Provides, coordinates, and directs the provision of home nursing care according to physician’s orders based on agency policies and procedures, through the competent application of the nursing process.
Demonstrates knowledge of home care and competency in discipline specific patient care skills, required by the care center for the provision of patient care.
May be assigned RN visits as member of care team, and/or may be required to supervise a patient caseload, including LPN’s and HHA’s.
Performs patient comprehensive assessments, as assigned, and collaborates with patient multi-disciplinary care team (PT, OT, ST, MSW and paraprofessionals) and other health care professionals to develop/modify and implement an individualized plan of care as per physician orders that ensures quality, proper discharge planning and achieves desired outcomes and goals.
Helps to achieve and maintain continuity of patient care by communicating information...
