Per Diem- Registered Nurse- Home Health/Hospice

We are looking for Per-diem RN's to come join our award-winning team! Come work on your own schedule. Winner of Best of the Lakes Region for Visiting Nurses in 2021, 2022, and 2023. With a 5 start quality rating with the Centers for Medicare and Medicaid Services.

We offer an opportunity to work in a fast-paced and friendly work environment where the providers of care really get to know their patients and their families. The staff at LRVNA take great pride in being able to promote health and independence across the lifespan through our skilled care services and education of patients, families, and caregivers. Services are available 7 days a week with on-call staff, 24 hours a day.

We have FT, PT, Baylor, and Per Diem hours available. You will provide skilled nursing care to patients in their own environment. Become an integral part of a dynamic, multi-disciplinary team while maintaining a high level of autonomy. Enjoy a flexible workday, with an option to start and end your day from home. Strong Clinical support and educational resources provided. Home Care experience beneficial, although we will train the right individual.

Primary Duties and Responsibilities:

Patient Care:

• Completes an initial assessment of patient and family to determine home care/hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Regularly re-evaluates patient nursing needs.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan which establishes goals, based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.
• Initiates appropriate preventive, rehabilitative and comfort focused nursing procedures. Administers medications and treatments as prescribed by the physician.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient and caregiver as appropriate per assessment and plan.
• Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.

Communication:

• Prepares clinical notes and updates the primary physician when necessary and at least every sixty-two days.
• Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physicians orders as required.
• Communicates with community health related persons to coordinate the care plan.

Secondary duties and responsibilities

• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Instructs, supervises and evaluates home health aide care provided every fourteen days.

Preferred Qualifications

• Graduate of an accredited school of nursing. One to two years of recent acute care experience in an institutional setting.
• Current licensure in State, CPR certification and valid drivers license.
• Bachelors degree, with one year of home health care experience.
• Management experience not required. Responsible for supervising home health aides.
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
• Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required nursing skills.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Physical requirements

• Prolonged or considerable walking or standing.
  • Able to lift, position, or transfer patients 50 lbs
  • Able to lift supplies and equipment.
    • Considerable reaching, stooping, bending, kneeling, or crouching.
    • Visual acuity and hearing to perform required nursing skills.

Supervisory Responsibility

This position requires supervision and coordination of care with LPN’s and LNA’s.

Benefits:

• Flexible schedule
• Travel reimbursement