Registered Nurse (RN) Home Health at Duke Health

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke HomeCare collaborate with healthcare team in the evaluation and cost effectiveness of patient care. Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care. Develop and implement an effective discharge plan for patients to begin at the initiation of services. Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching. Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills. Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient. Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance. Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate. Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards. Complete documentation accurately, timely, concisely. Medication reconciliation and education to prevent adverse events and readmission to hospital Observe patient's reactions to medications and reports significant incidents to the physicians. Communicate regularly with team members, caregivers, and physicians. Follow infection control standard precautions and uses personal protective equipment as required. Delegate and supervise care given by NCA's/LPN's. Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs. Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Implement agency policy, procedures and objectives. Work closely and collaboratively with agency billing staff to ensure accuracy of billing. Maintain confidentiality of employee and patient information. Exhibit an attitude which promotes harmony and goodwill in the workplace. Display a clean, neat, professional appearance. Participate in Performance Improvement Program. Promote quality, comprehensive services through a team approach. Perform other duties as assigned. Home Health Case manage interdisciplinary team of clinicians caring for patients in the home. Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient. Be aware of patient insurance requirements and assures authorization for all services have been obtained. Appropriate utilization of resources for patient including visit and supply utilization. WORK ENVIRONMENT AND REQUIREMENTS: Perform Patient care primarily in the patient's residence or skilled nursing facility (>50%) Travel to and from patient residence PREFERRED QUALIFICATIONS Education and Formal Training Associate Degree or Diploma, Nursing required Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date. Licensures, Certifications Must have a current RN license in NC or compact RN licensure from participating state. Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May update during orientation Valid driver's license and current automobile insurance coverage. Professional Work Experience 1-2 years of med-surgical, critical care or home health/hospice/infusion preferred Valid driver's license and current automobile insurance coverage Prior experience in Home Health, Hospice or Infusion preferred Prior OASIS and PDGM experience preferred for home health Knowledge, Skills