Home Health Nurse II - On Call

Kaiser Permanente International; Redwood City (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Kaiser Permanente is seeking a skilled home health nurse to provide age-appropriate nursing care in patients' homes, teaching disease processes and self-care, and coordinating the plan of care in accordance with state and federal regulations.

The role involves initial assessments, care planning, ongoing data collection, discharge planning, and supervision of junior staff while ensuring documentation and communication per policy. California RN license and BLS are required.

Qualifications

• Effective written and oral communication skills (in English)
• Good interpersonal skills
• Commitment to Service Orientation
• Knowledge of the nursing process

Responsibilities

• Provides initial nursing assessment prior to care.
• Initiates plan of care and revisions including physician orders.
• Provides care according to the plan of care.
• Performs ongoing system assessments focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; includes education and advocacy.
• Functions in all phases of care, coordinating the plan of care and case management.
• Educates patient/family and staff as required.
• Counsels patient and family in meeting nursing needs.
• Supervises LVNs and HHAs as required for patient care.
• Documents all care, interventions and coordination per law and policy.

Skills

Effective communication

Interpersonal skills

Service orientation

Nursing process knowledge

Education

RN degree (AA/ Diploma/ BSN)

Job description

Job Summary:

Provides age-appropriate skilled nursing care to patients in their place of residence in accordance with agency policy and procedure and state and federal regulations. Teaches the patient/family disease process and self-care needs. Monitors physiological state to determine an appropriate level of safety and comfort. Provides services requiring nursing skills in accordance with the plan of care. Develops and coordinates the plan of care and provides case management. Performs duties consistent with the nursing practice act that includes the standards of competent performance including Title 16, Chapter 14, Section 144.3 of the California Code ofRegulations.

Essential Responsibilities:

• Provision of Care
• 1. Provides the initial all system nursing assessment prior to the provision of care.
• 2. Initiates the plan of care and necessary revisions including obtaining written physician orders for changes.
• 3. Provides care and services in accordance with the plan of care.
• 4. Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy.
• 5. Provides ongoing periodic all system assessment of the patient and the patient’s equipment needs.
• 6. Initiates preventative and rehabilitative nursing procedure (Home Health).
• 7. Initiates timely discharges based on goals.
• 8. Educates and instructs the patient, patient’s family or other staff as required.
• 9. Counsels the patient and family in meeting nursing and related needs.
• 10. Supervises and teaches LVN’s and HHA’s as required for patient care.
• 11. Provides nursing care through all phases of care taking into consideration age and developmental needs.
• Documentation and Communication
• 1. Documents all care, interventions and care coordination per law, regulation and agency policy.
• 2. Notifies the patient’s attending MD, Podiatrist and other professional persons and responsible staff of significant changes in the patient’s condition in a timely manner.
• 3. Assists in coordinating all services provided.
• 4. Consults with other health professionals when needed.
• Planning, Organizing and Productivity
• 1. Effectively plans and organizes work assignment, manages and sets competitive priorities, and completes work assignments with a minimum of direct supervision per agency policy and within established time frames.
• 2. Adheres to the services policy and principles of the Kaiser Permanente Medical Care Program.
• 3. Supervises Home Health aides and LVNs according to law, regulation and agency policy.
• Professional Behavior
• 1. Behaves in a courteous professional manner with patients, health professionals and maintain patient confidentiality.
• 2. Acts as a patient advocate in utilizing Medicare, MediCal, Health Plan and community resources.
• 3. Participates in Departmental Quality Assurance activities and Utilization Review activities as requested.
• Self-Development
• 1. Selects and attends education programs to keep current in area of practice.
• 2. Utilizes new knowledge and skills.
• 3. Participates in in-service programs.
• 4. Annually prepares realistic professional goals and reviews their progress with Supervisor.
• Perform other related duties as necessary.
• Supervisory Responsibilities:
• The job has no supervisory responsibilities.

Basic Qualifications:

Experience

• Two years applicable registered nurse experience within the last five (5) years, as determined by the Employer, of which at least six (6) months must be home health experience within a hospital-based or community based home health agency.
• Knowledge of the nursing process
• Commitment to Service Orientation
• Effective written and oral communication skills (in English)
• Good interpersonal skills
• Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.

Education

• High School Diploma/GED.
• Graduate from an approved school of professional nursing (AA, Diploma, or BSN)

License, Certification, Registration

• Registered Nurse License (California)

• Driver's License (California)

• Basic Life Support

Preferred Qualifications:

• Computer literate preferred
• Experience in automated clinical information systems preferred.
• Oncology, hospice or care of terminally ill experience preferred if working within the Hospice Department.