Registered Nurse - Home Care - Grand Itasca

Grand Itasca Clinic & Hospital, a part of Fairview Health Services, is currently seeking a dedicated Registered Nurse to join our team! A long-tenured management team that takes a personal interest in every employee is one of the many advantages you'll find here at Grand Itasca Clinic & Hospital.

POSITION: Home Care Registered Nurse

EMPLOYMENT TYPE:

WORK SCHEDULE:

DEPARTMENT: Homecare

JOIN OUR TEAM:
Nestled in the heart of the Northland, Grand Itasca Clinic & Hospital is the dominant provider of primary care services in the local and surrounding area to include roughly 50,000 people. We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 600 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

JOB SUMMARY: The Home Care RN plans, organizes, coordinates and provides skilled nursing care to home care patients of all ages according to a plan of care, including advanced nursing interventions related to the patients' needs while following agency, State and Federal regulations through the competent application of primary nursing through a case management model. RN must possess the ability to function independently yet be a team player. Strong communication, organization, documentation and interpersonal skills are required.

JOB DUTIES:

1. Planning: ongoing development and implementation of the plan of care

• Assesses and continually reassesses the patient's health status, environment, and support system through ongoing comprehensive assessment.
• Develops and maintains an individualized plan of care, related to the patient's needs, in collaboration with the patient/family, provider and interdisciplinary team.
• Evaluates the patient's progress and response to care/services delivered and adjusts the plan accordingly. Continually evaluating whether the patient's clinical needs can be safely met at home, the patient is able to care for themselves or has a primary caregiver and whether the home environment supports home care services.
• Continually reassess resource utilization as patient progresses towards goals. Reviews, prioritizes and implements POC based on patient need taking into consideration payer limitations.
• Completes assignments by managing all anticipated patient's care needs during visit and through next planned nurse visit.

2. Service delivery

• Provides specialized nursing skill in accordance with the plan of care and provider orders.
• Demonstrates competency in all skills required for the agency including; but not limited to, wound vacuum, catherization, TPN, medication management, venipuncture, infusion therapy, CADD pump, infusion therapy device care, wound care and aseptic technique.
• Teaches and supervises LPN, HHA, patients, caregivers and ALF facility staff as needed.

3. Coordination of services

• Communicates consistently and effectively with the patient, caregiver, providers and interdisciplinary (internal and external) team members to assure appropriate implementation and completion of the patient's plan of care.
• Participates in care conferences and communicates any changes in plan of care to the interdisciplinary care team.
• Addresses concerns and makes referrals to other disciplines and community agencies when needed.
• Manages patient expectations.
• Advances the POC with the multidisciplinary team. Consults with the other team members as needed to make modifications in the plan. Decreases utilization of services as patient moves towards goal achievement.
• Communicates/coordinates with the support team; including, but not limited to billing, coding, clinical resource, utilization review and insurance specialists.

4. Control

• Maintains complete, accurate and legible clinical records/ documentation on all patients according to agency policy.
• Meets all compliance measures i.e. provider orders, insurance authorization, patient rights
• Submits all documentation timely.
• Maintains fiscal accountability i.e. good steward of resources, visit utilization, mileage, visits and supplies within payer limits and maintains productivity standards.
• Responsible for completion of record audits and in-home observational audits.

5. On-call as scheduled to make un-planned and short notice home visits and to responds to patient needs.

6. Professional development

• Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice.
• Maintains licensure
• Responsible to maintain OASIS competency to maximize appropriate reimbursement and accurate Home Health Compare scores.
• Understands Medicare, Medical Assistance, and other insurance authorization and eligibility/coverage criteria. Requests authorization when needed to ensure proper reimbursement.
• Stays current in, understands and follows regulatory requirements and State licensure laws, Medicare Conditions of Participation (COPs) and other regulatory bodies like TJC.
• Responsible for following all policies and procedures of the department Participates in the agency's Quality Assurance Process Improvement program; including but not limited to, QAPI projects, survey preparation, staff meetings, AWARE, CPR certified, yearly competency skills check list, and home visit for competency.
• Identifies processes to improve and potential solutions for the processes.
• Actively participates in educational programs, meetings and agency committees as appropriate.

7. Performs additional duties as assigned.

QUALIFICATIONS:

1. Must maintain a current, unrestricted registered nursing license with the Minnesota Board of Nursing that is in good standing.

2. BLS Certification or ability to obtain within two (2) months.

3. Must have reliable transportation and maintain current car insurance.

4. Must possess ability to care for adult, geriatric and pediatric patients in an independent fashion in the home setting.

5. Home Care experience preferred, with knowledge of reimbursement, prior authorization, OASIS, and Medicare rules and regulation.

6. Must possess at least one of the following:

• One-year RN experience,
• Six-month's RN experience along with one-year LPN experience in Home Care, TCU or SNF.
• Preferred qualifications include: Bachelor's degree in nursing, previous Home Care experience, Public Health Nurse certification.

7. Demonstrated abilities to manage multiple priorities organize the work load; includes critical thinking, assessment skills, coordinating with physicians for care delivery.

8. Experience in assessing the individual needs of the adult/geriatric or pediatric patients and developing appropriate written plans of care.

9. Experience or the ability to learn during orientation the skills necessary to work with electronic medical records.

10. Demonstrated ability to follow and adhere to Grand Itasca Clinic and Hospital policies, vision, mission and values.

11. Maintains regular, dependable and consistent attendance.

EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.