Reports To:
Program Director
Summary:
The RN is accountable and responsible for the practice of professional nursing, delivering quality care through the application of the nursing process. The RN provides the essential level of professional nursing needed by each member, and works with management staff, and other personnel and volunteers to ensure quality of care at all the times. The RN must be on site full time, to correspond with staffing ratios.
Job Responsibilities:
- Completing and signing the designated screening tool as required;
- Completing the MDS-HC or CDS and other nursing assessments and coordinating all other applicable clinical assessments;
- Developing and reviewing on an ongoing basis each member’s AFC plan of care;
- Selecting, training, evaluating, and supervising AFC caregivers in conjunction with the care manager;
- reviewing the physician summary;
- Monitoring the health status of all members to ensure that all needed AFC is properly delivered;
- Reporting changes in the health status of any member to the member’s physician;
- Periodically reviewing AFC caregiver logs;
- Conducting on-site visits with each member at the qualified setting bimonthly (alternating with the bimonthly visit by the care manager) for Level I, and monthly or more often as the member’s condition warrants for Level II;
- Completing a nursing progress note corresponding with each on-site visit or encounter, or more often as the member’s condition warrants;
- Submitting a semiannual health-status report to the member’s primary care physician;
- Planning for and implementing discharges from the AFC program;
- Conducting an orientation for each AFC caregiver before the AFC caregiver begins personal care; and
- Providing ongoing training to AFC caregivers on health and aging.
Job Requirements:
- Provide and/or supervise basic skilled nursing for each member;
- Supervise other healthcare staff;
- Assist as necessary in the delivery of other program services;
- Train AFC staff;
- Review and implement physician orders;
- Assure that notes are written monthly, and address significant changes in member conditions.