Job Description

Job description

Manages and coordinates team functions and performance to ensure appropriate home care services from admission to discharge, for assigned patients. Plans and coordinates the delivery of each assigned patients plan of care in accordance with physician orders. Plans, renders, and evaluates hands on care provided to all assigned patients. Supervises and teaches team members, including RNs, LPNs, CNAs and HMAs in the efficient and effective delivery of quality patient care in accordance with agency policies and procedures and physicians orders.

QUALIFICATIONS:

• Registered Professional Nurse, currently licensed in the state of Tennessee.
• Minimum two years of home health experience.
• Working knowledge of the home health care program with previous management/supervisory experienced preferred.
• Previous experience scheduling home health visits preferred.
• Computer data entry and word processing skills desirable.

• Assists with calls or inquiries from any referral source (hospitals, physicians, patients/family members etc.) and provides accurate and reliable information regarding the requirements for admission to home health care.
• Assists with the solicitation of necessary patient specific information (name, address, phone, insurance, diagnosis, services required, physician etc.) at the time of referral in order to coordinate care needs and schedule a timely admission visit.
• Establishes and maintains effective and efficient primary care teams and assists with scheduling in-home staff and monitors all services according to the plan of care.
• Supervises and evaluates services provided by the RNs, LPNs, CNAs and HMAs in accordance with the plan of care, organizational policies, procedures, processes, and applicable regulations.
• Provides frequent communication to physicians, in-home staff members and others in effort to coordinate changes in patient care and to assure that appropriate follow-up and supporting documentation is done.
• Assures coordination of care with physicians, labs, in-patient facilities, etc. providing relevant information in a timely manner (lab results, transfer/discharge info, status reports, etc.). Monitors patients inpatient status on a frequent basis and coordinates resumption of private duty services as needed.
• Conducts resumption of care and recert visits in a timely manner as ordered by the physician. Completes supporting documentation in an accurate and timely manner.
• Monitors all types of patient care and supporting documentation (admission, recert, resume, and routine, transfer/discharge) and assures compliance with physician orders and OASIS requirements to ensure efficient and effective patient care.
• Maintains compliance with all Federal/Medicaid/Medicare/State licensure requirements and assists with preparation and participates in all such surveys. Reports to immediate supervisor any comments and/or suggestions made by a surveyor.
• Evaluates or oversees the evaluation of all team members job performance, including appropriate documentation of performance evaluations and competency verification, including direct observation of patient care staff.
• Maintains confidentiality of information related to business practices, business activities and personnel.
• Maintains a professional attitude when working with staff, fostering the team philosophy and team environment for all personnel.
• Provides staff education and counseling regarding all aspects of patient care, employee performance and compliance with agency policies and procedures. Provides written documentation of employee education and counseling according to agency policies and procedures.

Quality Private Duty Care