Home Health Nurse, RN (New Graduate)

Job Description

Job Description

3HC Home Health and Hospice

Home Health Nurse, RN

New Graduate with July 2025 start date.

Compassionate Care is our Calling!

Why choose 3HC :

3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life’s journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best.

Summary :

The Home Health Nurse, RN is responsible for administering skilled nursing care to patients requiring intermittent professional nursing service.

REGISTERED NURSE (RN) ESSENTIAL JOB FUNCTIONS :

1. Abides by and supports 3HC's Compliance Program and Code of Ethics. 3HC's Compliance motto is "Compliance for all and all for Compliance". It is the intent of 3HC to comply with all applicable laws and regulations and that spirit is embedded in all aspects of our services and business practices. Our success hinges on doing things ethically and legally, to which, each and every employee plays a critical role.

2. Creates positive experiences for internal and external customers that will meet their expectations. Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.

3. Manages assigned cases and assists office with achieving positive patient outcomes, strategic plan and budget. (a) provides skilled nursing care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing; (b) observes and documents signs and symptoms and reports to the physician and other applicable personnel, reactions to treatments, including drugs and changes in the patient's physical or emotional condition and outcomes of intervention; (c) ensures on-going evaluation of patient / family needs and response to care; (d) refers to other services as needed; (e) initiates appropriate preventative and rehabilitative nursing procedures, as appropriate, for the patient's care and safety; (f) educates, supervises, consults, and counsels the patient / family regarding the nursing care needs, other related problems of the patient at home, the disease process, self-care techniques, and processes for dealing with issues of ethical concern and (g) Assures the development and implementation of the patient individualized plan of care and updates as needed.

4. Conducts a complete assessment of the patient to identify appropriate care needs. (a) obtains a medical history to include OASIS when needed, particularly as it relates to the present condition; (b) performs a physical assessment; (c) assesses the support system to determine what assistance will be available from family members and their ability to meet the patient's immediate needs upon changes throughout care; (d) assesses the patient, family member(s) and home situation to determine what health teaching will be required; (e) assess the patient's condition and home situation to determine if other home health services are needed; (f) interprets nursing and other services of the agency to the patient and family as a part of planning for care; and, (g) plans for discharge from services.

5. Documents in the medical record electronically and downloads daily. (a) those services rendered to the patient; (b) conferences held with other disciplines, physician, or community resources; (c) changes noted in the patient's condition and / or family home situation; (d) revisions in the nursing care plan as needed; (e) evaluation of patient care and clinical and progress notes that demonstrate progress towards established goals. Download will include time and travel documentation. Responds within 48 hours to requests for documentation correction / completion.

6. Ensures that the physician is involved ongoing with the patient's care : (a) reports to the physician and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on order / plan of treatment will sign orders.

7. Completes OASIS at specific point in time, such as admission, resumption of care, recertification, etc.

8. Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to regulatory guidelines, CMS / Hospice guidelines. CMS / Hospice guidelines. Ensures task assigned to the LPN : (a) are within the Nurse Practice Act and (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant : (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed; (b) supervises and evaluates the care given at least every two weeks and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.

9. Collaborates with supervisor to meet assigned productivity of 100%. Rotates weekday, weekend, and holiday "on-call" and "back-up-call".

10. Maintains regular communication with supervisor. Communicates problems of the patient(s) on a timely basis following chain of command. Communicates information using current process and technology available to 3HC.

11. Ensures that 3HC can bill for services appropriately. (a) completes certifications and re-certifications within designated timeframes; and (b) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his / her care management, including preauthorization and re-authorization for insurance.

12. Travels to other offices to meet the demand of patient needs as requested by the Director of Clinical Practice / Assistant Director of Clinical Practice.

Requirements :

• Registered Nurse currently licensed to practice nursing in the state of North Carolina
• Minimum of one-year experience as a professional nurse in an acute care setting
• Maintain current CPR certification (BCLS)
• Basic computer skills / knowledge and experience in electronic medical records
• Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
• Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized a plan of care
• Possess valid Driver's License and reliable transportation

Requirements :

Associate or Bachelor's degree in Nursing. Registered Nurse License or Graduate Nurse in the State. No previous experience needed. Some travel may be needed for training

Basic Cardiac Life Support (BLS) obtained within 30 days of employment.

Valid North Carolina Driver's License.

3HC is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex or sexual orientation, age, marital status, gender identity, national veteran or disability status.