PASRR Nurse Evaluator

Job Title: PASRR Nurse Evaluator

Job Number: 84

Unit: Adult Services

Date Originated: 1/2016

Work Location: Clinics

Revision Date: 3/2021

Reports to: PASRR Nursing Supervisor or Program Manager

EEOC Category Professional

Worker’s Comp Code 8810

☐Full-time

☐Part-time

☐On-Call

☒Fee-For-Service

☐Exempt

☒Non-exempt

Overview of Duties and Responsibilities:

This is primarily a clinical position which involves the provision of physical and psycho-social assessments to individuals pursuant to PASRR regulations, as well as the provision of physical and psycho-social assessments to community-dwelling elderly who are clients of NSO-Adult Services.

• Perform related duties as assigned by supervisor
• Maintain compliance with all company policies and procedures and applicable rules and regulations of grantors.
• Models the Pillars and guiding principles of NSO at all times.

Driving/Travel Requirements

☐ Will drive NSO Vehicle

☒ Must have access to reliable private transportation

☐ Must maintain valid MI driver’s license/State ID

☐ Must maintain automotive insurance

☒ Must be able to visit locations while working for NSO

☐ Will be expected to travel on NSO time

Annual Training

☒ CPR and First Aid training are required for this position

☐ Non-Violent Intervention training is required for this position

☒ Additional Trainings will be required

Supervisory Responsibilities:

☒ None

Education, Licensure and Experience Requirements:

Education: Bachelor of Science Nursing (BSN) or Associates in Nursing (AN/ASN)

Required Licensure: Registered Nurse License (RN)

Minimum Required Experience: 5+ years’ experience required if AS/ASN or 4 years’ experience for BSN.

• Knowledge of Age-specific and Population-specific Requirements:
• Knowledge of mental diagnoses and behaviors
• Knowledge of developmental issues in the older adult population
• Knowledge of how mental illness impacts older adults
• Demonstrated competency serving older adults with mental illness.
• Must have demonstrated computer proficiency, and be able to pick up new software as needed.

Job Knowledge and Comprehension

• Primary Job Role

• Evaluation services and the provision of outreach physical health care evaluations to clients in hospitals, nursing homes, and other types of residences. Services include physical health assessments, evaluation of current care, completion of PASRR summary for physical examination and medication history. Clinical interventions are directed toward maintaining clients within least-restrictive settings and toward maximizing capacities for independent functioning.

Essential Job Duties

• Primary Job Duty:

• As indicated, provides direct clinical services to consumers with a frequency consistent with good nursing practice and within the Unit standards.
• Reviews PASRR record, client record, physical exam findings, and makes recommendations for level of care appropriate to the needs of clients.
• Appropriately utilizes internal resources, such as psychiatric and supervisory consultation, to resolve mental health crises and other problematic situations.
• Appropriately utilizes outside resources such as hospitals, primary care physicians, etc., to resolve physical health problematic situations in least-restrictive settings appropriate to the consumers nursing needs and as directed.
• Seeks supervisory consultation when appropriate action is unclear or beyond routine nursing functioning.
• Relates to evaluated persons in such a way as to promote their physical and mental well being.
• Participates in meaningful and informative orientation of new staff nurse.
• Follows and contributes to the development of OAS guidelines for providing services.
• Provides psychiatric/mental health nursing care (as indicated) within the laws/licensure of the State of Michigan and to the full intent of Standards of American Nurses Association on Psychiatric Mental Health Nursing.
• Maintains knowledge regarding patient rights and serves as advocate as needed.
• Accepts and performs all other pertinent and reasonable assignments made by the Outreach Supervisor of Outreach Clinical Coordinator.
• As indicated, provides physical health examinations of persons undergoing PASRR evaluation, and completes the PHYSICAL EXAMINATION, MEDICAL HISTORY, etc portion of documentation.
• As indicated, makes follow-up visits to evaluated persons, primarily in nursing homes, to reassess current needs and evaluate nursing care.
• Keeps Outreach Clinical Coordinator and Outreach Therapist advised of critical events and behaviors of evaluated persons, as indicated.

Attends professional conferences related to nursing care/management of elderly/mentally ill, as approved, and shares knowledge with other OAS staff, as well as nursing home staff (as appropriate), to improve the care to evaluated personnel.

Communication - contacts nursing home staff, families, physicians and NSO/Adult Services personnel regarding care and treatment of the PASRR evaluated residents.

• Communicates with nursing home staff and physicians regarding physical health care needs of the PASRR consumer.
• Communicates with relevant NSO-OAS staff regarding pertinent health care data and information exchange in relation to the PASRR consumer.
• Contacts nursing homes, NSO staff, hospitals, families, and doctors for information regarding evaluated person's history and/or current status.

Accurately identifies residents' health education needs and provides for or recommends methods to meet those needs

Documentation includes the complete, accurate and timely submission of PASRR summaries, progress notes, nursing assessments, and other clinical and statistical records.

• Records relevant information on initial and annual PASRR, Status Reviews, and other treatment reviews, as appropriate, and completes documentation within the specified time frames.
• Appropriately records services on Progress Notes and elsewhere, as indicated, in clear and concise language and in the Unit format.
• As indicated, completes nursing care documentation relevant to admission, transfer, and discharge of evaluated persons within program specified timeliness.
• Reviews PASRR records, recommendations, and summaries.
• Submits all documentation in a timely manner, consistent with program policies and procedures.
• Summarizes labs, physical exams, current medication, consumer's needs, nursing care, medical diagnosis and treatment on PASRR record.

Performs any other job-related tasks as assigned by the supervisor.

• Productivity

• Complete and submit PASRR nursing assessments monthly within your available time with a goal of 7.5 points (PAS = 2 pt/RR = 1 pt) for a 5 day work week as specified on monthly data report to supervisor.
• Submit completed Progress Notes, and Service Activity logs within the designated time frames consistent with the NSO, and Unit policy.
• Manage weekly caseload, and assignments to maintain turnaround times to comply with Federal Regulations.

Attend and participate in assigned committees and meetings on a monthly basis and or as they occur.

Administrative and Professional Skills

• Professionally represents NSO and promotes NSO mission and vision statements. Promotes a harmonious work environment.
• Demonstrates expertise in his/her functional area, leveraging unique core of knowledge and skills to achieve results. Ensures consumer satisfaction through process of monitoring, improving, and delivering excellence in program services.
• Is open to new approaches and takes steps to increase knowledge, skills and abilities, both from within and outside NSO
• Complies with contractual and regulatory requirements, as needed. Fosters commitment, team spirit, pride and trust. Possesses good work ethic, drive, energy, and persistence to achieve goals. Takes accountability for job responsibilities. Performs other duties as assigned. Able to anticipate and bring about change when needed.
• Complies with and adheres to department and NSO policies and procedures.
• Adheres to established quality and performance improvement standards.
• Works effectively with others to accomplish goals/resolve problems.
• Organizes work well and uses time effectively.
• Maintains consistent work attendance.
• Maintains good operating environment by attending work on time as scheduled.
• Professionally represents NSO and promotes NSO mission and vision statements.
• Promotes a harmonious work environment.
• Demonstrates expertise in his/her functional area, leveraging unique core of knowledge and skills to achieve results.
• Ensures consumer satisfaction through process of monitoring, improving, and delivering excellence in program services.
• Is open to new approaches and takes steps to increase knowledge, skills and abilities, both from within and outside NSO.
• Complies with contractual and regulatory requirements, as needed.
• Fosters commitment, team spirit, pride and trust.
• Possesses good work ethic, drive, energy, and persistence to achieve goals. Takes accountability for job responsibilities.
• Able to anticipate and bring about change when needed.
• Performs other duties as assigned

Working Conditions and Necessary Capabilities

• Works in an outreach capacity; uses a computer, telephone and other office equipment as needed, to perform duties. Work location can be in an office-style setting, or at a consumer’s residence or place or respite.
• The noise level in the work environment is variable, due to frequent contact with consumers.
• Bends, stoops and reaches in order to file, search for and retrieve records and documents.
• Manual dexterity and regular fine-finger and hand/wrist motions are required for operating a keyboard, writing and filing.
• Seeing/vision, talking/speaking and listening/hearing are continuously required.
• Frequently required to stand during working hours.
  Frequently required to sit, walk or drive.
• Operates an automobile while performing assigned job duties.