Registered Nurse (RN - Hospital) - Home Health & Hospice

Description

STATEMENT OF PURPOSE

Coordinates and delivers comprehensive nursing care to home health and hospice patients. Provides patient and family education, supports interdisciplinary collaboration, and promotes high standards of professional nursing practice in a community-based setting.

This is a casual position working a minimum of 12 hours per six (6) week schedule. Days are Monday - Friday with weekends as needed. This position will be covering the Kulm / Edgeley area.

JOB FUNCTIONS

• Provides skilled nursing care in accordance with agency policies, professional standards, and applicable regulations.
• Assesses patient condition and identifies nursing needs; develops, implements, and evaluates individualized care plans.
• Performs OASIS assessments (SOC, ROC, Recertification, Discharge) accurately and within required timeframes.
• Evaluates patient eligibility and payer requirements; collaborates with Home Health Manager or designee prior to admission.
• Administers medications, performs treatments, and completes medication reconciliation with patient/caregiver education.
• Provides patient and caregiver education on disease process, medication management, safety, and use of medical equipment.
• Performs home safety, infection control, and environmental assessments with appropriate interventions.
• Monitors patient response to treatment; communicates changes in condition to physicians and interdisciplinary team members.
• Participates in interdisciplinary team (IDT) meetings to coordinate patient-centered care.
• Provides hospice care including symptom management, comfort-focused interventions, and end-of-life education and support.
• Assists patients and families with coping, including support during end-of-life and awareness of bereavement needs.
• Delegates and supervises Home Health Aides in accordance with CMS Conditions of Participation and nursing standards of practice.
• Participates in on-call rotation including nights, weekends, and holidays.
• Utilizes telehealth and remote patient monitoring as appropriate.
• Promotes cost-effective use of supplies and ensures proper care and maintenance of equipment.
• Participates in staff orientation, education, and performance improvement activities.
• Maintains accurate, timely, and compliant clinical documentation.
• Responds appropriately to urgent and emergent patient situations in the home setting.
• Maintains a safe and clean working environment for patients and staff.
• The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.

Requirements

QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION

1. Education & Licensure - Must hold RN licensure from the North Dakota State Board of Nursing for the current year. Position requires completion of BLS CPR. Position is required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist.
2. Experience - Minimum of 1 year Medical/Surgical nursing experience required. Prior home health, hospice, or community health experience preferred.
3. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employees are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule.
4. Analytical Ability - Demonstrates strong clinical judgment and critical thinking to assess patient conditions, interpret clinical data, and develop and evaluate individualized care plans. Recognizes changes in patient status, evaluates the effectiveness of interventions, and makes timely, informed decisions to ensure safe, high-quality, and compliant patient care. Applies problem-solving skills to manage complex clinical situations and support coordination with the interdisciplinary team.
5. Independent Judgement - Exercises independent clinical judgment in the home and hospice setting to prioritize care, implement appropriate interventions, and adjust plans based on patient needs and responses. Effectively manages symptom control and care coordination while recognizing when to escalate concerns to physicians or leadership. Maintains accountability for delivering safe, effective, and compliant patient care.
6. Contact and Interpersonal Skills - Aware of high degree of visibility in community representing JRMC Home Health Agency.   Considerable contact with physicians and personnel from other departments and residents of area served.
7. Supervising the Work of Others - Provides direction and supervision to LPNs and Home Health Aides. May oversee care provided by ancillary staff.
8. Responsibility for Welfare of Others - Provides care in situations where actions and decisions have a direct impact on patient safety and well-being, with potential for significant physical or emotional outcomes. Maintains the highest standards of nursing practice, ensuring safe, ethical, and high-quality care at all times.
9. Responsibility for Making Decisions and Recommendations - Independent nursing judgment is often required by the   professional RN based on established policies and procedures. Substandard performance in nursing skills or judgment may adversely affect patient care, patient welfare and hospital goodwill.
10. Mental / Visual Effort - Must be able to work with terminally ill patients and their families to effectively cope with death and   dying. Visual acuity necessary for reading charts and working with medical devices; color perception necessary for interpreting testing procedures involving color comparisons.
11. Working Conditions - Exposure to patients with infectious diseases, unsanitary conditions within patient's residence. Exposure to elements at higher risk than usual due to extensive travel by car and working in adverse conditions in residences.
12. Physical & Sensory Effort - Requires frequent walking, standing, bending, and lifting while providing direct patient care in home   and community-based settings. Includes assisting patients with mobility, transfers, and positioning. Requires sustained concentration, as well as visual and auditory acuity to monitor patient conditions and respond promptly to changes in status. Involves regular travel to patient homes and the ability to safely navigate a variety of environmental conditions.
13. Promotion - No formal line of promotion
14. Background Check - A comprehensive background check will be conducted as a condition of employment for this role. 
15. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire
16. Other - Position requires the individual to provide a vehicle for transportation to and from home visits. Must hold a current unencumbered North Dakota Driver's license and appropriate automobile insurance.
17. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation.

Employee Requirements

• Visual Observation - Continuously
• Standing - Rarely
• Walking - Rarely
• Sitting - Continuously
• Hands and Finger Dexterity - Frequently
• Reaching with Hands and Arms - Rarely
• Climbing - Rarely
• Stooping/Kneeling/Crouching/Crawling - Rarely
• Hearing/Listening - Continuously
• Tasting or Smelling - Rarely
• Working Inside - Continuously
• Working Outside - Never
• Working in Extreme Heat - Never
• Working in Extreme Cold - Never
• Working with Hazardous Materials - Never
• Noise - Continuously
• Working in Dirt/Dust - Never
• Driving - Never

Lifting / Carrying / Pushing / Pulling: 

• Up to 10 pounds - Occasionally
• Up to 25 pounds - Rarely
• Up to 50 pounds - Never
• Up to 75 pounds - Never
• Up to 100 pounds - Never
• Over 100 pounds - Never