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Major Responsibilities: Performs all scheduled visits and collaborates with members of the interdisciplinary team as necessary. Conducts thorough physical, psychosocial and environmental assessments of assigned patients and updates the plan of care where appropriate and as a result of visit findings. Follows a care plan that identifies problems (nursing diagnosis) and evaluates outcomes within a defined time frame. Communicates with physicians to confirm and update the patient\'s plan of treatment as needed and informs the RN Case Manager of changes. Provides ongoing assessment of patient response to treatments, medications and teaching, and applies interventions as appropriate. Updates and revises the care plan as indicated. Partners with the RN Case Manager to provide discharge planning according to agency standards and utilizes interagency/system and community resources to ensure continuity of care after discharge. Accurately documents and updates patient records according to agency, state and federal guidelines. Communicates problems to physicians and the RN Case Manager, and clearly states plans, actions and goals so that changes are reflected as they occur. Follows published policies and procedures and monitors changes or additions to them. Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while using proper technique. Must demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served and possess the ability to assess data reflective of the patient\'s status to identify age-specific needs in accordance with the department\'s policies and procedures.
Completion of an accredited or approved program in Nursing
Typically 1 year of experience in nursing
This job description indicates the general nature and level of work expected. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities. Incumbent may be required to perform other related duties.