A HOME CARE NURSE has a strong sense of self, compassion, dedication, and the ability to assess and provide skilled care in an autonomous environment—the security of the patient’s home. Being part of a strong interdisciplinary team will help you grow in your nursing career and make a real time difference to those entrusted to your care.

A home care RN case manager plans and coordinates home care services to meet the needs of individuals and families within their homes and communities; is experienced in nursing, with emphasis on community health education/experience.

Duties include but are not limited to:

• Complete an initial assessment of assigned patient and family to determine home care needs. Follow-up with a comprehensive assessment and development of an individualized written plan of care for your patient.
• Initiate the plan of care and accept responsibility for the ongoing interdisciplinary assessment and expansion of the plan of care in partnership with your patient, representative (if any), and caregiver(s).
• Initiates appropriate skilled preventive and rehabilitative nursing procedures; provide services as ordered by the physician and indicated in the plan of care. Counsel and provide education to the patient and family in meeting nursing and related needs.
• Obtain all necessary physician orders and collaborates with physician as patient’s needs require. Complete thorough clinical notes and charting daily.
• Attend case conferences to discuss multidisciplinary team responsibilities, patient progress, plans for continued care, etc.
• Re-evaluates the need for continued care on an ongoing basis, initiates recertification as necessary, as well as
• Identifying discharge planning needs as part of the care plan development and implement prior to discharge of the patient.

Additional Duties:

• Participates in KVNA’s quality assessment and performance improvement program and home health agency-sponsored in-service training.
• Participate in holiday rotation and on-call duties as defined by the on-call policy.
• Supervise and evaluate home health aide and LPN care every two (2) weeks per state and agency regulations.
• Participates in all mandatory meetings, training, and in-service education.

Requirements:

• Graduate of an approved school of nursing and licensed in the State of Wisconsin.
• Minimum of two (2) years of experience; one (1) year of public health or home care nursing preferred.
• Must be a licensed driver with an automobile in good working order and insured in accordance with state or organization requirements.