Under the general supervision of the Director of Nursing Services, Registered Staff Nurse provides professional nursing services to individuals and their families in their homes, in the agency office, and at other community sites. S/he cooperates with other health and social service agencies in promoting and maintaining the health of all community residents.
Job Responsibilities and Functions
The function of the nurse case manager is to manage a caseload of patients and/or families, serving as primary nurse and coordinating their health care plans. Responsibilities include interdisciplinary patient care coordination and supervision to ensure compliance with practice and regulatory guidelines; clinical supervision and development of direct nursing, social services, and home health aide staff to promote quality care and positive outcomes and documentation review to validate care delivery and compliance.
Operational and Care Coordination Functions
- Assists the Primary Nurse/Case Manager in coordinating services with all other home health care providers; assists the Primary Nurse/Case Manager in collaboration with all members of the health care team in formulating patient care plans.
- Assists Registered Staff Nurse Primary Nurse/Case Managers in the provision of professional nursing services to patients and/or families, as needed.
- Admits patients and/or families to the agency and performs the initial assessment for the Primary Nurse/Case Manager, as indicated.
- Observes, records and reports to the patient’s physician and the Primary Nurse/Case Manager and/or the Nursing Manager the patient’s progress, response to nursing intervention, and changes in condition, including reaction to drug and other therapies.
- Registered Nurse, with a current license to practice in Massachusetts in good standing
- Baccalaureate Degree or a Master’s Degree in Nursing from an accredited school of nursing preferred
- Minimum of three years clinical experience with one-two years in a Medicare certified home health agency
- Current knowledge of Medicare Conditions of Participation and Massachusetts nursing practice guidelines
Leadership and Practice Responsibilities
- Utilizes the American Nurse Association’s Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements, as the foundation of agency nursing practice
- Promotes agency mission, values and philosophy to ensure quality patient care
- Demonstrate a positive and cooperative attitude in all interactions, contribute to team spirit and development.
- Maintains patient clinical record documentation and other required agency records in an accurate, timely manner.
Performance Improvement Responsibilities and Functions
- Promotes customer service by responding to and resolving difficult and sensitive patient and staff inquiries and complaints
- Continuously monitors and evaluates the efficiency and efficacy of service delivery methods and processes, assesses and monitors workload, support systems and identifies opportunities for improvement
Personal and Professional Development
- Maintains professional practice standards and complies with all Massachusetts’ Board of Nursing licensing requirements
- Participates in inservice education; contributes to case conferences.
- Maintains administrative and clinical records as required by the agency and regulatory bodies.
- Participates in staff meetings, promotes positive inter-personal relationships among all staff members.
- Maintains proficiencies necessary to perform role and functions
- Potential exposure to a variety of diseases which may be communicable in nature
- Latex exposure can be expected as some environments are not latex free
- May travel from office to meetings, patient homes and other facilities for extended periods of time and in a variety of weather conditions
- Some non-standard work hours and all-call are required
- Additional certifications may be required, including basic life support depending on work area
Minimum Physical Requirements
- Standing, sitting walking, bending, squatting, repetitive movements, driving
- Weight lifting up to 50 pounds and weight transferring up to 150 pounds
About Natick Visiting Nurse Association:
Looking to join one of the most technologically-innovative, well-respected home health agencies in Massachusetts? Natick VNA, has earned the coveted double 5-star designation from CMS and is a nationally-recognized, Home Care Elite Agency – honored for its excellent clinical outcomes and exceptional patient satisfaction – is looking for some talented, home care-passionate clinicians to become members of its Home Care Team. As one of only two Massachusetts agencies accredited by the Community Health Accreditation Program (CHAP), Natick VNA is committed to its patients, its staff, and the community.