Visiting Nurse
Company: Your Health Organization
Location: Bluffton, SC
A successful Visiting Nurse will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).Admission
Facilitate a telehealth visit with the nurse practitioner and a tele-pharmacy visit with the pharmacist
Facilitate receiving all medical records from the patient’s primary provider and specialists
Review all medical records of new patients
Assess and admit new patients
Enroll patients in chronic care management (CCM) if they meet CCM eligibility criteria
Initiate a Chronic Care Management Plan of Care if the patient is eligible for CCM
Capture all diagnoses at the highest specificity by creating GAPs and ensure they are accepted
Complete AWV to be reviewed with the patient by the primary care provider
Complete ACPs to be reviewed with the patient by the primary care provider
Review and reconcile prescribed and OTC medications, vitamins, supplements, and herbal remedies.
Assess for home health, hospice, palliative, or SCHC specialists
Assess for devices (Livi, RPM) or services (SCHomeRX, meals-on-wheels), or tools that may improve the patient’s quality of life
Communicate and coordinate care Discharge from an acute or post-acute facility or home health
Facilitate a telehealth visit with the nurse practitioner and a tele-pharmacy visit with the pharmacist
Review and reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments
Provide post-discharge education
Communicate and coordinate care Acute Incident
Facilitate a telehealth visit with the nurse practitioner and a tele-pharmacy visit with the pharmacist
Assessment of acute condition(s)
Communicate and coordinate care
Initiate and implement a plan
Patients and Caregivers Education and Communication
The added value of chronic care management (CCM)
Medications, procedures, and treatment protocols
The importance of satisfying quality measures
Proper healthcare procedures strategies
Management of Medication & Treatments
Taking and monitoring vital signs
Monitoring and documenting patient care
Performing and documenting assessments of patients’ physical and mental health
Review and reconcile prescribed and OTC medications, vitamins, supplements, and herbal remedies.
Administration of prescribed medications, treatments, and therapies
Administering oxygen and other respiratory treatments.
Monitoring patients after treatments or medications.
Completing wound assessment and administering treatments
Giving immunizations, ppd, and other injections.
Preparing IVs and supplies
Assist with Retinavue - Diabetic Eye Exams
Chronic Care Management
Educating and enrolling patients in chronic care management (CCM)
Communication, collaboration, and coordination of care
Continuous review and revision of CCM plan of care
Administrative
Capture all diagnoses at the highest specificity by creating GAPs and collaborate to ensure they are accepted.
Accurately document each visit and interaction
Assess and chart observations of the patient’s condition.
Collaborate with nurse practitioners to satisfy each patient’s quality measures.
Facilitate telehealth or tele-pharmacy visits
Coordinate with your Director of Clinical Services to review analytics related to your patient cohort (i.e. Acclivity, PowerBI)
Ensure follow-up visits are scheduled
Participate in quality improvement projects i.e. root cause analysis of adverse incidents
Maintain current list of providers and specialists updated in the EMR
Communicate with patients, families, and caregivers.
Must be available during normal work hours (unless previously approved by direct supervisor). Additional hours may be required to complete normal business functions and/or projects.
Utilize the company’s software systems and update information as required.
Participate in coaching calls.
Perform other duties as requested or required, in the sole discretion of SC House Calls.MISSION EXPECTATIONS
Take responsibility for own work in completing tasks. Assist others so that the resources, assistance or support is provided to achieve success in their daily work.
Communicate, endorse, and demonstrate SC House Calls’ mission, vision and values.
Prompt and regular attendance.
Adhere to standards of behavior, dress code including name tag and approved uniform, personnel department and company policies.
Attend in-services and meetings on a regular basis.
Promote a culture of outstanding customer service at all times.
Must be available during normal work hours (unless previously approved by direct supervisor). Additional hours may be required to complete normal business functions and/or projects.
Must possess the ability to deal tactfully with patients, employees, management, visitors, government agencies, and the general public and maintain an open-door policy for all employees.
Must possess the ability to make independent decisions when circumstances warrant.
WORK ENVIRONMENTThe work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job:
May be exposed to housekeeping cleaning agents and chemicals, humidity, hot equipment, and/or noise.
May be exposed to infections, communicable diseases, odors, bloodborne pathogens, excreta and hazardous materials.
COMPLIANCE WITH POLICIES AND PROCEDURES
Comply with all federal, state and local laws and regulations.
Knowledge of and compliance with Patient’s Bill of Rights.
Must be knowledgeable of Medicare guidelines, applicable laws and regulations, and SC House Calls policy and procedures.
Adhere to SC House Calls’ Code of Conduct / Ethics.
Must exercise a high degree of confidentiality regarding patients, personnel and the company.
HIPAA compliant.
Promote a culture of compliance.
PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
Must be able to lift, reach, bend, push, pull, use repetitive hand motions, walk and carry simultaneously.
Must be able to withstand reaching, stooping, bending, kneeling, and crouching; walking and standing for periods of time; lifting up to fifty (50) pounds.
Must be in good general health and demonstrate emotional stability.
QUALIFICATIONS
Must be a licensed nurse. License must be in good standing with the appropriate board.
A minimum of three (3) years clinical experience preferred.
Demonstrated ability to supervise and direct professional and administrative personnel.
Ability to read and communicate effectively.
Strong written and verbal skills.
Basic computer knowledge.
Ability to manage and demonstrate effective leadership skills.
Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
