and providing health care instructions.

JOB DESCRIPTION SUMMARY

The registered nurse plans, organizes and directs hospice care 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 individual and families within their homes and communities.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).

2. Provides professional nursing care by utilizing all elements of nursing process.

3. Assesses and evaluates patient’s status by:

A. Writing and initiating plan of care

B. Regularly re-evaluating patient and family/caregiver needs

C. Participating in revising the plan of care as necessary

4. Initiates the plan of care and makes necessary revisions as patient status and needs change.

5. Uses health assessment data to determine nursing diagnosis.

6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.

7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

8. Counsels the patient and family in meeting nursing and related needs.

9. Provides health care instructions to the patient as appropriate per assessment and plan.

10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.

2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3. Communicates with community health related persons to coordinate the care plan.

4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms.

5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.

6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.

7. Provides and maintains a safe environment for the patient.

8. Assists the patient and family/caregiver and other team members in providing continuity of care.

9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.

10. Attends interdisciplinary group meetings.

Additional Duties

1. 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. Supervises ancillary personnel and delegates responsibilities when required.

4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.

5. Fulfills the obligation of requested and/or accepted case assignments.

6. Actively participates in quality assessment performance improvement teams and activities.

POSITION QUALIFICATIONS

1. Graduate of an accredited school of nursing

2. Registered Nurse, with a License in good standing to practice.

3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

4. Management experience not required. Responsible for supervising hospice aides.

5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation.

6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.

7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

Affinity Health Management, Inc is seeking a Hospice Registered Nurse Case Manager to assess patients and families, develop and update individualized palliative care plans, and provide nursing care and education. The role coordinates care with physicians and the hospice interdisciplinary team, manages an assigned caseload, and requires an RN license and professional nursing experience.

New Haven

Baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing

Graduate of an accredited school of nursing

Registered Nurse, with a License in good standing to practice

Minimum of one (1) year of experience as a professional nurse within the last three (3) years

Possesses and maintains CPR certification

Nursing

Patient Assessment

Care Plan Development

Medication Administration

Communication

Problem Solving

Supervision

Hospice Registered Nurse Case Manager

The registered nurse plans, organizes and directs hospice care, completing comprehensive assessments of patients and families to determine hospice needs. Provides professional nursing care, develops care plans, administers medications, and coordinates patient care as a Case Manager. Communicates with physicians and community health personnel, maintains clinical notes, and ensures a safe environment for patients.

JOB DESCRIPTION SUMMARY

The registered nurse plans, organizes and directs hospice care 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 individual and families within their homes and communities.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).

2. Provides professional nursing care by utilizing all elements of nursing process.

3. Assesses and evaluates patient’s status by:

A. Writing and initiating plan of care

B. Regularly re-evaluating patient and family/caregiver needs

C. Participating in revising the plan of care as necessary

4. Initiates the plan of care and makes necessary revisions as patient status and needs change.

5. Uses health assessment data to determine nursing diagnosis.

6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.

7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

8. Counsels the patient and family in meeting nursing and related needs.

9. Provides health care instructions to the patient as appropriate per assessment and plan.

10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.

2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3. Communicates with community health related persons to coordinate the care plan.

4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms.

5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.

6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.

7. Provides and maintains a safe environment for the patient.

8. Assists the patient and family/caregiver and other team members in providing continuity of care.

9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.

10. Attends interdisciplinary group meetings.

Additional Duties

1. 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. Supervises ancillary personnel and delegates responsibilities when required.

4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.

5. Fulfills the obligation of requested and/or accepted case assignments.

6. Actively participates in quality assessment performance improvement teams and activities.

POSITION QUALIFICATIONS

1. Graduate of an accredited school of nursing

2. Registered Nurse, with a License in good standing to practice.

3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

4. Management experience not required. Responsible for supervising hospice aides.

5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation.

6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.

7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

Affinity Health Management, Inc, a hospice care provider, is seeking a Hospice Registered Nurse Case Manager to assess patients and families, develop and revise palliative care plans, and provide nursing care and education. The role coordinates an assigned caseload with physicians and the hospice team; candidates need an RN license and nursing experience.

Fairfield

Management experience not required

RVNAhealth is seeking a Registered Nurse (RN) Hospice Case Manager to join our growing hospice team. In this vital role, you will be responsible for providing direct patient care and comprehensive case management for individuals receiving hospice services in their homes or care facilities. You will lead the coordination and implementation of individualized care plans in alignment with physician orders and the interdisciplinary team (IDG), ensuring the highest standard of comfort and dignity for patients and their families. This position will cover our territory in Southern Fairfield County, Connecticut (Trumbull, Fairfield, and Bridgeport).

Key Responsibilities:

Patient CareCase Management

Conduct admissions, comprehensive assessments, and regular reassessments of hospice patients.
Develop, implement, and revise patient-centered care plans in coordination with the IDG and families.
Deliver direct skilled nursing care and manage end-of-life symptoms in homes, SNFs, ALFs, and hospitals.
Monitor changes in condition, communicate updates to the care team and physician, and initiate appropriate action.
Support families with education, dietary guidance, and compassionate end-of-life counseling.

Clinical OversightCompliance

Maintain accurate and timely documentation in compliance with agency policies and Medicare/CHAP standards.
Participate in interdisciplinary team meetings and case reviews.
Adhere to HIPAA, infection control standards, and all regulatory and safety protocols.
Supervise home health aides as part of the patient's care plan.

TeamCommunity Engagement

Serve as a supportive resource to patients, caregivers, and team members.
Participate in on-call rotation and provide coverage during evenings or weekends as needed.
Assist with orientation, training, and mentoring of staff as requested.
Represent RVNAhealth in the community and with partner organizations in a professional and compassionate manner.

Qualifications:

Graduate of an accredited nursing program; BSN preferred
Current RN license in the State of Connecticut or Compact license.
2+ years of nursing experience; hospice or home health experience strongly preferred
Ability to work independently and respond effectively in crisis situations
Strong clinical judgment and interpersonal communication skills
Comfortable with electronic health records and mobile documentation
Valid driver's license, reliable transportation, and willingness to travel within service area/territory
Current CPR certification
Must complete RVNAhealth's hospice training program upon hire

Why RVNAhealth?RVNAhealth (formerly known as RVNA, the Ridgefield Visiting Nurse Association) is a twelve-time winner of the Hearst Media Top Workplaces Award. We offer rewarding career opportunities where you can make an enormous impact.

Benefits: RVNAhealth offers eligible employees a comprehensive benefits package including medical, dental, vision, and prescription coverage; 403(b) retirement savings; paid time off and holidays; employer-paid life and disability insurance; wellness and employee assistance programs; tuition reimbursement; professional development opportunities; and additional voluntary benefits. Benefits are subject to eligibility requirements and plan terms.

For those working "in the field," we offer tablets for recording real-time medical data; reimbursement for mileage; and RVNAhealth uniforms. Compensation:The pay range for this position is $103,000 to $111,000 per year and represents RVNAhealth's commitment to pay transparency and is a reasonable estimate of possible compensation for this role at the time of posting. The final salary for this role will be determined based on careful consideration of a variety of factors, such as the candidate's exact location, experience, and expertise related to the qualifications.

RVNAhealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law.

Provide direct patient care and comprehensive case management for individuals receiving hospice services. Conduct admissions, assessments, and develop patient-centered care plans. Deliver skilled nursing care, monitor patient conditions, and support families with education and counseling. Maintain documentation and participate in team meetings.

RVNAhealth is seeking a Registered Nurse (RN) Hospice Case Manager to join our growing hospice team. In this vital role, you will be responsible for providing direct patient care and comprehensive case management for individuals receiving hospice services in their homes or care facilities. You will lead the coordination and implementation of individualized care plans in alignment with physician orders and the interdisciplinary team (IDG), ensuring the highest standard of comfort and dignity for patients and their families. This position will cover our territory in Southern Fairfield County, Connecticut (Trumbull, Fairfield, and Bridgeport).

Key Responsibilities:

Patient CareCase Management

Conduct admissions, comprehensive assessments, and regular reassessments of hospice patients.
Develop, implement, and revise patient-centered care plans in coordination with the IDG and families.
Deliver direct skilled nursing care and manage end-of-life symptoms in homes, SNFs, ALFs, and hospitals.
Monitor changes in condition, communicate updates to the care team and physician, and initiate appropriate action.
Support families with education, dietary guidance, and compassionate end-of-life counseling.

Clinical OversightCompliance

Maintain accurate and timely documentation in compliance with agency policies and Medicare/CHAP standards.
Participate in interdisciplinary team meetings and case reviews.
Adhere to HIPAA, infection control standards, and all regulatory and safety protocols.
Supervise home health aides as part of the patient's care plan.

TeamCommunity Engagement

Serve as a supportive resource to patients, caregivers, and team members.
Participate in on-call rotation and provide coverage during evenings or weekends as needed.
Assist with orientation, training, and mentoring of staff as requested.
Represent RVNAhealth in the community and with partner organizations in a professional and compassionate manner.

Qualifications:

Graduate of an accredited nursing program; BSN preferred
Current RN license in the State of Connecticut or Compact license.
2+ years of nursing experience; hospice or home health experience strongly preferred
Ability to work independently and respond effectively in crisis situations
Strong clinical judgment and interpersonal communication skills
Comfortable with electronic health records and mobile documentation
Valid driver's license, reliable transportation, and willingness to travel within service area/territory
Current CPR certification
Must complete RVNAhealth's hospice training program upon hire

Why RVNAhealth?RVNAhealth (formerly known as RVNA, the Ridgefield Visiting Nurse Association) is a twelve-time winner of the Hearst Media Top Workplaces Award. We offer rewarding career opportunities where you can make an enormous impact.

Benefits: RVNAhealth offers eligible employees a comprehensive benefits package including medical, dental, vision, and prescription coverage; 403(b) retirement savings; paid time off and holidays; employer-paid life and disability insurance; wellness and employee assistance programs; tuition reimbursement; professional development opportunities; and additional voluntary benefits. Benefits are subject to eligibility requirements and plan terms.

For those working "in the field," we offer tablets for recording real-time medical data; reimbursement for mileage; and RVNAhealth uniforms. Compensation:The pay range for this position is $103,000 to $111,000 per year and represents RVNAhealth's commitment to pay transparency and is a reasonable estimate of possible compensation for this role at the time of posting. The final salary for this role will be determined based on careful consideration of a variety of factors, such as the candidate's exact location, experience, and expertise related to the qualifications.

RVNAhealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions, national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law.

Trumbull

BSN preferred

Experience in hospice or home health

Comfortable with electronic health records and mobile documentation

Graduate of an accredited nursing program

Current RN license in the State of Connecticut or Compact license

2+ years of nursing experience; hospice or home health experience strongly preferred

Valid driver's license and reliable transportation

Current CPR certification

Patient Care

Case Management

Clinical Judgment

Interpersonal Communication

Electronic Health Records

CPR Certification

Hospice Registered Nurse (RN) - (Bridgeport/Trumbull, CT)

Overview:

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The RN is responsible for admission of patients for home care services, development of the patient plan of care, coordination with patient's provider and other disciplines for the provision of services, and safe delivery of patient care.

EEO/AA/Disability/Veteran

Responsibilities:
1. Assesses/reassesses patients and establishes plans of care that are patient specific.
2. Collaborates with providers, other disciplines, and communicates all changes promptly.
3. Assesses payment sources and is responsible for ensuring ongoing authorizations as necessary.
4. Educates and instructs patients/caregivers in their ongoing medical maintenance. Begins discharge planning on admission.
5. Completes all documentation within 24 hours. Must include changes in condition, follow-up with provider or other disciplines with supporting documentation.
6. Evaluation pf patient progress and prompt action
7. Oversight of LPNs and Home Health Aides.
8. Participates in case management conferences and documents per guidelines.
9. Schedules patients independently according to the individual plan of care.
10. Attends all staff meetings, inservices, other required meetings. Compliance with all mandatory requirements.
11. Follows policies and procedures.
12. Thorough and accurate OASIS documentation.
Qualifications:

EDUCATION

Nursing Diploma or Associates Degree in Nursing. Bachelors in Nursing preferred.

EXPERIENCE

Two years nursing experience preferred. Previous home care experience desirable, but not required.

LICENSURE

Registered Nurse with Valid (or eligible) Connecticut license.

SPECIAL SKILLS

Excellent clinical knowledge, verbal/written skills, and organizational skills. Must be able to work independently. Able to competently assess patients' needs and follow through accordingly. Strong ability to work with providers and members of the multidisciplinary team.

PHYSICAL DEMAND

Ability to perform tasks involving physical activity which may include heavy lifting and extensive bending and standing.

Additional Information:

Coverage Area: New Haven/ Bridgeport Territory

Minimum 3 shifts per month
Rotating weekends and holidays
Home Health and Hospice required

*The safety of our home care staff in the community is a top priority at Yale New Haven Health at Home! All of our staff have a Safety Alert GPS device, safety alert phone app and have access to an escort service if our security background check and comprehensive safety matrix meets criteria.

The RN is responsible for admission of patients for home care services, development of the patient plan of care, coordination with patient's provider and other disciplines for the provision of services, and safe delivery of patient care. Responsibilities include assessing patients, collaborating with providers, ensuring ongoing authorizations, educating patients, completing documentation, evaluating patient progress, overseeing LPNs and Home Health Aides, participating in case management conferences, scheduling patients, attending staff meetings, and following policies and procedures.

Overview:

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The RN is responsible for admission of patients for home care services, development of the patient plan of care, coordination with patient's provider and other disciplines for the provision of services, and safe delivery of patient care.

EEO/AA/Disability/Veteran

Responsibilities:
1. Assesses/reassesses patients and establishes plans of care that are patient specific.
2. Collaborates with providers, other disciplines, and communicates all changes promptly.
3. Assesses payment sources and is responsible for ensuring ongoing authorizations as necessary.
4. Educates and instructs patients/caregivers in their ongoing medical maintenance. Begins discharge planning on admission.
5. Completes all documentation within 24 hours. Must include changes in condition, follow-up with provider or other disciplines with supporting documentation.
6. Evaluation pf patient progress and prompt action
7. Oversight of LPNs and Home Health Aides.
8. Participates in case management conferences and documents per guidelines.
9. Schedules patients independently according to the individual plan of care.
10. Attends all staff meetings, inservices, other required meetings. Compliance with all mandatory requirements.
11. Follows policies and procedures.
12. Thorough and accurate OASIS documentation.
Qualifications:

EDUCATION

Nursing Diploma or Associates Degree in Nursing. Bachelors in Nursing preferred.

EXPERIENCE

Two years nursing experience preferred. Previous home care experience desirable, but not required.

LICENSURE

Registered Nurse with Valid (or eligible) Connecticut license.

SPECIAL SKILLS

Excellent clinical knowledge, verbal/written skills, and organizational skills. Must be able to work independently. Able to competently assess patients' needs and follow through accordingly. Strong ability to work with providers and members of the multidisciplinary team.

PHYSICAL DEMAND

Ability to perform tasks involving physical activity which may include heavy lifting and extensive bending and standing.

Additional Information:

Coverage Area: New Haven/ Bridgeport Territory

Minimum 3 shifts per month
Rotating weekends and holidays
Home Health and Hospice required

*The safety of our home care staff in the community is a top priority at Yale New Haven Health at Home! All of our staff have a Safety Alert GPS device, safety alert phone app and have access to an escort service if our security background check and comprehensive safety matrix meets criteria.

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