May be eligible for sign on bonus up to $7,500. Position is for the Alma area.
The Staff Registered Nurse provides professional and comprehensive nursing care within the scope of agency services. The target patient/client population for this position are those requiring skilled clinical home care services. Activities of this position are patient/client focused and utilize the nursing process of assessment, planning, intervention and evaluation in accordance with nursing practice standards, physician orders and agency policies and procedures.
Responsibilities
(20%) Regularly assess patient’s/client’s needs and provide skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of nursing practice.
(20%) Initiate plan of care for assigned patients/clients and revise and adapt as necessary.
(20%) Provide nursing care (or arrange for services through specialized staff) through ongoing visits to a group of patients/clients, sharing the patient/client case load.
(15%) Coordinate patient/client care by evaluating outcomes and providing ongoing feedback to others involved in care relative to patient status and changes needed on patient care plan.
(15%) Coordinate care provided by Licensed Practical Nurses (LPN) and Home Health Aides and supervise LPN as needed.
(10%) Notify physician of changes in patient/client condition and care needs and obtain new orders as needed.
Other Duties and Responsibilities
- Function as case manager for assigned case load if assigned.
- Implement preventative and rehabilitative nursing procedures and utilize community and agency resources for optimum patient/client care.
- Utilize Agency documentation system to record services provided according to agency, professional and program standards.
- Assist in maintenance of patient/client records.
- Provide patients/clients/caregivers/physicians with the necessary information to promote informed decision making leading to the achievement of optimal level of independence and as required by regulatory agencies.
- Establish a Home Health Aide care plan and supervise the Home Health Aide according to Agency guidelines.
- May make joint visits with other disciplines to assure consistency of care.
- Function as part of multi‑disciplinary team in coordinating care including planning for discharge.
- Act as a preceptor to provide educational visit opportunities for students and participate in orientation of new staff as assigned.
- Participate in Agency, community and/or home health organization activities as assigned appropriately.
- Participate in staff meetings, in‑service education programs, and other opportunities for learning.
- Comply with documentation requirements for employee personnel and activity records as defined in Agency policy.
- Carry out work according to Agency policies and procedures in a manner that appropriately reflects Agency standards for timeliness, accuracy and productivity.
- Maintain confidentiality of patient/client and Agency information.
- Adhere to the Agency standards related to personal appearance and behavior.
- Participate in weekend and holiday rotations and on‑call duties as identified in personnel policies.
- Participate in Agency performance improvement process.
- Assist in Agency community education activities as requested.
- MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
- In summary:
- Participation in the patient’s coordination of care.
- Ongoing interdisciplinary assessment of the patients.
- Development and evaluation of the plan of care in partnership with the patient, representative (if any) and the caregiver(s).
- Provides services that are ordered by the physician as indicated on the plan of care.
- Conducts patient, caregiver and family counseling and education.
- Prepares clinical notes in a timely manner.
- Communicates with all physicians involved in the plan of care and other health care practitioners (as needed) related to the current plan on care.
- Participates in the organization’s quality assessment and performance improvement program.
- Participates in organization‑sponsored in‑service training.
- Other duties as assigned.
Certifications and Licensures
- BLS: Basic Life Support (equivalent experience within 1 month of hire or transfer)
- Drivers License (equivalent experience within 1 month of hire or transfer)
- Vehicle Insurance (equivalent experience within 1 month of hire or transfer)
- Registered Nurse (equivalent experience within 1 month of hire or transfer, qualification source MI)
- Fingerprinting (equivalent experience within 1 month of hire or transfer)
- Team Advanced: Techniques for Effective Aggression Management (equivalent experience within 6 months of hire or transfer; employees hired on or before 12/31/2023 have 24 months to complete)
Required Education
Education: Associate’s Degree (ASSOC). Education specialization: NRG.
Other Information – Experience, Training and Skills
- Able to function as part of a team.
- One year of direct patient care experience is preferred.
- Successful completion of Agency orientation and competency programs.
- Ability to communicate effectively, verbally and in writing and understand the English language.
- Ability to adapt to frequent changes.
- Ability to recognize needs and concerns of people and maintain constructive interpersonal relationships.
- Ability to work independently, demonstrating problem solving and organizational skills.
- Ability to drive under hazardous road conditions.
- Ability to work in situations where employee may be exposed to communicable diseases in unpredictable home settings.
Physical/Mental Requirements and Typical Working Conditions
- Exposure to stressful situations, including public contact, trauma, grief and death.
- Must wear personal protective equipment that includes latex or appropriate substitutes.
- Must be able to move freely about a facility with or without an assisted device and perform all job functions.
- Overall vision and hearing are necessary with or without assisted devices.
- Frequently required to sit, stand and walk for long periods. May require frequent postural changes such as stooping, kneeling or crouching.
- May be exposed to blood‑borne pathogens and other potentially infectious materials. Must follow MyMichigan Health bloodborne pathogen and TB testing requirements.
- Must handle multiple tasks, collaborate with others and maintain regular, predictable attendance.
- Overall dexterity required, including handling, reaching, grasping, fingering and feeling, with some repetitive movements.
- Physical Demand Level: Medium. Must occasionally lift or carry 21‑50 lbs., frequently 20‑34 lbs. and frequently walk, stand, push, pull arm and leg controls and constantly handle 10‑20 lbs.