Medical Care Center Staff

1 month ago


Austin TX, United States HarmonyCares Full time

RN Home Health Visiting Nurse

HarmonyCares is one of the nation's largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.
Our Mission - To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.
Our Shared Vision - Every patient deserves access to quality healthcare.
Our Values - The way we care is our legacy. Empower and support each other.
Health, Dental, Vision, Disability & Life Insurance, and much more
* 401K Retirement Plan (with company match)
* Tuition, Professional License and Certification Reimbursement
* Paid Time Off, Holidays and Volunteer Time
* Paid Orientation and Training
* Home Health locations in 8 states
* The Home Health Visiting Nurse provides intermittent skilled nursing services in a face-to-face capacity to include patient residence and qualifying facilities. The Home Health Visiting Nurse is responsible to communicate the patient's progress with other disciplines and directs, supervises and instructs non-professional home health aide staff in the provision of personal care to the patient.
Under the physician's order, admits patients eligible for home care services within 24-48 hours
* Develops patient care plan that specifically addresses identified patient problems; Updates care plans on an ongoing basis; Completed admission paperwork and patient care plan submitted to Clinical Supervisor per agency policy following the admission including completed and signed admission checklist
* Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient Plan of Care
* Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
* Submits completed skilled nursing visit notes; communication notes and home health aide supervisory notes per agency policy on designated days as requested by Clinical Supervisor
* Submits change orders per agency policy
* Performs all OASIS time point assessment per Medicare Criteria and submits recertification paperwork per agency policy and procedure
* Mantains open lines of communications to all members of the continuum of care team
* Supervises Home Health Aide and license and documents per Medicare criteria and per agency policy and procedure
* Acts as a preceptor in the orientation of new nursing staff as requested
* Attends staff meetings, team conferences and educational in-services per agency requirements
* Participates in Process Improvement (PI) program by assisting with collection of data and serves on PI team upon request
* Participates in discharge planning process Medicare Criteria and agency policy and procedure
* Follows agency policies and procedures
* Able to lift 40 pounds from floor to shoulder
* Able to drive a car 2-4 hours per day
* Responsible to ensure the use of the 4Ms (What Matters to the patient, Medications, Mentation, and Mobility) and provides Age-Friendly Care
* The ability to assess and document patient needs and formulate individualized patient care plans to meet those needs
* Proficiency in personal computer use, including e-mail, clinical, word processing, spreadsheet and presentation software
One year of experience as a home care professional nurse and is competent in performing home care comprehensive assessment



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