Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management.
This position works under an Case Manager Registered Nurse position.
DUTIES AND RESPONSIBILITIES- Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, JP, Biliary, Nephrostomy, ,Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage system ,Trach care, Blood draws, Ostomy management ,SQ and IM injections, IV antibiotic/TPN administration and Compression wraps.
- Provides direct patient care as defined in the state Nurse Practice Act
- Implements a plan of care initiated and directed by the Case Management Registered Nurse
- Provides accurate and timely documentation within 24-48 hours consistent with the plan of care
- Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care
- Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques
- Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines
- Uses equipment and supplies effectively and efficiently
- Participates in personal and professional growth and development
- Performs other duties as assigned by the Case Management Registered Nurse
- Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care
- Gives a timely and pertinent report to the Case Manager
- Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions
- Entries will accurately record any incident that has a bearing on the patient.
- Reports pertinent information timely to the Case Management Registered Nurse and to Provider
- Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment
- Ensures patient privacy in maintaining medical records and when providing care.
- Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills
- Maintains productivity standards as directed by the Case Management Registered Nurse .
- Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed.
- Participates in on-call duties as required by weekend rotation
Job Specifications- One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting.
- One year of home health care experience is preferred.
- Experience with high acuity patients is a plus
- Experience working with an interdisciplinary team is highly desired
- Graduate of an accredited school of nursing (Bachelor's degree)
- Current CA Registered Nurse License (RN)
- Current Basic Life Support (BLS) Card
- Valid CA Drivers License with acceptable driving record
- All license and certifications must be current at time of hire and sustained throughout employment
- Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
- Must maintain current with annual compliance training and certifications
$130,000 - $160,000 a year
Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match.
