Registered Nurse (RN)
Company: Duke Health
Location: Julian
Posted on: May 3, 2024
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Job Description:
At Duke Health, we're driven by a commitment to compassionate
care that changes the lives of patients, their loved ones, and the
greater community. No matter where your talents lie, join us and
discover how we can advance health together.
About Duke HomeCare & Hospice
Pursue your passion for caring with Duke HomeCare & Hospice, which
offers hospice, home health, and infusion services across the
region, as well as serves as the home for the Duke Caregiver
Support Program. Team members work closely with a patient's
physician to provide comprehensive, individualized care in the
comfort of their home or at our inpatient hospice facility in
Durham, NC.
To have the opportunity to speak to someone further about this
position, please click this link to schedule with a recruiter:
https://calendly.com/jacqueline-huff/homecare-hospice-information
**Eligible for a Commitment Bonus
Shift: Monday-Friday 8:30AM-5:00PM
Duke HomeCare and Hospice differs from other home health companies
in many amazing ways. Please see a list of some of those reasons
below:
No call or weekend requirements
Manageable caseloads and territories
Commitment to safety for both patients and employees
Mileage reimbursement rate equal to the current federal rate
Extensive orientation of 10-20 weeks based on individual needs
JOB SUMMARY:
Performs professional nursing care for patients in a primary care
setting (the home or alternate site setting) according to nursing
practices, agency policies and regulations. Provide nursing
services to patients and families in accordance with the scope of
the RN as defined by the North Carolina Board of Nursing.
MAJOR JOB RESPONSIBILITIES:
Plan, provide, supervise and document professional nursing care
utilizing the nursing process for patients in accordance with the
NC nurse practice act, physician orders and established policies
and procedures. Uses professional nursing judgment to individualize
the plan of care based on assessment of the patient's baseline
needs and response to care.
Utilize comprehensive assessment skills to plan priorities and to
set realistic outcomes; collaborate with healthcare team in the
evaluation and cost effectiveness of patient care.
Assess educational needs of patients/families concerning
alterations in health, the disease process, and plan of care.
Develop and implement an effective discharge plan for patients to
begin at the initiation of services.
Obtain or develop appropriate educational resources for
patients/families; plan and implement appropriate educational
interventions; evaluate effectiveness and outcomes of
patient/family teaching.
Role model professional nursing through conduct, appearance,
communication, mutual respect, ethical decision-making, critical
thinking, and problem-solving skills.
Participate in weekly interdisciplinary team meetings and case
conferences, as necessary, to assure appropriate care and service
are provided to the patient.
Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards
thru inservices and workshop attendance.
Assesse the severity of patient symptoms, communicate to the
physician and record significant findings, intervenes as
appropriate.
Document care and services provided in accordance with DHCH Policy
and Procedures and regulatory standards.
Complete documentation accurately, timely, concisely.
Medication reconciliation and education to prevent adverse events
and readmission to hospital
Observe patient's reactions to medications and reports significant
incidents to the physicians.
Communicate regularly with team members, caregivers, and
physicians.
Follow infection control standard precautions and uses personal
protective equipment as required.
Delegate and supervise care given by NCA's/LPN's.
Develop plan of care for aides, assign care to aides based on the
skills of the aide, the availability of the aide for patient care
continuity, patient preference (when possible), and other
considerations as determined by the patient's care needs.
Identify personal learning needs and implements corrective action:
assists in planning and conducting staff development programs to
improve DHCC effectiveness.
Participate in own professional development by maintaining required
competencies, identifying learning needs and seeking appropriate
assistance or educational offerings.
Implement agency policy, procedures and objectives.
Work closely and collaboratively with agency billing staff to
ensure accuracy of billing.
Maintain confidentiality of employee and patient information.
Exhibit an attitude which promotes harmony and goodwill in the
workplace.
Display a clean, neat, professional appearance.
Participate in Performance Improvement Program.
Promote quality, comprehensive services through a team
approach.
Perform other duties as assigned.
Home Health
Case manage interdisciplinary team of clinicians caring for
patients in the home.
Complete required OASIS Comprehensive assessments at admission,
recertification, Resumption of care and discharge. This assessment
determines patient reimbursement for Medicare and other episodic
payors and also results in publicly reported patient outcomes and
additional payment impacts related to value based purchasing
Work with interdisciplinary team and patient providers to prevent
re-hospitalization of the patient.
Be aware of patient insurance requirements and assures
authorization for all services have been obtained.
Appropriate utilization of resources for patient including visit
and supply utilization.
WORK ENVIRONMENT AND REQUIREMENTS:
Perform Patient care primarily in the patient's residence or
skilled nursing facility (> 50%)
Travel to and from patient residence
PREFERRED QUALIFICATIONS
Education and Formal Training
Associate Degree or Diploma, Nursing required
Registered Nurses are not required but encouraged to enroll in a
DUHS approved BSN program after completing two years of service of
their start date.
BSN is not required for Duke University Clinical Ladder
Licensures, Certifications
Must have a current RN license in NC or compact RN licensure.
Current State of North Carolina Cardio-Pulmonary Resuscitation
Certificate (CPR) (American Heart Association only)
Professional Work Experience & Requirements
Two years of med-surgical, critical care or home
health/hospice/infusion
Valid driver's license and current automobile insurance
coverage
Prior experience in Home Health, Hospice or Infusion preferred
Prior OASIS and PDGM experience preferred for home health
Knowledge, Skills & Abilities
Working knowledge of Medicare and Medicaid regulations, including
JCAHO and DFS standards, ICD-9 Coding.
Knowledge of scope of the registered nurse, licensed practical
nurse and NCA
Knowledge of and appropriate application of the nursing process
Ability to assess nursing needs of acute and chronically ill
patients and their families
Ability to independently seek out resources and work
collaboratively
Ability to establish and maintain effective working
relationships
Ability to communicate clearly with patients, families, visitors,
healthcare team, physicians, administrators, leadership and
others
Ability to teach patients and families in accordance with the
nursing plan of care
Ability to use sensory and cognitive functions to process and
prioritize information, treatment, and follow-up
Ability to use fine motor skills
Ability to record activities, document assessments, plan of care,
interventions, evaluation and re-evaluation of patient status
Ability to use computer and learn new software programs and
technology
Able to document and communicate pertinent information using
computer and/or paper documentation tools
Knowledge in wound identification and treatments, infusion and
other advanced nursing skills
Critical thinking skills and organization skills
Working knowledge of infection control procedures and safety
precautions
Strong computer skills including MS Outlook, Word, Excel,
preferred
Excellent rapport, understanding, and communication with the
patients and their family members
Ability to work autonomously and independently in varying
environments.
Able to withstand driving long distances, stooping, bending,
lifting 20 plus pounds, and climb stairs
Duke is an Affirmative Action/Equal Opportunity Employer committed
to providing employment opportunity without regard to an
individual's age, color, disability, gender, gender expression,
gender identity, genetic information, national origin, race,
religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration,
innovation, creativity, and belonging. Our collective success
depends on the robust exchange of ideas-an exchange that is best
when the rich diversity of our perspectives, backgrounds, and
experiences flourishes. To achieve this exchange, it is essential
that all members of the community feel secure and welcome, that the
contributions of all individuals are respected, and that all voices
are heard. All members of our community have a responsibility to
uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University
and Duke University Health System may include essentialjob
functions that require specific physical and/or mental abilities.
Additional information and provision for requests for reasonable
accommodation will be provided by each hiring department.
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Keywords: Duke Health, Greensboro , Registered Nurse (RN), Healthcare , Julian, North Carolina
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