RN

Paycom; San Antonio (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

Paycom is seeking a Registered Nurse to administer skilled nursing care to patients in their homes on an intermittent basis. The RN will work under the direction of the Clinical Manager to implement and revise the plan of care per physician orders.

The role requires graduation from an approved nursing program, active RN license in the state, and a preference for 1 year of nursing experience. Independent judgment and adherence to agency goals are essential.

Qualifications

• Graduate of an approved school of professional nursing and currently licensed in the state in which practicing.
• One (1) year nursing experience, preferred.
• Ability to exercise initiative and independent judgment.
• Acceptance of philosophy and goals of this Agency.

Responsibilities

• In the patient home, provides nursing services per plan of care and physician orders.
• Makes initial evaluation, determines needs, eligibility and homebound status, and develops plan with IDT.
• Regularly reevaluates nursing needs and revises the care plan as required.
• Initiates and revises the plan of care; performs specialized nursing skills as needed.
• Prepares clinical and progress notes for each visit and document care conferences timely.
• Coordinates services with IDT, physicians, other providers, patient and caregivers.
• Informs physician of changes in condition; counsels patient and family.
• Supervises LPN/LVN and HHA/CNA per schedule; assigns home health aides.
• Conducts patient care conferences and participates in quality management and utilization review.
• Gives total patient care as needed; takes on-call nights/weekends/holidays as assigned.
• Completes and submits OASIS assessments and other required documentation per policy.

Skills

Patient care

Assessment

Communication

Independent judgment

Education

RN license

Graduate nursing program

Job description

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Clinical Manager.QUALIFICATIONSGraduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing.One (1) year nursing experience, preferred.Acceptance of philosophy and goals of this Agency.Ability to exercise initiative and independent judgment.RESPONSIBILITIESProvides services in accordance with the plan of care.Makes the initial evaluation visit, determines the immediate care and support needs of the patient, assesseseligibility and homebound status and develops the plan of care in coordination with other IDT members.Regularly reevaluates the patients nursing needs and revises the care plan to meet the patients needs.Initiates the plan of care and necessary revisions.Furnishes those services requiring substantial specialized nursing skill.Initiates appropriate preventive and rehabilitative nursing procedures.Prepares clinical and progress notes for each patient visit and summaries of care conferences on patients in a timely manner as per Agency policy.Coordinates services with other members of the IDT, all physicians involved in the patient care, other care providers, patient, representative and caregivers when appropriate.Informs physician and other personnel of changes in the patients condition and needs.Counsels the patient and family/significant others in meeting nursing related needs.Participates in in-service programs, supervising and teaching other nursing personnel.Understands and adheres to established Agency policies and procedures.Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.Determines the amount and type of nursing needed by each individual patient.Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Workerthose patients requiring their specialized skills.Supervises the LPN/LVN every 30-days and supervises the HHA/CNA every 14-days (or per regulatory requirements) and teaches other nursing personnel.Assigns home health aides to specific patients with written patient care instructions.Conducts patient care conferences on patients assigned to his/her care.Participates in peer review and quality management as assigned.Participates in utilization review of medical records as assigned.Gives total patient care as needed.Takes on-call duty nights, weekends and holidays as assigned.Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.Appropriately utilizes ICD-10 diagnoses and codes.Observes confidentiality, safeguards all patient related information.Attends staff meetings and patient care conferences as scheduled.Completes documentation and paperwork in a timely manner per Agency policy.Immediately reports to Administrator/Clinical Manager any patient incidents/variances or complaints.Demonstrates competent performance of technical skills according to established procedures.Understands and adheres to established policies and procedures.Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.Maintains acceptable attendance status, per Agency policy.Reports all incomplete work assignments to Clinical Manager.Appearance is always within Agency standard; is clean and well-groomed.Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments.Maintains clean and neat work environment.Demonstrates sound judgment, critical thinking and decision making.Maintains current CPR certification.Performs other duties as assigned.