Community Health Nurse (Home Care) - Westchester - Northwell Health : Job Details

Community Health Nurse - Westchester County8:30am-5:00pmWeekly Hours: 37.5FlexStaff is seeking a Community Health/Home Care RN for our client, a non-profit healthcare organization providing home and community-based healthcare and services for the elderly.Under the direction of a Nurse Manager, the PACE Community Health Nurse (PCHN) provides skilled care and routine clinical nursing assessment visits to PACE members and families utilizing all elements of the nursing process and in compliance with applicable laws, regulations, and agency policies. The PACE CHN primarily provides nursing visits in the member's home in the community but can routinely visit members in the PACE center, hospitals, nursing homes, and other alternate setting as deemed necessary for care coordination consistent with the PACE model of care. The PACE CHN is a core interdisciplinary team (IDT) member who assigned to a PACE member in compliance with CMS PACE regulatory requirement.RESPONSIBILITIES:Assesses and evaluates the health care needs of patients and families with consideration regarding physiological, psychological, social, and environmental factors.Identifies complete, accurate and logical Uniform Assessment System (UAS) for NY and appropriate sequencing of diagnoses in collaboration with the PCP to maintain compliance with state and federal regulations.Participates in mandatory comprehensive care planning meetings. Collaborates with all members of the IDT in developing a comprehensive care plan based on member-specific needs, physician orders, UAS-NY CAPS, other IDT assessments, members' specific parameters and identified goals that are respectful of member, family, community, and agency resources.Implements the nursing care plan and revises it whenever necessary by regularly assessing, observing, and evaluating the patient's condition, needs and response to care and makes appropriate nursing judgments and decisions for care plan revision.Initiates and applies appropriate preventative, therapeutic and rehabilitative nursing procedures and techniques.Administers medications and treatments as prescribed by the PCP. Ability to independently perform skilled nursing procedures and techniques based on the changing nursing needs that the member requires.Teaches the patient and family/caregivers self-techniques whenever appropriate and provides instruction regarding medication, diet, safety, and treatment modalities in accordance with the plan of care.Delegates responsibility appropriately and supervises ancillary personnel in a manner that will assure quality care and compliance with the care plan.Completes, maintains, and submits all required documentation that is timely (in compliance with agency policy) accurate, and relevant.Meet all requirements for UAS-NY assessor function: timely completion within regulatory standards, follow-up assessments, and significant change assessments as needed.Reviews and confirms eligibility of member in the program based on Nursing Facility Level of Care (NFLOC) score obtained from the UAS-NY assessmentPerforms care coordination as part of their nursing visits to members across all settings of care.QUALIFICATIONS:Education: Degree from an NLN accredited school of nursing required, BSN preferred.License: Current New York State license to practice as a Registered Nurse.Minimum of one (1) year general clinical nursing experience in a certified home health agency (CHHA), acute care, medical surgical, and/or critical care experience required.Minimum of one (1) year of experience working with a frail or elderly population preferredCurrent Driver's License, required insurance and car available for work as required