Home Health RN - San Mateo County

JOB DESCRIPTION SUMMARY
The registered nurse plans, organizes and directs home care services and is experienced in
nursing, with emphasis on community health education/experience. The professional nurse
builds from the resources of the community to plan and direct services to meet the needs of
individuals and families within their homes and communities.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Patient Care
1. Completes an initial assessment of patient and family to determine home care needs.
Provides a complete physical assessment and history of current and previous illness(es).
2. Regularly re-evaluates patient nursing needs.
3. Initiates the plan of care and makes necessary revisions as patient status and needs
change.
4. Uses health assessment data to determine nursing diagnosis.
5. Develops a care plan, which establishes goals based on nursing diagnosis and
incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the
patient and the family in the planning process.
6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers
medications and treatments as prescribed by the physician. Provides direct patient care as
defined in the State Nurse Practice Act.
7. Counsels the patient and family in meeting nursing and related needs.
8. Provides health care instructions to the patient as appropriate per assessment and plan of
care.
9. Identifies discharge planning needs as part of the care plan development and implements
prior to discharge of the patient.
10. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to
coordinate patient care for assigned caseload.

1. Prepares clinical notes and updates the primary physician when necessary and at least
every 60 days.
2. Communicates with the physician regarding the patient’s needs and reports any changes in
the patient’s condition; obtains/receives physician’s orders as required.
3. Communicates with community health related persons to coordinate the care plan.
Additional Duties
1. Participates in on-call duties as defined by the on-call policy.
2. Ensures that arrangements for equipment and other necessary items and services are
available.
3. Instructs, supervises and evaluates home health aide care provided every two (2) weeks.
POSITION QUALIFICATIONS
1. Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care
experience in an institutional setting.
2. Current licensure in state and CPR certification.
3. Bachelor’s degree, with one (1) year of home health and hospice care experience preferred.
4. Management experience not required. Responsible for supervising home health aides.
5. Excellent observation, verbal and written communication skills, problem solving skills, basic
math skills; nursing skills per competency checklist.
6. Prolonged or considerable walking or standing. Able to lift, position or transfer patients.
Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or
crouching. Visual acuity and hearing to perform required nursing skills.
7. Licensed driver with automobile that is in good working order and insured in accordance
with the organization requirements.