Title: | Registered Nurse |
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ID: | 1009 |
Location: | Massachusetts |
Department: | Administrative |
Essential Functions
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Receives the intake referral information and prepares paperwork/tools necessary for the visit.
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Obtains all pertinent medical history from client, family or significant others.
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Performs home safety check and environmental assessment of the client’s home environment.
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Performs the socio-psychological evaluation of the support systems available to the client and documents necessary emergency contacts etc.
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Performs assessment visit and documents accordingly (i.e. OASIS/ Skilled Nursing Note etc.).
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Performs physical examination and review of all body systems and documents such accordingly.
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Develops an appropriate and effective Plan of Care (POC) to be submitted to the physician for approval and implementation.
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Determines medical necessity for other services that could enhance the positive outcome desirable for the case.
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Evaluated the client’s ADL and IADL abilities and therefore need of support services such as home health aide.
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Develops and implements the HHA plan of care when HHA services are ordered. Revises and signs this care plan the beginning of each certification period.
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Supervises the HHA every 2 weeks (in accordance with state/federal requirements) and documents the supervision without having to be directed to do so.
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Orders “other” professional services that are effective and is willing adjust frequency of these services as outcome progresses and the client’s condition warrants.
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Reviews billing processes with client and/or family advising client and/or family when co-pay or Medicare is not likely to pay for services (ABN).
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Effectively communicates with client and family the POC and progression of such. Keeps the client informed ongoing.
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All initial paperwork (including Start of Care) completed within 5 days from date of initial visit.
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All med orders or med changes submitted to agency approved software within 24 hours.
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All patient care notes submitted with 48 hours of nursing visit.
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All nurses must see 95% of their patients 95 % of the time.
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All paperwork necessary for discharging patients from the agency completed and submitted to agency approved software within 48 hours.
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All resumption of Care must be completed by RN every 60 days and submitted within 48 hours via agency approved software.