Home Health - Nurse Resident

• Ensures quality and safe delivery of services to patients according to care plan. Uses equipment and supplies safely, effectively, and efficiently.
• Consistently utilizes a holistic approach considering physical, psych/social, spiritual, educational, safety and related criteria appropriate to the age of the patients served in assigned service area.
• Provides patient, family, and/or caregiver education and information pertinent to diagnosis and safety issues.
• Maintains accurate and timely documentation of clinical records and time and travel entries.
• Integrates and coordinates the care of the at-risk population across the healthcare continuum.
• Communicates clinical status and plans clearly, succinctly and accurately to interdisciplinary home care team, schedulers, team leaders, and physicians.
• Serves as a patient advocate, educator and as central source of communication for the patient and their support systems, and referral sources.
• Conferences with clinical management, physician and interdisciplinary team in order to provide high quality, cost effective care.
• Develops/updates a plan of care appropriate to patient acuity/complexity and specific to the individual needs of the patient.
• Care is outcome-oriented, reflects measurable progress and goals toward discharge.
• Facilitates advance care planning discussions to ensure appropriate care coordination and high-quality care based on patient’s long-term goals of care.
• Delivers quality care consistent with Home Health Conditions of Participation, qualifying home care criteria, payer coverage criteria, and providing visits/treatments consistent with the plan of care.
• Conducts clinical review of record to include multi-disciplinary review, coordination of care, provided in conjunction with visits and documentation.
• Identifies risk for acute hospitalization and proactively prevents adverse events.
• Demonstrates competency in comprehensive assessment/OASIS competency without oversight.
• Maintains OASIS accuracy and integrity by reviewing all audits and reviews and making changes as necessary in a timely manner.
• Responsible for accurate documentation (ie: care plan within required timelines, care and utilization of resources to achieve quality outcomes, conferences, discharges, billing, coding.)
• Documentation reflects understanding and application of qualifying criteria for home care.
• Reviews multidisciplinary care provision, conducts own clinical review and participates in peer audit, as applicable.
• Assists in the promotion of services and products.
• Performs “on-call” duties and weekend/after hour visits on a rotational basis as assigned, after orientation period is completed.
• Maintains regular and consistent attendance at work.
• Behaves in a manner consistent with Mission, Vision and Values..
• Maintains compliance with OSHA, Accreditation Standards, and Risk Management guidelines.
• Maintains compliance with Personnel policies and procedures.
• Behaves in a manner consistent with all Corporate Compliance policies and procedures.
• Performs other duties as requested by the Manager or Supervisor to facilitate smooth and effective operations of the organization.
• Meets agency established benchmarks for quality and process measures, patient satisfaction, OASIS case mix, productivity and documentation timeliness.
• Employee is responsible for professional communication with all members of the interdisciplinary team and home care operations. This includes but is not limited to responding to email, voicemail and telephony message; attending all required staff meetings; communicating with supervisor and other team members; reviewing all employee communication; and reviewing department newsletters.

• Graduate of State Board approved program for Registered Nurses.
• WI RN license.
• CPR: Maintain a valid Basic Life Support (BLS) Healthcare Provider Card with Re-certification.
• Strong interpersonal skills.
• Ability to work as a collaborative team member.
• Ability to understand and apply guidelines, policies and procedures.
• Strong computer skills.
• Valid licensed driver with automobile insurance in accordance with state and/or organizational requirements.

• BSN

Learn more about UW Health Care Direct on our Career Site: UW Health Care Direct - UW Health - Remarkable Careers

Mission Statement: As healthcare providers, we expect to be the best at what we do and do what is right every time. We hold ourselves accountable to safety, service, and compassion. Through these values, we strive to make a difference in the lives of our patients and employees