- Evaluate and perform initial and ongoing comprehensive assessments on patients referred for home health nursing services
- Determine eligibility for admission, obtain financial and statistical data, formulate initial care plans, and process admissions
- Refer patients to other agency disciplines and community resources as needed
- Assess, promote, and maintain the health of individuals, families, and the community through teaching, counseling, and preventive and rehabilitative measures
- Provide ongoing assessment to determine service frequency, changes in the Plan of Care, and discharge from service
- Coordinate patient care and assure optimum, comprehensive multidisciplinary care
- Ensure care plans are followed according to agency standards, quality requirements, service utilization expectations, and third-party payer reimbursement requirements
- Communicate with physicians, referral sources, patients, and multidisciplinary team members orally and in writing
- Maintain patient clinical records, reports, and other written communications according to agency policy
- Record clear goals and plans emphasizing a family-oriented approach to patient care
- Provide nursing services in patients' homes and places of residence
Requirements
- Graduate of an approved school of professional nursing
- Current professional nurse licensure to practice in Pennsylvania required
- Current CPR certification
- Comprehensive knowledge of professional nursing theory and ability to apply it in community health and Hospice settings
- Ability to instruct professionals in care and treatment of physically and emotionally ill patients
- Ability to prepare neat, timely, accurate, and concise records and reports
- Ability to accept and utilize supervision
- Knowledge of community resources
- Interest in keeping abreast of trends and developments in nursing practice
- Two years as a professional nurse in nursing practice or previous community health experience as a professional nurse preferred
- Good physical and mental health
- Visual and auditory acuity required to provide comprehensive nursing care
- Ability to occasionally lift and/or carry 100 lbs
- Ability to frequently lift and/or carry 50 lbs
- Ability to stand and/or walk at least 6 hours in an 8-hour workday
- Frequent stooping and crouching
- Frequent handling/grasping
- Occasional fingering/fine manipulation
- Ability to work in office and patient-home environments
- Ability to travel to cases and/or clinics in extreme cold and heat, wet/humid conditions, snow, ice, and/or fog
- Ability to work around contagious disease, road and driving hazards, and domestic pets
- Part-time and per diem staff must possess a cell phone with text messaging
- Must use a personal private vehicle for Network business
- Valid driver's license issued by the applicable state of residency
- Evidence of auto liability insurance with at least state-minimum coverage limits, maintained throughout employment
Core Competencies
Demonstrates comprehensive nursing assessment and care planning skills, with a strong focus on community health and patient-centered approaches. Proficient in coordinating multidisciplinary care and maintaining accurate clinical records while adhering to agency standards and regulatory requirements.
Highest-signal resume keywords
- Professional Nurse Licensure
- Community Health Experience
- Comprehensive Nursing Assessment
- Care Plan Development
- CPR Certification
ATS Optimization Keywords
Hard Skills
- Nursing Assessment
- Care Plan Formulation
- Patient Education
- Clinical Record Maintenance
- Multidisciplinary Coordination
Soft Skills
- Communication Skills
- Teaching Ability
- Supervision Acceptance
Certifications & Qualifications
Industry Keywords
- Home Health Nursing
- Community Resources
- Hospice Care
- Patient Care Coordination
- Third-Party Payer Reimbursement